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Lee S, Myers ND, Bateman AG, Prilleltensky I, McMahon A, Brincks AM. Baseline self-efficacy predicts subsequent engagement behavior in an online physical activity intervention. Front Sports Act Living 2024; 6:1401206. [PMID: 39022641 PMCID: PMC11251974 DOI: 10.3389/fspor.2024.1401206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2024] [Accepted: 06/07/2024] [Indexed: 07/20/2024] Open
Abstract
Background The purported benefits of online physical activity interventions, in terms of reduced costs, high reach, and easy access, may not be fully realized if participants do not engage with the programs. However, there is a lack of research on modifiable predictors (e.g., beliefs) of engagement with online physical activity interventions. The objective of this brief report was to investigate if self-efficacy to engage at baseline predicted subsequent engagement behavior in an online physical activity intervention at post-baseline. Methods Data (N = 331) from the 2018 Fun For Wellness effectiveness trial (ClinicalTrials.gov, identifier: NCT03194854) were analyzed in this brief report. Multiple logistic regression was fit in Mplus 8 using maximum-likelihood estimation. Results There was evidence that self-efficacy to engage beliefs at baseline positively predicted subsequent engagement behavior in the Fun For Wellness intervention at 30 days post-baseline. Conclusions Some recommendations to increase self-efficacy to engage in future online physical activity intervention studies were provided consistent with self-efficacy theory.
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Affiliation(s)
- Seungmin Lee
- Division of Health and Wellness Studies, Binghamton University, Binghamton, NY, United States
| | - Nicholas D. Myers
- Department of Kinesiology, Michigan State University, East Lansing, MI, United States
| | - André G. Bateman
- Department of Sociology, Psychology and Social Work, The University of the West Indies at Mona, Mona, Kingston, Jamaica
| | - Isaac Prilleltensky
- School of Education and Human Development, University of Miami, Coral Gables, FL, United States
| | - Adam McMahon
- School of Education and Human Development, University of Miami, Coral Gables, FL, United States
| | - Ahnalee M. Brincks
- Human Development and Family Studies, Michigan State University, East Lansing, MI, United States
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Lee S, Lahoda K, Myers ND, Horowitz A, Chiu K, Begdache L, Einav E. Physical activity self-efficacy online intervention for adults with obesity: protocol for a feasibility study. Pilot Feasibility Stud 2024; 10:40. [PMID: 38409075 PMCID: PMC10895849 DOI: 10.1186/s40814-024-01468-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Accepted: 02/16/2024] [Indexed: 02/28/2024] Open
Abstract
BACKGROUND Even without weight loss, adults with obesity can greatly benefit from regular physical activity. The Physical Activity Self-efficacy (PAS) intervention is an online behavioral intervention newly developed to promote physical activity in adults with obesity by providing capability-enhancing learning opportunities. The objective of this manuscript is to describe the protocol for a feasibility study designed to investigate the feasibility and acceptability of implementing the PAS online intervention for adults with obesity recruited from a local weight management center in the United States of America (USA). METHODS The study design is a prospective, double-blind, parallel-group individual randomized pilot trial. Thirty participants will be randomly assigned to the PAS group or usual care group to achieve a 1:1 group assignment. Recruitment of participants is scheduled to begin on 1 March 2024 at a local weight management center within a private healthcare system in the USA. There are six eligibility criteria for participation in this study (e.g., a body mass index ≥ 25.00 kg/m2). Eligibility verification and data collection will be conducted online. Three waves of data collection will take up to 14 weeks depending on participants' progress in the study. The primary feasibility outcomes in the study will be: (a) participation rate, (b) engagement behavior, and (c) a preliminary effect size estimate for the effect of the PAS intervention on physical activity. Instruments designed to measure demographic information, anthropometric characteristics, self-efficacy, and acceptability will be included in the survey battery. A research-grade accelerometer will be used to measure free-living physical activity objectively. Data will be analyzed using descriptive statistics and inferential statistical models under an intention-to-treat approach. DISCUSSION Results are intended to inform the preparation of a future definitive randomized controlled trial. TRIAL REGISTRATION ClinicalTrials.gov, NCT05935111, registered 7 July 2023.
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Affiliation(s)
- Seungmin Lee
- Division of Health and Wellness Studies, Binghamton University, Binghamton, USA.
| | - Kevin Lahoda
- Department of Art, Architecture and Design, Lehigh University, Bethlehem, USA
| | - Nicholas D Myers
- Department of Kinesiology, Michigan State University, East Lansing, USA
| | - Andrew Horowitz
- Department of Theatre, Binghamton University, Binghamton, USA
| | - Kenneth Chiu
- Department of Computer Science, Binghamton University, Binghamton, USA
| | - Lina Begdache
- Division of Health and Wellness Studies, Binghamton University, Binghamton, USA
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Myers ND, Prilleltensky I, McMahon A, Brincks AM, Lee S, Prilleltensky O, Pfeiffer KA, Bateman AG. Mechanisms by Which the Fun for Wellness Intervention May Promote Subjective Well-Being in Adults with Obesity: a Reanalysis Using Baseline Target Moderation. PREVENTION SCIENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR PREVENTION RESEARCH 2023; 24:286-298. [PMID: 34173135 PMCID: PMC9082285 DOI: 10.1007/s11121-021-01274-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/17/2021] [Indexed: 12/27/2022]
Abstract
Fun For Wellness (FFW) is a self-efficacy theory-based online behavioral intervention that aims to promote growth in physical activity and well-being. The FFW conceptual model for the promotion of subjective well-being posits that FFW exerts both a positive direct effect, and a positive indirect effect through well-being self-efficacy, on subjective well-being. Subjective well-being is defined in FFW as an individual's satisfaction with their status in seven key domains of their life. Well-being self-efficacy is defined in FFW as the degree to which an individual perceives that they have the capability to attain a positive status in seven key domains of their life. The objective of this study was to use baseline target moderation to assess variation in the impact of FFW on subjective well-being dimensions in adults with obesity. Data (N = 667) from the Well-Being and Physical Activity Study (ClinicalTrials.gov, identifier: NCT03194854) were reanalyzed. There was evidence that well-being self-efficacy at baseline moderated the direct effect of FFW on well-being self-efficacy at 30 days post-baseline for the occupational and psychological dimensions. Both of these findings suggest a "compensatory" effect. Similarly, there was evidence that well-being self-efficacy at baseline moderated the indirect effect of FFW on subjective well-being at 60 days post-baseline through well-being self-efficacy at 30 days post-baseline for the occupational and psychological dimensions. Both of these findings suggest a "compensatory" effect. Finally, there was evidence that well-being self-efficacy at baseline moderated the direct effect of FFW on subjective well-being at 60 days post-baseline for the community, occupational, and physical dimensions. Each of these three findings suggests some version of a "rich-get-richer" effect. In summary, results provide both supportive and unsupportive (i.e., interpersonal, economic, and overall dimensions) evidence regarding variation in the impact of the FFW intervention and should impact the design of future FFW trials.
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Affiliation(s)
- Nicholas D Myers
- Department of Kinesiology, Michigan State University, IM Sports Circle - Room 201308 W Circle Drive, East Lansing, MI, 48824, USA.
| | - Isaac Prilleltensky
- School of Education and Human Development, University of Miami, Coral Gables, USA
| | - Adam McMahon
- Office of Institutional Culture, University of Miami, Coral Gables, USA
| | - Ahnalee M Brincks
- Human Development and Family Studies, Michigan State University, East Lansing, USA
| | - Seungmin Lee
- Department of Kinesiology, Michigan State University, IM Sports Circle - Room 201308 W Circle Drive, East Lansing, MI, 48824, USA
| | - Ora Prilleltensky
- School of Education and Human Development, University of Miami, Coral Gables, USA
| | - Karin A Pfeiffer
- Department of Kinesiology, Michigan State University, IM Sports Circle - Room 201308 W Circle Drive, East Lansing, MI, 48824, USA
| | - André G Bateman
- Department of Kinesiology, Michigan State University, IM Sports Circle - Room 201308 W Circle Drive, East Lansing, MI, 48824, USA
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Myers ND, Bateman AG, McMahon A, Prilleltensky I, Lee S, Prilleltensky O, Pfeiffer KA, Brincks AM. Measurement of Physical Activity Self-Efficacy in Adults With Obesity: A Latent Variable Approach to Explore Dimensionality, Temporal Invariance, and External Validity. JOURNAL OF SPORT & EXERCISE PSYCHOLOGY 2021; 43:497-513. [PMID: 34794118 DOI: 10.1123/jsep.2021-0040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Revised: 06/22/2021] [Accepted: 08/14/2021] [Indexed: 06/13/2023]
Abstract
The objective of this study was to improve the measurement of physical activity self-efficacy (PASE) in adults with obesity. To accomplish this objective, a latent variable approach was used to explore dimensionality, temporal invariance, and external validity of responses to a newly developed battery of PASE scales. Data (Nbaseline = 461 and N30 days postbaseline = 427) from the Well-Being and Physical Activity Study (ClinicalTrials.gov, identifier: NCT03194854), which deployed the Fun For Wellness intervention, were analyzed. A two-dimensional factor structure explained responses to each PASE scale at baseline. There was strong evidence for at least partial temporal measurement invariance for this two-dimensional structure in each PASE scale. There was mixed evidence that the effectiveness of the Fun For Wellness intervention exerted a direct effect on latent PASE in adults with obesity at 30 days postbaseline (i.e., external validity) of this two-dimensional structure.
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Affiliation(s)
- Nicholas D Myers
- Department of Kinesiology, Michigan State University, East Lansing, MI,USA
| | - André G Bateman
- Department of Kinesiology, Michigan State University, East Lansing, MI,USA
| | - Adam McMahon
- Office of Institutional Culture, University of Miami, Coral Gables, FL,USA
| | - Isaac Prilleltensky
- School of Education and Human Development, University of Miami, Coral Gables, FL,USA
| | - Seungmin Lee
- Department of Kinesiology, Michigan State University, East Lansing, MI,USA
| | - Ora Prilleltensky
- School of Education and Human Development, University of Miami, Coral Gables, FL,USA
| | - Karin A Pfeiffer
- Department of Kinesiology, Michigan State University, East Lansing, MI,USA
| | - Ahnalee M Brincks
- Human Development and Family Studies, Michigan State University, East Lansing, MI,USA
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