Are daily fluctuations in perceived environment associated with walking?

The physical environment is thought to influence walking; however, daily variations in perceived environment have received little attention. The current study sought to examine if key within-person factors (i.e., implementation intentions, social support, affect and self-efficacy) would be associated with walking and if perceived access to supportive environments (e.g., access to nice walking paths) and perceived environmental barriers (e.g., bad weather and safety issues) were uniquely associated with walking after controlling for other constructs. Participants (N = 14, 50.0% men, 78.6% White, M age = 59.4 ± 6.4) were in the intervention arm of an 8-week controlled trial promoting walking via personal digital assistants. Participants completed electronic surveys twice a day (total entries = 804) in which they reported brisk walking levels and psychosocial and environmental factors. Multilevel modelling was used to examine within-person variations in constructs as determinants of walking. Results suggested that daily variations in implementation intentions, social support and positive affect were positively associated with walking. Further, perceived access to supportive environments, though not perceived environmental barriers, was positively associated with walking after controlling for other constructs (p < 0.05). Future research should explore intervention components that target context-specific information about perceived access to supportive environments as part of a broader perspective on intervention development.     

Supportive Social Contexts and Intentions for Civic and Political Participation: An Application of the Theory of Planned Behaviour

We investigated how general social support from family, friends and acquaintances, and community predicted intentions for civic (e.g. volunteering) and political (e.g. petitioning) participation via the constructs specified in the theory of planned behaviour. Participants were young adults living in the former East Germany, a post‐communist region, who were surveyed by telephone in 2010 (N_civic = 695, N_political = 694). Civic participation was perceived more favourably than political participation. Supportive family predicted intentions for civic participation; supportive community services predicted both types of intentions; and supportive friends and acquaintances had no significant effects. The mediating variables were subjective norms and perceived behavioural control, but not attitudes. All effects were controlled for sociodemographic variables, richness of the social network, and past experience of civic and political participation. Findings underscore the role of supportive community in fostering both civic and political participation. Copyright © 2014 John Wiley & Sons, Ltd.     

A randomised controlled trial of the effects of implementation intentions on women's walking behaviour

The combination of low physical activity rates and increased cardiovascular deaths indicate the overwhelming need for behaviour change interventions that can effectively promote physical activity among sedentary women. This 11-week randomised controlled trial examined the effects of an implementation intentions intervention on sedentary women's walking behaviour. Seventy-five women (M age = 48.17) were randomly assigned to either a control group where they were required to self-monitor their daily pedometer-determined step count or to an experimental group where they were asked to form specific walking plans (i.e. implementation intentions) every 6 weeks and to self-monitor their daily pedometer-determined step count. Measures of exercise intentions, perceived behavioural control, scheduling and barrier self-efficacy were administered at baseline, week 6 and week 11. Analyses indicated higher step counts over the first 6 weeks for women in the experimental condition (p < 0.02). Furthermore, higher self-efficacy to schedule (p < 0.01) and overcome walking barriers (p < 0.03), as well as higher perceptions of behavioural control (p < 0.02) were found at week 11 for women in the experimental versus control condition. However, none of the control beliefs were found to mediate the effects of the intervention on the women's walking behaviour. Furthermore, the intervention did not have any effect on the strength of the goal intention–behaviour relationship. The findings suggest implementation intentions are an effective strategy for initiating leisure-time walking within sedentary women.     

An investigation of psychosocial factors related to changes in physical activity and fitness among female adolescents

Research examined the effects of a supervised physical activity program on potential psychosocial mediators and determined whether changes in these psychosocial variables predicted changes in physical activity and fitness. Sedentary adolescent females were assigned to an intervention (n?=?79) or comparison (n?=?67) group. Cardiovascular fitness (cycle ergometer), physical activity (3-Day Physical Activity Recall), and psychosocial variables related to physical activity (i.e., self-efficacy, perceived barriers, social support, enjoyment) were assessed at three time points over the 9-month study. An intention-to-treat analysis showed that the intervention did not impact any of the psychosocial variables, with the exception of perceived barriers, which increased in the intervention group. Longitudinal analyses showed that improvements in fitness were associated with positive changes in global self-efficacy and exercise enjoyment. Psychosocial variables did not mediate the program's effects on fitness or activity. However, individual level changes in psychosocial variables were related to changes in cardiovascular fitness.     

Elucidating satisfaction with physical activity: An examination of the day-to-day associations between experiences with physical activity and satisfaction during physical activity initiation

Satisfaction with physical activity is known to be an important factor in physical activity maintenance, but the factors that influence satisfaction are not well understood. The purpose of this study was to elucidate how ongoing experiences with recently initiated physical activity are associated with satisfaction. Participants (n?=?116) included insufficiently active volunteers who initiated a self-directed physical activity regimen and completed daily diaries about their experiences for 28?days. We used multilevel models to examine the associations between experiences with physical activity and satisfaction. Significant between-person effects demonstrated that people reporting higher average levels of positive experiences and lower levels of thinking about the negative aspects of exercise were more likely to report higher levels of satisfaction (ps?<?.05). Positive experiences and perceived progress toward goals had significant within-person effects (ps?<?.01), suggesting that day-to-day fluctuations in these experiences were associated with changes in satisfaction. These findings elucidate a process through which people may determine their satisfaction with physical activity.     

Feel good now or regret it later? The respective roles of affective attitudes and anticipated affective reactions for explaining health‐promoting and health risk behavioral intentions

Evidence supporting the incorporation of affective constructs, such as affective attitudes and anticipated regret, into theoretical models of health behavior has been mounting in recent years; however, the role of positive anticipated affective reactions (e.g., pride) has been largely unexplored. The purpose of the present investigation was to assess how affective attitudes and anticipated affective reactions (both pride and regret for performing a behavior or not) may provide distinct utility for understanding intentions to perform health‐promoting and health risk behaviors over and above cognitive attitudes and other established theoretical constructs from the theory of planned behavior (TPB). Participants (N = 210) were recruited via Amazon’s Mechanical Turk to complete a one‐time online battery assessing TPB and affective constructs. Self‐reported intentions served as the main outcome measure, and hierarchical linear modeling was used to examine the effects of TPB and affective constructs across behaviors. Controlling for TPB constructs, more positive affective attitudes and greater anticipated regret, but not anticipated pride, predicted intentions to engage in future health behaviors. Anticipated affective reactions contributed explanatory variance for intentions to perform health risk behaviors, but anticipated pride and regret were not associated with intentions to perform health risk behaviors. Contributions made via the inclusion of both positively and negatively valence anticipated affective reactions for both action and inaction (performing a behavior or not) across a range of health promoting and health risk behaviors are discussed, as well as implications for future intervention work.     

Impact of a facial-ageing intervention versus a health literature intervention on women’s sun protection attitudes and behavioural intentions

This study was designed to investigate the impact of a facial-ageing intervention on women’s sun protection attitudes and behavioural intentions, compared to a health literature intervention where participants viewed literature on the effect of ultraviolet (UV) exposure on health. Seventy women (35 in each condition) completed questionnaires at baseline and immediately post-intervention. The average age of the participants was 23.70 (SD?=?5.03) years. Participants in the facial-ageing intervention condition scored significantly higher on intentions, negative attitudes and perceived sun damage susceptibility after taking part in the intervention, compared to those in the health literature intervention condition. The results are discussed in relation to suggestions for sun protection interventions aimed at women aged from 18 to 34. It is concluded that appearance-based interventions have a role to play in healthcare and educational settings with regard to UV exposure and sun protection intentions.     

An intervention to increase walking requires both motivational and volitional components: a replication and extension

An intervention to increase walking has previously been developed, consisting of three motivational techniques, designed to increase self-efficacy, and three volitional techniques, designed to help translate intentions into action. Previous research found large effects (d?=?0.90) on the objectively measured walking behaviour of 130 English adult volunteers, mediated by self-efficacy. The present study aimed to replicate this intervention, and decompose the intervention to assess whether both motivational and volitional intervention components are necessary. A three-group experimental design was employed, with n?=?35 adult volunteers randomly allocated to receive one of three interventions: (a) a "combined" intervention, containing motivational and volitional components in session at T1 and a filler task at T2, (b) a "motivation first" intervention, where the motivational components were received at T1 and the volitional components at T2, or (c) a "volition first" intervention, where the volitional components were received at T1 followed by motivational components at T2. At T2, there was a significant main effect of time, such that there was an increase in walking, but this did not differ between groups. At T3, the "combined" intervention group showed a large (d?=?1.06) and significant (p?=?0.036) increase in walking behaviour, in contrast to both other interventions (time?×?groups interaction, p?=?0.003). The "combined" intervention also produced a significant increase in self-efficacy, relative to the two other interventions. This study demonstrates generalisability of previous large intervention effects and suggests that use of both motivational and volitional components is optimal in producing change in walking behaviour. Future research should explore the mechanisms by which techniques to increase self-efficacy and planning interact.     

The effect of self‐identity alongside perceived importance within the theory of planned behaviour

Self‐identity often predicts behavioural intentions after standard theory of planned behaviour (TPB) components are accounted for. However, it has been claimed this is due to conceptual similarity between self‐identity and perceived importance of the behaviour. We examined this claim within the context of recycling food waste. Participants (N = 113) completed questionnaires assessing intentions, attitude, perceived behavioural control, perceived norms, perceived importance, self‐identity, and past behaviour. Confirmatory factor analysis indicated that self‐identity and perceived importance were distinct constructs. Further, after accounting for TPB components and perceived importance, self‐identity explained a significant amount of additional variance in intentions. The present findings therefore do not support this particular argument against the predictive utility of self‐identity.     

Decomposing the within-person and between-person sources of variation in physical activity-cognition associations for low-active older adults

Abstract

Objectives: To examine within-person and between-person sources of variation in the relationship between physical activity and cognition in older adults participating in a walking program. To explore whether demographic, health and fitness variables, and their interactions with activity, are significant predictors of cognition.

Design: Brief longitudinal burst design.

Participants: 118 participants (91 females, mean age?=?72.81?+ 5.24 years).

Main Outcome Measures: Cognition, self-reported moderate-to-vigorous walking and self-reported moderate-to-vigorous physical activity were assessed at baseline and 6, 9, 12 and 16 weeks follow-up. Attendance at weekly walks was also recorded.

Results: Within-persons, changes in physical activity were related to select measures of executive functioning, with increased activity predictive of better cognition (three of four cognitive functions, p<.05). Between-persons, activity was also associated with cognition (two of four cognitive functions, p<.05). Younger age and higher education were related to better cognition. Interactions of demographic, health, and fitness variables with changes in within-person activity were generally non-significant.

Conclusion: The results highlight the importance of distinguishing within- from between-person effects in longitudinal analyses of the association between physical activity and cognition. This stringent within-person test of association underscores the potential value of simple physical activity interventions for improving cognitive function.     

Distance-Delivered Parent Training for Childhood Disruptive Behavior (Strongest Families™): a Randomized Controlled Trial and Economic Analysis

Disruptive behavior disorders are prevalent in youth, yet most children with disruptive behavior do not have access to timely, effective treatment. Distance-delivered service (e.g., via telephone, Internet) can overcome several barriers to care. This study tested the effectiveness of a 12-week parent training program, Strongest Families? Parenting the Active Child, delivered via written material, skill-based videos, and telephone coaching sessions, as compared to usual care in reducing child externalizing behavior. Participants were 172 primary caregivers of a 6- to 12-year-old (29% girls; M age?=?8.5 years) recruited from community children’s mental health clinics. Participants were randomized to either Strongest Families? or usual care and completed measures of child externalizing behavior, parenting practices, parent distress, and intervention services consumed at baseline and 5-, 10-, 16-, and 22-months post-baseline. Growth curve analysis showed significant reductions in externalizing behavior in both conditions over time. Improvements were significantly greater at 10 months in the Strongest Families? condition (d =?0.43). At 22 months, however, the differences were not significant and small in magnitude (d =??0.05). The intervention decreased inconsistent discipline significantly more than usual care. Parents in both conditions showed significant reductions in distress. We also conducted a cost-effectiveness analysis to assess the value for money of the Strongest Families? program versus usual care. Distance parent training is a promising way to increase access to, and reduce costs associated with, mental health care for families with a child with disruptive behavior.     

Urban African-American Girls’ Participation and Future Intentions Toward Physical Education

Despite the fact that physical education holds great promise for the promotion of public health, urban African American girls’ interest and participation in physical education tends to decline with age. Using the Theory of Planned Behavior and feminist poststructuralist theory, this study was designed to examine African American girls’ physical education participation and possible social, cognitive, and motivational factors that drive them away from future intentions toward physical education. Participants were 168 African American girls (age range?=?14–17?years, mean age?=?14.7?years) enrolled in three public high schools from a large urban inner-city school district in the Midwestern United States. Both quantitative and word-data were collected. Results revealed that participation in physical education played an important role in urban African-American girls’ overall physical activity engagement. However, unfavorable attitudes and lack of perceived support impeded their intentions toward future enrollment in physical education. Major factors related to their intentions were: anticipated short- and long-term outcomes, body image concerns, the influence of their mothers, and scheduling conflicts. The findings indicate opportunities for early intervention.     

The relationship between psychological well- and ill-being,and perceived autonomy supportive and controlling interpersonal styles: A longitudinal study of sport coaches

The present study longitudinally explored sports coaches' psychological well-being (positive affect and integration of coaching with one's sense of self) and ill-being (negative affect and devaluation of coaching) as predictors of their perceived autonomy supportive and controlling interpersonal styles towards individuals under their instruction. Participants were 195 sport coaches who completed questionnaire measures at three time points across an eleven-month period. Controlling for social desirability, multilevel analyses revealed that within-person increases and individual differences in positive affect and integration were positively associated with autonomy support. Conversely, within-person increases and individual differences in negative affect, but not devaluation, were associated with increased use of interpersonal control. The indicators of well-being did not predict interpersonal control and the indicators of ill-being did not predict autonomy support. In their entirety, the present findings suggest that autonomy supportive and controlling interpersonal styles have unique correlates, and affective determinants may play a particularly central role in controlling interpersonal styles. Supporting the psychological health of coaches may lead them to create an adaptive interpersonal environment for their athletes.     

Prospective Examination of Self‐Regulatory Efficacy in Predicting Walking for Active Transportation: A Social Cognitive Theory Approach

Walking for transportation is associated with health benefits. Minimal theory‐based research has examined social cognitive and environmental predictors. This study examined social cognitions (self‐regulatory efficacy to plan/schedule and overcome barriers; distance and travel time cognitions) and an environmental factor (proximity) as predictors of walking for transportation. Participants (n = 105) were university students, faculty, and staff, living within a walkable distance to campus. Social cognitions and proximity measures were completed at baseline, followed by walking for transportation to/from the campus over 2 weeks. A hierarchical multiple regression analysis predicted walking (R²_adjusted = .55; p < .05). Self‐regulatory efficacy to plan/schedule and overcome barriers were independent predictors (p's < .01). Findings supported theoretical contentions that self‐regulatory efficacy predicts walking for transportation.     

Within-day time-varying associations between motivation and movement-related behaviors in older adults

ObjectivesEmerging evidence suggests both motivation and movement-related behaviors vary within and across days. Yet common data analytic approaches assume static or consistent relationships between motivation and behavior across time. Just as motivation and behavior change across time, so too might associations between motivation and behavior. This study will apply time-varying effect modeling to Ecological Momentary Assessment (EMA) data to examine time of day differences in how motivational constructs predict older adults’ subsequent movement-related behavior over the next 2 h.DesignOlder adults (n = 104) completed a 10-day EMA protocol.MethodParticipants answered up to 6 EMA prompts/day to assess momentary intentions and self-efficacy to stand or move as well as intentions and self-efficacy to limit sedentary time over the next 2 h. Participants wore an activPAL accelerometer continuously to measure time spent being upright (i.e., standing or moving) and time spent sitting.ResultsOn weekdays, intentions and self-efficacy were generally predictive of subsequent behavior in the expected direction over the majority of the day whereas these constructs predicted subsequent behavior in the expected directions over a smaller range of times on weekend days.ConclusionsThis study adds to emerging evidence that associations between motivational constructs and subsequent behavior change over the course of the day, but these time-varying associations may be different depending on the day of week. This work has implications for intervention design and the timing of intervention content delivery in approaches like just-in-time adaptive interventions.     

Type D personality and social relations in adults with diabetes: results from diabetes MILES – The Netherlands

Abstract

Objective: To examine whether individual differences in Type D personality (combination of negative affectivity (NA) and social inhibition (SI)) could explain heterogeneity in perceived social support and relationship adjustment (intimate partner relationship) among people living with diabetes.

Design: In the Diabetes MILES—The Netherlands survey, 621 adults with type 1 or type 2 diabetes (54% female, age: 56?±?14 years) completed measures of Type D personality (DS14), perceived social support and relationship adjustment. We used established DS14 cut-off scores to indicate Type D personality, high NA only, high SI only and reference groups.

Results: Participants from the Type D and NA only groups perceived lower levels of social support (Welch[3,259]?=?37.27, p?<?0.001), and relationship adjustment (Welch[3,191]?=?14.74; p?<?0.01) than those from the SI only and reference groups. Type D was associated with lower social support (lowest quartile; adjusted OR?=?8.73; 95%CI?=?5.05?～?15.09; p?<?0.001) and lower relationship adjustment (lowest quartile; adjusted OR?=?3.70; 95%CI?=?2.10?～?6.53; p?<?0.001). Type D was also associated with increased levels of loneliness.

Conclusion: Participants with Type D and participants with high NA only tend to experience less social support and less relationship adjustment. Type D personality was also associated with more loneliness. Experiencing lower social support and relationship adjustment may complicate coping and self-management in people with diabetes.     

Longitudinal relations among perceived parental warmth,self-esteem and social behaviours from middle childhood to early adolescence in China: Disentangling between- and within-person associations

Although several studies have addressed the relations between perceived parental warmth and social behaviours, few have distinguished their between- and within-person effects or explored their within-person mediating mechanisms. This study examined the transactional relations among perceived parental warmth (i.e. maternal warmth and paternal warmth), children's self-esteem and children's positive/negative social behaviours (i.e. prosocial behaviour and delinquent behaviour) along with the mediating role of self-esteem after disentangling between- and within-person effects. A total of 4315 Chinese elementary children (44.9% girls; M_age = 9.93 years, SD = 0.73) completed relevant measures on four occasions employing 6-month intervals. Results of random-intercept cross-lagged panel models showed that (a) perceived parental warmth reciprocally and positively predicted prosocial behaviour and self-esteem; (b) perceived paternal warmth reciprocally and negatively predicted delinquent behaviour; (c) self-esteem reciprocally predicted prosocial and delinquent behaviour; (d) perceived maternal warmth reciprocally and positively predicted prosocial behaviour through self-esteem; (e) perceived parental warmth reciprocally and negatively predicted delinquent behaviour through self-esteem; and (f) perceived maternal and paternal warmth differed in their relations with prosocial and delinquent behaviours through self-esteem. These findings illuminated the complicated longitudinal within-person interactions among perceived parental warmth, self-esteem, and social behaviours, the specific mediating mechanism of self-esteem, and the differing results associated with perceived maternal and paternal warmth, all of which yield significant implications for assessments and early interventions aimed to promote positive social behaviour.     

Within-subject covariation between depression- and anxiety-related affect

Studies find a strong positive relationship between the affective components of anxiety and depression. However, most research thus far has examined the between-person correlations among these constructs, while ignoring how changes in these two types of affect covary over time within a person. Within-person correlations could differ meaningfully from how anxiety- and depression-related affect relate across individuals. Further, individuals may differ in terms of how highly these constructs covary over time. The current study aimed to (1) compare between- and within-person correlations between anxious and depressive affect, (2) examine lagged effects between anxious and depressive affect over time, (3) test whether individuals differ in their within-person correlations between these two types of affect, and (4) examine whether the mean level of affective intensity moderated these individual differences. These questions were explored using college undergraduates (N?=?50) who rated their depression- and anxiety- related affect six times a day for two weeks. A higher average correlation was observed between anxious and depressive affect in between-person compared to within-person analyses. Significant bidirectional lagged effects were observed between these constructs. Individuals with higher average levels of anxious affect experienced stronger within-person correlations between anxious and depressive affect.     

The Influence of Chronically Accessible Autonomous and Controlling Motives on Physical Activity Within an Extended Theory of Planned Behavior

An extended theory of planned behavior ( Ajzen, 1991 ), incorporating the post‐decisional phase of behavior and constructs from self‐determination theory ( Deci & Ryan, 1985 ), was tested for physical activity using a prospective survey design. Participants (N = 172) completed measures of intentions, attitudes, subjective norms, perceived behavioral control (PBC), self‐determined motivation, continuation intentions, and chronically accessible physical activity motives. Participants completed a self‐report measure of physical activity 3 weeks later. Path analysis supported the predictive utility of the proposed model. Importantly, the effect of continuation intentions of success on physical activity behavior was moderated by chronically accessible physical activity motives. Findings underscore the importance of taking into account continuation intentions, self‐determined motivation, and individuals' chronically accessible motives when developing physical‐activity‐promoting interventions.