scholarly journals Rationale and Design of the Women’s Health And Daily Experiences Project: Protocol for an Ecological Momentary Assessment Study to Identify Real-Time Predictors of Midlife Women’s Physical Activity (Preprint)

2020 ◽  
Author(s):  
Danielle Arigo ◽  
Megan M Brown ◽  
Kristen Pasko ◽  
Matthew Cole Ainsworth ◽  
Laura Travers ◽  
...  
Keyword(s):  
Physical Activity ◽  
Women's Health ◽  
Ecological Momentary Assessment ◽  
Midlife Women ◽  
Additional Risk ◽  
Psychosocial Experiences ◽  
Daily Experiences ◽  
Psychosocial Influences ◽  
Ecological Momentary ◽  
Momentary Assessment

BACKGROUND Midlife women are at an elevated risk for cardiovascular disease (CVD) and associated mortality. Those who have additional risk conditions such as obesity or hypertension report specific barriers to engaging in cardioprotective behaviors such as physical activity (PA). Considerable effort has been devoted to understanding PA determinants and designing interventions for midlife women, although with suboptimal success, as increasing PA could meaningfully attenuate CVD risk. An updated approach to understanding PA among midlife women could improve upon existing resources by focusing on novel psychosocial influences on PA in this population (ie, body satisfaction, social interactions, social comparisons, mood state) and within-person relations between these influences and PA in the natural environment. OBJECTIVE The overarching goal of Project WHADE (Women’s Health And Daily Experiences) is to use an ecological momentary assessment (EMA) approach to capture ecologically valid relations between midlife women’s psychosocial experiences and PA as they engage in their normal daily activities. The primary aim of the study is to identify within-person psychosocial predictors of variability in PA (ie, experiences associated with higher vs lower PA for a given individual). METHODS Midlife women (aged 40-60 years) with one or more additional risk markers for CVD (eg, hypertension) will be recruited from primary care clinics and the general community (target n=100). Eligible women will complete an initial survey and a face-to-face baseline session before engaging in a 10-day EMA protocol. Psychosocial experiences will be assessed using a brief self-report via a smartphone 5 times per day, and PA will be assessed throughout waking hours using a research-grade monitor. Participants will return for a brief exit interview at the end of 10 days. Multilevel models that address the nested structure of EMA data will be used to evaluate the study aims. RESULTS Recruitment and enrollment are ongoing, and a total of 75 women have completed the protocol to date. Data collection is expected to be completed in Fall 2020. CONCLUSIONS Project WHADE is designed to identify naturally occurring psychosocial experiences that predict short-term variability in midlife women’s PA. As such, the results of this study should advance the current understanding of PA among midlife women by providing further insight into within-person psychosocial influences on PA in this group. In the future, this information could help inform the design of interventions for this population. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/19044

scholarly journals Rationale and Design of the Women’s Health And Daily Experiences Project: Protocol for an Ecological Momentary Assessment Study to Identify Real-Time Predictors of Midlife Women’s Physical Activity

10.2196/19044 ◽  
2020 ◽  
Vol 9 (10) ◽  
pp. e19044
Author(s):  
Danielle Arigo ◽  
Megan M Brown ◽  
Kristen Pasko ◽  
Matthew Cole Ainsworth ◽  
Laura Travers ◽  
...  
Keyword(s):  
Physical Activity ◽  
Women's Health ◽  
Ecological Momentary Assessment ◽  
Midlife Women ◽  
Additional Risk ◽  
Psychosocial Experiences ◽  
Daily Experiences ◽  
Psychosocial Influences ◽  
Ecological Momentary ◽  
Momentary Assessment

Background Midlife women are at an elevated risk for cardiovascular disease (CVD) and associated mortality. Those who have additional risk conditions such as obesity or hypertension report specific barriers to engaging in cardioprotective behaviors such as physical activity (PA). Considerable effort has been devoted to understanding PA determinants and designing interventions for midlife women, although with suboptimal success, as increasing PA could meaningfully attenuate CVD risk. An updated approach to understanding PA among midlife women could improve upon existing resources by focusing on novel psychosocial influences on PA in this population (ie, body satisfaction, social interactions, social comparisons, mood state) and within-person relations between these influences and PA in the natural environment. Objective The overarching goal of Project WHADE (Women’s Health And Daily Experiences) is to use an ecological momentary assessment (EMA) approach to capture ecologically valid relations between midlife women’s psychosocial experiences and PA as they engage in their normal daily activities. The primary aim of the study is to identify within-person psychosocial predictors of variability in PA (ie, experiences associated with higher vs lower PA for a given individual). Methods Midlife women (aged 40-60 years) with one or more additional risk markers for CVD (eg, hypertension) will be recruited from primary care clinics and the general community (target n=100). Eligible women will complete an initial survey and a face-to-face baseline session before engaging in a 10-day EMA protocol. Psychosocial experiences will be assessed using a brief self-report via a smartphone 5 times per day, and PA will be assessed throughout waking hours using a research-grade monitor. Participants will return for a brief exit interview at the end of 10 days. Multilevel models that address the nested structure of EMA data will be used to evaluate the study aims. Results Recruitment and enrollment are ongoing, and a total of 75 women have completed the protocol to date. Data collection is expected to be completed in Fall 2020. Conclusions Project WHADE is designed to identify naturally occurring psychosocial experiences that predict short-term variability in midlife women’s PA. As such, the results of this study should advance the current understanding of PA among midlife women by providing further insight into within-person psychosocial influences on PA in this group. In the future, this information could help inform the design of interventions for this population. International Registered Report Identifier (IRRID) DERR1-10.2196/19044

scholarly journals An ecological momentary assessment study of physical activity behaviors among mothers of toddlers from low-income households

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Katherine L. Campbell ◽  
Yan Wang ◽  
Ann Pulling Kuhn ◽  
Maureen M. Black ◽  
Erin R. Hager
Keyword(s):  
Physical Activity ◽  
Low Income ◽  
Ecological Momentary Assessment ◽  
Normal Weight ◽  
Activity Count ◽  
Group Relations ◽  
Environment Factors ◽  
Group Relation ◽  
Ecological Momentary ◽  
Momentary Assessment

Abstract Background Mothers of young children from low-income communities may be vulnerable to barriers associated with low physical activity. The purpose of this study was to examine associations between home environment factors and maternal physical activity among mothers of toddlers. Methods Mothers of toddlers (n = 200) recruited from low-income communities simultaneously wore an ankle-placed accelerometer and were given a personal digital assistant for ecological momentary assessment. Mothers received randomly prompted questions about their current environment, activity, and social setting several times a day over eight consecutive days. Data were analyzed using linear mixed-effects regression models with random intercepts; within-group and between-group relations between physical activity and environment factors were disaggregated. Results Within-group relations included higher physical activity counts for specific mothers with television off versus on (95% CI = 130.45, 199.17), children absent versus present (95% CI = 82.00, 3.43), engaging with a child versus not (95% CI = 52.66, 127.63), and outside versus inside location (95% CI = 277.74, 392.67). Between-group relations included higher physical activity on average when other adults were absent versus present (95% CI = − 282.63, − 46.95). Recruitment site (urban vs. semi-urban) significantly moderated the within-group relation between being outside versus inside and activity count (β = − 243.12, 95% CI = − 358.74, − 127.47), and showed stronger relations among urban mothers (β = 440.33, 95% CI = 358.41, 522.25), than semi-urban (β = 190.37, 95% CI = 109.64, 271.11). Maternal body weight significantly moderated the within-group relation between being located outside versus inside the home and activity count (β for interaction = − 188.67, 95% CI = − 308.95, − 68.39), with a stronger relation among mothers with normal weight (β = 451.62, 95% CI = 345.51, 557.73), than mothers with overweight/obesity (β = 271.95, 95% CI = 204.26, 339.64). Conclusions This study highlights home environmental factors, including screen time, the presence of others (adults and children), and location (i.e., outside versus inside) that may relate to maternal physical activity behaviors. Understanding factors associated with physical activity could reduce physical activity disparities. Trial registry ClinicalTrials. NCT02615158, April 2006

scholarly journals Exploring Feelings of Pleasure and Purpose Associated With Older People’s Activities Using Ecological Momentary Analysis: An Observational Study

2020 ◽  
pp. 1-8
Author(s):  
Karen E. Hancock ◽  
Paul Downward ◽  
Lauren B. Sherar
Keyword(s):  
Physical Activity ◽  
Ecological Momentary Assessment ◽  
Physical Activity Guidelines ◽  
Outdoor Activities ◽  
Highly Active ◽  
Actigraph Accelerometer ◽  
Confounding Variables ◽  
Ecological Momentary ◽  
Momentary Assessment ◽  
Sedentary Activities

Momentary feelings of pleasure and purpose can be sources of intrinsic motivation, but momentary purpose is rarely studied. Activities, contexts, and feelings of retired/semiretired adults (n = 67, aged 50–78 years) were captured using ecological momentary assessment. Participants provided 2,065 valid responses to six daily smartphone surveys for 7 days. Physical activity was measured by waist-worn ActiGraph accelerometer. Pleasure (measured by affective happiness) and purpose outcomes were regressed on activities, context, and potential confounding variables. Interactions between activities and contexts were explored. Participants were highly active: 98.5% met physical activity guidelines. Sedentary activities were negatively associated with sense of purpose, especially when indoors. However, social sedentary activities were positively associated with feelings of happiness. Active, social outdoor activities were positively associated with both outcomes. Less sedentary participants experienced greater happiness and purpose during all their activities. Context matters: active, social, and outdoor activities seem to be more appealing to older adults.

scholarly journals Exploring feelings of pleasure and purpose associated with older people’s activities using ecological momentary analysis: an observational study

2020 ◽  
Author(s):  
K.E. Hancock ◽  
P. Downward ◽  
L.B. Sherar
Keyword(s):  
Physical Activity ◽  
Ecological Momentary Assessment ◽  
Physical Activity Guidelines ◽  
Outdoor Activities ◽  
Highly Active ◽  
Actigraph Accelerometer ◽  
Confounding Variables ◽  
Ecological Momentary ◽  
Momentary Assessment ◽  
Sedentary Activities

Abstract Momentary feelings of pleasure and purpose can be sources of intrinsic motivation, but momentary purpose is rarely studied. Activities, contexts and feelings of retired/semi-retired adults (n=67, aged 50-78y) were captured using ecological momentary assessment. Participants provided 2,065 valid responses to six daily smartphone surveys for seven days. Physical activity was measured by waist-worn Actigraph accelerometer. Pleasure (measured by affective happiness) and purpose outcomes were regressed on activities, context and potential confounding variables. Interactions between activities and contexts were explored.Participants were highly active: 98.5% met physical activity guidelines. Sedentary activities were negatively associated with sense of purpose, especially when indoors. However, social sedentary activities were positively associated with feelings of happiness. Active, social outdoor activities were positively associated with both outcomes. Less sedentary participants experienced greater happiness and purpose during all their activities. Context matters: active, social and outdoor activities seem to be more appealing to older adults.

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