Affect and public health – Choreographing atmospheres of movement and participation

Attempts at improving physical activity rates among the population are central to many government, public health, and third sector approaches to encouraging health behaviours. However, to date there has been little attempt by public health to embrace different theoretical-methodological approaches, relying instead upon largely quantitative techniques. This paper argues that through a development of a framework of affect amplification, public health approaches to physical activity should incorporate the choreographing of spaces of movement. Drawing on two case studies, both incorporating ethnographic methodologies, this paper complicates the idea that public health can rely on individual or population level approaches that overlook affective and spatial entanglements. This paper concludes by outlining offer a series of ideas to encourage physical activity participation.     

Physical activity and motor skills in children: A differentiated approach

Being physically active plays an essential role in a child's physical development. While there is ample evidence for a positive association between physical activity (PA) and motor skills in children, the question of how PA should be implemented to optimally foster motor skill proficiency is less clear. To address this gap, the current longitudinal study compared four groups of children with different patterns of leisure-time PA engagement—namely children engaging in either structured PA, unstructured PA, a combination of structured and unstructured PA, or no PA at all—with respect to their gross and fine motor skill development. Results of repeated measures mixed modeling procedures revealed that engaging in structured PA—either exclusively or in combination with unstructured PA—is beneficial for children's gross motor development, whereas engaging in unstructured PA lacks such effectiveness. As to fine motor skills, a beneficial tendency of structured PA was observed as well. Hence, PA seems to be beneficial for motor skill development particularly when implemented in a formal setting with guided opportunities for practice. In conclusion, regularly engaging in structured PA constitutes a promising way to promote motor skills and support motor development over the long term.     

Communion-orientation as an antidote for aggressive behaviour among high provocation sensitive individuals

The current study explored whether high provocation sensitive individuals would declare less anger and therefore fewer physical aggressive acts if they are high in communal values. Three samples, students, prisoners and psychotherapy patients, were compared for differences in occurrence of aggressive reactions and preassembly communion-orientation. Data was tested using Structural Equation Modelling (SEM).Among students, communion-orientation itself and in interaction with sensitivity to provocation had a diminishing effect on anger. Among prisoners and patients, there was no support for the notion that communion-orientation had an effect on anger. Among patients, the relationship between sensitivity to provocations and physical aggression was fully mediated by anger, but among prisoners a provoking situation was enough to lead to physical aggression.Although based on data from self-reports, possibly biased by impression management, results suggest that communion-orientation should be considered in research on aggression.     

Health-related behaviour and personality trait development in adulthood

This investigation explored the contribution of a healthy lifestyle to personality trait stability and change during adulthood. A nationally representative sample of 11,133 Australian adults completed self-report measures of health-related behaviour and personality traits at baseline (2010) and again four years later (2014). Results showed that physical activity and alcohol intake, and to a lesser extent diet and cigarette smoking, were important for mean-level change and intra-individual stability of personality for all trait dimensions. Moreover, positive health behaviours were associated with less of a decrease in extraversion and more of an increase in openness, agreeableness and conscientiousness over four years.These findings suggest that healthy living might help to facilitate desirable personality trait stability and change during adulthood.     

Women's exercise identity increases after a 16-week exercise RCT and is linked to behavior maintenance at follow-up

BackgroundRegular exercise is critical for disease prevention, but adherence to public health guidelines is poor. Exercise identity is purported to be associated with exercise behavior maintenance, but the extant literature is largely cross-sectional and of low/modest quality.PurposeTo examine change in exercise identity after completion of a supervised exercise intervention, as well as associations between change in exercise identity and exercise maintenance at 6-months follow-up.MethodsN = 276 insufficiently physically active women were randomized to a 16-week, supervised exercise training intervention with 4 conditions fully crossed on intensity (vigorous/moderate) and duration (long/short). Exercise identity was measured pre- and post-intervention and assessments of exercise motivation and behavior frequency were collected at 6-months post-intervention follow-up.ResultsOn average, participants experienced a statistically significant change in exercise identity over the course of the intervention, t (128) = 7.94, p < .001, but identity change scores did not differ across training conditions, p = .91. Identity change was significantly positively related to changes in other theory-informed, motivation-based determinants of exercise, and predicted an additional 16.17 min of exercise per week, on average, at follow-up, b = 16.76, t (103) = 2.30, p = .023.ConclusionsParticipants experienced increased self-identification with exercise after 16-weeks of training, but training volume did not influence the amount of identity change. As expected, greater change in exercise identity was associated with higher levels of exercise behavior at 6-months post-intervention follow-up (ClinicalTrials.gov number NCT02032628 ).     

Illness representations,pain and physical function in patients with rheumatic disorders: between- and within-person associations

Objectives: Rehabilitation for patients with rheumatic diseases improves both illness representations (IR) and clinical outcomes such as pain and physical functioning (PF). However, it is unclear whether IR may affect and, in turn, are affected by pain and PF. In this study, we examined both between-person associations and within-person associations between IR and pain/PF over time on three measurement occasions. Furthermore, cross-lagged relationships were examined.

Design and main outcome measures: This secondary analysis is based on data from N?=?186 patients with rheumatic diseases. Data on pain, PF and IR were assessed using self-report questionnaires at the beginning, the end and three months after a 3-week inpatient rehabilitation.

Methods: To separate between- and within-person level, data were analysed using random-intercept cross-lagged panel models.

Results: On both the between-person level (r?=?|0.21|???|0.44|) and the within-person level (r?=?|0.15|???|0.46|), pain and PF were related to cognitive and emotional IR. In addition, we found within-person bidirectional cross-lagged effects between emotional IR and PF.

Conclusion: IR show complex relationships with pain and PF. Improving PF might improve subsequent illness-related emotional distress and vice versa.     

Agentic extraversion moderates the effect of physical exercise on executive shifting performance

The present study investigated the impact of physical exercise on the executive shifting function in 24 participants low and 24 participants high in agentic extraversion and tested whether agentic extraversion moderated the exercise effect. Participants accomplished a shifting task and a control task that employed the same materials and response procedure as the shifting task but required less central-executive processing. Physical exercise was varied within subjects. The order of conditions was counterbalanced. After resting, the high agentic extraversion group showed higher cognitive flexibility than the low agentic extraversion group, whereas only the low agentic extraversion group improved after exercise. The results showed that agentic extraversion moderated the exercise effect on shifting performance. Implications concerning the hypothetical dopaminergic mediation were discussed.     

The role of working hours,work environment and physical leisure activity on the need for recovery following a day's work among UK white-water raft guides: A within-subjects multilevel approach

BackgroundWhite-water raft guides are a growing workforce of the outdoor sector but little is known about how the working environment, workload and physical leisure activity impacts on the need for occupational recovery (the desire to replenish internal resources and recuperate in the time immediately following work) of those working in this physically demanding occupation.MethodsLongitudinal data were collected across an eight month working season at three month intervals. Multilevel analyses tested the within-subject associations between work environment, hours worked and physical leisure activity had on the need for recovery.ResultsWorking longer across the working season and participating in more physical leisure activity were directly associated with a lower need for occupational recovery. Furthermore, working on natural rivers significantly reduced the need for recovery experienced compared to work on man-made courses. This was regardless of the number of hours of worked in these environments.DiscussionPhysical leisure activity may provide a distraction from work, allowing employees to replenish their physical and psychological energy, thus protecting themselves against work-related fatigue. The findings also expand upon the previous literature identifying that working in a natural environment reduces the risk of experiencing work-related fatigue.     

Living with painful diabetic neuropathy: insights from focus groups into fears and coping strategies

Objective: Painful diabetic neuropathy (PDN) is known to negatively affect quality of life. Being physically active is a crucial part of successful diabetes self-management, but regimen adherence is often low. Coping strategies and fears have shown to be related to less physical activity (PA). The aim of the present study was to obtain more in-depth information on psychological risk factors leading to less PA in persons with PDN.

Design: Three semi-structured focus group interviews were conducted with a representative sample of persons with PDN (N?=?12). Data were transcribed verbatim and analysed using a hybrid method of thematic analyses and a grounded theory approach.

Main Outcome Measures: Fears and coping strategies related to PA in persons with PDN.

Results: Several specific fears were identified; fear of hypoglycaemia, fear of pain increase, fear of total exhaustion, fear of physical injury, fear of falling, fear of loss of identity, and fear of negative evaluation by others. To cope with these fears, avoidance, remaining active, cognitive distraction, and acceptance strategies were described.

Conclusion: In persons with PDN, diabetes-related fears and pain-related fears play a role in less engagement in PA, indicating the need for new methods for improving self-management in persons with PDN.     

Predicting physical activity intention and behaviour using achievement goal theory: A person-centred analysis

The purpose of the current study was to identify the 2 × 2 achievement goals profiles at the intraindividual level using a latent profile analyses (LPA) approach while controlling for the nesting of students within classroom. Additional analyses involving the direct inclusion of predictors and outcomes to the final latent profile solution were also used to examine the relationships between the latent profiles and perceived motivational climate, intention to be physically active and physical activity participation. A sample of 1810 school children aged 14–19 years drawn from 79 classes in 13 Singaporean schools took part in the study. Using the latent profile analysis, four distinct motivational profiles could be identified. The results from multinomial logistic regressions showed that profile membership was significantly predicted by perceptions of mastery and performance climate. Finally, the results showed that the four profiles differed significantly in terms of intention to be physically active and physical activity participation.