Barriers to physical activity in an on-site corporate fitness center.

Many corporations provide employees the option of participating in on-site fitness centers, but utilization rates are low. Perceived barriers to physical activity have been established as important correlates of physical activity, and recent research indicates that barriers may vary across settings. Work-site fitness centers may present unique barriers to participation, but there are currently no standardized measures that assess such barriers. Eighty-eight employees of a midwestern corporation completed a survey designed to identify and evaluate the extent to which barriers influence participation in an on-site corporate fitness center. Regression analyses revealed that external environmental barriers (e.g., inadequate exercise facilities) significantly accounted for not joining the fitness center, and for decreased duration of visits to the facility among members. Internal barriers (e.g., feeling embarrassed to exercise around coworkers) significantly accounted for frequency of fitness center visits among members. This corporate specific measure may lead to more effective interventions aimed to increase use of on-site corporate fitness centers. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Negative affect and barriers to exercise among early stage breast cancer patients.

Objective: To assess the relative frequency of and barriers to exercise among women with breast cancer while controlling for cancer-relevant and demographic factors. Design: The present study employed concurrent samples, correlational research design. Main Outcome Measures: Exercise frequency and its association with negative affect and barriers to exercise, independent of cancer treatment, among women (N = 176) with Stage I or II breast cancer who were 3, 6, and 12 months postsurgery. Results: After accounting for cancer-relevant and control variables, degree of negative affect and frequency of perceived barriers were significantly inversely associated with exercise. Conclusion: These findings suggest that attention to both emotional factors and psychosocial barriers to exercise may be warranted to further understand exercise among women with early stage breast cancer. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Causal ordering of physical self-concept and exercise behavior: Reciprocal effects model and the influence of physical education teachers.

Does prior physical self-concept influence subsequent exercise behavior? On the basis of a large sample of physical education classes (2,786 students, 200 classes, 67 teachers) collected early (Time 1) and late (Time 2) in the school year, findings support a reciprocal effects model in which prior physical self-concept and exercise behavior both influence subsequent physical self-concept and exercise behavior. Whereas variables from the theory of planned behavior (TOPB; behavioral intentions, perceived behavioral control, exercise attitudes) also contributed to the prediction of subsequent exercise behavior, the effect of prior physical self-concept was significant for subsequent outcomes after controlling these variables, suggesting that the TOPB should be supplemented with self-concept measures. On the basis of multilevel models, there were systematic differences in these variables for students taught by different teachers that generalized over time and across different classes taught by the same teacher. Support for the reciprocal effects model was robust. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Using the theory of planned behavior to predict leisure time physical activity among people with chronic kidney disease.

Objective: To evaluate the utility of the theory of planned behavior (TPB) for explaining and predicting leisure time physical activity (LTPA) in the chronic kidney disease population. Study Design: Prospective correlational design. Participants: Eighty men (n=52) and women (n=28) with chronic kidney disease (mean serum creatinine=310.55 [±148.75] μmol/L). Method: Baseline interview assessing attitude, subjective norm, perceived behavioral control, and intention to engage in LTPA. Telephone interview 1 week later assessing frequency and intensity of LTPA. Results: Perceived behavioral control (β=.69) but not attitude (β=.17) or subjective norm (β=.02) was associated with intention to engage in LTPA. Intention (β=.53) but not perceived behavioral control (β=.18) predicted LTPA. Conclusion: These findings provide partial support for the utility of the TPB for explaining LTPA among people with chronic kidney disease. Additional research is required to determine if targeting perceived behavioral control may be an effective means for increasing LTPA in this population. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Long-term follow-up of physical activity behavior in older adults.

Objective: To examine the contribution of social-cognitive factors (self-efficacy and affect) in predicting long-term physical activity in a sample of older adults (N = 174). Design: A prospective design assessed physical activity and psychosocial variables at 2 and 5 years following a 6-month randomized, controlled exercise trial. Main Outcome Measures: The primary outcome variable was self-reported physical activity, with previous behavior, self-efficacy, and affect assessed as determinants of physical activity. Results: Covariance modeling analyses indicated that physical activity at Year 2 was the strongest predictor of physical activity at 5-year follow-up. Both self-efficacy and affect at Year 2 were also associated with physical activity at Year 5, as was original treatment condition. Variables accounted for 35% of the variance in Year 5 activity. Conclusion: Older adults with higher levels of physical activity, more positive affect, and higher self-efficacy at Year 2 were more likely to continue to be active at Year 5. This study is one of the longest follow-ups of exercise behavior in older adults and has implications for structuring environments to maximize the maintenance of physical activity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

BDNF genotype moderates the relation between physical activity and depressive symptoms.

Objective: To test whether the BDNF gene interacts with exercise to predict depressive symptoms. Physical activity is associated with a range of positive health outcomes, including fewer depressive symptoms. One plausible mechanism underlying these findings involves Brain-Derived Neurotrophic Factor (BDNF), a protein hypothesized to limit or repair the damage caused by stress. Physical activity increases expression of BDNF, which may enhance brain health. BDNF expression is controlled by the BDNF gene. Compared with individuals without a BDNF met allele, met-allele carriers have a lower expression of BDNF, which has been associated with Major Depressive Disorder. Design: Eighty-two healthy adolescent girls were genotyped for the BDNF val66met polymorphism, and their depressive symptoms and physical activity were assessed using questionnaires. Main Outcome Measures: BDNF genotype, Children’s Depression Inventory, and the Physical Activity Questionnaire for Older Children and Adolescents. Results: The BDNF polymorphism was found to moderate the relation between exercise and depressive symptoms: being physically active was protective for girls with a BDNF met allele (fewer depressive symptoms) but not for girls with the val/val polymorphism. Conclusion: By integrating psychological and biological factors, the present study enhances our understanding of how physical activity contributes to resilience to psychopathology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stages of change and physical activity among individuals with severe mental illness.

Objective: To apply the constructs of the transtheoretical model (TTM) of change to understand physical activity among individuals with severe mental illness. Method: Predictions of stages of change of physical activity and self-reported physical activity were investigated among 92 adults with severe mental illness, using cognitive and behavioral processes of change, self-efficacy, and perceived pros and cons of exercise as predictors. Results: Separate logistic regression analyses for adjacent pairs of stages indicated that 33% of the variance was accounted for when predicting preparation versus action/maintenance stages, with behavioral processes making a significant unique contribution to prediction. A multiple-regression analysis was conducted to examine prediction of self-reported physical activity on the basis of all of the TTM measures, and the full model accounted for nearly 27% of the variance. Conclusion: Results suggest that TTM constructs hold promise in understanding physical activity of people with severe mental illness with significant implications for clinical practice and future research. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Effects of team building on exercise adherence and group task satisfaction in a youth activity setting.

Results from previous research have revealed a positive relationship between team building (TB) and several measures of adherence in adult exercise settings (Carron & Spink, 1993; Spink & Carron, 1993). However, research has yet to examine the efficacy of using a TB intervention to impact the exercise adherence of youth. The main purpose of this study was to examine the effect of a TB intervention on specific adherence behaviors of youth in an exercise club setting. A second purpose was to investigate the effects of TB on participant's satisfaction with the group's functioning (group task satisfaction). Participants were 122 youth (13–17 years) participating in 10 rural, school-based exercise clubs. Clubs were randomized into five TB (n=65) and five control groups (n=57). Results revealed that following the introduction of the intervention, the two groups differed significantly on the adherence measure of session attendance but not on dropout behavior. Further, significant differences were found between the groups in group task satisfaction. The study findings extend previous TB research to a youth population and support TB as an effective group-based intervention to improve session attendance and group task satisfaction in an exercise setting in this population. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Health promotion for women with physical disabilities: A pilot study.

Objective: To pilot test a health promotion intervention for women with physical disabilities. Design: Pre- and postintervention questionnaires. Participants: Two groups of women with physical disabilities (n=15). Intervention: Seven-session weekly workshop intervention grounded primarily in social-cognitive theory. Setting: Disability and rehabilitation settings. Main Outcome Measures: Indicators of health status. Results: Statistically significant positive changes between pre- and postintervention scores on measures of self-efficacy for dietary behaviors, medical decision making, social interaction, physical functioning, impact of physical limitation on role activities, and vitality. Conclusion: Women with disabilities who participate in this health promotion intervention may exhibit improvements on indicators of health status. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Identifying subgroups that succeed or fail with three levels of physical activity intervention: The activity counseling trial.

The authors used recursive partitioning methods to identify combinations of baseline characteristics that predict 2-year physical activity success in each of 3 physical activity interventions delivered in the multisite Activity Counseling Trial. The sample consisted of 874 initially sedentary primary care patients, ages 35-75 years, who were at risk for cardiovascular disease. Predictors of 2-year success were specific to each intervention and represented a range of domains, including physiological, demographic, psychosocial, health-related, and environmental variables. The results indicate how specific patient subgroups (e.g., obese, unfit individuals; high-income individuals in stable health) may respond differently to varying levels and amounts of professional assistance and support. The methods used provide a practical first step toward identifying clinically meaningful patient subgroups for further systematic investigation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Telephone versus print delivery of an individualized motivationally tailored physical activity intervention: Project STRIDE.

Objective: Given that only 25% of Americans meet physical activity recommendations, there is a need to develop and disseminate effective, evidence-based interventions to promote physical activity. The authors tested 2 delivery channels, telephone and print, to determine whether one was more effective in promoting physical activity. Design: The authors randomly assigned 239 healthy, sedentary adults to (a) telephone-based individualized feedback, (b) print-based individualized feedback, or (c) contact control. Both intervention arms were guided by a motivationally tailored, theoretically driven computer expert system. Main outcome measures: Physical activity as measured by the 7-day Physical Activity Recall interview. Results: At 6 months, both telephone and print arms significantly increased in minutes of moderate intensity physical activity compared with control, with no differences between the intervention arms. At 12 months, print participants reported a significantly greater number of moderate intensity minutes than both telephone and control participants, who did not differ. Conclusion: Results suggest that both telephone and print enhance the adoption of physical activity among sedentary adults; however, print interventions may be particularly effective in maintaining physical activity in the longer term. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effectiveness of a Primary Care Exercise Referral Intervention for Changing Physical Self-Perceptions Over 9 Months.

This study investigated the effectiveness of a 10-week primary care exercise referral intervention on the physical self-perceptions of 40-70 year olds. Participants (N = 142) were assessed, randomized to an exercise or control group, and reassessed at 16 and 37 weeks. The Physical Self-Perception Profile (PSPP; K. R. Fox, 1990), fitness, physical activity, body mass index, body fat (skinfolds), and hip and waist circumference were assessed. A multivariate analysis of variance revealed significant Group X Time interactions, with the exercise group showing greater physical self-worth, physical condition, and physical health at 16 and 37 weeks. Changes in all PSPP scales at baseline and 37 weeks were related to changes in anthropometric measures and adherence to the 10-week exercise program but not to changes in submaximal fitness parameters. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sources and Types of Social Support in Youth Physical Activity.

This study examines the influence of sources and types of social support on youth physical activity. The sample comprised 372 youth (mean age = 12.05 years, SD = 1.63). Youth were 76% White and 50.3% female. The annual household income for the sample was 20% under $30,000; 30% $30,000-$49,999; 25% $50,000-$69,999; 13% $70,000-$89,999; and 12% $90,000 and above. Results revealed that friends who support and watch youth engage in activities are significantly and positively related to youth physical activity. Significant correlations existed among the type factors. Future research should examine the sources and nature of support and the mechanisms through which social support influences youth physical activity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Development of an item bank for the assessment of depression in persons with mental illnesses and physical diseases using Rasch analysis.

Objective: The calibration of item banks provides the basis for computerized adaptive testing that ensures high diagnostic precision and minimizes participants’ test burden. The present study aimed at developing a new item bank that allows for assessing depression in persons with mental and persons with somatic diseases. Method: The sample consisted of 161 participants treated for a depressive syndrome, and 206 participants with somatic illnesses (103 cardiologic, 103 otorhinolaryngologic; overall mean age = 44.1 years, SD =14.0; 44.7% women) to allow for validation of the item bank in both groups. Persons answered a pool of 182 depression items on a 5-point Likert scale. Results: Evaluation of Rasch model fit (infit 2.0), and reliability (>.80) resulted in a bank of 79 items with good psychometric properties. Conclusions: The bank provides items with a wide range of content coverage and may serve as a sound basis for computerized adaptive testing applications. It might also be useful for researchers who wish to develop new fixed-length scales for the assessment of depression in specific rehabilitation settings. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A longitudinal examination of breadth and intensity of youth activity involvement and successful development.

Connections between youth activity involvement and indicators of successful development were examined in a longitudinal high school sample. Drawing on theories of expertise skill development (e.g., J. C?té, 1999); the selection, optimization, and compensation framework (P. B. Baltes, 1997); and theories of positive youth development (e.g., R. M. Lerner, J. B. Almerigi, C. Theokas, & J. Lerner, 2005), reciprocal associations between breadth and intensity of activity involvement and developmental success were explored. Time 1 breadth (but not intensity) and increases in breadth predicted higher levels of successful development at Time 2 (20 months later). Time 1 developmental success and improvements predicted greater Time 2 breadth and intensity. Implications for research and theory related to connections between youth activity involvement and successful development are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Body mass index and environmental supports for physical activity among active and inactive residents of a U. S. Southeastern county.

Objective: This study examined the associations between body mass index (BMI) and environmental supports for physical activity in active and inactive adults based on national recommendations for physical activity and walking. Residents of a southeastern community (N = 1,111; ages 18-75 years) were contacted using a random-digit-dial method and were asked about neighborhood and community social and environmental supports for physical activity. Main Outcome Measure: Physical activity was measured using the 2001 Behavioral Risk Factor Surveillance System (BRFSS) physical activity module. Results: There was a positive association between higher physical activity and walking levels and lower BMI levels. Trusting neighborhoods having recreational facilities present, and using trails were each associated with twice the odds of being overweight versus obese among those not meeting the national physical activity recommendations. Using trails was also associated with 2.7 times the odds of being overweight as opposed to obese among participants who were not regular walkers. Conclusion: Improving environmental supports for access and use of trails and recreational facilities may be important for future environmental interventions aimed at reducing obesity among inactive individuals. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perceived social support, psychological adjustment, and functional ability in youths with physical disabilities.

Objective: To examine the relationship between perceived social support and psychological adjustment and functional ability in youths with physical disabilities. Participants: Thirty-seven youths with neuromuscular disease and 33 with spina bifida. Measures: Demographic and disability-related questions, Child Health Questionnaire, Functional Disability Inventory, and Multidimensional Scale of Perceived Social Support. Results: Social support from family, but not from friends, was significantly associated with better psychological adjustment. Significant interactions emerged between family support and age, as well as between friend support and gross motor functioning, in the prediction of functional ability. Conclusions: Social support appears to play an important role in psychological adjustment and functional ability in this population, and the nature of this role may be moderated, to some extent, by age and gross motor functioning. Future research and clinical implications are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Moderators and mediators of exercise-induced objective sleep improvements in midlife and older adults with sleep complaints.

Objective: Exercise can improve sleep quality, but for whom and by what means remains unclear. We examined moderators and mediators of objective sleep improvements in a 12-month randomized controlled trial among underactive midlife and older adults reporting mild/moderate sleep complaints. Methods: Participants (N = 66, 67% women, 55–79 years) were randomized to moderate-intensity exercise or health education control. Putative moderators were gender, age, physical function, self-reported global sleep quality, and physical activity levels. Putative mediators were changes in BMI, depressive symptoms, and physical function at 6 months. Objective sleep outcomes measured by in-home polysomnography were percent time in Stage I sleep, percent time in Stage II sleep, and number of awakenings during the first third of sleep at 12 months. Results: Baseline physical function and sleep quality moderated changes in Stage I sleep; individuals with higher initial physical function (p = .01) and poorer sleep quality (p = .03) had greater improvements. Baseline physical activity level moderated changes in Stage II sleep (p = .04) and number of awakenings (p = .01); more sedentary individuals had greater improvements. Decreased depressive symptoms (CI:-1.57 to ?0.02) mediated change in Stage I sleep. Decreased depressive symptoms (CI:-0.75 to ?0.01), decreased BMI (CI:-1.08 to ?0.06), and increased physical function (CI: 0.01 to 0.72) mediated change in number of awakenings. Conclusions: Initially less active individuals with higher initial physical function and poorer sleep quality improved the most. Affective, functional, and metabolic mediators specific to sleep architecture parameters were suggested. These results indicate strategies to more efficiently treat poor sleep through exercise in older adults. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Beyond the interpersonal: A systems model of therapeutic care for homeless children and youth.

Each year over one million children leave or are forced out of their homes. The majority of these children are isolated, depressed and have poor communication with their parents. Many have suffered from physical or sexual abuse, as well as various forms of neglect and deprivation in their family units and in their environment. Some runaway children receive help from the child welfare system. Most, however, come to large cities where they beg, steal, are raped, and work as prostitutes. Most runaway young people do not receive help from private practitioners because of denial of their problems, nomadism, no third-party insurance coverage and, at times, the lack of flexibility of individual systems of therapy. Alternative treatment models are discussed: short-term group homes, host homes, counseling centers that trace their history to the runaway centers, free clinics, and crisis hotlines that arose in the mid 1960s as responses to the unmet needs of homeless youths at that time. Also presented is a multi-service model of therapeutic care of runaways--one that combines individual therapies within a systems framework, i.e., an analysis of an agency's principles of operation, its staff, and the environment of that combined therapeutic care. Recommendations are made for an increased partnership between independent practitioners and agency service providers, so that both groups can develop more extensive models of therapeutic care while providing greater assistance to this vulnerable at risk population. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Longitudinal analysis of physical activity and symptoms as predictors of change in functional limitations and disability in multiple sclerosis.

Objective: This longitudinal, observational study examined changes in physical activity and symptoms as correlates of changes in functional limitations and disability across a 6-month period among individuals with multiple sclerosis (MS). Method: Individuals with MS wore an accelerometer for a 7-day period and completed a battery of measures including the Godin Leisure-Time Exercise Questionnaire (Godin & Shephard, 1985), Symptom Inventory (Schwartz, Vollmer, & Lee, 1999), MS-Related Symptom Checklist (Gulick, 1989), and abbreviated Late-Life Function and Disability Inventory (McAuley, Konopack, Motl, Rosengren, & Morris, 2005) at baseline (n = 292) and 6-month follow-up (n = 276). The data were analyzed using panel analysis with latent variables in AMOS 16.0. Results: The standardized coefficients indicated that (a) change in physical activity was associated with residual change in function (β = .22), (b) change in symptoms was associated with residual changes in both function (β = –.29) and disability (γ = –.15), and (c) change in function was associated with residual change in disability (β = .20). Conclusion: Our findings indicate that change in physical activity is associated with change in disability through a pathway that is consistent with Nagi’s (1976) Disablement Model and its extension in individuals with MS. (PsycINFO Database Record (c) 2010 APA, all rights reserved)