scholarly journals Changes of Motivational Variables in Patients with Multiple Sclerosis in an Exercise Intervention: Associations between Physical Performance and Motivational Determinants

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Wiebke Geertz ◽  
Anna-Sophie Dechow ◽  
Stefan Patra ◽  
Christoph Heesen ◽  
Stefan M. Gold ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Social Support ◽  
Physical Performance ◽  
Stages Of Change ◽  
Transtheoretical Model ◽  
Self Efficacy ◽  
Exercise Intervention ◽  
Training Group ◽  
Perceived Barriers ◽  
Control Group

Objectives. This study examines the effects of a standardized fitness training on motivational factors such as the intention to be physically active, self-efficacy, perceived barriers, counterstrategies, and exercise specific social support in patients with progressive Multiple Sclerosis (MS) and the relation of these factors to physical performance.Methods. Moderately disabled patients with secondary or primary progressive MS (Expanded Disability Status Scale of 4–6) were randomized to a training group or a waitlist control group. Patients completed on average 20 sessions of training tailored to their individual fitness at baseline over a course of 8–12 weeks. Motivational variables (stage of change according to the transtheoretical model (TTM), self-efficacy, perceived barriers, counterstrategies, and exercise specific social support) were assessed via questionnaires at baseline and follow-up.Results. Forty patients completed the trial. We found significant effects on stages of changep=.016and self-efficacyp=.014and a trend in counterstrategiesp=.08. Significant correlations between change of physical performance during the exercise training and change in the TTM, perceived barriers, and counterstrategies were detected.Conclusion. This study indicates that tailored individual endurance training could stabilize self-efficacy and increase exercise motivation in patients with progressive MS. Motivational variables were related to the physical performance.

scholarly journals Tailored smartphone intervention to promote healthy eating among Brazilian adolescents: a randomised controlled trial protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e038896
Author(s):  
Giselle Rhaisa Melo ◽  
Stefany Correa Lima ◽  
Carolina M dos Santos Chagas ◽  
Eduardo Y Nakano ◽  
Natacha Toral
Keyword(s):  
Stages Of Change ◽  
Healthy Eating ◽  
Transtheoretical Model ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Nutritional Knowledge ◽  
Senior Student ◽  
Smartphone Intervention

IntroductionAdolescent eating patterns are characterised by high consumption of unhealthy foods, which has resulted in an increasing prevalence of overweight and chronic diseases. It is crucial to promote healthy eating habits, and nutritional interventions based on the transtheoretical model have been found to be especially effective. Mobile health strategies also seem promising for adolescents. This study aims to outline a smartphone intervention via WhatsApp for adolescents to promote healthy eating consumption, better nutritional knowledge, self-efficacy in the adoption of healthy practices and progress through the stages of change.Methods and analysisThere will be three distinct groups in this randomised study: a general intervention group (GG), in which the participants will receive the same healthy eating messages, based on the Brazilian food guide; a tailored intervention group (TG), in which the participants will receive healthy eating messages based on their stage of change; and a control group (CG), in which participants will receive messages on a different theme. Possession of a smartphone, use of WhatsApp and being a senior student (16–19 years) from a public school of the Federal District of Brazil will be the study’s inclusion criteria. Rural schools will be excluded. The sample size estimated is 390 individuals: 38 in the GG, 314 in the TG and 38 in the CG. The intervention will last 6 weeks, with a daily message sent to the students. We will investigate nutritional knowledge, self-efficacy in the adoption of healthy eating practices, food consumption and stages of change using preintervention and postintervention questionnaires. Memorisation of the messages will be also assessed.Ethics and disseminationThe study was approved by the University of Brasília, School of Health Sciences and Research Ethics Committee. At the end of the study, the participating schools will receive a printed report with the main results of the intervention.Trial registration numberRBR-5b9jk7.

CHANGES IN SELF-EFFICACY AND DECISIONAL BALANCE FOLLOWING AN INTERVENTION TO INCREASE CONSUMPTION OF CALCIUM-RICH FOODS

2006 ◽  
Vol 34 (8) ◽  
pp. 1007-1016
Author(s):  
Kambiz Karimzadeh Shirazi ◽  
Shamsaddin Niknami ◽  
Louise Wallace ◽  
Alireza Hidarnia ◽  
Elaheh Rahimi ◽  
...  
Keyword(s):  
Stages Of Change ◽  
Transtheoretical Model ◽  
Self Efficacy ◽  
Decisional Balance ◽  
Control Group ◽  
Pros And Cons ◽  
Randomized Control ◽  
Group Self ◽  
Experimental Group ◽  
Control Study

In this randomized control study the changes in Transtheoretical Model (TTM; Prochaska & DiClemente, 1983) constructs (Self-Efficacy, Decisional Balance) after a tailored stage-based education program to increase calcium consumption in 40–65-year-old women were investigated. Postintervention, significantly more of the experimental group in comparison to the control group improved their calcium consumption stage of change. In the experimental group self-efficacy and pros of calcium consumption increased and cons decreased for those who had positive progression in stages of change but these constructs remained unchanged in individuals in the control group. The tailored education based on the TTM is an effective method of assisting women to progress through the calcium-rich foods consumption stages of change and can cause more actualized results for self-efficacy, pros and cons in the manner predicted by TTM.

scholarly journals The effect of a multicomponent exercise protocol (VIVIFRAIL©) on inflammatory profile and physical performance of older adults with different frailty status: study protocol for a randomized controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Marina Petrella ◽  
Ivan Aprahamian ◽  
Ronei Luciano Mamoni ◽  
Carla Fernanda de Vasconcellos Romanini ◽  
Natália Almeida Lima ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Performance ◽  
Inflammatory Mediators ◽  
Gait Speed ◽  
Exercise Intervention ◽  
Intervention Group ◽  
Control Group ◽  
Frailty Status ◽  
Anti Inflammatory ◽  
Inflammatory Profile

Abstract Background To investigate whether an exercise intervention using the VIVIFRAIL© protocol has benefits for inflammatory and functional parameters in different frailty status. Methods/design This is a randomized clinical trial in an outpatient geriatrics clinic including older adults ≥60 years. For each frailty state (frail, pre-frail and robust), forty-four volunteers will be randomly allocated to the control group (n = 22) and the intervention group (n = 22) for 12 weeks. In the control group, participants will have meetings of health education while those in the intervention group will be part of a multicomponent exercise program (VIVIFRAIL©) performed five times a week (two times supervised and 3 times of home-based exercises). The primary outcome is a change in the inflammatory profile (a reduction in inflammatory interleukins [IL-6, TNF- α, IL1beta, IL-17, IL-22, CXCL-8, and IL-27] or an increase in anti-inflammatory mediators [IL-10, IL1RA, IL-4]). Secondary outcomes are change in physical performance using the Short Physical Performance Battery, handgrip strength, fatigue, gait speed, dual-task gait speed, depressive symptoms, FRAIL-BR and SARC-F scores, and quality of life at the 12-week period of intervention and after 3 months of follow-up. Discussion We expect a reduction in inflammatory interleukins or an increase in anti-inflammatory mediators in those who performed the VIVIFRAIL© protocol. The results of the study will imply in a better knowledge about the effect of a low-cost intervention that could be easily replicated in outpatient care for the prevention and treatment of frailty, especially regarding the inflammatory and anti-inflammatory pathways involved in its pathophysiology. Trial registration Brazilian Registry of Clinical Trials (RBR-9n5jbw; 01/24/2020). Registred January 2020. http://www.ensaiosclinicos.gov.br/rg/RBR-9n5jbw/.

scholarly journals Rasgos de personalidad y recursos psicológicos como predictores del bienestar emocional en adolescentes con y sin formación en escuelas de tauromaquia

2018 ◽  
Vol 23 (1) ◽  
pp. 1
Author(s):  
Pilar Sanjuan ◽  
David Guillen ◽  
Ana María Pérez-García
Keyword(s):  
Social Support ◽  
Problem Solving ◽  
Personality Traits ◽  
Self Efficacy ◽  
Well Being ◽  
Openness To Experience ◽  
Control Group ◽  
Psychological Resources ◽  
Avoidance Coping ◽  
School Group

 Abstract: Personality traits and psychological resources as predictors of emotional well-being in adolescents with and without training in bullfighting schools. The main objective of this study was to analyse how being in training in bullfighting schools can affect the emotional well-being (EW), the personality and the psychological resources of adolescents. The sample consisted of 196 boys, 95 from bullfighting school group (BSG) and 101 from a control group (CG). The BSG, in relation to CG, scored significantly more on conscientiousness, agreeableness and openness to experience, as well as on self-efficacy, problem-solving (PSC) and social support coping (SSC), and EW. The EW was predicted by feeling self-efficacy and not using avoidance coping, and in the CG by being extraverted, showing conscientiousness, being low in neuroticism, feeling self-efficacy and using PSC and SSC. It discusses the psychological adaptive profile of adolescents in the BSG and the need to promote well-being in adolescence through the promotion of self-efficacy and active coping.Resumen: El objetivo principal de este estudio fue analizar cómo la formación en escuelas de tauromaquia puede afectar al bienestar emocional (BE), la personalidad y los recursos psicológicos de los adolescentes. Participaron 196 chicos, 95 del grupo de escuelas taurinas (GET) y 101 del grupo control (GC). El GET, en relación con el GC, puntuaba significativamente más en tesón, afabilidad y apertura, así como en autoeficacia, afrontamiento de solución de problemas (ASP) y basado en los demás (AD), y BE. El BE se predecía en el GET por sentirse eficaz y no usar el afrontamiento de evitación, y en el GC por ser extravertido, mostrar tesón, ser bajo en neuroticismo, sentirse eficaz y emplear el ASP y AD. Se discute sobre el perfil psicológico adaptativo que presentan los adolescentes del GET y la necesidad de promover el bienestar en la adolescencia mediante el fomento de la autoeficacia y el afrontamiento activo.

Effect of a brief training program for primigravid adolescents on parenting self-efficacy and mother-infant bonding in the southeast of Iran

2017 ◽  
Vol 0 (0) ◽  
Author(s):  
Zahra Moudi ◽  
Behjat Talebi ◽  
Mahnaz Shahraki Pour
Keyword(s):  
Social Support ◽  
Training Program ◽  
Self Efficacy ◽  
Intervention Group ◽  
Routine Care ◽  
Control Group ◽  
Middle Income ◽  
Brief Training ◽  
Quasi Experimental ◽  
Limited Health

Abstract Background Annually, about 16 million adolescent girls give birth, accounting for 11% of all births worldwide. Ninety-five percent of these births occur in low- and middle-income countries, and previous studies have addressed the need for parenting interventions in developing countries with limited health care resources to improve parenting behaviors. Objective To explore the effect of a brief training program for primigravid adolescents on parenting self-efficacy and mother-infant bonding. Subjects We enrolled 116 married pregnant adolescents. Methods This quasi-experimental study was conducted during August 22, 2016–February 3, 2017. The intervention group received three sessions of training on neonatal care, while the control group received the routine care. We evaluated parenting self-efficacy using the Perceived Maternal Parenting Self-Efficacy (PMP S-E) questionnaire, the mother-infant bonding using the Postpartum Bonding Questionnaire (PBQ) and social support by means of the Multidimensional Scale of Perceived Social Support (MSPSS). The participants were followed up for 1 month. Results The mean ages of the intervention and the control groups were 16.37 ± 0.97 and 16.27 ± 1.12 years, respectively. The intervention group obtained higher self-efficacy and bonding scores compared to the control group. The logistic regression model showed that the second (evoking behaviors) and the third (reading behavior or signaling) subscales of the PMP S-E, the route of delivery and women’s educational levels could predict the mother-infant bonding scores. Conclusion Primigravid adolescents can benefit from brief interventions during pregnancy through improving their parenting self-efficacy and mother-infant bonding.

scholarly journals Effects of an intervention to reduce fear of falling and increase physical activity during hip and pelvic fracture rehabilitation

2020 ◽  
Vol 49 (5) ◽  
pp. 771-778 ◽  
Author(s):  
Klaus Pfeiffer ◽  
Karin Kampe ◽  
Jochen Klenk ◽  
Kilian Rapp ◽  
Michaela Kohler ◽  
...  
Keyword(s):  
Physical Activity ◽  
Physical Performance ◽  
Pelvic Fracture ◽  
Self Efficacy ◽  
Fear Of Falling ◽  
Intervention Group ◽  
Inpatient Rehabilitation ◽  
Control Group ◽  
Behavioural Intervention ◽  
Post Intervention

Abstract Background fear of falling and reduced fall-related self-efficacy are frequent consequences of falls and associated with poorer rehabilitation outcomes. To address these psychological consequences, geriatric inpatient rehabilitation was augmented with a cognitive behavioural intervention (“Step by Step”) and evaluated in a RCT. Methods one hundred fifteen hip and pelvic fracture patients (age = 82.5 years, 70% female) admitted to geriatric inpatient rehabilitation were randomly allocated to the intervention or control group. The intervention consisted of eight additional individual sessions during inpatient rehabilitation, one home visit and four telephone calls delivered over 2 months after discharge. Both groups received geriatric inpatient rehabilitation. Primary outcomes were fall-related self-efficacy (short falls efficacy scale-international) and physical activity as measured by daily walking duration (activPAL3™ sensor) after admission to rehabilitation, before discharge and 1-month post-intervention. Results in covariance analyses, patients in the intervention group showed a significant improvement in fall-related self-efficacy (P = 0.025, d = −0.42), but no difference in total daily walking duration (P = 0.688, d = 0.07) 1-month post-intervention compared to the control condition. Further significant effects in favour of the intervention group were found in the secondary outcomes “perceived ability to manage falls” (P = 0.031, d = 0.41), “physical performance” (short physical performance battery) (P = 0.002, d = 0.58) and a lower “number of falls” (P = 0.029, d = −0.45). Conclusions the intervention improved psychological and physical performance measures but did not increase daily walking duration. For the inpatient part of the intervention further research on the required minimum intensity needed to be effective is of interest. Duration and components used to improve physical activity after discharge should be reconsidered.

scholarly journals Interleukin-10 and brain-derived neurotrophic factor responses to the Mat Pilates training in women with multiple sclerosis

2018 ◽  
Vol 28 (4) ◽  
pp. 31668
Author(s):  
Elham Eftekhari ◽  
Masoud Etemadifar
Keyword(s):  
Multiple Sclerosis ◽  
Neurotrophic Factor ◽  
Training Group ◽  
Serum Levels ◽  
Brain Derived Neurotrophic Factor ◽  
Interleukin 10 ◽  
Analysis Of Covariance ◽  
Control Group ◽  
P Value ◽  
Before And After

AIMS: To determine the effect of Mat Pilates on serum levels of interleukin-10 and brain-derived neurotrophic factor in women with multiple sclerosis.METHODS: Thirty women with multiple sclerosis with mild to moderate disability were recruited and randomly divided into equal Pilates training and Control groups. Patients in the training group accomplished a Pilates program three times a week for eight weeks. The Control group maintained their routine lifestyle. The serum level of interleukin-10 and brain-derived neurotrophic factor were measured before and after the protocol. The differences between groups were assessed by using analysis of covariance test to compare post-tests by considering covariate pre-tests (assuming a p-value <0.05 as significant).RESULTS: There were no significant changes in interleukin-10 (13.09±5.36 ng/ml in the Pilates training group compared to 13.21±4.76 ng/ml in the Control group, p= 0.81), whereas an increase in brain-derived neurotrophic factor was observed after eight-week Pilates training (11550.14±2619.60 ng/ml in the Pilates training group compared to 9664.35±3161.66 ng/ml in the Control group, p= 0.03).CONCLUSIONS: The results suggest that the intensity and duration of this protocol was not related to significant changes in interleukin-10, but was followed by an increase in brain-derived neurotrophic factor in these patients. Based on this finding, physical activity according to the individual’s ability is recommended for patients with multiple sclerosis, in parallel with drug therapy.

Stages of Change and Psychosocial Correlates of Fruit and Vegetable Consumption among Rural African-American Church Members

1998 ◽  
Vol 12 (3) ◽  
pp. 185-191 ◽  
Author(s):  
Marci Kramish Campbell ◽  
Michael Symons ◽  
Wendy Demark-Wahnefried ◽  
Barbara Polhamus ◽  
Jay M. Bernhardt ◽  
...  
Keyword(s):  
Social Support ◽  
African Americans ◽  
Stages Of Change ◽  
Self Efficacy ◽  
Vegetable Consumption ◽  
Intervention Strategy ◽  
Stage Of Change ◽  
Church Members ◽  
Fruit And Vegetable ◽  
The Relationship

Purpose. This study examined the relationship between stages of change, other psychosocial factors, and fruit and vegetable (F&V) consumption among rural African-Americans participating in a 5 a Day study. Design. The cross-sectional design assessed associations between F&V intake, stage of change, self-efficacy, beliefs, barriers, and social support. Setting. Participants were surveyed by telephone. Subjects. Subjects were 3557 adult church members (response rate, 79.1%), aged 18 and over from 10 North Carolina counties. Measures. A seven-item food frequency measured F&V intake. Stage of change was measured using four items; other psychosocial variables were measured using Likert scales. Chi-square tests and analysis of variance were used in statistical analyses. Results. The majority of participants (65 %) were in the preparation stage of change. Individuals in action/maintenance consumed an average of 6.5 daily F&V servings compared to 3.3 to 3.5 servings for those in precontemplation, contemplation, and preparation. Self-efficacy, social support, and belief about how many daily F&V servings are needed, were positively associated with stage. Barriers were most prevalent among precontemplators. Conclusions. The findings support the applicability of the stages-of-change model to dietary change among rural African-Americans. The relationship between stage, self-efficacy, social support, and barriers supports using a multicomponent intervention strategy.

Effects of Peer Encouragement on Efficacy Perceptions and Physical Performance in Children

2020 ◽  
Vol 42 (4) ◽  
pp. 314-322
Author(s):  
Kira L. Innes ◽  
Jeffrey D. Graham ◽  
Steven R. Bray
Keyword(s):  
Social Interactions ◽  
Physical Performance ◽  
Self Efficacy ◽  
Mental Fatigue ◽  
Control Group ◽  
Physical Task ◽  
And Behavior ◽  
Experimental Group

Social interactions are theorized to inform relation-inferred self-efficacy (RISE), which, in turn, may influence self-efficacy and behavior. This study investigated the effects of peer encouragement on RISE, task self-efficacy, and physical performance. Children (N = 84) were assigned to dyads and randomized to provide peer encouragement to one another or not (control group). Participants completed two endurance handgrip trials, separated by a cognitively demanding task intended to induce mental fatigue and increase the salience of the peer encouragement manipulation. Participants in the experimental group exchanged words of encouragement prior to the second endurance trial, whereas those in the control group did not. The peer encouragement group reported higher RISE and showed increased performance across trials compared with controls. Providing peer encouragement prior to a challenging physical task was associated with more positive RISE perceptions and improved physical performance.

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