Ambulatory assessment for physical activity research: State of the science,best practices and future directions

Technological and digital progress benefits physical activity (PA) research. Here we compiled expert knowledge on how Ambulatory Assessment (AA) is utilized to advance PA research, i.e., we present results of the 2nd International CAPA Workshop 2019 “Physical Activity Assessment – State of the Science, Best Practices, Future Directions” where invited researchers with experience in PA assessment, evaluation, technology and application participated. First, we provide readers with the state of the AA science, then we give best practice recommendations on how to measure PA via AA and shed light on methodological frontiers, and we furthermore discuss future directions. AA encompasses a class of methods that allows the study of PA and its behavioral, biological and physiological correlates as they unfold in everyday life. AA includes monitoring of movement (e.g., via accelerometry), physiological function (e.g., via mobile electrocardiogram), contextual information (e.g., via geolocation-tracking), and ecological momentary assessment (EMA; e.g., electronic diaries) to capture self-reported information. The strengths of AA are data assessments near real-time, which minimize retrospective biases in real-world settings, consequentially enabling ecological valid findings. Importantly, AA enables multiple assessments across time within subjects resulting in intensive longitudinal data (ILD), which allows unraveling within-person determinants of PA in everyday life. In this paper, we show how AA methods such as triggered e-diaries and geolocation-tracking can be used to measure PA and its correlates, and furthermore how these findings may translate into real-life interventions. In sum, AA provides numerous possibilities for PA research, especially the opportunity to tackle within-subject antecedents, concomitants, and consequences of PA as they unfold in everyday life. In-depth insights on determinants of PA could help us design and deliver impactful interventions in real-world contexts, thus enabling us to solve critical health issues in the 21st century such as insufficient PA and high levels of sedentary behavior.     

Exploring the experience of adhering to a prescribed pre-surgical exercise program for patients with advanced rectal cancer: A phenomenological study

ObjectivesThe aim of this study was to explore the lived experience of patients with advanced rectal cancer as they attempted to adhere to a prescribed, hospital-based pre-surgical exercise program.Design/MethodsTen patients took part in three semi-structured in-depth interviews prior to (week 0), midway (week 3), and at completion (week 6) of the exercise program. Data were analysed using a phenomenological approach.ResultsMain themes that were deemed important for remaining enrolled in the program included: (1) building camaraderie and peer support, (2) experiencing a sense of structure and control, and (3) feeling safe and encouraged. Patients also reported engaging in further exercise outside the program and feeling motivated to continue exercising in the future.ConclusionsThis study shows the potential to integrate exercise prior to surgery as it was viewed as acceptable and feasible by patients with advanced rectal cancer. Moreover, it provides much needed information into the possible mechanisms that underpin patient's continued participation in exercise programs during treatment for advanced rectal cancer. Prescribed, hospital-based program should be implemented to promote opportunities for exercise and provide on-going supportive care options for patients awaiting surgery.     

Testing attitudes,social desirability and behavioral regulations as moderators of implicit-explicit exercise discrepancies: A replication study in Iranian students

IntroductionThere is mixed evidence regarding moderators of the relationship between implicitly and explicitly measured constructs. This study examined this issue with evaluations of exercise relative to health or appearance in a sample of Iranian adolescents. Investigaing automatic associations and reflective constructs might provide important implications for developing interventions targeting exercise behavior in a population with different cultural, social, and economic barriers to exercise than European or North American adolescents.MethodsParticipants were 471 students enrolled in grades 9 to 12, of whom 269 (54.9%) were female. Behavioral regulations, explicit attitudes, and social desirability were investigated as possible moderators. All students completed questionnaire measures of physical activity behavior, attitudes, social desieality and behavioral regulation. They also completed two Go/No Go Association tasks to measure automatic associations of exercise with health and apperarance.ResultsAttitude was a significant moderator of discrepancies between automatic associations of exercise with health and health motives. Interjected regulation moderated implicit-explicit appearance discrepancies. Participants with low social desirability and negative automatic appearance associations had the highest appearance motivation.ConclusionsParticipants focused on the potential of achieving positive health outcomes of exercise rather than physical appearance outcomes, which differs from research from other countries. It is possible that, health was strongly linked with exercise by the pervasive societal pressures in Iran to have a healthy body.     

Special Sciences: still a flawed argument after all these years

Jerry Fodor has argued that the multiple realizability argument, as discussed in his original “Special Sciences” article, “refutes psychophysical reductionism once and for all.” I argue that his argument in “Special Sciences” does no such thing. Furthermore, if one endorses the physicalism that most supporters of the “Special Sciences” view endorse, special science laws must be reducible, in principle. The compatibility of MR with reduction, however, need not threaten the autonomy of the special sciences.     

Is emotion regulation associated with cancer-related psychological symptoms?

Objectives: This study examined the cross-sectional and prospective relationships between subjective (cognitive reappraisal, expressive suppression and experiential avoidance) and objective (high-frequency heart rate variability [HF-HRV]) measures of emotion regulation (ER) and a set of psychological symptoms (anxiety, depression, fear of cancer recurrence [FCR], insomnia, fatigue, pain, and cognitive impairments) among women receiving radiation therapy for non-metastatic breast cancer.

Design: Eighty-one participants completed a battery of self-report scales within 10 days before the start of radiotherapy (T1) and within 10 days after its end (T2; approximately 6 weeks after T1). HF-HRV at rest was measured at T1.

Results: Canonical correlation analyses revealed that higher levels of experiential avoidance and expressive suppression were cross-sectionally associated with higher levels of all symptoms, except pain, at T1 and at T2 (both p’s?<?0.0001). Higher levels of suppression and reappraisal at T1 were marginally associated with reduced FCR and with increased depression and fatigue between T1 and T2 (p?=?0.07). HF-HRV was not associated with symptoms cross-sectionally or prospectively.

Conclusions: Although preliminary, these results are consistent with the hypothesis that maladaptive ER strategies, assessed subjectively, may cross-sectionally act as a transdiagnostic mechanism underlying several cancer-related psychological symptoms.     

Transient cardiac responses to witnessing horrible events in young adult female exercisers and non-exercisers

ObjectivesIt has been proposed that regular exercisers may be less vulnerable to the effects of stress and better able to cope with aversive events than people who are sedentary, but findings have not been consistent. In the present study, physiological variables indicating specific relevant psychological processes were used to objectively assess women's responses to stressful events.Design and MethodNon-exercising (n = 56) and regularly exercising women (up to 4 h, n = 62, and more than 4 h per week, n = 50) were viewing an aversive film consisting of scenes of real injury and death, and their transient cardiac responses to sudden horrifying events happening to persons in the film were obtained, as well as changes of prefrontal-posterior coupling, measured by EEG.ResultsCompared to regularly exercising women, non-exercising women showed a clearly more pronounced second accelerative component of the transient heart rate response to the terrifying events, indicating greater sensitivity of the avoidance (defensive) motivational system and heightened sensitivity to aversive stimuli. Moreover, non-exercising women did not show the expected characteristic initial heart rate acceleration when the scene approached its fatal end, that is, more rigid responding, and EEG data indicated less susceptibility to affect-laden information at the perceptual level.ConclusionsThe findings support the notion of less adaptive coping with adverse events in sedentary compared to exercising women and add to the growing evidence suggesting a stress-buffering effect of regular exercise, therefore promoting resilience and resistance to the negative impact of stressor and trauma exposure.     

What if Wittgenstein could speak Japanese?

ABSTRACT

Wittgenstein’s criticism of the notion of ‘private language’ is related to the putative centrality of “being“ and the ‘subject-predicate’ distinction . However, his efforts would prove to be more fruitful if he could use data from Japanese language. There is a list of Japanese terms to translate ‘being’: sonzai, de-aru, ga-aru, and iru. Among all of their variants, the only subject-predicate-form-related expression is the combination of the ‘Y ga Z aru’-part of ‘X wa Y ga Z aru.’ Hence, Japanese subject-predicate-form-related expressions are not as fundamental as their western counterparts. Insofar as ‘pain’ is concerned, in Japanese, there are two series of expressions on pain: in the first one, the notion of pain is deobjectied and hence immune to subject-predicate logic, while in the second one, it is barely objectified in a limited sense. Hence, a Japanese speaker could avoid the fallacy of attributing subjective sensations to a particular person.     

Children's racial bias in perceptions of others' pain

Previous research indicates that American adults, both Black and White, assume a priori that Black people feel less pain than do White people (Trawalter, Hoffman, & Waytz, 2012, PLoS One, 7 [11], 1–8). The present work investigates when in development this bias emerges. Five‐, 7‐, and 10‐year‐olds first rated the amount of pain they themselves would feel in 10 situations such as biting their tongue or hitting their head. They then rated the amount of pain they believed two other children – a Black child and a White child, matched to the child's gender – would feel in response to the same events. We found that by age 7, children show a weak racial bias and that by age 10, they show a strong and reliable racial bias. Consistent with research on adults, this bias was not moderated by race‐related attitudes or interracial contact. This finding is important because knowing the age of emergence can inform the timing of interventions to prevent this bias.     

Confinement during Covid-19 outbreak modifies athletes’ self-based goals

Because achievement goals are context-specific, the study first investigated the evolution of two achievement goals of 697 regular athletes, namely self-approach goals (improving oneself) and self-avoidance goals (avoiding regression), before and during the confinement situation and the physical exercise restrictions due to the Covid-19 outbreak. Secondly, we sought to examine the potential predicting role of self-approach and self-avoidance goals on athletes’ intention to exercise during confinement, while self-avoidance goals were usually not related to this outcome in a more traditional context. Using a retrospective correlational design, the results of repeated measures ANOVA highlighted that self-approach goals scores decreased while self-avoidance goals scores increased and became the athletes’ goals with the highest score during confinement. The results of hierarchical regression analyses showed that self-approach and self-avoidance goals were both found as positive predictors of intention to exercise during confinement. This study reinforces the assumptions that (a) a specific achievement setting encourages the adoption of different achievement goals (which was identified here with regular athletes in an unusual context of confinement), (b) self-avoidance goals are not always maladaptive, and (c) shifting among multiple goals according to the requirements of the situation may be beneficial.