Time for change: using implementation intentions to promote physical activity in a randomised pilot trial

Objective: A common barrier to exercise is a perceived lack of time. The current pilot study examined the effects of an implementation intention intervention to enhance exercise self-efficacy, increase confidence to exercise when facing time constraints, and increase physical activity in middle-aged adults (n?=?63, aged 35–69). Design: Participants received a pedometer (Fitbit) to objectively measure activity and were randomly assigned to either a control or intervention condition. After a 1-week baseline, the intervention condition received instructions to plan how, where, and when they would add steps to their daily routine to meet their step goal, using personalised schedules and maps. Both groups were contacted nightly via email. Main Outcome Measures: Physical activity (steps and time spent in moderate-to-vigorous activity), goal achievement, exercise self-efficacy, time-relevant exercise self-efficacy and affect. Results: Compared to the control, the intervention condition significantly increased in steps, time spent in moderate-to-vigorous activity, and time-relevant exercise self-efficacy. Goal achievement was related to greater time-relevant exercise self-efficacy and more positive affect at the daily level. Conclusion: Findings suggest that the personalised planning intervention increased physical activity and confidence in achieving physical activity goals under time constraints. Avenues for future directions, especially for producing more sustained effects, are discussed.     

Self‐determination among adolescents with physical disabilities in Zimbabwean inclusive‐community setting: an exploratory study

The purpose of this study was to explore self‐determination among adolescents with physical disabilities living in inclusive‐community settings of Makonde Urban, Zimbabwe. An inclusive community is one that aims to remove exclusionary practices within the community and promote community systems that accept all people irrespective of their difference. Inclusive communities on their own are not uniquely designed for people with disabilities, but they have been adopted by most developing countries as a basic strategy to influence and enhance self‐determination among people with disabilities. A constructivist‐lived experience perspective underpinned this research, in which multiple case studies were used to interact with the participants on inclusion and self‐determination in adolescents with physical disabilities. Fourteen participants, 9 males and 5 females, were purposively sampled. Data were collected through face‐to‐face interviews and transcribed verbatim. Three themes emerged from the inductive thematic analysis of data sources. It was found that participants were having low levels of self‐determination in choosing inclusive‐community activities to participate at home, at school, and in their communities. The findings of this study have the potential for the inclusive communities' policy makers and researchers to better understand the level of self‐determination in choosing inclusive‐community activities to participate among adolescents with physical disabilities in inclusive‐community settings.     

The effects of physical contact and decision type on moral decision making: A study of harm to save moral behavior

This study examined the relationship between physical contact and decision type in predicting “harm to save” behavior. Participants were assigned to making either a judgment or a choice involving moral dilemmas. All participants were presented with dilemmas that either required or did not require having physical contact with potential victims. Participants were asked to decide whether to sacrifice fewer people to save more (utilitarian responses) or not to do so and thus more people would die (deontological responses). The study sample included 345 participants who completed a set of self‐report measures. Results indicated an interaction between physical contact and decision type. In the choice condition only, participants reported significantly less utilitarian responses to the dilemmas that required having physical contact with the person to be harmed than to dilemmas that did not require physical contact. This difference was not found in the judgment condition. These results contribute to a greater understanding of the nature and potential malleability of human morality.     

Improving visual spatial working memory in younger and older adults: effects of cross-modal cues

Spatially informative auditory and vibrotactile (cross-modal) cues can facilitate attention but little is known about how similar cues influence visual spatial working memory (WM) across the adult lifespan. We investigated the effects of cues (spatially informative or alerting pre-cues vs. no cues), cue modality (auditory vs. vibrotactile vs. visual), memory array size (four vs. six items), and maintenance delay (900 vs. 1800 ms) on visual spatial location WM recognition accuracy in younger adults (YA) and older adults (OA). We observed a significant interaction between spatially informative pre-cue type, array size, and delay. OA and YA benefitted equally from spatially informative pre-cues, suggesting that attentional orienting prior to WM encoding, regardless of cue modality, is preserved with age. Contrary to predictions, alerting pre-cues generally impaired performance in both age groups, suggesting that maintaining a vigilant state of arousal by facilitating the alerting attention system does not help visual spatial location WM.     

The unique influence of attachment to god on forgiveness among incarcerated males

Religious constructs associated with forgiveness are understudied among incarcerated males. Attachment and forgiveness theory supported hypotheses that attachment to God would uniquely influence forgiveness, controlling for other biopsychosocial resources in regression modeling. Results, utilizing data collected from 261 male prison inmates, ages 45 to 82, demonstrated that each of three blocks of predictors explained significant amounts of variance in forgiveness: (1) biological and control variables; (2) social support and positive evaluation of life; and (3) attachment to God. The final model explained 53.7% of the total variance. Discussion focuses on the use of attachment to God and forgiveness assessments.     

Carry-over effect between diet and physical activity: the bottom-up and top-down hypotheses of hierarchical self-efficacy

Healthy diet and physical activity have consistently been found to be positively correlated; however, most health behavior theories are focused on regulation of changes in single, rather than multiple, behaviors. Thus, this study explored the mechanism of the carry-over effect between diet and physical activity by conducting a longitudinal study with 706 participants to test the bottom-up and top-down hypotheses of hierarchical self-efficacy (SE). At Time 1 (baseline) and Time 3 (4 weeks after baseline), dietary behavior, physical activity, and self-efficacies of these behaviors (at the contextual level) were measured, while at Time 2 (2 weeks after baseline), general SE (at the general level) was assessed. Mediation analysis and structural equation models supported both the bottom-up and top-down hypotheses for different levels of self-efficacies, suggesting that hierarchical SE is an important factor underlying the carry-over mechanism between diet and physical activity.     

Association of hypertension-related distress with lack of self-care among hypertensive patients

Research on factors associated with poor adherence to self-care focuses primarily on psychiatric emotional disorders such as depression and anxiety, whereas non-psychiatric chronic-disease-related emotional distress has received little attention in hypertensive patients. The objective of this study was to evaluate the association of hypertension-related distress with the lack of self-care including low adherence to pharmacological treatment, lack of regular physical activity, low intake of fruits and vegetables and frequent intake of high-salt foods. A cross-sectional survey was conducted in 2014 in two family medical units affiliated with the Mexican Institute of Social Security. The study included 487 hypertensive patients >19 years of age. The conceptual framework for the study was based on the Health Promotion Model. The analysis included multiple Poisson regression models. We found that 21.1% of participants had hypertension-related distress. Low adherence to pharmacological treatment was identified in 45.8% of patients, whereas 46.8% lacked regular physical activity, 30.8% reported a low consumption of fruits and vegetables, and 54.6% frequently consumed foods high in salt content. Hypertension-related distress was associated with lack of regular physical activity and low intake of fruits and vegetables. These findings highlight the importance of addressing distress in order to improve self-care of hypertensive patients.     

Associations of Emotional Abuse Types With Suicide Ideation Among Dating Couples

Numerous studies have demonstrated that coercive control is more strongly associated with suicidal ideation than other forms of intimate partner violence. However, a majority of these studies focused on samples of help-seeking women. This study examined whether coercive control remains the form of intimate partner violence most strongly associated with suicidal ideation within a sample of nonclinical dating couples. This cross-sectional, survey study on 104 dating couples examined the associations of coercive control (i.e., dominance/intimidation and restrictive engulfment) with suicidal ideation, while controlling for other forms of emotional abuse (i.e., hostile withdrawal and denigration), physical assault, and depressive symptoms. As expected, dominance/intimidation and depressive symptoms, but not denigration and physical assault, were associated with suicidal ideation. Contrary to our hypothesis, hostile withdrawal, but not restrictive engulfment, was associated with suicidal ideation. This study suggests that dominance/intimidation and hostile withdrawal are forms of emotional abuse that are pertinent to suicidal ideation in nonclinical dating couples.     

Test–retest reliability of the Brunel Lifestyle Physical Activity Questionnaire

ObjectivesTo establish the test–retest reliability of planned physical activity (PPA) and unplanned physical activity (UPA) components of the Brunel Lifestyle Physical Activity Questionnaire (BLPAQ). To provide evidence of the BLPAQ's stability using the proportion of agreement (PoA) method over a 5-week period.DesignTest–retest over a 5-week period using three diverse samples of adults.MethodsThe 277 participants were subdivided into three adult samples: gymnasium users (n = 80), undergraduate students (n = 111), and university staff members (n = 86). They were asked to complete the test–retest measure in their places of exercise, study, or work respectively.ResultsCorrelation coefficients between test–retest administrations were calculated for each participant group and intraclass correlations were calculated for each item. Pearson's product-moment correlations ranged from r = 0.95 to r = 0.96 for the PPA subscale and r = 0.93 to r = 0.98 for the UPA subscale. Intraclass correlations ranged from R = 0.52 to R = 0.99 for PPA and R = 0.87 to R = 0.99 for UPA. Fisher's z tests indicated that the test–retest correlation coefficients for the BLPAQ subscales were, on the whole, significantly stronger than those of older, comparable subscales from lifestyle physical activity questionnaires. The PoA analysis for each item revealed that the test–retest administrations were in high agreement (>95%).ConclusionsOverall, the PPA and UPA factors of the BLPAQ demonstrated high reliability and stability. The present study also illustrates the utility of PoA analysis in establishing the stability of physical activity measures.     

Self‐efficacy or perceived behavioural control: Which influences consumers' physical activity and healthful eating behaviour maintenance?

This research investigated the role of a commercial program, Michelle Bridges 12 Week Body Transformation (MB12WBT), that uses a variety of tools including social support to influence weight management behaviours such as exercising and eating healthfully. The need for research into weight management remains current given obesity rates have continued to increase in recent decades. Weight management is a complex behaviour that for many consumers involves barriers that influence their commitment to continue exercising and eating healthily. The Theory of Planned Behaviour is frequently used to explain, and to a lesser extent predict, behaviours such as physical activity and healthy eating; however, there is much debate as to whether a perceived behavioural control variable or self‐efficacy is the best predictor of behaviour. Structural equation modelling was used to analyse data from a sample of 724 respondents who answered a baseline and three month follow‐up survey. The analysis revealed self‐efficacy and perceived behavioural control were two distinct constructs. Self‐efficacy was a better predictor of behaviour than perceived behavioural control variables as suggested in the original Theory of Planned Behaviour. Furthermore, self‐efficacy had a significant impact on exercising and eating healthfully behaviour. The findings and implications for both behaviour change theory and practice are discussed.