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Willms A, Rhodes RE, Liu S. The Development of a Hypertension Prevention and Financial Incentive Mobile Health Program Using a “No-Code” Mobile App Builder: A Development and Usability Study (Preprint). JMIR Form Res 2022; 7:e43823. [PMID: 37018038 PMCID: PMC10131686 DOI: 10.2196/43823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Revised: 02/15/2023] [Accepted: 03/09/2023] [Indexed: 03/11/2023] Open
Abstract
BACKGROUND Regular physical activity (PA) is a key lifestyle component for hypertension prevention. Previous studies have shown that mobile health (mHealth) apps can be an effective tool for improving PA behaviors. However, adherence to and poor engagement with these apps is a challenge. A potential solution to overcome this challenge may be to combine financial incentives with innovative behavior theory, such as the Multiprocess Action Control (M-PAC) framework. Currently, there is a lack of PA financial incentive-driven M-PAC mHealth programs aimed at hypertension prevention. OBJECTIVE We aimed to describe the process of developing an 8-week mHealth PA and financial-incentive hypertension education program (Healthy Hearts) and to evaluate usability of the Healthy Hearts program. METHODS The first 2 stages of the Integrate, Design, Assess, and Share framework were used to guide the development of the Healthy Hearts program. The development process consisted of 2 phases. In phase 1, the research team met to discuss implementing the M-PAC framework to adopt an existing web-based hypertension prevention program to a mobile app. The app was developed using a no-code app development platform, Pathverse (Pathverse Inc), to help decrease overall development time. In phase 2, we created a prototype and conducted usability testing to evaluate lesson 1 of the Healthy Hearts program to further enhance the user experience. We used semistructured interviews and the mHealth App Usability Questionnaire to evaluate program acceptability and usability. RESULTS Intervention development among the research team successfully created an 8-week financial-incentive hypertension education program for adults aged 40-65 years who did not currently meet the Canadian Physical Activity Guidelines (<150 minutes of moderate to vigorous PA per week). This program lasted 8 weeks and comprised 25 lessons guided by the M-PAC framework. The program used various behavior change techniques to further support PA adherence. Usability testing of the first lesson was successful, with 6 participants recruited for 2 rounds of testing. Feedback was gathered to enhance the content, layout, and design of the Healthy Hearts program to prepare the mHealth program for feasibility testing. Results of round 1 of usability testing suggested that the content delivered in the lessons was long. Therefore, the content was divided into multiple lessons before round 2 of usability testing, where feedback was only on design preferences. A minimum viable product was created with these results. CONCLUSIONS The iterative development process and the usability assessments suggested by the Integrate, Design, Assess, and Share framework enabled participants to provide valuable feedback on the content, design, and layout of the program before advancing to feasibility testing. Furthermore, the use of the "no-code" app development tool enabled our team to rapidly make changes to the app based on user feedback during the iterative design process.
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Affiliation(s)
- Amanda Willms
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada
| | - Ryan E Rhodes
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada
| | - Sam Liu
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada
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Divine A, Blanchard C, Benoit C, Downs DS, Rhodes RE. The influence of sleep and movement on mental health and life satisfaction during the transition to parenthood. Sleep Health 2022; 8:475-483. [PMID: 36123239 DOI: 10.1016/j.sleh.2022.06.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Revised: 06/17/2022] [Accepted: 06/23/2022] [Indexed: 10/14/2022]
Abstract
OBJECTIVES This study assessed whether sleep and physical activity impact mental health and life satisfaction across the transition to parenthood. This study assessed the impact of parenthood on mental health of new parents and parents expecting their second child, and whether change in mental health occurred dyadically across couples. DESIGN Longitudinal 12-month study. PARTICIPANTS One hundred and fifty-seven couples (N = 314) between the ages of 25 and 40, who were not expecting to have a child (n = 102), expecting their first child (n = 136), or expecting their second child (n = 76) were recruited. MEASUREMENTS Participants completed measures at baseline, 6 months, and 12 months. Sleep was assessed with how often participants met sleep guidelines (7-9 hours). Physical activity was measured objectively via accelerometers. Mental health was measured using 6 items from the short form-12 Quality of Life Survey. Life satisfaction was assessed with the Satisfaction with Life Scale (5 items). RESULTS Mental health was not predicted by physical activity but was predicted by sleep. Sleep at 6 months was positively related to mental health at 6 months (β = 0.156, p < .001), and sleep at 12 months was positively related to mental health at 12 months (β = 0.170, p < .001). The change in mental health did not occur dyadically: mental health increased for women but not for men across groups. Mental health was positively related to life satisfaction at 6 months (β = 0.338, p < .001) and 12-months (β = 0.277, p < .001). CONCLUSIONS For new and established parents, getting sufficient sleep plays an important role in mental health and, in turn, life satisfaction.
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Liang W, Duan Y, Li F, Rhodes RE, Wang X, Peiris DLIHK, Zhou L, Shang B, Yang Y, Baker JS, Jiao J, Han W. Psychosocial Determinants of Hand Hygiene, Facemask Wearing, and Physical Distancing During the COVID-19 Pandemic: A Systematic Review and Meta-analysis. Ann Behav Med 2022; 56:1174-1187. [PMID: 36074717 DOI: 10.1093/abm/kaac049] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Hand hygiene, facemask wearing, and physical distancing play a crucial role in the prevention of the COVID-19 pandemic. Identifying the key psychosocial determinants of these precautionary behaviors contributes to effective intervention and policymaking for COVID-19 and future pandemics. PURPOSE This study aimed to systematically review and meta-analyze available evidence on psychosocial determinants of the general population's practice of three precautionary behaviors, based on the Risk, Attitudes, Norms, Abilities, and Self-regulation (RANAS) framework. METHODS Literature was identified by searching seven databases and relevant review papers. Observational and experimental studies targeting the general population (≥18 years) published between January 2020 to September 2021 were included. Pooled effect sizes were calculated with the inverse-variance method using random-effects models. RESULTS A total of 51 studies (64 samples) were included in the qualitative synthesis, of which 30 studies (42 samples) were included in the meta-analysis. RANAS-based constructs including knowledge, pros attitudes, and perceived norms were identified as significant determinants of all three behaviors in the meta-analysis. Perceived susceptibility and cons attitudes showed no significant associations with any behaviors. Perceived severity, perceived control, self-efficacy, and behavioral intention were significantly associated with one or two behaviors. Country (western vs. eastern hemispheres) significantly moderated the effects of certain risk and ability factors. CONCLUSIONS More research is needed with respect to the intention-behavior relationship, self-regulatory and reflexive factors of precautionary behaviors, as well as the exploration of the potential moderating effect of sociodemographic factors.
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Affiliation(s)
- Wei Liang
- School of Competitive Sport, Shandong Sport University, Shandong, China.,Center for Health and Exercise Science Research, Hong Kong Baptist University, Hong Kong, China
| | - Yanping Duan
- Center for Health and Exercise Science Research, Hong Kong Baptist University, Hong Kong, China
| | - Feifei Li
- Center for Health and Exercise Science Research, Hong Kong Baptist University, Hong Kong, China
| | - Ryan E Rhodes
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, Canada
| | - Xiang Wang
- Department of Curriculum and Instruction, the Education University of Hong Kong, Hong Kong, China
| | | | - Lin Zhou
- Lab of Measurement and Evaluation in Health Sciences, Hebei Normal University, Hebei, China
| | - Borui Shang
- Department of Social Sciences, Hebei Sport University, Hebei, China
| | - Yide Yang
- School of Medicine, Hunan Normal University, Hunan, China
| | - Julien S Baker
- Center for Health and Exercise Science Research, Hong Kong Baptist University, Hong Kong, China
| | - Jiao Jiao
- Center for Health and Exercise Science Research, Hong Kong Baptist University, Hong Kong, China
| | - Wei Han
- School of Competitive Sport, Shandong Sport University, Shandong, China
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Maltagliati S, Sarrazin P, Isoard-Gautheur S, Rhodes RE, Boisgontier MP, Cheval B. I Sit but I Don't Know Why: Investigating the Multiple Precursors of Leisure-Time Sedentary Behaviors. Res Q Exerc Sport 2022; 93:548-563. [PMID: 34653348 DOI: 10.1080/02701367.2021.1877246] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/19/2020] [Accepted: 01/08/2021] [Indexed: 06/13/2023]
Abstract
Background: Precursors driving leisure-time sedentary behaviors remain poorly investigated, despite their detrimental consequences. This study aimed to investigate the predictive validity of controlled and automatic motivational precursors toward reducing sedentary behaviors and being physically active on leisure-time sedentary behaviors. The influence of demographic, physical, socio-professional, interpersonal, and environmental variables was also examined and compared with the associations of motivational precursors. Methods: 125 adults completed questionnaires measuring controlled motivational precursors (i.e., intentions, perceived competence), demographical (i.e., sex and age), physical (i.e., body mass index), and interpersonal (i.e., number of children) variables. Regarding automatic motivational precursors, habit strength and approach-avoidance tendencies were captured using the Self-Report Behavioral Automaticity Index and a manikin task. Time at work was computed as a socio-professional variable, days of the week and weather conditions were recorded as environmental precursors. Participants wore an accelerometer for 7 days and leisure time was identified using notebooks. Associations between the different precursors and the leisure-time sedentary behaviors were examined in linear mixed effect models. Results: Intention to be physically active and habit strength toward physical activity were negatively associated with leisure-time sedentary behaviors. Sex, body mass index, time at work, number of children, day of the week, and weather conditions were more strongly associated with leisure-time sedentary behaviors. Conclusion: Our findings show that, in comparison with other variables, the influence of motivational precursors on leisure-time sedentary behaviors is limited. This study supports the adoption of a broad-spectrum of precursors when predicting sedentary behaviors.
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Hartson KR, King KM, Della L, Liu S, Rhodes RE. Feasibility And Preliminary Efficacy Of A Web-based Intervention For Insufficiently Active College Students. Med Sci Sports Exerc 2022. [DOI: 10.1249/01.mss.0000883488.36308.f9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Liu S, La H, Willms A, Rhodes RE. A “No-Code” App Design Platform for Mobile Health Research: Development and Usability Study. JMIR Form Res 2022; 6:e38737. [PMID: 35980740 PMCID: PMC9437789 DOI: 10.2196/38737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Revised: 06/29/2022] [Accepted: 07/19/2022] [Indexed: 11/13/2022] Open
Abstract
Background
A challenge facing researchers conducting mobile health (mHealth) research is the amount of resources required to develop mobile apps. This can be a barrier to generating relevant knowledge in a timely manner. The recent rise of “no-code” software development platforms may overcome this challenge and enable researchers to decrease the cost and time required to develop mHealth research apps.
Objective
We aimed to describe the development process and the lessons learned to build Pathverse, a no-code mHealth app design platform.
Methods
The study took place between November 2019 and December 2021. We used a participatory research framework to develop the mHealth app design platform. In phase 1, we worked with researchers to gather key platform feature requirements and conducted an exploratory literature search to determine needs related to this platform. In phase 2, we used an agile software framework (Scrum) to develop the platform. Each development sprint cycle was 4 weeks in length. We created a minimum viable product at the end of 7 sprint cycles. In phase 3, we used a convenience sample of adults (n=5) to gather user feedback through usability and acceptability testing. In phase 4, we further developed the platform based on user feedback, following the V-model software development process.
Results
Our team consulted end users (ie, researchers) and utilized behavior change technique taxonomy and behavior change models (ie, the multi-process action control framework) to guide the development of features. The first version of the Pathverse platform included features that allowed researchers to (1) design customized multimedia app content (eg, interactive lessons), (2) set content delivery logic (eg, only show new lessons when completing the previous lesson), (3) implement customized participant surveys, (4) provide self-monitoring tools, (5) set personalized goals, and (6) customize app notifications. Usability and acceptability testing revealed that researchers found the platform easy to navigate and that the features were intuitive to use. Potential improvements include the ability to deliver adaptive interventions and add features such as community group chat.
Conclusions
To our knowledge, Pathverse is the first no-code mHealth app design platform for developing mHealth interventions for behavior. We successfully used behavior change models and the behavior change technique taxonomy to inform the feature requirements of Pathverse. Overall, the use of a participatory framework, combined with the agile and hybrid-agile software development process, enabled our team to successfully develop the Pathverse platform.
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Affiliation(s)
- Sam Liu
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada
| | - Henry La
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada
| | - Amanda Willms
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada
| | - Ryan E Rhodes
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada
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Caldwell HAT, Faulkner G, Tremblay MS, Rhodes RE, de Lannoy L, Kirk SFL, Rehman L, Moore SA. Regional differences in movement behaviours of children and youth during the second wave of the COVID-19 pandemic in Canada: follow-up from a national study. Can J Public Health 2022; 113:535-546. [PMID: 35507303 PMCID: PMC9066998 DOI: 10.17269/s41997-022-00644-6] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/26/2021] [Accepted: 04/06/2022] [Indexed: 01/07/2023]
Abstract
Objectives Public health restrictions varied by region during the COVID-19 pandemic and reduced opportunities for children to be physically active. The purpose of this study was to assess regional differences in movement behaviours of Canadian children and youth during the second wave of the COVID-19 pandemic. Methods A national sample of Canadian parents (n=1568; 58% women) of children and youth (5–17 years of age) completed an online survey. Participants were classified based on region of residence (British Columbia, Prairies, Ontario, Quebec, or Atlantic Canada). Differences in movement and play behaviours (physical activity, outdoor play, sleep, screen time) between children and youth living in different regions were examined. Results Compared to children and youth in Quebec (the region with the highest COVID-19 prevalence), children and youth in the Prairies (F(1,1563)=9.0, p=0.01) and Atlantic Canada (F(1,1563)=17.1, p<0.001) participated in more moderate-to-vigorous physical activity (MVPA). Compared to Quebec, living in Atlantic Canada increased the odds of meeting the MVPA guideline (odds ratio (OR)=2.1, p=0.02), living in Ontario decreased the odds of meeting the sleep guideline (OR=0.6, p=0.01), and living in Ontario (OR=0.7, p=0.04) or Atlantic Canada (OR=0.6, p=0.049) decreased the odds of meeting the screen time guideline. Children and youth in Atlantic Canada demonstrated smaller declines in outdoor play than their counterparts in Quebec. Conclusion Movement and play behaviours varied between regions of Canada where the highest COVID-19 prevalence corresponded to lower odds of meeting the physical activity guidelines. Low compliance with 24-hour movement guidelines suggests that regional pandemic recovery plans need to prioritize opportunities for healthy movement.
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Affiliation(s)
| | - Guy Faulkner
- School of Kinesiology, University of British Columbia, Vancouver, BC, Canada
| | - Mark S Tremblay
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
- Department of Pediatrics, University of Ottawa, Ottawa, ON, Canada
| | - Ryan E Rhodes
- Behavioural Medicine Laboratory, School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada
| | - Louise de Lannoy
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
| | - Sara F L Kirk
- Healthy Populations Institute, Dalhousie University, Halifax, NS, Canada
- School of Health and Human Performance, Dalhousie University, Stairs House, 6230 South Street, Halifax, NS, B3H 1T8, Canada
| | - Laurene Rehman
- School of Health and Human Performance, Dalhousie University, Stairs House, 6230 South Street, Halifax, NS, B3H 1T8, Canada
| | - Sarah A Moore
- Healthy Populations Institute, Dalhousie University, Halifax, NS, Canada.
- School of Health and Human Performance, Dalhousie University, Stairs House, 6230 South Street, Halifax, NS, B3H 1T8, Canada.
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Kompf JM, Rhodes RE, Lee S. Selecting Resistance Training Exercises for Novices: A Delphi Study with Expert Consensus. Am J Lifestyle Med 2022. [DOI: 10.1177/15598276221115662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Resistance training (RT) is a form of exercise that provides numerous health benefits. One barrier to participation may be the technical demands associated with some exercises. While recommendations for RT, including the number of repetitions, sets, rest, and training loads are established, recommendations for exercise selection have not been addressed. We used a Delphi-type method in three iterative surveys. In the first survey, 17 experts rated the technical complexity of 77 different strength training exercises as having low, moderate, or high technical demands. A second survey was generated based on the first, such that exercises receiving a majority high complexity vote were removed. In the second survey, experts rated the remaining exercises as either appropriate or too advanced for a novice. Exercises were deemed appropriate if 70% agreement was reached. Lastly, experts rated exercises as being appropriate for adults over the age of 60. Experts agreed that 41 different exercises were appropriate for novices and that 32 of the exercises were appropriate for novice adults over the age of 60. Our findings provide recommendations for program design to compliment already established recommendations for RT of repetitions, sets, rest periods, and training loads.
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Affiliation(s)
- Justin M. Kompf
- Psychology Department, Lifespan Laboratory Brandeis University, Waltham, MA, USA (JMK); Exercise Science Physical & Health Education, University of Victoria, Victoria, BC, Canada (RER); and Sports Studies, Auckland University of Technology, Auckland, New Zealand (SL)
| | - Ryan E. Rhodes
- Psychology Department, Lifespan Laboratory Brandeis University, Waltham, MA, USA (JMK); Exercise Science Physical & Health Education, University of Victoria, Victoria, BC, Canada (RER); and Sports Studies, Auckland University of Technology, Auckland, New Zealand (SL)
| | - Sohee Lee
- Psychology Department, Lifespan Laboratory Brandeis University, Waltham, MA, USA (JMK); Exercise Science Physical & Health Education, University of Victoria, Victoria, BC, Canada (RER); and Sports Studies, Auckland University of Technology, Auckland, New Zealand (SL)
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59
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Ruissen GR, Beauchamp MR, Puterman E, Zumbo BD, Rhodes RE, Hives BA, Sharpe BM, Vega J, Low CA, Wright AGC. Continuous-Time Modeling of the Bidirectional Relationship Between Incidental Affect and Physical Activity. Ann Behav Med 2022; 56:1284-1299. [PMID: 35802004 DOI: 10.1093/abm/kaac024] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Previous research suggests that there is a bidirectional relationship between incidental affect (i.e., how people feel in day-to-day life) and physical activity behavior. However, many inconsistencies exist in the body of work due to the lag interval between affect and physical activity measurements. PURPOSE Using a novel continuous-time analysis paradigm, we examined the temporal specificity underlying the dynamic relationship between positive and negative incidental affective states and moderate-to-vigorous physical activity (MVPA). METHODS A community sample of adults (n = 126, Mage = 27.71, 51.6% Male) completed a 14-day ambulatory assessment protocol measuring momentary positive and negative incidental affect six times a day while wearing a physical activity monitor (Fitbit). Hierarchical Bayesian continuous-time structural equation modeling was used to elucidate the underlying dynamics of the relationship between incidental affective states and MVPA. RESULTS Based on the continuous-time cross-effects, positive and negative incidental affect predicted subsequent MVPA. Furthermore, engaging in MVPA predicted subsequent positive and negative incidental affect. Incidental affective states had a greater relative influence on predicting subsequent MVPA compared to the reciprocal relationship. Analysis of the discrete-time coefficients suggests that cross-lagged effects increase as the time interval between measurements increase, peaking at about 8 h between measurement occasions before beginning to dissipate. CONCLUSIONS The results provide support for a recursive relationship between incidental affective states and MVPA, which is particularly strong at 7-9 hr time intervals. Future research designs should consider these medium-term dynamics, for both theory development and intervention.
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Affiliation(s)
- Geralyn R Ruissen
- School of Kinesiology, University of British Columbia, Vancouver, BC, Canada
| | - Mark R Beauchamp
- School of Kinesiology, University of British Columbia, Vancouver, BC, Canada
| | - Eli Puterman
- School of Kinesiology, University of British Columbia, Vancouver, BC, Canada
| | - Bruno D Zumbo
- Measurement, Evaluation, and Research Methodology Program, University of British Columbia, Vancouver, BC, Canada.,Institute of Applied Mathematics, University of British Columbia, Vancouver, BC, Canada
| | - Ryan E Rhodes
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada
| | - Benjamin A Hives
- School of Kinesiology, University of British Columbia, Vancouver, BC, Canada
| | - Brinkley M Sharpe
- Department of Psychology, University of Pittsburgh, Pittsburgh, PA, USA.,Department of Psychology, University of Georgia, Athens, GA, USA
| | - Julio Vega
- Mobile Sensing + Health Institute (MoSHI), University of Pittsburgh, Pittsburgh, PA, USA
| | - Carissa A Low
- Department of Psychology, University of Pittsburgh, Pittsburgh, PA, USA.,Mobile Sensing + Health Institute (MoSHI), University of Pittsburgh, Pittsburgh, PA, USA.,Department of Oncology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| | - Aidan G C Wright
- Department of Psychology, University of Pittsburgh, Pittsburgh, PA, USA
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Abstract
Skin cancer is highly burdensome, but preventable with regular engagement in sun protective behaviors. Despite modest effectiveness of sun-protective behavior promotional efforts thus far, rates of engagement in sun-protective behaviors remain low. More is needed to understand motivation for using sunscreen, wearing sun-protective clothing, and seeking shade. This study tested whether the links of intention and habit strength with behavior differed between sun-protective behaviors. It was hypothesized that sun protective behaviors would be predicted by both habit and intention and that intention-behavior associations would be weaker for people with stronger habits. Participants residing in Queensland, Australia (N = 203; 75.96% female; M age = 37.16 years, SD = 14.67) self-reported their intentions and habit strength about sun-protective behavior for the next 7 days. Participants were followed-up 7 days later to self-report their sun-protective behavior. Multilevel modeling, accounting for nesting of multiple behaviors within-person, revealed that habit moderated the intention strength - behavior association and this moderation effect did not differ as a function of which behavior was being predicted. People with strong or moderate habit strength tended to act in line with their intentions; however, for people with very weak habits (2 SD < M), there was less alignment between their intention and behavior. These findings suggest that habit plays a facilitative role in the implementation of strong sun protective behavior intentions. Interventions should consider how to encourage intention and habit to enhance sun-protective behaviors and reduce the burden of skin cancer from sun exposure.Supplemental data for this article is available online at https://doi.org/10.1080/08964289.2021.1903380 .
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Affiliation(s)
- Amanda L Rebar
- Motivation of Health Behaviours Lab, Appleton Institute.,School of Health, Medical and Applied Sciences, Central Queensland University
| | - Kyra Hamilton
- School of Applied Psychology, Menzies Health Institute Queensland, Griffith University.,School of Psychology, Health Psychology and Behavioural Medicine Research Group, Curtin University
| | - Ryan E Rhodes
- Department of Psychology, Institute of Psychiatry, Psychology, and Neuroscience, King's College London
| | - Benjamin Gardner
- Department of Psychology, Institute of Psychiatry, Psychology, and Neuroscience, King's College London
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Li F, Liang W, Rhodes RE, Duan Y, Wang X, Shang B, Yang Y, Jiao J, Yang M, Supriya R, Baker JS, Yi L. A systematic review and meta-analysis on the preventive behaviors in response to the COVID-19 pandemic among children and adolescents. BMC Public Health 2022; 22:1201. [PMID: 35705941 PMCID: PMC9200376 DOI: 10.1186/s12889-022-13585-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Accepted: 06/03/2022] [Indexed: 11/16/2022] Open
Abstract
Purpose The purpose of this review was to synthesize the empirical evidence of relevant studies related to preventive behaviors in response to the COVID-19 pandemic among children and adolescents. Further to this, we aimed to identify the demographic, psychological, and social and environmental correlates of such behaviors. Methods Following PRISMA guidelines, eligible literature was identified by searching seven databases (PsycINFO, PubMed, MEDLINE, EMBASE, Cochrane Library, PROSPERO registry platform, and ClinicalTrials.gov website) and reference list of included studies and relevant review papers from 1st Jan 2020 to 28th Feb 2021. The standardized mean difference and correlation coefficients r were extracted to estimate the effect sizes. Analyses were conducted using R software. Results Of the 35,271 original papers, 23 eligible studies were included in the qualitative synthesis and all these studies were of moderate-to-high quality, of which 17 studies were further included into the quantitative analysis. Children and adolescents (6–20 yrs.) showed a poorer practice of COVID-19 preventive behaviors compared to younger adults (21–59 yrs.) with a small-to-medium effect size (SMD = -.25, 95%CI = -.41 to -.09). For the demographic correlates, children and adolescents’ COVID-19 preventive practice was found to be significantly associated with gender (r = .14, 95%CI = .10 to .18), while not with age (r = -.02, 95%CI = -.14 to .10). Narratively, knowledge was found to be consistently and significantly correlated. For the psychological correlates, small-to-medium overall effects were identified for the association with attitudes (r = .26, 95%CI = .21 to .31) and perceived severity (r = .16, 95%CI = .01 to .30). For the family and social correlates, a non-significant association was identified between family economic status and COVID-19 preventive behaviors (r = .004, 95%CI = -.12 to .12). Conclusions Interventions and relevant policies of promoting children and adolescent’s preventive measures should be a priority. Further, empirical studies identifying the demographic, psychological, and family and social correlates of children and adolescents’ preventive behaviors are needed. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-13585-z.
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Affiliation(s)
- Feifei Li
- Center for Health and Exercise Science Research, Hong Kong Baptist University, Kowloon Tong, Hong Kong, China.,Department of Sport, Physical Education and Health, Hong Kong Baptist University, Kowloon Tong, Hong Kong, China
| | - Wei Liang
- Center for Health and Exercise Science Research, Hong Kong Baptist University, Kowloon Tong, Hong Kong, China.,Department of Sport, Physical Education and Health, Hong Kong Baptist University, Kowloon Tong, Hong Kong, China
| | - Ryan E Rhodes
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, Canada
| | - Yanping Duan
- Center for Health and Exercise Science Research, Hong Kong Baptist University, Kowloon Tong, Hong Kong, China.,Department of Sport, Physical Education and Health, Hong Kong Baptist University, Kowloon Tong, Hong Kong, China
| | - Xiang Wang
- Department of Curriculum and Instruction, the Education University of Hong Kong, Ting Kok, Hong Kong, China
| | - Borui Shang
- Department of Social Sciences, Hebei Sport University, Shijiazhuang, China
| | - Yide Yang
- Key Laboratory of Molecular Epidemiology of Hunan Province, School of Medicine, Hunan Normal University, Changsha, China
| | - Jiao Jiao
- Dr. Stephen Hui Research Centre for Physical Recreation and Wellness, Hong Kong Baptist University, Kowloon Tong, Hong Kong, China
| | - Min Yang
- Department of Sport, Physical Education and Health, Hong Kong Baptist University, Kowloon Tong, Hong Kong, China
| | - Rashmi Supriya
- Center for Health and Exercise Science Research, Hong Kong Baptist University, Kowloon Tong, Hong Kong, China.,Department of Sport, Physical Education and Health, Hong Kong Baptist University, Kowloon Tong, Hong Kong, China
| | - Julien S Baker
- Center for Health and Exercise Science Research, Hong Kong Baptist University, Kowloon Tong, Hong Kong, China.,Department of Sport, Physical Education and Health, Hong Kong Baptist University, Kowloon Tong, Hong Kong, China
| | - Longyan Yi
- China Institute of Sport and Health Science, Beijing Sport University, Beijing, China.
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McCurdy A, Stearns JA, Rhodes RE, Hopkins D, Mummery K, Spence JC. Relationships Between Physical Activity, Boredom Proneness, and Subjective Well-Being Among U.K. Adults During the COVID-19 Pandemic. J Sport Exerc Psychol 2022; 44:189-197. [PMID: 35354669 DOI: 10.1123/jsep.2021-0253] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Revised: 01/12/2022] [Accepted: 02/16/2022] [Indexed: 06/14/2023]
Abstract
This investigation sought to examine physical activity (PA) as a potential determinant of chronic boredom and associated well-being within the context of COVID-related restrictions. A representative sample of U.K. adults (N = 1,521) completed a survey on June 1, 2020. Bivariate analyses demonstrated that individuals who met guidelines and maintained or increased PA scored higher on life satisfaction, worthwhileness, and happiness and lower on anxiety (i.e., indicators of well-being) and boredom proneness (d = 0.13-0.43). Boredom proneness was correlated with all indicators of well-being (r = .38-.54). A series of regression models revealed that PA predicted lower boredom proneness and better life satisfaction, worthwhileness, and happiness. Boredom proneness accounted for the covariance between PA and well-being. Prospective research is needed to confirm causality of the observed relationships.
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Affiliation(s)
- Ashley McCurdy
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB,Canada
| | - Jodie A Stearns
- Division of Preventive Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB,Canada
| | - Ryan E Rhodes
- School of Exercise Science, Physical & Health Education, University of Victoria, Victoria, BC,Canada
| | - Debbie Hopkins
- School of Geography and the Environment, University of Oxford, Oxford,United Kingdom
| | - Kerry Mummery
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB,Canada
| | - John C Spence
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB,Canada
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Hollman H, Sui W, Rhodes RE. A feasibility randomized controlled trial of a multi-process action control web-based intervention that targets physical activity in mothers. Women Health 2022; 62:384-401. [DOI: 10.1080/03630242.2022.2072050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Heather Hollman
- Behavioural Medicine Lab, University of Victoria, Victoria, Canada
| | - Wuyou Sui
- Behavioural Medicine Lab, University of Victoria, Victoria, Canada
| | - Ryan E. Rhodes
- Behavioural Medicine Lab, University of Victoria, Victoria, Canada
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Cushan-Kain G, Gardner B, Verplanken B, Lally P, Rhodes RE, Kwasnicka D, Alfrey KL, Rebar AL. Identifying as someone who avoids virus transmission strengthens physical distancing habit-behaviour relationships: A longitudinal multi-national study during the COVID-19 pandemic. Appl Psychol Health Well Being 2022; 14:1464-1482. [PMID: 35593187 PMCID: PMC9348416 DOI: 10.1111/aphw.12369] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Accepted: 05/09/2022] [Indexed: 12/15/2022]
Abstract
Physical distancing remains an important initiative to curb COVID-19 and virus transmission more broadly. This exploratory study investigated how physical distancing behaviour changed during the COVID-19 pandemic and whether it was associated with identity with virus transmission avoidance and physical distancing habit strength. In a longitudinal, multinational study with fortnightly repeated-assessments, associations and moderation effects were considered for both overall (person-level means) and occasion-specific deviations in habit and identity. Participants (N = 586, M age = 42, 79% female) self-reported physical distancing behavioural frequency, physical distancing habit strength, and identity with avoiding virus transmission. Physical distancing followed a cubic trajectory, with initial high engagement decreasing rapidly before increasing again near study end. Physical distancing was associated with both overall and occasion-specific virus transmission avoidant identity and physical distancing habit strength. People with strong virus transmission avoidant identity engaged in physical distancing frequently regardless of fluctuations in habit strength. However, for those with weaker virus transmission avoidant identity, physical distancing was strongly aligned with fluctuations in habit strength. To enhance engagement in physical distancing, public health messaging might fruitfully target greater or more salient virus-transmission avoidance identity and stronger physical distancing habit.
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Affiliation(s)
- Genevieve Cushan-Kain
- Motivation of Health Behaviours Lab, Appleton Institute, School of Health Medical and Applied Sciences, Central Queensland University, Rockhampton, Queensland, Australia
| | - Benjamin Gardner
- Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | | | - Phillippa Lally
- Department of Behavioural Science and Health, UCL, London, UK
| | - Ryan E Rhodes
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, British Columbia, Canada
| | - Dominika Kwasnicka
- Faculty of Psychology, SWPS University of Social Sciences and Humanities, Aleksandra Ostrowskiego, Wrocław, Poland.,NHMRC CRE in Digital Technology to Transform Chronic Disease Outcomes, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia
| | - Kristie Lee Alfrey
- Motivation of Health Behaviours Lab, Appleton Institute, School of Health Medical and Applied Sciences, Central Queensland University, Rockhampton, Queensland, Australia
| | - Amanda L Rebar
- Motivation of Health Behaviours Lab, Appleton Institute, School of Health Medical and Applied Sciences, Central Queensland University, Rockhampton, Queensland, Australia
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Mustafa H, Harrison A, Sun Y, Pearcey GEP, Follmer B, Nazaroff BM, Rhodes RE, Zehr EP. Five weeks of Yuishinkai karate training improves balance and neuromuscular function in older adults: a preliminary study. BMC Sports Sci Med Rehabil 2022; 14:65. [PMID: 35410626 PMCID: PMC8997192 DOI: 10.1186/s13102-022-00458-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Accepted: 03/30/2022] [Indexed: 12/03/2022]
Abstract
Background Martial arts training has shown positive impacts on balance and physiological measurements. Further investigation of the contents and feasibility of an effective therapeutic assessment of martial arts is needed in older adults, mainly for future applications and real-world implementation. Methods Sixteen older adults (8 male, 8 female, age 59–90 years), with or without chronic conditions, participated in a preliminary study using 5-weeks of karate training and a triple baseline control procedure. Group and single subject data analyses were conducted for dynamic balance, Timed Up and Go (TUG), hand grip, ankle plantarflexion force, and spinal cord excitability (via the soleus H-reflex) pre- and post-training. Results On average, participants completed a total of 2437 steps, 1762 turns, 3585 stance changes, 2047 punches, 2757 blocks, and 1253 strikes. Karate training improved dynamic balance performance such that the group average time was reduced (time to target (−13.6%, p = 0.020) and time to center (−8.3%, p = 0.010)). TUG was unchanged when considering the entire group (p = 0.779), but six participants displayed significant changes. Left handgrip (7.9%, p = 0.037), and plantarflexion force in the right (28.8%, p = 0.045) and left leg (13.3%, p = 0.024) increased for the group. Spinal cord excitability remained unchanged in group data analysis but 5 individuals had modulated Hmax/Mmax ratios. Conclusion 5-weeks of karate training delivered in a fashion to mimic generally accessible community-level programs improved balance and strength in older adults. Whole-body movement embodied in karate training enhanced neuromuscular function and postural control. We met the overriding goal of this preliminary study to emphasize and assess feasibility and safety for the generalizability of martial arts interventions to real-world communities to impact health outcomes. Further quantitative work should explore threshold dose and development of martial arts training interventions as potential “exercise is medicine” functional fitness for older adults.
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Affiliation(s)
- Hajer Mustafa
- Rehabilitation Neuroscience Laboratory, University of Victoria, Room 172, McKinnon Building, 3800 Finnerty Road, Victoria, BC, V8P 5C2, Canada.,School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada.,Human Discovery Science, International Collaboration on Repair Discoveries (ICORD), Vancouver, BC, Canada
| | - Aimee Harrison
- Rehabilitation Neuroscience Laboratory, University of Victoria, Room 172, McKinnon Building, 3800 Finnerty Road, Victoria, BC, V8P 5C2, Canada.,School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada.,Human Discovery Science, International Collaboration on Repair Discoveries (ICORD), Vancouver, BC, Canada.,Behavioural Medicine Laboratory, University of Victoria, Victoria, BC, Canada
| | - Yao Sun
- Rehabilitation Neuroscience Laboratory, University of Victoria, Room 172, McKinnon Building, 3800 Finnerty Road, Victoria, BC, V8P 5C2, Canada.,School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada.,Human Discovery Science, International Collaboration on Repair Discoveries (ICORD), Vancouver, BC, Canada
| | - Gregory E P Pearcey
- Rehabilitation Neuroscience Laboratory, University of Victoria, Room 172, McKinnon Building, 3800 Finnerty Road, Victoria, BC, V8P 5C2, Canada.,Human Discovery Science, International Collaboration on Repair Discoveries (ICORD), Vancouver, BC, Canada.,Centre for Biomedical Research, University of Victoria, Victoria, BC, Canada
| | - Bruno Follmer
- Rehabilitation Neuroscience Laboratory, University of Victoria, Room 172, McKinnon Building, 3800 Finnerty Road, Victoria, BC, V8P 5C2, Canada.,School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada.,Human Discovery Science, International Collaboration on Repair Discoveries (ICORD), Vancouver, BC, Canada
| | - Benjamin M Nazaroff
- Rehabilitation Neuroscience Laboratory, University of Victoria, Room 172, McKinnon Building, 3800 Finnerty Road, Victoria, BC, V8P 5C2, Canada.,School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada.,Human Discovery Science, International Collaboration on Repair Discoveries (ICORD), Vancouver, BC, Canada
| | - Ryan E Rhodes
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada.,Behavioural Medicine Laboratory, University of Victoria, Victoria, BC, Canada
| | - E Paul Zehr
- Rehabilitation Neuroscience Laboratory, University of Victoria, Room 172, McKinnon Building, 3800 Finnerty Road, Victoria, BC, V8P 5C2, Canada. .,School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada. .,Human Discovery Science, International Collaboration on Repair Discoveries (ICORD), Vancouver, BC, Canada. .,Centre for Biomedical Research, University of Victoria, Victoria, BC, Canada. .,Division of Medical Sciences, University of Victoria, Victoria, BC, Canada.
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Lane C, Naylor PJ, Predy M, Kurtzhals M, Rhodes RE, Morton K, Hunter S, Carson V. Exploring a parent-focused physical literacy intervention for early childhood: a pragmatic controlled trial of the PLAYshop. BMC Public Health 2022; 22:659. [PMID: 35382793 PMCID: PMC8982907 DOI: 10.1186/s12889-022-13048-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Accepted: 03/22/2022] [Indexed: 12/05/2022] Open
Abstract
Background Parents play a key role in young children’s physical activity and physical literacy development. Little research has explored parent-focused interventions to improve young children’s physical literacy. We examined if a theory-based, feasible physical literacy training workshop (PLAYshop) for parents could improve their physical literacy knowledge and confidence and improve parenting practices related to facilitating the physical literacy development of their preschool-aged child (3-5 years). The secondary objective was to explore implementation facilitators and barriers. Methods We conducted a pragmatic controlled trial in two Canadian cities (Edmonton and Victoria) from November 2019 – March 2020. A total of 143/151 parents were eligible and assigned to intervention (n = 71) or control group (n = 72). The PLAYshop included: (i) a 75-min in-person workshop with interactive activities and physical literacy educational messages, (ii) educational materials, (iii) an equipment pack, and (iv) two post-workshop booster emails. Surveys measured parents’ knowledge and confidence at baseline and follow-up. Application of PLAYshop concepts and implementation facilitators and barriers were explored with interviews of parents and workshop leaders. Repeated measures ANOVAs and thematic analyses were completed. Results Parents’ knowledge and confidence improved significantly over time; intervention group changes were significantly greater than control group changes (p < 0.001; ɳ2 = .32). Parents applied PLAYshop concepts at-home, including child-led play, making activities fun, and promoting child manipulative and locomotor skills. Time was a key parental implementation barrier. Program implementation issues varied by context (location and participants). Conclusions PLAYshop participation changed parents’ physical literacy knowledge and confidence and physical literacy enhancing play with their children. Implementation feasibility was high. The findings from this real-world trial highlight an efficacious and scalable intervention that warrants further testing. Trial registration ClinicalTrials.gov: NCT04394312. Registered 19/05/2020. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-13048-5.
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Affiliation(s)
- Cassandra Lane
- Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Australia.,School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW, Australia
| | - Patti-Jean Naylor
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, British Columbia, Canada
| | - Madison Predy
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, 8840 114 St., Van Vliet Complex, University Hall, Edmonton, Alberta, T6G 2H9, Canada
| | - Mette Kurtzhals
- Center for Clinical Research and Prevention, Frederiksberg Hospital DK, Frederiksberg, Denmark
| | - Ryan E Rhodes
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, British Columbia, Canada
| | - Kayla Morton
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, British Columbia, Canada
| | - Stephen Hunter
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, 8840 114 St., Van Vliet Complex, University Hall, Edmonton, Alberta, T6G 2H9, Canada
| | - Valerie Carson
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, 8840 114 St., Van Vliet Complex, University Hall, Edmonton, Alberta, T6G 2H9, Canada.
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Sui W, Rush J, Rhodes RE. Engagement With Web-Based Fitness Videos on YouTube and Instagram During the COVID-19 Pandemic: Longitudinal Study. JMIR Form Res 2022; 6:e25055. [PMID: 35258459 PMCID: PMC8906834 DOI: 10.2196/25055] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Revised: 11/30/2020] [Accepted: 09/27/2021] [Indexed: 01/23/2023] Open
Abstract
Background
The COVID-19 pandemic has drastically changed the physical activity (PA) landscape through the closures of gymnasiums, schools, and many outdoor spaces. Physical distancing guidelines have also reduced opportunity for PA. The popularity of free web-based home fitness videos on video hosting platforms (eg, YouTube and Instagram) has spiked during the pandemic. Many web-based fitness videos offer a convenient, accessible, and cost-effective means of engaging in PA through regularly posted videos or discrete programs. Notably, traditional PA programs often suffer from poor adherence and high dropout rates, despite many advantages over web-based workout programs (eg, equipment, feedback, and in-person engagement). Thus, notwithstanding clear advantages of these web-based fitness videos, their ability to maintain long-term engagement and adherence is unknown.
Objective
We explored patterns of engagement (ie, views, likes, and comments) for channels posting daily or program-based web-based fitness videos since the declaration of COVID-19 as a pandemic, over 4 months. Our secondary objective was to examine potential moderators of engagement metrics.
Methods
An environmental scan was used to identify eligible channels. Eligible channels were (1) freely available on YouTube or Instagram and (2) posted daily or weekday series workouts or offered quarantine-specific workout programs. Searches for eligible channels were conducted on June 1 and 4, 2020. Engagement metrics of views, likes, and comments were then collected from channels’ videos posted between March 11 and June 26 or 30, 2020, inclusive, on June 26 or July 8, 2020. A series of multilevel modeling analyses were conducted to examine longitudinal changes in each of the 3 outcome variables.
Results
Ten channels were deemed eligible and included in analyses; 6 posted regularly, while the other 4 posted discrete workout programs. Multilevel models revealed that both views and likes significantly decreased across days. Visually, channels display the sharpest drop in engagement within the first week. Linear change estimate indicates that the number of views initially declined by 24,700 per day (95% CI –44,400 to –11,300, P=.01) on average across all the channels. Channels with more subscribers declined in their views, likes, and comments at a significantly higher rate than those with fewer subscribers (P≤.04). The day of the week a video is posted, “virality,” and content of a video appear to influence engagement. Integrating behavior change techniques and posting new and varied videos often may help garner further engagement with these videos. Future research should examine common elements of videos, which drive engagement.
Conclusions
Despite raw engagement metrics, each channel demonstrated peak engagement with the initial video followed by decreased engagement with subsequent videos. As many countries maintain restrictions on traditional PA facilities owing to the COVID-19 pandemic, determining methods to improve engagement and adherence with web-based fitness videos becomes increasingly important.
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Affiliation(s)
- Wuyou Sui
- Exercise and Health Psychology Lab, Western University, London, ON, Canada
| | - Jonathan Rush
- Department of Human Development and Family Studies, College of Health and Human Development, Pennsylvania State University, University Park, PA, United States
| | - Ryan E Rhodes
- Behavioural Medicine Laboratory, School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada
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68
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Sui W, Morava A, Tsang J, Sui A, Rhodes RE. Describing the use of behavior change techniques among the most popular home workout channels on YouTube: A quantitative content analysis. J Health Psychol 2022; 27:2951-2963. [PMID: 35114825 DOI: 10.1177/13591053221074584] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The purpose of our study was to describe characteristics of behavior change techniques (BCTs) employed by popular YouTube fitness channels and examine relationships between BCTs used and engagement metrics (e.g. views, likes, comments). Seventy-five videos were coded according to BCT Taxonomy v1. Multi-level modeling was conducted between BCTs and engagement metrics. Fifty-four unique BCTs were used, with "Demonstration of behavior" and "Instruction on how to perform the behavior" used the most. The number of BCTs employed was 12.5 ± 6.65 and BCTs were all unrelated to engagement metrics (ps > 0.05). Application of BCTs within YouTube varies from traditional exercise interventions.
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Kwan MYW, Brown DMY, Dutta P, Haider I, Cairney J, Rhodes RE. Application of the Multi-Process Action Control Model to Predict Physical Activity During Late Adolescence. J Sport Exerc Psychol 2022; 44:35-41. [PMID: 34861651 DOI: 10.1123/jsep.2021-0169] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Revised: 09/03/2021] [Accepted: 09/14/2021] [Indexed: 06/13/2023]
Abstract
The aim of this study was to apply the Multi-Process Action Control model to examine how the additions of regulatory and reflexive processes predict physical activity (PA) behaviors among adolescents. Our sample included 1,176 Grade 11 students (Mage = 15.85 ± 0.38) recruited from a large school board in Southern Ontario. Participants completed a questionnaire including measures of self-reported PA and PA cognitions derived from the Multi-Process Action Control model. Results found the reflective process explaining 16.5% of the variance in PA, with the additions of regulatory and reflexive processes significantly improving the explained variance by 5.1% and 8.2%, respectively. Final models revealed coping planning (estimate = 45.10, p = .047), identity (estimate = 55.82, p < .001), and habit (estimate = 64.07, p < .001) as significant predictors of PA. Findings reinforce the need for integrative models to better understand PA, with coping planning, habit formation, and development of an active identity to be salient targets for intervention during adolescence.
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Affiliation(s)
- Matthew Y W Kwan
- Department of Child and Youth Studies, Brock University, St. Catharines, Ontario,Canada
- INfant, Child, and youth Health (INCH) Lab, Department of Family Medicine, McMaster University, Hamilton, Ontario,Canada
| | - Denver M Y Brown
- INfant, Child, and youth Health (INCH) Lab, Department of Family Medicine, McMaster University, Hamilton, Ontario,Canada
- Department of Psychology, The University of Texas San Antonio, San Antonio, TX,USA
| | - Pallavi Dutta
- Department of Child and Youth Studies, Brock University, St. Catharines, Ontario,Canada
- INfant, Child, and youth Health (INCH) Lab, Department of Family Medicine, McMaster University, Hamilton, Ontario,Canada
| | - Imran Haider
- Exercise and Health Psychology Laboratory, McMaster University, Hamilton, Ontario,Canada
| | - John Cairney
- INfant, Child, and youth Health (INCH) Lab, Department of Family Medicine, McMaster University, Hamilton, Ontario,Canada
- School of Human Movement and Nutrition Sciences, University of Queensland, Brisbane, QLD,Australia
| | - Ryan E Rhodes
- Behavioural Medicine Laboratory, University of Victoria, Victoria, British Columbia,Canada
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Abstract
The gap between the decision to engage in physical activity and subsequent behavioral enactment is considerable for many. Action control theories focus on this discordance in an attempt to improve the translation of intention into behavior. The purpose of this mini-review was to overview one of these approaches, the multi-process action control (M-PAC) framework, which has evolved from a collection of previous works. The main concepts and operational structure of M-PAC was overviewed followed by applications of the framework in physical activity, and concluded with unanswered questions, limitations, and possibilities for future research. In M-PAC, it is suggested that three layered processes (reflective, regulatory, reflexive) build upon each other from the formation of an intention to a sustained profile of physical activity action control. Intention-behavior discordance is because of strategic challenges in goal pursuit (differences in outcome vs. behavioral goals; balancing multiple behavioral goals) and automatic tendencies (approach-avoidance, conservation of energy expenditure). Regulatory processes (prospective and reactive tactics) are employed to hold the relationship between reflective processes and behavior concordant by countering these strategic challenges and automatic tendencies until the development of reflexive processes (habit, identity) begin to co-determine action control. Results from 29 observational and preliminary experimental studies generally support the proposed M-PAC framework. Future research is needed to explore the temporal dynamic between reflexive and regulatory constructs, and implement M-PAC interventions in different forms (e.g., mobile health), and at different levels of scale (clinical, group, population).
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Affiliation(s)
- Ryan E Rhodes
- Behavioural Medicine Laboratory, School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada
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Abstract
Although extensive research suggests that behavior change interventions can improve physical activity (PA) over the course of an intervention, the maintenance of these improvements beyond intervention termination is less clear. The purpose of this study was to determine, through meta-analysis, whether behavior change interventions produce sustained improvements in PA after interventions conclude. Studies were retrieved from a recent (2019) meta-analysis of 224 interventions. Studies that measured PA at baseline, post-intervention, and a follow-up timepoint were included in this updated review. We examined the effects of these interventions in terms of changes in PA from baseline to post-intervention, baseline to follow-up, and post-intervention to follow-up (relative to control groups). We also examined whether the inclusion of theory and behavior change techniques (BCTs) within interventions as well as the length of time between PA assessments moderated these effects. Thirty-nine interventions (17% of interventions from the previous review) from 31 studies were included in the meta-analysis. Significant improvements in PA were found from baseline to follow-up (d = 0.32). In general, these effects resulted from significant increases in PA from baseline to post-intervention (d = 0.46), followed by significant decreases from post-intervention to follow-up (d = -0.18). Effect sizes did not vary between theory-based and no-stated-theory interventions. The positive effects from baseline to post-intervention and negative effects from post-intervention to follow-up were more pronounced as the length of time between assessments increased. In conclusion, behavior change interventions improve PA over the course of the intervention; however, these improvements are generally not sustained after the intervention concludes.
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Affiliation(s)
| | - Ryan E Rhodes
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, British Columbia, Canada
| | - Mark R Beauchamp
- School of Kinesiology, The University of British Columbia, Vancouver, British Columbia, Canada
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Sui W, Sui A, Rhodes RE. What to watch: Practical considerations and strategies for using YouTube for research. Digit Health 2022; 8:20552076221123707. [PMID: 36105625 PMCID: PMC9465614 DOI: 10.1177/20552076221123707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Accepted: 08/08/2022] [Indexed: 11/17/2022] Open
Abstract
YouTube is the second-most visited webpage in the world and boasts over 2 billion
users and 500 h of videos uploaded every hour. Despite this popularity,
relatively few articles have discussed the practical use of searching and
YouTube as a research tool and source of data. The purpose of our paper is to
propose a step-by-step schematic for utilizing the YouTube platform. Our
discussions include (a) when/whether to use YouTube for research; (b) selecting
an appropriate research design; (c) how to search for YouTube data; (d) what
data can be pulled from YouTube; and (e) the contextual limitations for
interpreting YouTube data. Further, we provide practical strategies and
considerations when searching, collecting, or interpreting YouTube data. These
discussions are informed by our own work using the YouTube platform. Effective
methods used to search for YouTube data are likely to extend beyond simply
searching the platform itself; the search strategy and search results themselves
should also be documented. While not exhaustive, we feel these considerations
and strategies present themselves as a conceptual foothold for future research
using the YouTube platform.
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Affiliation(s)
- Wuyou Sui
- Department of Exercise Science, Physical and Health Education, University of Victoria, Victoria, Canada
| | - Anna Sui
- Department of Health and Rehabilitation Sciences, Western University, London, Canada
| | - Ryan E Rhodes
- Department of Exercise Science, Physical and Health Education, University of Victoria, Victoria, Canada
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Kulis E, Szczuka Z, Keller J, Banik A, Boberska M, Kruk M, Knoll N, Radtke T, Scholz U, Rhodes RE, Luszczynska A. Collaborative, dyadic, and individual planning and physical activity: A dyadic randomized controlled trial. Health Psychol 2021; 41:134-144. [PMID: 34968130 DOI: 10.1037/hea0001124] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE This study was designed to investigate the effects of collaborative, dyadic, and individual planning on moderate-to-vigorous physical activity (MVPA) in target person-partner dyads. Individual planning reflects an "I-for-me" planning of one person's behavior. Collaborative planning refers to joint planning of both dyad members' behavior ("We-for-us" planning), and dyadic planning refers to joint planning of only the target person's behavior ("We-for-me" planning). METHOD N = 320 dyads of target persons (M age: 43.86 years old) and partners (M age: 42.32 years old) participated in a randomized controlled trial (ClinicalTrials.gov registration no. NCT03011385) with three experimental planning conditions (collaborative, dyadic, or individual planning) and an active control condition (physical activity, sedentary behavior, and nutrition education). Target persons did not meet international MVPA guidelines or were recommended to increase their MVPA due to cardiovascular disease or type II diabetes. MVPA was measured with ActiGraph wGT3X-BT accelerometers at baseline, 1-week follow-up, and 36-week follow-up (6 months after the final intervention session; the primary endpoint). Linear mixed models were fit for target persons and partners separately. RESULTS At 1-week follow-up, there were no significant Time × Condition interaction effects among target persons and partners. At 36-week follow-up, target persons and partners in the dyadic planning conditions increased their MVPA, compared to the control condition. CONCLUSIONS Individuals with insufficient physical activity or with a cardiovascular disease/type II diabetes and their partners may benefit from dyadic planning, which is a promising strategy to achieve physical activity increases. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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Affiliation(s)
| | | | | | | | | | | | | | | | - Urte Scholz
- Department of Psychology, Applied Health and Social Psychology
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Wright CE, Rhodes RE, Ruggiero EW, Sheeran P. Benchmarking the effectiveness of interventions to promote physical activity: A metasynthesis. Health Psychol 2021; 40:811-821. [PMID: 34914485 DOI: 10.1037/hea0001118] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE The effectiveness of physical activity interventions is typically evaluated using null hypothesis significance testing or conventional interpretations of effect size (i.e., "small," "medium," or "large"). As these criteria have recently attracted criticism, we conducted a quantitative integration of meta-analyses (a metasynthesis) in order to provide precise, numerical estimates of intervention effectiveness. The research aimed to specify the percentile distribution of effect sizes in meta-analyses of physical activity trials, and their corresponding values for different types of activity (i.e., steps per day, minutes of moderate/vigorous physical activity [MVPA], meeting World Health Organization (WHO) physical activity guidelines). METHOD Computerized searches identified 104 meta-analyses incorporating findings from 2,762 trials that met the inclusion criteria for the metasynthesis. RESULTS The median effect size across all meta-analyses was d+ = .21, equivalent to an increase of 1,320 steps per day, 15.6 additional minutes of daily MVPA, and a 4.3% increase in the proportion of participants meeting WHO guidelines. Separate percentile distributions were computed for different samples (e.g., children, older adults, cancer survivors), measures of physical activity (i.e., objective vs. self-report), settings (e.g., schools, workplace), and follow-up periods (3+, 6+, and 12+ months). CONCLUSIONS Conventional interpretations of effect size gravely misrepresent the effectiveness of interventions to promote physical activity. The percentile values for effect sizes, steps per days, minutes of MVPA, and percentage meeting guidelines reported here can be used to benchmark the effectiveness of future trials and should enable more informed judgments about trade-offs between effectiveness and considerations such as reach, burden, and cost. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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Jekauc D, Nigg CR, Kanning M, Williams DM, Wagner I, Rhodes RE. Editorial: Affect in Sports, Physical Activity and Physical Education. Front Psychol 2021; 12:785814. [PMID: 34858302 PMCID: PMC8631817 DOI: 10.3389/fpsyg.2021.785814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Accepted: 10/25/2021] [Indexed: 11/13/2022] Open
Affiliation(s)
- Darko Jekauc
- Department for Health Education and Sport Psychology, Institute for Sport and Sport Science, Karlsruhe Institute of Technology, Karlsruhe, Germany
| | - Claudio R Nigg
- Department of Health Science, Institute of Sport Science, University of Bern, Bern, Switzerland
| | - Martina Kanning
- Department of Health and Social Sciences in Sport Science, University of Konstanz, Konstanz, Germany
| | - David M Williams
- Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, United States
| | - Ingo Wagner
- Department for Interdisciplinary Science, Technology, Engineering and Mathematics Education and Physical Education, Institute for Sport and Sport Science, Karlsruhe Institute of Technology, Karlsruhe, Germany
| | - Ryan E Rhodes
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada
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Lithopoulos A, Evans WD, Faulkner G, Rhodes RE. Marketing Physical Activity? Exploring the Role of Brand Resonance in Health Promotion. J Health Commun 2021; 26:675-683. [PMID: 34651548 DOI: 10.1080/10810730.2021.1989524] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Social marketing campaigns promoting moderate to vigorous physical activity (MVPA) may be more successful when associated with strong brands. Little is known regarding how brand constructs such as brand resonance may be related to MVPA and its antecedents (e.g., having a physical activity identity). A better knowledge of these constructs and their relationships can reveal how to strengthen brands to make them more useful for interventions. The purpose of this study was to test a model linking ParticipACTION (a Canadian social marketing organization) brand constructs (brand affective attitude, identification, resonance), MVPA antecedents (behavioral affective attitude, identity), and MVPA. This study used a cross-sectional online survey design with a representative Canadian adult sample of 1,475 people (M age = 49.36; 49.1% female). Path analysis was conducted to test the model. Overall, the model fit the data well, demonstrating positive associations between brand affective attitude and identification, identification and resonance, resonance and both behavioral affective attitude and identity, behavioral affective attitude and both identity and MVPA, and identity and MVPA. The results suggest that building brand resonance is important for linking branding to MVPA variables. Brand management activities designed to target brand affective attitude may be crucial to helping people feel strong resonance with a brand in a way that supports behavior change.
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Affiliation(s)
- Alexander Lithopoulos
- Behavioural Medicine Laboratory, School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, Canada
| | - W Douglas Evans
- Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, United States
| | - Guy Faulkner
- School of Kinesiology, University of British Columbia, Vancouver, Canada
| | - Ryan E Rhodes
- Behavioural Medicine Laboratory, School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, Canada
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Rhodes RE, Blanchard CM, Quinlan A, Symons Downs D, Warburton DER, Beauchamp MR. Couple-Based Physical Activity Planning for New Parents: A Randomized Trial. Am J Prev Med 2021; 61:518-528. [PMID: 34226094 DOI: 10.1016/j.amepre.2021.04.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/11/2020] [Revised: 03/11/2021] [Accepted: 04/12/2021] [Indexed: 11/26/2022]
Abstract
INTRODUCTION The demands of parenthood may limit the pursuit of moderate-to-vigorous intensity physical activity (MVPA), establish inactivity patterns into middle age, and lead to long-term poorer health and well-being. The purpose of this study was to examine the efficacy of a couple-based planning skills intervention to support MVPA from baseline (~2 months after birth) up to 6 months later in first-time parents. STUDY DESIGN Randomized trial. PARTICIPANTS 264 parents (132 couples) at the 2-month point of parenting their first child. INTERVENTION Couples were randomized to either an education control (n=58 couples) or an education plus planning condition (n=74 couples). MAIN OUTCOME MEASURES MVPA was assessed via accelerometry and self-report at baseline, 6 weeks, 3 months, and 6 months. Health-related fitness (aerobic fitness, muscular strength, flexibility) and BMI tests were conducted at baseline and 6 months. Rolling recruitment was between 2014 and 2017. RESULTS The accelerometry results had large amounts of missing data that were not missing at random, so only self-reported MVPA was analyzed. Dyadic multilevel modeling conducted in 2020 showed that mothers' MVPA had a significant quadratic pattern over time that was similar for both conditions, and BMI decreased while strength and flexibility increased. Fathers did not have significant outcomes. Participants who were not meeting MVPA guidelines at baseline responded to the education plus planning condition with increased MVPA (father B=1.31, mother B=1.14, p<0.05) compared with those who initially met those guidelines. CONCLUSIONS Mothers may be more responsive than fathers to MVPA interventions in early parenthood. Already active parents likely have little to be gained from additional intervention. Future research is needed to effectively promote MVPA during fatherhood and identify novel ways to sustain PA past the early response to an intervention. TRIAL REGISTRATION This study is registered at www.clinicaltrials.gov NCT02290808.
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Affiliation(s)
- Ryan E Rhodes
- School of Exercise Science, Physical & Health Education, University of Victoria, Victoria, British Columbia, Canada.
| | - Chris M Blanchard
- Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada
| | - Alison Quinlan
- School of Exercise Science, Physical & Health Education, University of Victoria, Victoria, British Columbia, Canada
| | - Danielle Symons Downs
- Department of Kinesiology, PennState College of Health and Human Development, Pennsylvania State University, University Park, Pennsylvania; Department of Obstetrics and Gynecology, PennState College of Medicine, Pennsylvania State University, University Park, Pennsylvania
| | - Darren E R Warburton
- School of Kinesiology, Faculty of Education, The University of British Columbia, Vancouver, British Columbia, Canada; Experimental Medicine Program, Faculty of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada
| | - Mark R Beauchamp
- School of Kinesiology, Faculty of Education, The University of British Columbia, Vancouver, British Columbia, Canada
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Rhodes RE, Sui W. Physical Activity Maintenance: A Critical Narrative Review and Directions for Future Research. Front Psychol 2021; 12:725671. [PMID: 34552537 PMCID: PMC8450373 DOI: 10.3389/fpsyg.2021.725671] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2021] [Accepted: 08/12/2021] [Indexed: 02/05/2023] Open
Abstract
A clear rationale can be made for promoting long-term regular physical activity (PA), yet despite some attempts to operationalize "maintenance," no robust definition has been agreed upon, beyond arbitrary time frames of regular PA. This has likely impaired the advancement of theory and practice. The purpose of this critical narrative review was to first overview the conception of maintenance and co-requisite theoretical constructs in theories used in PA research. Our subsequent aims were to engage in a critical analysis of this literature to propose a working definition of PA maintenance followed by recommendations for future research. Relevant behavioral theories were parsed for references to maintenance or maintenance-specific constructs and constructs most likely associated with maintenance were overviewed from a recent systematic review. Based on this information, we suggest PA maintenance be operationalized as a process marked by a shift in the mechanisms of action determining behavioral performance, that engender greater perceived behavioral enactment efficiency. We suggest that maintenance should not be considered an absolute state of behavioral performance (e.g., a stage), as some constructs that were critical to behavioral performance during initiation will still be critical during PA continuation. Based on this definition, we propose a method of falsifiability hypothesis testing of theoretical constructs that may determine the maintenance process. Finally, the review concludes with suggestions for future research using this operationalization of maintenance including measure development, tests of latency to reach the peak maintenance process, validating constructs critical to determining maintenance, exploration of the contextual and individual moderators of maintenance formation, and the development of an omnibus dynamic model of initiation, continuation, and maintenance in PA behavior change.
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Affiliation(s)
- Ryan E Rhodes
- Behavioural Medicine Laboratory, Physical and Health Education, School of Exercise Science, University of Victoria, Victoria, BC, Canada
| | - Wuyou Sui
- Behavioural Medicine Laboratory, Physical and Health Education, School of Exercise Science, University of Victoria, Victoria, BC, Canada
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Bohlen LC, Emerson JA, Rhodes RE, Williams DM. A Systematic Review and Meta-analysis of the Outcome Expectancy Construct in Physical Activity Research. Ann Behav Med 2021; 56:658-672. [PMID: 34491296 DOI: 10.1093/abm/kaab083] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Abstract
BACKGROUND Cognition-based theories dominate physical activity (PA) research, and many include a construct broadly defined as "beliefs about the consequences of behavior" (e.g., outcome expectancies, perceived benefits) hereafter referred to as perceived consequences. PURPOSE With the quantity of available research on this topic, it is important to examine whether the literature supports perceived consequences as a predictor of PA. METHODS A meta-analysis examining longitudinal associations between perceived consequences and PA in adults was conducted. Studies were eligible if (a) perceived consequences were measured at a time point prior to PA, and (b) the target behavior was a form of PA. An omnibus meta-analysis estimating the mean effect of all included studies, and separate meta-analyses for perceived consequences content categories were conducted. RESULTS This search yielded 6,979 articles, of these, 110 studies met inclusion criteria. Studies were published between 1989 and 2020, with sample sizes ranging from 16 to 2,824. All studies were evaluated as moderate to high quality. A small positive bivariate association was identified (r = 0.11; 95% CI [0.09, 0.13]) between perceived consequences and PA. Significant associations were identified for time, health, self-evaluative, psychological, and affective consequences. There was no association between perceived weight-related consequences and PA. CONCLUSIONS The findings emphasize the variability with which existing studies have examined perceived consequences in the PA literature. Future research might examine whether these are important distinctions for understanding PA. Overall, the results suggest utility in examining perceived consequences as a predictor of PA, but constructs with more robust associations may require priority.
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Affiliation(s)
- Lauren Connell Bohlen
- Brown University School of Public Health, Department of Behavioral and Social Sciences, 121 S Main St., Providence, RI 02906, USA
| | - Jessica A Emerson
- Brown University School of Public Health, Department of Behavioral and Social Sciences, 121 S Main St., Providence, RI 02906, USA.,Miriam Hospital, Center for Weight Control and Diabetes Research , Providence, RI, USA
| | - Ryan E Rhodes
- University of Victoria, Department of Exercise Science, Physical and Health Education, Victoria, BC, Canada
| | - David M Williams
- Brown University School of Public Health, Department of Behavioral and Social Sciences, 121 S Main St., Providence, RI 02906, USA
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Jarvis JW, Berry TR, Carson V, Rhodes RE, Lithopoulos A, Latimer-Cheung AE. Examining differences in parents' perceptions of children's physical activity versus screen time guidelines and behaviours. J Paediatr Child Health 2021; 57:1448-1453. [PMID: 33890709 DOI: 10.1111/jpc.15518] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/16/2020] [Revised: 01/28/2021] [Accepted: 04/10/2021] [Indexed: 11/30/2022]
Abstract
AIM Most Canadian and Australian children do not meet Physical Activity Guidelines (PAG) or Screen Time Guidelines (STG). Regarding the social issue advertising believability model (SIABM), parental support for these behaviours may depend upon how believable parents find guideline messages. The aim of the study was to examine differences in parents' SIABM variables and perceived behavioural control for PAG and STG messages. METHODS Data were collected online; 499 Canadian parents with at least one child aged 5-11 years (75.6% mothers) participated. Differences in model variables were analysed using analyses of variance. RESULTS Parents demonstrated greater issue involvement, attitudes towards the issue, parental support attitudes and perceived behavioural control for the PAG compared to the STG (d > 0.10). Mothers believed the messages more and had more favourable attitudes towards the issues as compared to fathers (d > 0.21). CONCLUSIONS Parents' evaluations of PAG messages and corresponding supportive behaviours were generally more positive than STG. Future messages should emphasise supportive behaviours for screen time reduction that are feasible and enjoyable for children.
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Affiliation(s)
- Jocelyn W Jarvis
- School of Kinesiology and Health Studies, Queen's University, Kingston, Ontario, Canada
| | - Tanya R Berry
- Faculty of Kinesiology, Sport and Recreation, University of Alberta, Edmonton, Alberta, Canada
| | - Valerie Carson
- Faculty of Kinesiology, Sport and Recreation, University of Alberta, Edmonton, Alberta, Canada
| | - Ryan E Rhodes
- Behavioural Medicine Laboratory, School of Exercise Science, Physical & Health Education, University of Victoria, Victoria, British Columbia, Canada
| | - Alexander Lithopoulos
- Behavioural Medicine Laboratory, School of Exercise Science, Physical & Health Education, University of Victoria, Victoria, British Columbia, Canada
| | - Amy E Latimer-Cheung
- School of Kinesiology and Health Studies, Queen's University, Kingston, Ontario, Canada
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81
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Schwartz J, Oh P, Perotto MB, Rhodes RE, Firth W, Bredin SSD, Gaytán-González A, Warburton DER. A Critical Review on New Approaches for Chronic Disease Prevention in Brazil and Canada: From Wholistic Dietary Guidelines to Physical Activity Security. Front Cardiovasc Med 2021; 8:730373. [PMID: 34527714 PMCID: PMC8435680 DOI: 10.3389/fcvm.2021.730373] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Accepted: 08/10/2021] [Indexed: 01/12/2023] Open
Abstract
In light of new evidence on the prevention of chronic diseases and the elevated rates of overweight and obesity in Brazil and Canada, this critical review aims to interpret and synthesize current aspects regarding dietary and physical activity initiatives in both countries and make future recommendations. The pioneering work presented in the last Brazilian dietary guidelines has been called a model that can be applied globally, given its conceptualization of healthy eating that translates easily to practical guidance. The new Canadian Food Guide has incorporated similar aspects, also putting the country as a leader in dietary guidance. With these new recommendations, citizens in both Brazil and Canada have access to impactful evidence-informed nutritional guidelines. Both documents propose eating patterns that focus not only on health benefits, such as chronic disease prevention, but also incorporate well-being concerning cultural, economic, sociodemographic, biological, and ecological dimensions. A similar approach is required for physical activity to allow individuals to have attainable health and life goals and thereby fully enjoy their lives, regardless of geographical location, health status, and socioeconomic condition, a concept recently described as physical activity security. The wholistic dietary guidelines from both countries represent a change in paradigm in public health. Likewise, national evidence-based policies are warranted to reduce disparities in physical activity, allowing healthier and more active lifestyles for everyone.
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Affiliation(s)
- Juliano Schwartz
- Physical Activity Promotion and Chronic Disease Prevention Unit, University of British Columbia, Vancouver, BC, Canada
- Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada
| | - Paul Oh
- Cardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada
| | - Maira B. Perotto
- West Toronto Diabetes Education Program, LAMP Community Health Centre, Toronto, ON, Canada
| | - Ryan E. Rhodes
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada
| | - Wanda Firth
- Hearts & Health in Motion Program, Nova Scotia Health, QEII Health Sciences Centre, Halifax, NS, Canada
| | - Shannon S. D. Bredin
- Physical Activity Promotion and Chronic Disease Prevention Unit, University of British Columbia, Vancouver, BC, Canada
- School of Kinesiology, Faculty of Education, University of British Columbia, Vancouver, BC, Canada
| | - Alejandro Gaytán-González
- Physical Activity Promotion and Chronic Disease Prevention Unit, University of British Columbia, Vancouver, BC, Canada
- School of Kinesiology, Faculty of Education, University of British Columbia, Vancouver, BC, Canada
- Institute of Applied Sciences for Physical Activity and Sport, University of Guadalajara, Guadalajara, Mexico
| | - Darren E. R. Warburton
- Physical Activity Promotion and Chronic Disease Prevention Unit, University of British Columbia, Vancouver, BC, Canada
- Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada
- School of Kinesiology, Faculty of Education, University of British Columbia, Vancouver, BC, Canada
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Moore SA, Faulkner G, Rhodes RE, Vanderloo LM, Ferguson LJ, Guerrero M, Brussoni M, Mitra R, O'Reilly N, Spence JCC, Chulak-Bozzer T, Tremblay MS. Few Canadian children and youth were meeting the 24-hour movement behaviour guidelines 6-months into the COVID-19 pandemic: Follow-up from a national study. Appl Physiol Nutr Metab 2021; 46:1225-1240. [PMID: 34370965 DOI: 10.1139/apnm-2021-0354] [Citation(s) in RCA: 37] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Daily life has changed for families due to the COVID-19 pandemic. The aim of this repeated cross-sectional study was to describe movement behaviours in Canadian children and youth six months into the pandemic (T2; October 2020) compared with the start of the pandemic (T1, April 2020). An online survey was distributed to parents (N=1568) of children and/or youth (5-17 years; 58% girls) in October 2020. The survey assessed changes in movement behaviours [physical activity (PA) and play, sedentary behaviours (SB), and sleep] from before the pandemic to October 2020 (T2). We compared these data to spring data (T1; April 2020; Moore et al., 2020) collected using identical methodology (N=1472; 54% girls). We report correlations between movement behaviours and relevant parental factors and provide word frequency distributions for open-ended responses. During the second wave, 4.5% of children (4.6% girls; 4.3% boys) and 1.9% of youth (1.3% girls, 2.4% boys) met the movement guidelines (3.1% overall). Whereas, during the first wave, 4.8% (2.8% girls, 6.5% boys) of children and 0.6% (0.8% girls, 0.5% boys) of youth were meeting combined guidelines (2.6% overall). Parental support was correlated with their child's movement behaviours (T1 and T2). Our study demonstrates the ongoing challenges for children and youth to engage in healthy movement during the pandemic. Novelty bullets: • Our large-scale national study demonstrates that children and youth were not meeting the 24-hour movement guidelines during the second wave of the pandemic. • Our findings illustrate the need to protect children and youth from the collateral consequences of the pandemic.
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Affiliation(s)
- Sarah A Moore
- Dalhousie University, 3688, Halifax, Nova Scotia, Canada, B3H 4R2;
| | - Guy Faulkner
- University of British Columbia, Kinesiology, 2259 Lower Mall, Vancouver, British Columbia, Canada, V6T 1Z4;
| | - Ryan E Rhodes
- University of Victoria, School of Exercise Science, Physical and Health Education, Victoria, British Columbia, Canada, V8P 5C2;
| | | | - Leah J Ferguson
- University of Saskatchewan, 7235, College of Kinesiology, Saskatoon, Saskatchewan, Canada;
| | | | - Mariana Brussoni
- University of British Columbia, Department of Pediatrics, School of Population and Public Health, Vancouver, Canada;
| | - Raktim Mitra
- Ryerson University, 7984, School of Urban and Regional Planning, Toronto, Ontario, Canada;
| | - Norm O'Reilly
- University of Maine, Graduate School of Business, Orono, Maine, United States;
| | - John C C Spence
- University of Alberta, Faculty of Physical Education and Recreation, 3-113 Van Vliet Complex, Edmonton, Alberta, Canada, T6G 2H9;
| | - Tala Chulak-Bozzer
- ParticipACTION , 77 Bloor St W, Toronto, Ontario, Canada, M5s1m2.,77 Bloor St WToronto, Ontario, Canada;
| | - Mark S Tremblay
- Childrens Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, Ontario, Canada, K1H 8L1;
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Beauchamp MR, Hulteen RM, Ruissen GR, Liu Y, Rhodes RE, Wierts CM, Waldhauser KJ, Harden SH, Puterman E. Online-Delivered Group and Personal Exercise Programs to Support Low Active Older Adults' Mental Health During the COVID-19 Pandemic: Randomized Controlled Trial. J Med Internet Res 2021; 23:e30709. [PMID: 34328433 PMCID: PMC8330630 DOI: 10.2196/30709] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2021] [Revised: 06/22/2021] [Accepted: 07/14/2021] [Indexed: 01/17/2023] Open
Abstract
BACKGROUND In response to the COVID-19 pandemic, experts in mental health science emphasized the importance of developing and evaluating approaches to support and maintain the mental health of older adults. OBJECTIVE The aim of this study was to assess whether a group-based exercise program relative to a personal exercise program (both delivered online) and waitlist control (WLC) can improve the psychological health of previously low active older adults during the early stages of the COVID-19 pandemic. METHODS The Seniors COVID-19 Pandemic and Exercise (SCOPE) trial was a 3-arm, parallel randomized controlled trial conducted between May and September 2020 in which low active older adults (aged ≥65 years) were recruited via media outlets and social media. After baseline assessments, consented participants were randomized to one of two 12-week exercise programs (delivered online by older adult instructors) or a WLC condition. A total of 241 older adults (n=187 women) provided baseline measures (via online questionnaires), were randomized (ngroup=80, npersonal=82, ncontrol=79), and completed measures every 2 weeks for the duration of the trial. The trial's primary outcome was psychological flourishing. Secondary outcomes included global measures of mental and physical health, life satisfaction, and depression symptoms. RESULTS The results of latent growth modeling revealed no intervention effects for flourishing, life satisfaction, or depression symptoms (P>.05 for all). Participants in the group condition displayed improved mental health relative to WLC participants over the first 10 weeks (effect size [ES]=0.288-0.601), and although the week 12 effect (ES=0.375) was in the same direction the difference was not statistically significant (P=.089). Participants in the personal condition displayed improved mental health, when compared with WLC participants, in the same medium ES range (ES=0.293-0.565) over the first 8 weeks, and while the effects were of a similar magnitude at weeks 10 (ES=0.455, P=.069) and 12 (ES=0.258, P=.353), they were not statistically significant. In addition, participants in the group condition displayed improvements in physical health when compared with the WLC (ES=0.079-0.496) across all 12 weeks of the study following baseline. No differences were observed between the personal exercise condition and WLC for physical health (slope P=.271). CONCLUSIONS There were no intervention effects for the trial's primary outcome (ie, psychological flourishing). It is possible that the high levels of psychological flourishing at baseline may have limited the extent to which those indicators could continue to improve further through intervention (ie, potential ceiling effects). However, the intervention effects for mental and physical health point to the potential capacity of low-cost and scalable at-home programs to support the mental and physical health of previously inactive adults in the COVID-19 pandemic. TRIAL REGISTRATION ClinicalTrials.gov NCT04412343; https://clinicaltrials.gov/ct2/show/NCT04412343.
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Affiliation(s)
- Mark R Beauchamp
- School of Kinesiology, University of British Columbia, Vancouver, BC, Canada
| | - Ryan M Hulteen
- School of Kinesiology, Louisiana State University, Baton Rouge, LA, United States
| | - Geralyn R Ruissen
- School of Kinesiology, University of British Columbia, Vancouver, BC, Canada
| | - Yan Liu
- School of Kinesiology, University of British Columbia, Vancouver, BC, Canada
| | - Ryan E Rhodes
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada
| | - Colin M Wierts
- School of Kinesiology, University of British Columbia, Vancouver, BC, Canada
| | | | - Samantha H Harden
- Department of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, VA, United States
| | - Eli Puterman
- School of Kinesiology, University of British Columbia, Vancouver, BC, Canada
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84
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Saunders TJ, McIsaac T, Douillette K, Gaulton N, Hunter S, Rhodes RE, Prince SA, Carson V, Chaput JP, Chastin S, Giangregorio L, Janssen I, Katzmarzyk PT, Kho ME, Poitras VJ, Powell KE, Ross R, Ross-White A, Tremblay MS, Healy GN. Sedentary behaviour and health in adults: an overview of systematic reviews. Appl Physiol Nutr Metab 2021; 45:S197-S217. [PMID: 33054341 DOI: 10.1139/apnm-2020-0272] [Citation(s) in RCA: 146] [Impact Index Per Article: 48.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
The purpose of this overview of systematic reviews was to determine the relationship between different types and patterns of sedentary behaviour and selected health outcomes in adults and older adults. Five electronic databases were last searched in May, 2019, with a 10-year search limit. Included reviews met the a priori population (community-dwelling adults aged 18 years and older), intervention/exposure/comparator (various types and/or patterns of sedentary behaviour), and outcomes criteria. Eighteen systematic reviews were included in the evidence synthesis. High levels of sedentary behaviour are unfavourably associated with cognitive function, depression, function and disability, physical activity levels, and physical health-related quality of life in adults. Reducing or breaking up sedentary behaviour may benefit body composition and markers of cardiometabolic risk. Total sedentary behaviour and TV viewing were most consistently associated with unfavourable health outcomes, while computer and Internet use may be favourably associated with cognitive function for older adults. The quality of evidence within individual reviews (as assessed by review authors) varied from low to high, while the certainty of evidence was low to very low. These findings have important public health implications, suggesting that adults should avoid high levels of sedentary behaviour and break-up periods of prolonged sitting. (PROSPERO registration nos.: CRD42019123121 and CRD42019127157.) Novelty High levels of sedentary behaviour are unfavourably associated with important health outcomes in adults. Reducing or breaking up sedentary behaviour may benefit body composition and markers of cardiometabolic risk. Computer and Internet use may be favourably associated with cognitive function in older adults.
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Affiliation(s)
- Travis J Saunders
- Department of Applied Human Sciences, University of Prince Edward Island, Charlottetown, PE C1A 4P3, Canada
| | - Travis McIsaac
- Department of Applied Human Sciences, University of Prince Edward Island, Charlottetown, PE C1A 4P3, Canada
| | - Kevin Douillette
- Department of Applied Human Sciences, University of Prince Edward Island, Charlottetown, PE C1A 4P3, Canada
| | - Nick Gaulton
- Department of Applied Human Sciences, University of Prince Edward Island, Charlottetown, PE C1A 4P3, Canada
| | - Stephen Hunter
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB T6G 2H9, Canada
| | - Ryan E Rhodes
- School of Exercise Science, Physical & Health Education, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Stephanie A Prince
- Division of Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, ON K1Y 4W7, Canada
| | - Valerie Carson
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB T6G 2H9, Canada
| | - Jean-Philippe Chaput
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, Canada
| | - Sebastien Chastin
- School of Health and Life Science, Institute for Applied Health Research, Glasgow Caledonian University, Glasgow, G4 0BA, UK.,Department of Movement and Sport Science, Ghent University, Ghent, Belgium
| | - Lora Giangregorio
- Department of Kinesiology and Schlegel-UW Research Institute for Aging, University of Waterloo, Waterloo, ON N2L 3G1, Canada
| | - Ian Janssen
- School of Kinesiology and Health Studies, Queen's University, Kingston, ON K7L 3N6, Canada
| | | | - Michelle E Kho
- School of Rehabilitation Science, McMaster University, Hamilton, ON L8S 1C7, Canada
| | | | | | - Robert Ross
- School of Kinesiology and Health Studies, Queen's University, Kingston, ON K7L 3N6, Canada
| | - Amanda Ross-White
- Queen's University Library, Queen's University, Kingston, ON K7L 3N6, Canada
| | - Mark S Tremblay
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, Canada
| | - Genevieve N Healy
- School of Public Health, The University of Queensland, Herson, QLD 4006, Australia
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Schwartz J, Oh P, Takito MY, Saunders B, Dolan E, Franchini E, Rhodes RE, Bredin SSD, Coelho JP, Dos Santos P, Mazzuco M, Warburton DER. Translation, Cultural Adaptation, and Reproducibility of the Physical Activity Readiness Questionnaire for Everyone (PAR-Q+): The Brazilian Portuguese Version. Front Cardiovasc Med 2021; 8:712696. [PMID: 34381827 PMCID: PMC8350392 DOI: 10.3389/fcvm.2021.712696] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Accepted: 07/05/2021] [Indexed: 01/13/2023] Open
Abstract
Background: The Physical Activity Readiness Questionnaire for Everyone (PAR-Q+) is the international standard for pre-participation risk stratification and screening. In order to provide a practical and valid screening tool to facilitate safe engagement in physical activity and fitness assessments for the Brazilian population, this study aimed to translate, culturally adapt, and verify the reproducibility of the evidence-based PAR-Q+ to the Brazilian Portuguese language. Method: Initially, the document was translated by two independent translators, before Brazilian experts in health and physical activity evaluated the translations and produced a common initial version. Next, two English native speakers, fluent in Brazilian Portuguese and accustomed to the local culture, back-translated the questionnaire. These back translations were assessed by the organization in charge of the PAR-Q+, then a final Brazilian version was approved. A total of 493 Brazilians between 5 and 93 yr (39.9 ± 25.4 yr), 59% female, with varying levels of health and physical activity, completed the questionnaire twice, in person or online, 1–2 weeks apart. Cronbach's alpha was used to calculate the internal consistency of all items of the questionnaire, and the Kappa statistic was used to assess the individual reproducibility of each item of the document. Additionally, the intraclass correlation coefficient and its 95% confidence interval (CI) were used to verify the general reproducibility (reliability) of the translated version. Results: The Brazilian version had an excellent internal consistency (0.993), with an almost perfect agreement in 93.8% of the questions, and a substantial agreement in the other 6.2%. The translated version also had a good to excellent total reproducibility (0.901, 95% CI: 0.887–0.914). Conclusion: The results show this translation is a valid and reliable screening tool, which may facilitate a larger number of Brazilians to start or increase physical activity participation in a safe manner.
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Affiliation(s)
- Juliano Schwartz
- Physical Activity Promotion and Chronic Disease Prevention Unit, University of British Columbia, Vancouver, BC, Canada
| | - Paul Oh
- Cardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada
| | - Monica Y Takito
- Department of Pedagogy of the Human Body Movement, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil
| | - Bryan Saunders
- Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Rheumatology Division, Faculdade de Medicina FMUSP, University of São Paulo, São Paulo, Brazil.,Institute of Orthopaedics and Traumatology, Faculty of Medicine FMUSP, University of São Paulo, São Paulo, Brazil
| | - Eimear Dolan
- Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Rheumatology Division, Faculdade de Medicina FMUSP, University of São Paulo, São Paulo, Brazil
| | - Emerson Franchini
- Sport Department, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil
| | - Ryan E Rhodes
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada
| | - Shannon S D Bredin
- Physical Activity Promotion and Chronic Disease Prevention Unit, University of British Columbia, Vancouver, BC, Canada
| | - Josye P Coelho
- Association for Assistance of Disabled Children, São Paulo, Brazil
| | - Pedro Dos Santos
- Department of French, Hispanic and Italian Studies, University of British Columbia, Vancouver, BC, Canada
| | - Melina Mazzuco
- Aurora Physio & Care, Physiotherapy Center, Campinas, Brazil
| | - Darren E R Warburton
- Physical Activity Promotion and Chronic Disease Prevention Unit, University of British Columbia, Vancouver, BC, Canada
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86
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Abstract
BACKGROUND Intention is theorized as the proximal determinant of behavior in many leading theories and yet intention-behavior discordance is prevalent. PURPOSE To theme and appraise the variables that have been evaluated as potential moderators of the intention-physical activity (I-PA) relationship using the capability-opportunity-motivation- behavior model as an organizational frame. METHODS Literature searches were concluded in August 2020 using seven common databases. Eligible studies were selected from English language peer-reviewed journals and had to report an empirical test of moderation of I-PA with a third variable. Findings were grouped by the moderator variable for the main analysis, and population sample, study design, type of PA, and study quality were explored in subanalyses. RESULTS The search yielded 1,197 hits, which was reduced to 129 independent studies (138 independent samples) of primarily moderate quality after screening for eligibility criteria. Moderators of the I-PA relationship were present among select variables within sociodemographic (employment status) and personality (conscientiousness) categories. Physical capability, and social and environmental opportunity did not show evidence of interacting with I-PA relations, while psychological capability had inconclusive findings. By contrast, key factors underlying reflective (intention stability, intention commitment, low goal conflict, affective attitude, anticipated regret, perceived behavioral control/self-efficacy) and automatic (identity) motivation were moderators of I-PA relations. Findings were generally invariant to study characteristics. CONCLUSIONS Traditional intention theories may need to better account for key I-PA moderators. Action control theories that include these moderators may identify individuals at risk for not realizing their PA intentions. Prospero # CRD42020142629.
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Affiliation(s)
- Ryan E Rhodes
- School of Exercise Science, Physical and Health Education, University of Victoria, 3800 Finnerty Road, Victoria, BC V8P 5C2, Canada
| | - Amy Cox
- School of Exercise Science, Physical and Health Education, University of Victoria, 3800 Finnerty Road, Victoria, BC V8P 5C2, Canada
| | - Reza Sayar
- School of Exercise Science, Physical and Health Education, University of Victoria, 3800 Finnerty Road, Victoria, BC V8P 5C2, Canada
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Zhang R, Zhang CQ, Rhodes RE. The pathways linking objectively-measured greenspace exposure and mental health: A systematic review of observational studies. Environ Res 2021; 198:111233. [PMID: 33933490 DOI: 10.1016/j.envres.2021.111233] [Citation(s) in RCA: 36] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/23/2020] [Revised: 03/31/2021] [Accepted: 04/22/2021] [Indexed: 05/17/2023]
Abstract
BACKGROUND With an increasing volume of research exploring the pathways linking greenspace exposure to mental health, there is a need to synthesise the strength of evidence on the mediation mechanisms. Synthesising the strength of evidence on the pathways can help us better understand how greenspace exposure affects mental health and guide future green space interventions to improve mental health. PURPOSE The purpose of this study was to synthesise current evidence on the pathways linking objectively-measured greenspace exposure and mental health using a systematic review approach. METHODS Literature searches were conducted in March 2020 from five common databases (i.e., MEDLINE, Embase, PsycINFO, SPORTDiscus, and Web of Science) using search terms of green spaces and mental health. English language and human population were imposed as search limits. The Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) guideline was followed to synthesise and report results. RESULTS The initial systematic searches yielded 16,415 records, of which 26 studies met the inclusion criteria. Mixed or non-significant evidence was revealed for the mediating effects of air quality, physical activity, perceived stress, perceived restorativeness, residential noise, social cohesion, and social support on the pathways from greenspace exposure to mental illness. The effect of greenspace exposure on mental well-being was mediated by air quality, perceived stress, and physical activity. In addition, mixed evidence was revealed for the mediating role of social cohesion on the path from greenspace exposure to mental well-being. CONCLUSIONS This systematic review highlighted the key pathways linking green spaces to mental well-being via harmful mitigation, psychological restoration, and encouragement of health-related behaviours. Evidence for the pathway between greenspace exposure and mental illness is equivocal at present. Future research is recommended to adopt well-designed longitudinal and experimental studies to establish causal inferences on mental health benefits of greenspace exposure.
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Affiliation(s)
- Ru Zhang
- School of Physical Education & Sports Science, South China Normal University, Guangzhou, China.
| | - Chun-Qing Zhang
- Department of Psychology, Sun Yat-sen University, Guangzhou, China
| | - Ryan E Rhodes
- Behavioural Medicine Laboratory, School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, Canada
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88
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Trecarten N, Kirkland S, Rainham D, Giacomantonio N, McGowan E, Murnaghan D, Reid R, King-Shier K, Spence JC, Warburton D, Rhodes RE, Blanchard CM. Location-Based Sedentary Time and Physical Activity in People Living With Coronary Artery Disease. J Cardiopulm Rehabil Prev 2021; 41:337-342. [PMID: 32947325 DOI: 10.1097/hcr.0000000000000533] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
PURPOSE Sedentary time (ST) and lack of physical activity increase the risk of adverse outcomes for those living with coronary artery disease (CAD). Little is known about how much ST, light physical activity (LPA), and moderate to vigorous physical activity (MVPA) that CAD participants not attending cardiac rehabilitation engage in, the locations where they engage in these behaviors, and how far from home the locations are. METHODS Participants completed a survey and wore an accelerometer and global positioning system receiver for 7 d at baseline and 6 mo later. RESULTS Accelerometer analyses (n = 318) showed that participants averaged 468.4 ± 102.7 of ST, 316.1 ± 86.5 of LPA, and 32.9 ± 28.9 of MVPA min/d at baseline. ST and LPA remained stable at 6 mo, whereas MVPA significantly declined. The global positioning system (GPS) analyses (n = 315) showed that most of participant ST, LPA, and MVPA time was spent at home followed by other residential, retail/hospitality, and work locations at baseline and 6 mo. When not at home, the average distance to a given location ranged from approximately 9 to 18 km. CONCLUSIONS Participants with CAD spent the majority of their time being sedentary. Home was the location used the most to engage in ST, LPA, and MVPA. When not home, ST, LPA, and MVPA were distributed across a variety of locations. The average distance from home to a given location suggests that proximity to home may not be a barrier from an intervention perspective.
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Affiliation(s)
- Neil Trecarten
- Departments of Medicine (Mr Trecarten and Drs Blanchard and Giacomantonio), Community Health and Epidemiology (Dr Kirkland), and Environmental Science (Dr Rainham), Dalhousie University, Halifax, Nova Scotia, Canada; School of Human Kinetics and Recreation, Memorial University of Newfoundland, St John's, Canada (Dr McGowan); School of Nursing, Thompson River University, Kamloops, British Columbia, Canada (Dr Murnaghan); Prevention and Rehabilitation Centre, Ottawa Heart Institute, Ottawa, Ontario, Canada (Dr Reid); Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada (Dr King-Shier); Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Canada (Dr Spence); School of Kinesiology, University of British Columbia, Vancouver, Canada (Dr Warburton); and School of Exercise Science, Physical & Health Education, University of Victoria, Victoria, British Columbia, Canada (Dr Rhodes)
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89
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Wierts CM, Zumbo BD, Rhodes RE, Faulkner G, Beauchamp MR. An Examination of Dweck's Psychological Needs Model in Relation to Exercise-Related Well-Being. J Sport Exerc Psychol 2021; 43:323-334. [PMID: 34157674 DOI: 10.1123/jsep.2021-0026] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Revised: 03/20/2021] [Accepted: 03/31/2021] [Indexed: 06/13/2023]
Abstract
This two-part study examined Dweck's psychological needs model in relation to exercise-related well-being and particularly focused on the basic need for optimal predictability and compound needs for identity and meaning. In Part 1 (N = 559), using exploratory factor analysis, scores derived from items assessing optimal predictability (prediction of affect and instrumental utility in exercise) were empirically distinct from scores derived from items assessing competence, relatedness, and autonomy. In Part 2, participants from Part 1 (N = 403) completed measures of exercise-related well-being 4 weeks after baseline assessment. Prediction of affect was the most consistent predictor of subsequent exercise-related well-being. An implication of these findings is that optimal predictability (primarily prediction of affect) represents a unique experience that may be necessary for thriving in the context of exercise. Prediction of affect should be targeted in experimental designs to further understand its relationship with exercise-related well-being.
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90
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Liu S, Perdew M, Lithopoulos A, Rhodes RE. The Feasibility of Using Instagram Data to Predict Exercise Identity and Physical Activity Levels: Cross-sectional Observational Study. J Med Internet Res 2021; 23:e20954. [PMID: 33871380 PMCID: PMC8094017 DOI: 10.2196/20954] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Revised: 08/31/2020] [Accepted: 03/18/2021] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Exercise identity is an important predictor for regular physical activity (PA). There is a lack of research on the potential mechanisms or antecedents of identity development. Theories of exercise identity have proposed that investment, commitment and self-referential (eg, I am an exerciser) statements, and social activation (comparison, support) may be crucial to identity development. Social media may be a potential mechanism to shape identity. OBJECTIVE The objectives of this study were to (1) explore whether participants were willing to share their Instagram data with researchers to predict their lifestyle behaviors; (2) examine whether PA-related Instagram uses (ie, the percentage of PA-related Instagram posts, fitness-related followings, and the number of likes received on PA-related posts) were positively associated with exercise identity; and (3) evaluate whether exercise identity mediates the relationship between PA-related Instagram use and weekly PA minutes. METHODS Participants (18-30 years old) were asked to complete a questionnaire to evaluate their current levels of exercise identity and PA. Participants' Instagram data for the past 12 months before the completion of the questionnaire were extracted and analyzed with their permission. Instagram posts related to PA in the 12 months before their assessment, the number of likes received for each PA-related post, and verified fitness- or PA-related followings by the participants were extracted and analyzed. Pearson correlation analyses were used to evaluate the relationship among exercise identity, PA, and Instagram uses. We conducted mediation analyses using the PROCESS macro modeling tool to examine whether exercise identity mediated the relationship between Instagram use variables and PA. Descriptive statistical analyses were used to compare the number of willing participants versus those who were not willing to share their Instagram data. RESULTS Of the 76 participants recruited to participate, 54% (n=41) shared their Instagram data. The percentage of PA-related Instagram posts (r=0.38; P=.01) and fitness-related Instagram followings (r=0.39; P=.01) were significantly associated with exercise identity. The average number of "likes" received (r=0.05, P=.75) was not significantly associated with exercise identity. Exercise identity significantly influenced the relationship between Instagram usage metrics (ie, the percentage of PA-related Instagram posts [P=.01] and verified fitness-related Instagram accounts [P=.01]) and PA level. Exercise identity did not significantly influence the relationship between the average number of "likes" received for the PA-related Instagram posts and PA level. CONCLUSIONS Our results suggest that an increase in PA-related Instagram posts and fitness-related followings were associated with a greater sense of exercise identity. Higher exercise identity led to higher PA levels. Exercise identity significantly influenced the relationship between PA-related Instagram posts (P=.01) and fitness-related followings on PA levels (P=.01). These results suggest that Instagram may influence a person's exercise identity and PA levels. Future intervention studies are warranted.
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Affiliation(s)
- Sam Liu
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada
| | - Megan Perdew
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada
| | - Alexander Lithopoulos
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada
| | - Ryan E Rhodes
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada
- Department of Psychology, University of Victoria, Victoria, BC, Canada
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91
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Beauchamp MR, Liu Y, Dunlop WL, Ruissen GR, Schmader T, Harden SM, Wolf SA, Puterman E, Sheel AW, Rhodes RE. Psychological mediators of exercise adherence among older adults in a group-based randomized trial. Health Psychol 2021; 40:166-177. [PMID: 33630638 DOI: 10.1037/hea0001060] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE To examine the psychological mediators of exercise adherence among older adults in a group-based physical activity randomized controlled trial. METHOD Older adults (≥65 years) were randomized to one of three conditions as part of the "GrOup-based physical Activity for oLder adults" (GOAL) randomized controlled trial. These included similar age same gender (SASG) and similar age mixed gender (SAMG) exercise programs that were informed by the tenets of self-categorization theory, and a "standard" mixed age mixed gender (MAMG) exercise program. Participants represented a subgroup (n = 483, Mage = 71.41 years) from the larger trial (n = 627) who completed measures of the trial's putative psychological mediators (i.e., group cohesion and affective attitudes) over the course of the 24-week exercise programs. RESULTS Piecewise latent growth modeling revealed different trajectories between participants in the two intervention conditions (SASG, SAMG) when compared with the comparison MAMG condition with regard to perceptions of group cohesion and affective attitudes. Results of subsequent cross-lagged panel modeling revealed that better program adherence in the two intervention conditions, when compared with the referent MAMG condition, was mediated by perceptions of group cohesion. CONCLUSIONS The findings provide insight into how the two intervention programs differentially strengthened perceptions of group cohesion and affective attitudes over time. Consistent with self-categorization theory, the results also shed light on the role of group cohesion, in particular, as a psychological mechanism of action to promote older adults' exercise adherence behaviors. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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Affiliation(s)
| | - Yan Liu
- Department of Educational and Counseling Psychology and Special Education, University of British Columbia
| | | | | | - Toni Schmader
- Department of Psychology, University of British Columbia
| | | | | | - Eli Puterman
- School of Kinesiology, University of British Columbia
| | | | - Ryan E Rhodes
- School of Exercise Science, Physical and Health Education, University of Victoria
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92
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Davis JC, Rhodes RE, Khan KM, Mansournia MA, Khosravi A, Chan P, Zhao M, Jehu DA, Liu-Ambrose T. Cognitive Function and Functional Mobility Predict Exercise Adherence in Older Adults Who Fall. Gerontology 2021; 67:350-356. [PMID: 33631742 DOI: 10.1159/000513452] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2020] [Accepted: 11/28/2020] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION Strength and balance exercises prevent falls. Yet, exercise adherence is often low. To maximize the benefit of exercise on falls prevention, we aimed to identify baseline cognitive and mobility factors that predict adherence to the Otago Exercise Program (OEP) - a home-based exercise program proven to prevent falls. METHODS We conducted a secondary longitudinal analysis of data from a randomized clinical trial (RCT) (OEP compared with usual care) among 172 participants who were assigned to the OEP intervention of the RCT. Adherence to the OEP was calculated as a percent score (i.e., [frequency of strength and balance retraining session per week/3 strength and balance retraining sessions per week] × 100). Executive function (i.e., mental flexibility) was measured using the Trail Making Tests (Part A and B: TMT B - TMT A) and the Digit Symbol Substitution Test (DSST). Short-term memory and encoding was measured using the Verbal Digits Forward test. Executive function (i.e., inhibition and working memory) was measured using the Stroop Color-Word Test and the Verbal Digits Forward minus Verbal Digits Backward test. Mobility was assessed using the Short Performance Physical Battery and the Timed Up and Go test. We used general estimation equations analysis to determine the predictors of adherence to the OEP. RESULTS Better set shifting (β = -0.06, z = -2.43, [SE = 0.02] p = 0.018] predicted greater OEP adherence. Greater attention and short-term memory (β = -6.99, z = -2.37 [SE = 2.95]) predicted poorer OEP adherence. Response inhibition, processing speed, working memory, and mobility assessed by the SPPB were not associated with adherence. Poorer baseline Timed Up and Go (β = 1.48 z = 1.94, [SE = 0.76]; p < 0.001), predicted better OEP adherence. CONCLUSION Specific cognitive processes (i.e., executive function of set shifting, attention, and short-term memory) and functional mobility predicted exercise adherence. Further research needs to explore the pathways that explain why better attention and short-term memory predicted lower adherence and why poorer functional mobility led to better OEP adherence.
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Affiliation(s)
- Jennifer C Davis
- Social & Economic Change Laboratory, Faculty of Management, University of British Columbia - Okanagan, Kelowna, British Columbia, Canada, .,Center for Hip Health and Mobility, Vancouver Coastal Health Research Institute, University of British Columbia, Vancouver, British Columbia, Canada,
| | - Ryan E Rhodes
- Center for Hip Health and Mobility, Vancouver Coastal Health Research Institute, University of British Columbia, Vancouver, British Columbia, Canada.,Behavioural Medicine Laboratory, School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, British Columbia, Canada
| | - Karim M Khan
- Center for Hip Health and Mobility, Vancouver Coastal Health Research Institute, University of British Columbia, Vancouver, British Columbia, Canada.,Department of Family Practice, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
| | - Mohammad Ali Mansournia
- Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.,Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Ahmad Khosravi
- Department of Epidemiology, School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran
| | - Patrick Chan
- Center for Hip Health and Mobility, Vancouver Coastal Health Research Institute, University of British Columbia, Vancouver, British Columbia, Canada.,Aging, Mobility, and Cognitive Neuroscience Laboratory, Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.,Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, British Columbia, Canada.,Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada
| | - Mary Zhao
- Center for Hip Health and Mobility, Vancouver Coastal Health Research Institute, University of British Columbia, Vancouver, British Columbia, Canada.,Aging, Mobility, and Cognitive Neuroscience Laboratory, Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.,Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, British Columbia, Canada.,Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada
| | - Deborah A Jehu
- Center for Hip Health and Mobility, Vancouver Coastal Health Research Institute, University of British Columbia, Vancouver, British Columbia, Canada.,Aging, Mobility, and Cognitive Neuroscience Laboratory, Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.,Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, British Columbia, Canada.,Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada
| | - Teresa Liu-Ambrose
- Center for Hip Health and Mobility, Vancouver Coastal Health Research Institute, University of British Columbia, Vancouver, British Columbia, Canada.,Aging, Mobility, and Cognitive Neuroscience Laboratory, Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.,Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, British Columbia, Canada.,Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada
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93
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Duan Y, Shang B, Liang W, Du G, Yang M, Rhodes RE. Effects of eHealth-Based Multiple Health Behavior Change Interventions on Physical Activity, Healthy Diet, and Weight in People With Noncommunicable Diseases: Systematic Review and Meta-analysis. J Med Internet Res 2021; 23:e23786. [PMID: 33616534 PMCID: PMC8074786 DOI: 10.2196/23786] [Citation(s) in RCA: 39] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2020] [Revised: 10/09/2020] [Accepted: 01/24/2021] [Indexed: 02/06/2023] Open
Abstract
Background Noncommunicable diseases (NCDs) are associated with the burden of premature deaths and huge medical costs globally. There is an increasing number of studies combining a multiple health behavior change (MHBC) intervention paradigm with eHealth approaches to jointly promote weight-related health behaviors among people with NCD; yet, a comprehensive summary of these studies is lacking. Objective This review aims to meta-analyze the effectiveness and systematically summarize the characteristics of the relevant intervention studies for improving the outcomes of physical activity, healthy diet, and weight among people with NCD. Methods Following PRISMA guidelines, 4 electronic databases (PsycINFO, PubMed, Scopus, SPORTDiscus) were systematically searched to identify eligible articles based on a series of inclusion and exclusion criteria. Article selection, quality assessment, and data extraction were independently performed by 2 authors. The standardized mean difference (SMD) was calculated to evaluate the effectiveness of interventions for 3 intervention outcomes (physical activity, healthy diet, and weight), and subsequent subgroup analyses were performed for gender, age, intervention duration, channel, and theory. Calculations were conducted, and figures were produced in SPSS 22 and Review Manager 5.3. Results Of the 664 original hits generated by the systematic searches, 15 eligible studies with moderate to high quality were included. No potential publication bias was detected using statistical analyses. Studies varied in intervention channel, intensity, and content. The meta-analysis revealed that the eHealth MHBC interventions significantly promoted physical activity (SMD 0.85, 95% CI 0.23 to 1.47, P=.008) and healthy diet (SMD 0.78, 95% CI 0.13 to 1.43, P=.02), but did not contribute to a healthy weight status (SMD –0.13, 95% CI= –0.47 to 0.20, P=.43) among people with NCDs, compared to the control conditions. Results from subgroup analysis indicated that theory-based interventions achieved greater effect than nontheory-based interventions in promoting physical activity, and interventions with traditional approaches (SMS, telephone) were more effective than those with modern internet-based approaches in promoting healthy diet. Conclusions The results of this review indicates that eHealth MHBC interventions achieve preliminary success in promoting physical activity and healthy diet behaviors among people with NCD. Future studies could improve the intervention design to achieve better intervention effectiveness. Trial Registration PROSPERO International Prospective Register of Systematic Reviews CRD42019118629; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=118629
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Affiliation(s)
- Yanping Duan
- Department of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong, China
| | - Borui Shang
- Department of Social Sciences, Hebei Sport University, Shijiazhuang, China
| | - Wei Liang
- Department of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong, China
| | - Gaohui Du
- Department of Health Science, Wuhan Sports University, Wuhan, China
| | - Min Yang
- Department of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong, China
| | - Ryan E Rhodes
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada
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Lithopoulos A, Liu S, Zhang CQ, Rhodes RE. Predicting physical distancing in the context of COVID-19: A test of the extended parallel process model among Canadian adults. Canadian Psychology/Psychologie canadienne 2021. [DOI: 10.1037/cap0000270] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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95
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Branscum PW, Williams DM, Rhodes RE. Are current elicitation techniques for barriers and enablers confounded with motivation? How natural language may hinder theory-guided research. Br J Health Psychol 2021; 26:839-860. [PMID: 33426777 DOI: 10.1111/bjhp.12507] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Revised: 10/19/2020] [Indexed: 11/30/2022]
Abstract
OBJECTIVES The objective of this study was to compare standard elicitation techniques for barriers and enablers for physical activity and sleep behaviours, to an alternative approach whereby participants were told to only consider the literal meanings of the words prevent/enable. DESIGN Randomized controlled design. METHODS College students were randomized to either a standard methods group (n = 177) (what prevents you from doing behaviour X) or a vignette group (n = 176) to encourage them to think of the literal meaning of the words prevent/enable. Responses were then codified by two blinded researchers. RESULTS Students reported significantly different types of control beliefs between groups. Those in the standard group reported significantly more overall beliefs (p's < .05, except sleep/enable), suggesting poorer discrimination in interpreting what was meant by 'prevent' and 'enable'. CONCLUSIONS This study demonstrates when self-efficacy-related control beliefs are elicited, natural language words such as 'prevent' and 'enable' have the potential to confuse people about the intent of the question.
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Affiliation(s)
- Paul W Branscum
- Department of Kinesiology, Nutrition, and Health, Miami University, Oxford, Ohio, USA
| | - David M Williams
- Department of Behavioral and Social Science, Brown University, Providence, Rhode Island, USA.,Department of Psychiatry and Human Behavior, Brown University, Providence, Rhode Island, USA
| | - Ryan E Rhodes
- School of Exercise Science, Physical & Health Education, University of Victoria, British Columbia, Canada
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96
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Spence JC, Rhodes RE, McCurdy A, Mangan A, Hopkins D, Mummery WK. Determinants of physical activity among adults in the United Kingdom during the COVID-19 pandemic: The DUK-COVID study. Br J Health Psychol 2020; 26:588-605. [PMID: 33336562 DOI: 10.1111/bjhp.12497] [Citation(s) in RCA: 54] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Revised: 12/01/2020] [Indexed: 12/14/2022]
Abstract
Objectives This study examined the impact of the COVID-19 lockdown on the physical activity (PA) of UK adults and potential motivational determinants of such behaviour. Design and methods A survey was conducted with 1,521 UK adults recruited through Prolific.co in early June 2020. Along with demographic information, questions assessed current PA, changes in PA modalities (i.e., overall, around the home, for transport, in the workplace, in the local neighbourhood, at recreation/sport facilities) related to the lockdown, and beliefs about capabilities, opportunities, and motivations according to the COM-B model. A series of logistic regressions were constructed to examine associations between shifts in the PA modalities and the COM-B components. Results The majority of respondents (57%) had either maintained or increased their levels of PA during the COVID-19 lockdown. However, the proportion meeting PA guidelines (31%) was low and engagement in sedentary-related behaviour for both work and leisure increased substantially during the lockdown. The components of the COM-B model were associated with shifts in PA. In particular, physical opportunity (odds ratios ranging from 1.14 to 1.20) and reflective motivation (odds ratios ranging from 1.11 to 1.25) appeared to be the most consistent predictors of behaviour. Conclusions If UK adults believed they had the physical opportunity and were motivated, they were more likely to have maintained or increased their PA during the COVID-19 lockdown. However, the majority of adults are not meeting the UK guidelines on PA and the prevalence of PA is substantially lower than national surveys prior to the pandemic. Statement of contribution What is already known on this subject? The COVID-19 pandemic has significantly disrupted the daily routines of citizens globally. Engagement in physical activity appears to have declined as a result of the requirement to self-isolate and stay in place. The COM-B model of behaviour change is a useful framework for identifying the correlates and determinants of behaviour. What does this study add? Though most UK adults maintained or increased their engagement in physical activity during the COVID-19 pandemic, the majority did not meet recommended guidelines. Reflective processes and physical opportunity were the primary predictors of change in physical activity.
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Affiliation(s)
- John C Spence
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Alberta, Canada
| | - Ryan E Rhodes
- School of Exercise Science, Physical & Health Education, University of Victoria, British Columbia, Canada
| | - Ashley McCurdy
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Alberta, Canada
| | - Amie Mangan
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Alberta, Canada
| | - Debbie Hopkins
- School of Geography and the Environment, University of Oxford, UK
| | - W Kerry Mummery
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Alberta, Canada
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97
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de Lannoy L, Rhodes RE, Moore SA, Faulkner G, Tremblay MS. Regional differences in access to the outdoors and outdoor play of Canadian children and youth during the COVID-19 outbreak. Can J Public Health 2020; 111:988-994. [PMID: 33057923 PMCID: PMC7556599 DOI: 10.17269/s41997-020-00412-4] [Citation(s) in RCA: 33] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Accepted: 08/25/2020] [Indexed: 01/07/2023]
Abstract
To reduce the spread of COVID-19, public health authorities across the country have recommended that Canadians keep their distance, wash their hands, and stay home. To enforce these measures, restrictions on outdoor behaviour have been implemented, limiting access to parks and recreational outdoor spaces. New evidence shows that COVID-19 restrictions are associated with an overall lower amount of time spent in outdoor play among Canadian children and youth. This is concerning, as outdoor play is important for children's physical and mental health and helps provide them with a sense of control during times of uncertainty and stress. As policies on access to the outdoors during the COVID-19 outbreak vary by province, it is possible that policy differences have led to regional differences in changes in outdoor play among children and youth. In this commentary, we examine regional differences in outdoor play among children and youth across Canada, and the association between provincial policies related to COVID-19 and outdoor play. We argue that through the recovery process, in the event of a second wave of infections, and in preparing for future public health challenges, policy decisions should consider ways to preserve outdoor play for Canadian children and youth.
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Affiliation(s)
- Louise de Lannoy
- Children’s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON K1H 8L1 Canada
| | - Ryan E. Rhodes
- Behavioural Medicine Laboratory, School of Exercise Science, Physical and Health Education, University of Victoria, PO Box 1700 STN CSC, Victoria, BC V8W 2Y2 Canada
| | - Sarah A. Moore
- Department of Therapeutic Recreation, Faculty of Child, Family, and Community Studies, Douglas College, 1250 Pinetree Way, Coquitlam, BC V3B 7X3 Canada
- School of Health and Human Performance, Dalhousie University, PO Box 15000, Halifax, NS B3H 4R2 Canada
| | - Guy Faulkner
- School of Kinesiology, University of British Columbia, 6081 University Blvd, Vancouver, BC V6T 1Z1 Canada
| | - Mark S. Tremblay
- Children’s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON K1H 8L1 Canada
- Department of Pediatrics, University of Ottawa, 401 Smyth Road, Ottawa, ON K1H 8L1 Canada
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98
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Ku B, Rhodes RE. Physical activity behaviors in parents of children with disabilities: A systematic review. Res Dev Disabil 2020; 107:103787. [PMID: 33017786 DOI: 10.1016/j.ridd.2020.103787] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/10/2020] [Revised: 09/08/2020] [Accepted: 09/23/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND Even though it has been widely known that parents influence physical activity (PA) behaviors of children without disabilities, there is no consensus about the effects of parents on PA behaviors of children with disabilities. AIMS The purpose of this study was to systematically review published literature examining the effects of parents on PA behaviors of children with disabilities. METHODS A systematic literature search was performed in three databases. OUTCOMES AND RESULTS The search identified 13 studies which met predetermined inclusion criteria. Of the 13 studies, 10 studies were conducted in United States and Canada. The remaining three studies were from three different countries: Italy, Australia, and Hong Kong. From the 13 studies, 24 parental factors were identified and categorized into four different dimensions: a) participating in PA intervention (four factors included), b) parental support (three factors included), c) parental PA role modeling (five factors included), and d) parental importance of child's PA (three factors included). Six factors across three dimensions (i.e., participating in PA intervention, parental support, parental importance of their child's PA) were significantly and positively associated with PA behaviors in children with disabilities, but no factor in parental PA role modeling was significantly associated with PA behaviors in children with disabilities. CONCLUSIONS AND IMPLICATIONS The associations between parental factors and PA behaviors in children with disabilities varied depending on the dimensions of the parental factors. Further studies are warranted to confirm the association between parental factors and PA behaviors in children with disabilities, including cross-cultural comparisons.
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Affiliation(s)
- Byungmo Ku
- Division of Natural, Physical and Health Sciences, Vanguard University of Southern California, Costa Mesa, CA, 92626, USA.
| | - Ryan E Rhodes
- Behavioural Medicine Laboratory, School of Exercise Science, Physical and Health Education, University of Victoria, PO Box 3010 STN CSC, Victoria, B.C., V8W 3N4, Canada.
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99
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Stevens CJ, Baldwin AS, Bryan AD, Conner M, Rhodes RE, Williams DM. Affective Determinants of Physical Activity: A Conceptual Framework and Narrative Review. Front Psychol 2020; 11:568331. [PMID: 33335497 PMCID: PMC7735992 DOI: 10.3389/fpsyg.2020.568331] [Citation(s) in RCA: 47] [Impact Index Per Article: 11.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Accepted: 11/09/2020] [Indexed: 12/23/2022] Open
Abstract
The literature on affective determinants of physical activity (PA) is growing rapidly. The present paper aims to provide greater clarity regarding the definition and distinctions among the various affect-related constructs that have been examined in relation to PA. Affective constructs are organized according to the Affect and Health Behavior Framework (AHBF), including: (1) affective response (e.g., how one feels in response to PA behavior) to PA; (2) incidental affect (e.g., how one feels throughout the day, unrelated to the target behavior); (3) affect processing (e.g., affective associations, implicit attitudes, remembered affect, anticipated affective response, and affective judgments); and (4) affectively charged motivational states (e.g., intrinsic motivation, fear, and hedonic motivation). After defining each category of affective construct, we provide examples of relevant research showing how each construct may relate to PA behavior. We conclude each section with a discussion of future directions for research.
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Affiliation(s)
- Courtney J. Stevens
- Department of Psychiatry, Dartmouth-Hitchcock Medical Center, Geisel School of Medicine, Dartmouth College, Lebanon, NH, United States
| | - Austin S. Baldwin
- Department of Psychology, Southern Methodist University, Dallas, TX, United States
| | - Angela D. Bryan
- Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, CO, United States
| | - Mark Conner
- School of Psychology, University of Leeds, Leeds, United Kingdom
| | - Ryan E. Rhodes
- School of Exercise Science, Physical & Health Education, University of Victoria, Victoria, BC, Canada
| | - David M. Williams
- Department of Behavioral and Social Sciences, Department of Psychiatry and Human Behavior, School of Public Health, Brown University, Providence, RI, United States
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100
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Divine A, Blanchard C, Naylor PJ, Benoit C, Symons Downs D, Rhodes RE. Effect of housework on physical activity during transitions to parenthood. Women Health 2020; 61:50-65. [PMID: 33190626 DOI: 10.1080/03630242.2020.1844357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
The transition to parenthood is associated with declines in moderate to vigorous physical activity (MVPA) and increases in light PA (LPA). One potential mechanism for this change in PA that occur at the onset of parenthood is housework. We examined housework load and PA levels of three cohorts of couples across 12 months recruited from Victoria, British Columbia, Canada between January 2007 and December 2011. Participants (N = 314; 102 not expecting a child, 136 expecting first-child, 76 expecting second child) completed baseline demographics and 7-day accelerometry, followed by assessments at 6 and 12 months. Hierarchical linear regression assessed the association between PA, housework, and perceptions of partner's workload. New fathers' but not new mothers' housework was positively related to their LPA at 12 months. Perceptions of partners' workload were positively related to new mothers LPA, and negatively related to new fathers MVPA at 12 months. Mediation analysis determined if perceived behavioral control accounts for the relationship between the discrepancy in housework between partners' PA. Results suggest that if a woman perceives their partner to do more housework their own PA increases, whereas for men their PA decreases. These findings highlight the importance of the division of housework on PA for both mothers and fathers.
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Affiliation(s)
- Alison Divine
- Department of Sport and Exercise Science, University of Leeds , Leeds, UK
| | - Chris Blanchard
- Department of Medicine, Dalhousie University , Halifax, Canada
| | - Patti-Jean Naylor
- Exercise Science, Physical & Health Education, University of Victoria , Victoria, Canada
| | - Cecilia Benoit
- Exercise Science, Physical & Health Education, University of Victoria , Victoria, Canada
| | | | - Ryan E Rhodes
- Exercise Science, Physical & Health Education, University of Victoria , Victoria, Canada
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