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Sui W, Hollman H, Magel E, Rhodes RE. Increasing physical activity among adults affected by COVID-19 social distancing restrictions: A feasibility trial of an online intervention. J Behav Med 2024; 47:886-899. [PMID: 39068263 DOI: 10.1007/s10865-024-00501-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Accepted: 12/21/2022] [Indexed: 07/30/2024]
Abstract
In response to COVID-19 social distancing restrictions, digitally delivered health interventions present as a potential solution for maintaining or improving individuals' physical activity. This study explored the feasibility of a web-based intervention, informed by the multi-process action control (M-PAC) framework to promote PA among individuals affected by social distancing. Fifty adults self-reporting as insufficiently active were randomized to a 6-week web-intervention (n = 27) or wait-list control (n = 23). Primary feasibility outcomes included recruitment and retention rates and usability and satisfaction scores; secondary outcomes of MVPA and M-PAC constructs and tertiary outcomes of mental health and wellbeing were also assessed. Overall, feasibility of the intervention was high, with a 96% recruitment rate, 84% retention rate, high satisfaction and usability scores, and comparable website usage to similar eHealth interventions. Intervention participants trended towards improved MVPA and M-PAC constructs and outcomes of mental health and wellbeing. Findings suggest study extension to a full-scale RCT.
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Affiliation(s)
- Wuyou Sui
- Behavioural Medicine Lab, Department of Exercise Science, Physical & Health Education, University of Victoria, 3800 Finnerty Road, Victoria, BC, V8P 5C2, Canada.
| | - Heather Hollman
- Behavioural Medicine Lab, Department of Exercise Science, Physical & Health Education, University of Victoria, 3800 Finnerty Road, Victoria, BC, V8P 5C2, Canada
| | - Emily Magel
- Behavioural Medicine Lab, Department of Exercise Science, Physical & Health Education, University of Victoria, 3800 Finnerty Road, Victoria, BC, V8P 5C2, Canada
| | - Ryan E Rhodes
- Behavioural Medicine Lab, Department of Exercise Science, Physical & Health Education, University of Victoria, 3800 Finnerty Road, Victoria, BC, V8P 5C2, Canada
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Craig TV, Rhodes RE, Sui W. Examining and Comparing the Energy Expenditure of Two Modes of a Virtual Reality Fitness Game (Supernatural): Indirect Calorimetry Study. JMIR Serious Games 2024; 12:e53999. [PMID: 38833285 PMCID: PMC11185914 DOI: 10.2196/53999] [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: 10/26/2023] [Revised: 01/30/2024] [Accepted: 02/09/2024] [Indexed: 06/06/2024] Open
Abstract
BACKGROUND The effectiveness of virtual reality (VR) fitness games as a form of moderate to vigorous physical activity has yet to be thoroughly quantified through gold standard energy expenditure measures. OBJECTIVE The purpose of this study was to examine the energy expenditure of 2 medium-intensity modes ("Flow and "Boxing") of a VR fitness game, Supernatural, using indirect calorimetry. METHODS Indirect calorimetry was used to examine relative and objective maximal oxygen consumption (VO2 max), metabolic equivalents of task (METs), and calories burned during medium-intensity bouts of both Flow and Boxing gameplay modes in young (mean age 25.42, SD 3.25 years), active individuals (n=12 female and n=11 male). METs and calories were also compared using a triaxial waist-worn accelerometer, an Apple smartwatch, and a VR headset. Mood states were assessed pre- and postbout using the shortened Profile of Mood States Questionnaire. Paired 2-tailed t tests were used to examine differences in game modes, between sexes, and pre-post exercise sessions. RESULTS Objective and relative VO2 max averaged 1.93 (SD 0.44) L/min and 27.61 (SD 5.60) mL/kg/min, respectively, between modes. Flow (mean 8.2, SD 1.54 METs) and Boxing (mean 7.6, SD 1.66 METs) are both classified as high energy expenditure, vigorous activities. Calorie expenditure data of the accelerometer and VR headset differed significantly from the metabolic cart. Mood changes pre- to post exercise were consistent with expected values for moderate- to vigorous-intensity physical activity, with participants reporting that they felt more "active," "full of pep," "vigorous," and "lively" (P<.05) following bouts. Male individuals reported higher objective oxygen consumption (VO2) for both Flow and Boxing modes; no other sex-specific differences were observed. CONCLUSIONS Both Flow and Boxing gameplay modes of Supernatural classify as vigorous physical activity and demonstrate the potential to promote mental and physical health benefits. Supernatural may be an effective exercise modality in a VO2 training program.
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Affiliation(s)
- Tabitha V Craig
- Department of Exercise Science, Physical & Health Education, University of Victoria, Victoria, BC, Canada
| | - Ryan E Rhodes
- Behavioural Medicine Lab, Department of Exercise Science, Physical & Health Education, University of Victoria, Victoria, BC, Canada
| | - Wuyou Sui
- Behavioural Medicine Lab, Department of Exercise Science, Physical & Health Education, University of Victoria, Victoria, BC, Canada
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Kim J, Youm H, Kim S, Choi H, Kim D, Shin S, Chung J. Exploring the Influence of YouTube on Digital Health Literacy and Health Exercise Intentions: The Role of Parasocial Relationships. Behav Sci (Basel) 2024; 14:282. [PMID: 38667077 PMCID: PMC11047660 DOI: 10.3390/bs14040282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2024] [Revised: 03/13/2024] [Accepted: 03/25/2024] [Indexed: 04/29/2024] Open
Abstract
The purpose of this study was to analyze the mediating role of digital health literacy and the moderating effect of parasocial relationships on the relationship between the viewing experience of health exercise-related YouTube content and the intention for health exercise behavior. Based on the health action process approach, this study established a foundational theoretical model to analyze how digital health literacy mediates the impact of media viewing experience on health exercise behavior intention. Additionally, this study examined the moderating effect of parasocial relationships with YouTube creators. For empirical analysis, variables were measured using a self-administration method among 409 randomly sampled consumers of YouTube health exercise content. The collected data were analyzed using a structural equation model incorporating mediation parameters, and a multigroup model analysis was conducted to understand differences based on parasocial relationships. The results revealed that increased YouTube viewing experience enhanced cognitive, skill, and evaluative components of digital health literacy, which were significant factors in increasing health exercise behavior intention. Notably, the mediating effect of cognition played a crucial role, and the strengthening effect of parasocial relationships on this relationship was confirmed. These findings can be utilized as practical foundational data for designing digital health communication strategies, particularly in developing motivational mechanisms that encourage consumers to engage voluntarily and consistently in health behaviors based on online health information.
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Affiliation(s)
| | | | | | | | | | | | - Jinwook Chung
- Department of Sports Science Convergence, College of Arts, Dongguk University, Seoul 04620, Republic of Korea; (J.K.); (H.Y.); (S.K.); (H.C.); (D.K.); (S.S.)
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Valeriani F, Protano C, De Giorgi A, Mazzeo E, Liguori G, Romano Spica V, Vitali M, Gallè F. Analysing features of home-based workout during COVID-19 pandemic: a systematic review. Public Health 2023; 222:100-114. [PMID: 37541063 DOI: 10.1016/j.puhe.2023.06.040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Revised: 06/15/2023] [Accepted: 06/29/2023] [Indexed: 08/06/2023]
Abstract
OBJECTIVE Since the beginning of the COVID-19 pandemic, a decrease in physical activity (PA) related to home confinement has been reported worldwide. However, some individuals were able to engage in physical activities at home. Thus, in a perspective of public health, it may be useful to analyse the available evidence regarding PA adopted during home restrictions, in order to identify possible strategies to help people stay active even during emergency situations. The aim of this review was to analyse how healthy individuals spontaneously exercised at home in the course of the pandemic, in order to detect possible factors associated with this behaviour. STUDY DESIGN A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. METHODS The protocol was registered in PROSPERO, an international prospective register of systematic reviews, with the registration number CRD42023394673. A literature search was conducted in PubMed, Scopus, and Web of Science. Cross-sectional studies published in English from the inception of each database to February 06th 2023 and focused on healthy individuals practicing spontaneous PA/exercise at home during the pandemic were considered eligible. The quality assessment was performed using the adapted Newcastle-Ottawa Quality Assessment Scale. Bibliographic information, sample size, study paricipant/population with age, gender, ethnicity, socioeconomic status, education, smart workers or not, anthropometric parameters, characteristics of at home exercises, athletic status and sedentariness, associated health-related effects, and main findings were synthetised. RESULTS From 504 articles, 19 were included. Notwithstanding the differences in the studies examined, the majority of them reported that previous PA level was associated with exercise in such challenging conditions. Furthermore, technologies aimed at supporting exercise were shown to be a useful resource. CONCLUSIONS Being habitually active and using digital supports may be associated with a positive attitude towards exercise at home during isolation. This suggests that in emergency situations, exercise should be promoted, also through digital media, especially among those groups who are usually less engaged in PA. Further analyses of longitudinal studies are needed to confirm these findings.
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Affiliation(s)
- F Valeriani
- Department of Movement, Human, and Health Sciences, University of Rome Foro Italico, Rome, Italy
| | - C Protano
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
| | - A De Giorgi
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - E Mazzeo
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - G Liguori
- Department of Movement Sciences and Wellbeing, University of Naples Parthenope, Naples, Italy
| | - V Romano Spica
- Department of Movement, Human, and Health Sciences, University of Rome Foro Italico, Rome, Italy
| | - M Vitali
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - F Gallè
- Department of Movement Sciences and Wellbeing, University of Naples Parthenope, Naples, Italy
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Park SU, Jang DJ, Kim DK, Choi C. Key Attributes and Clusters of the Korean Exercise Healthcare Industry Viewed through Big Data: Comparison before and after the COVID-19 Pandemic. Healthcare (Basel) 2023; 11:2133. [PMID: 37570374 PMCID: PMC10419111 DOI: 10.3390/healthcare11152133] [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: 06/28/2023] [Revised: 07/19/2023] [Accepted: 07/24/2023] [Indexed: 08/13/2023] Open
Abstract
This study aims to predict the characteristics of the exercise healthcare industry in the post-pandemic era by comparing the periods before and after the coronavirus disease 2019 outbreak through big data analysis. TEXTOM, the Korean big data collection and analysis solution, was used for data collection. The pre-pandemic period was defined as 1 January 2018-31 December 2019 and the pandemic period as 1 January 2020-31 December 2021. The keywords for data collection were "exercise + healthcare + industry". Text mining and social network analysis were conducted to determine the overall characteristics of the Korean exercise healthcare industry. We identified 30 terms that appeared most frequently on social media. Four common (smart management, future technology, fitness, and research) and six different clusters (sports education, exercise leader, rehabilitation, services, business, and COVID-19) were obtained for the pre-pandemic and pandemic periods. Smart management, future technology, fitness, and research are still important values across both periods. The results provide meaningful data and offer valuable insights to explore the changing trends in exercise healthcare.
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Affiliation(s)
- Sung-Un Park
- Department of Sports and Health, Hwasung Medi-Science University, Hwaseong-si 18274, Republic of Korea;
| | - Deok-Jin Jang
- Department of Sports Medicine, Shinhan University, Uijeongbu-si 11644, Republic of Korea;
| | - Dong-Kyu Kim
- Department of Sports Science, Chungwoon University, Hongseong-gun 32224, Republic of Korea
| | - Chulhwan Choi
- Department of Physical Education, Gachon University, Seongnam-si 13120, Republic of Korea
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Scharf C, Tilp M. Twelve Weeks of Web-Based Low to Moderate Physical Activity Breaks with Coordinative Exercises at the Workplace Increase Motor Skills but Not Motor Abilities in Office Workers-A Randomised Controlled Pilot Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2193. [PMID: 36767561 PMCID: PMC9915999 DOI: 10.3390/ijerph20032193] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/14/2022] [Revised: 01/17/2023] [Accepted: 01/22/2023] [Indexed: 06/18/2023]
Abstract
Integrating physical activity interventions at the workplace can have positive effects on the employees' health. This study aimed to evaluate a physical activity break with coordinative exercises (PAB) including juggling and balance tasks and to assess its effects on motor abilities. Thirty-two university employees were randomly allocated to an intervention (IG:20) or a control (CG:12) group. The IG participated two times per week for 12 weeks in a PAB with a duration of 15 to 20 min. We measured the unimanual, bimanual finger, and hand dexterity with the Purdue Pegboard Test, the reaction time with the Fall Stick Test, and the dynamic balance with the Y Balance Test. Juggling performance was assessed by measuring the time(s) of performing a three-ball-cascade. Furthermore, an evaluation of the PAB was executed. Participants in the IG improved their juggling performance after six and twelve weeks. These increases were significantly different compared to the CG. However, no other parameters changed significantly. The evaluation showed that the PAB was enjoyable and led to subjective improvements in the participants health and working routine. To conclude, PAB can lead to improvements in juggling performance, subjective health, and the working routine.
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Keawtep P, Kamnardsiri T, Boripuntakul S, Wichayanrat W, Worakul P, Sungkarat S. Feasibility of Internet-Based Physical-Cognitive Exercise for Health Benefits of Middle-Aged Obese Women. J Prim Care Community Health 2023; 14:21501319231189961. [PMID: 37522590 PMCID: PMC10392207 DOI: 10.1177/21501319231189961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2023] [Revised: 07/05/2023] [Accepted: 07/07/2023] [Indexed: 08/01/2023] Open
Abstract
INTRODUCTION Obesity in middle-aged women markedly increases the risk for non-communicable diseases, neurodegenerative diseases, and physical and cognitive problems. Exercise, particularly combined physical-cognitive exercise, has been demonstrated to have beneficial effects on both physical and cognitive health. However, middle-aged women often face barriers to engaging in exercise, which include time constraints, lack of motivation, and enjoyment. Incorporating an exercise program into a technology-based intervention in the home environment may help overcome these barriers and promote health benefits. Therefore, this study aimed to assess the feasibility of home-based, physical-cognitive internet-based exercise for middle-aged obese women. METHODS A total of 33 middle-aged obese women were enrolled in the study. Participants performed an intervention for 60 min/day, 3 days/week for 3 months. Feasibility outcomes (adherence, adverse events, physical performances, obesity parameters, and enjoyment of the program) were measured. RESULTS Average exercise adherence was 91.67%, and no adverse events were reported in this feasibility study. At the end of the training period, body weight and BMI were significantly decreased compared to baseline. As for physical performances, both cardiorespiratory fitness and lower limb muscle power were significantly improved at post-training when compared to baseline. Furthermore, the participants experienced a high level of exercise enjoyment, and it was maintained over the 3-month training period. CONCLUSION These findings suggest that home-based, internet-based physical-cognitive exercise was safe and feasible for reducing obesity parameters, improving physical function, maintaining enjoyment over the course of training, and facilitating adherence to exercise in middle-aged obese women.
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Guo Y, Ma X, Chen D, Zhang H. Factors Influencing Use of Fitness Apps by Adults under Influence of COVID-19. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15460. [PMID: 36497534 PMCID: PMC9740845 DOI: 10.3390/ijerph192315460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Revised: 11/16/2022] [Accepted: 11/19/2022] [Indexed: 06/17/2023]
Abstract
During the coronavirus disease 2019 (COVID-19) pandemic, many countries imposed restrictions and quarantines on the population, which led to a decrease in people's physical activity (PA) and severely damaged their mental health. As a result, people engaged in fitness activities with the help of fitness apps, which improved their resistance to the virus and reduced the occurrence of psychological problems, such as anxiety and depression. However, the churn rate of fitness apps is high. As such, our purpose in this study was to analyze the factors that influence the use of fitness apps by adults aged 18-65 years in the context of COVID-19, with the aim of contributing to the analysis of mobile fitness user behavior and related product design practices. We constructed a decision target program model using the analytic hierarchy process (AHP), and we analyzed and inductively screened 11 evaluation indicators, which we combined with an indicator design questionnaire. We distributed 420 questionnaires; of the respondents, 347 knew about or used fitness apps. Among these 347, we recovered 310 valid questionnaires after removing invalid questionnaires with a short completion time, for an effective questionnaire recovery rate of 89.33%. We used the AHP and entropy method to calculate and evaluate the weight coefficient of each influencing factor and to determine an influencing factor index. Our conclusions were as follows: first, the effect of perceived usefulness on the use of fitness apps by the study groups was the most notable. Second, personal motivation and perceived ease of use considerably influenced the adult group's willingness to use fitness apps. Finally, the perceived cost had relatively little effect on the use of fitness apps by adults, and the study group was much more concerned with the privacy cost than the expense cost.
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Affiliation(s)
- Yanlong Guo
- Social Innovation Design Research Centre, Anhui University, Hefei 203106, China
- Anhui Institute of Contemporary Studies, Anhui Academy of Social Sciences, Hefei 203106, China
| | - Xueqing Ma
- Social Innovation Design Research Centre, Anhui University, Hefei 203106, China
| | - Denghang Chen
- Department of Science and Technology Communication, University of Science and Technology of China, Hefei 203106, China
- Research Center for Science Communication, Chinese Academy of Sciences, Hefei 203106, China
| | - Han Zhang
- College of Environmental Science and Engineering, Ocean University of China, Qingdao 266100, China
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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] [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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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] [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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