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motivation, exercise behaviors, and stress

Yue Liao, Chih-Ping Chou, Jimi Huh, Adam Leventhal, Genevieve Dunton
PURPOSE: Affective response during physical activity may influence motivation to perform future physical activity behavior. However, affective response during physical activity is often assessed under controlled laboratory conditions. The current study used ecological momentary assessment (EMA) to capture affective responses during free-living physical activity performed by adults, and determined whether these affective responses predict future moderate-to-vigorous physical activity (MVPA) levels after 6 and 12 months...
December 22, 2016: International Journal of Behavioral Medicine
Elizabeth P Frates, Ryan C Xiao, Kate Simeon, Tracie McCargo, Michelle Guo, Theodore A Stern
Objective: To assess whether and how effectively an interactive presentation about lifestyle medicine could impact the knowledge and attitudes of medical students to prepare them for managing chronic conditions in their patients. Chronic diseases are increasingly prevalent and problematic. Although chronic disease management involves lifestyle modification, few physicians are adequately trained in effective motivational interventions. Methods: We surveyed first- and second-year Harvard Medical School students in October 2015 before and after a presentation on lifestyle medicine and quantified changes in their knowledge, attitudes/confidence, and skills...
November 24, 2016: Primary Care Companion to CNS Disorders
Carolyn Vandyken, Sandra Hilton
INTRODUCTION: The complexity of female sexual pain requires an interdisciplinary approach. Physical therapists trained in pelvic health conditions are well positioned to be active members of an interdisciplinary team addressing the assessment and treatment of female sexual pain. Changes within physical therapy practice in the last ten years have resulted in significant utilization of pelvic floor muscle relaxation and manual therapy techniques to address a variety of pelvic pain conditions, including female sexual pain...
January 2017: Sexual Medicine Reviews
Anna M Bardone-Cone, M K Higgins, Sara M St George, Ilyssa Rosenzweig, Lauren M Schaefer, Ellen E Fitzsimmons-Craft, Taylor M Henning, Brittany F Preston
This study examined the relationship between behavioral and psychological aspects of exercise and eating disorder recovery. Participants were categorized as having an eating disorder (n = 53), partially recovered (n = 15), fully recovered (n = 20), or non-eating disorder controls (n = 67). Groups did not differ significantly in time spent exercising, but did differ in exercise intensity, guilt-related exercise, obsessive exercise cognitions, and appearance/weight management and stress/mood management motivations for exercise...
October 2016: Eating Disorders
Sukhee Ahn, Rhayun Song, Si Wan Choi
PURPOSE: The project was to test a structural equation model in which self-efficacy, self-care health behaviors, and modifiable risk factors predict the quality of life (QOL) of individuals with coronary artery disease. METHODS: The data set from the intervention study with 130 patients with coronary artery disease before the intervention was included in the secondary analysis for this study. The following parameters were measured: self-efficacy, self-care health behaviors with the subscales of health responsibility, exercise, consumption of a healthy diet, stress management, and smoking cessation; modifiable risk score; and QOL (assessed using the 36-item Short-Form Health Survey instrument)...
June 2016: Asian Nursing Research
Ruth Q Wolever, Mark H Dreusicke
OBJECTIVE: Medication adherence requires underlying behavior skills and a supporting mindset that may not be addressed with education or reminders. Founded in the study of internal motivation and health psychology, integrative health coaching (IHC) helps patients gain insight into their behaviors and make long-term, sustainable lifestyle changes. The purpose of the study is to determine whether IHC improves oral medication adherence, glycated hemoglobin (HbA1c), and psychosocial measures, and to assess whether adherence changes are sustained after the intervention...
2016: BMJ Open Diabetes Research & Care
Heather E Cuevas, Gayle M Timmerman
PURPOSE: Helping patients maximize their potential using expert coaching to facilitate lifestyle change is an important practice area for clinical nurse specialists (CNSs). The purpose is to determine the usefulness of objective structured clinical examinations (OSCEs) for evaluating CNS students' coaching competencies in the context of facilitating lifestyle change. DESCRIPTION OF THE PROJECT: Despite the use of OSCEs to assess competencies in clinical skills (eg, performance of procedures, decision making), its potential for evaluating coaching competencies for lifestyle change has not been demonstrated...
May 2016: Clinical Nurse Specialist CNS
Sven Alfonsson, Erik Olsson, Timo Hursti
BACKGROUND: In previous research, variables such as age, education, treatment credibility, and therapeutic alliance have shown to affect patients' treatment adherence and outcome in Internet-based psychotherapy. A more detailed understanding of how such variables are associated with different measures of adherence and clinical outcomes may help in designing more effective online therapy. OBJECTIVE: The aims of this study were to investigate demographical, psychological, and treatment-specific variables that could predict dropout, treatment adherence, and treatment outcomes in a study of online relaxation for mild to moderate stress symptoms...
March 8, 2016: Journal of Medical Internet Research
Jennifer C Spencer, Stephanie B Wheeler
OBJECTIVE: To explore the use of Motivational Interviewing (MI) interventions among cancer patients and survivors, and determine aspects of intervention design that are common across successful MI interventions for this population. METHODS: We conducted a systematic review of studies addressing behavior change in cancer patients or survivors using Motivational Interviewing techniques. Studies were categorized into three groups based on behavioral outcome; lifestyle behaviors, psychosocial outcomes, and cancer-related symptom management...
2016: Patient Education and Counseling
Emily Brindal, Gilly A Hendrie, Jill Freyne
BACKGROUND: The prevalence of health-focused mobile phone apps available for download increases daily, with weight management apps being among the most proliferative. However, most lack theoretic grounding or evidence of efficacy. There is a significant body of literature which provides evidence for behaviors which are associated with successful weight loss maintenance. Behavioral theory also provides further insight regarding successful behavior change and maintenance. OBJECTIVE: We aimed to apply this knowledge to the development of the functionality of an app targeting weight loss maintenance...
2016: JMIR Research Protocols
Fabio A Almeida, Renae L Smith-Ray, David A Dzewaltowski, Russell E Glasgow, Rebecca E Lee, Deborah S K Thomas, Stanley Xu, Paul A Estabrooks
BACKGROUND: Physical activity (PA) improves many facets of health. Despite this, the majority of American adults are insufficiently active. Adults who visit a physician complaining of chest pain and related cardiovascular symptoms are often referred for further testing. However, when this testing does not reveal an underlying disease or pathology, patients typically receive no additional standard care services. A PA intervention delivered within the clinic setting may be an effective strategy for improving the health of this population at a time when they may be motivated to take preventive action...
August 24, 2015: Journal of Medical Internet Research
Maw Pin Tan, Karen Morgan
PURPOSE OF REVIEW: To evaluate recent literature on psychological interventions in cardiovascular disease. RECENT FINDINGS: Mindfulness-based stress reduction did not reduce blood pressure, and a self-management programme in heart failure patients (HART), showed no improvement in health-related quality of life. Web-based decision aids are as effective as individually tailored counseling at reducing cardiovascular risk. Among health attack survivors, the ProActive Heart study involving telephone delivered counseling reduced anxiety whereas integrated motivational interviewing cognitive behavioral therapy (Beating Heart Problems) reduced depression and anger with no physiological or behavioral benefits...
September 2015: Current Opinion in Psychiatry
Angela S Guarda, Colleen C Schreyer, Gretha J Boersma, Kellie L Tamashiro, Timothy H Moran
The high comorbidity between anorexia nervosa (AN) and anxiety disorders is well recognized. AN is a motivated behavioral disorder in which habit formation is likely to contribute to the persistence of abnormal eating and exercise behaviors. Secondary alterations in brain circuitry underlying the reward value of food and exercise, along with disturbances in neuroendocrine hunger and satiety signaling arising from starvation and excessive exercise, are likely contributors to the maintenance of anorectic behaviors in genetically vulnerable individuals...
December 1, 2015: Physiology & Behavior
Åsa Norman, Anita Berlin, Elinor Sundblom, Liselotte Schäfer Elinder, Gisela Nyberg
INTRODUCTION: Dietary habits and physical activity are often the focus of obesity prevention programmes and involving parents in such programmes has proven to be effective. The aims of this study were to describe parents' concerns about their children's diet and physical activity habits and to describe barriers to change. RESULTS: The study used archival data gathered unobtrusively in the form of memos taken after sessions of Motivational Interviewing as part of the parental support programme, A Healthy School Start...
April 2015: Appetite
Venetia Notara, Demosthenes B Panagiotakos, Christos E Pitsavos
Although cardiovascular disease mortality rates seem to decline, especially among middle-aged people in developed countries, the prevalence of acute coronary syndrome (ACS) increases, representing the most common cause of morbidity in both developed and developing countries and generating large economic burden. It is estimated that one fifth of the ACS patients die suddenly and half of them belong to a fast growing popula- tion age-group, i.e., those between 70 and .80 years. A substantial number of these deaths has been attributed to various lifestyles, modifiable factors; therefore, it can be prevented...
September 2014: Central European Journal of Public Health
Carolyn M Tucker, Guillermo M Wippold, Tasia M Smith, Frederic F Desmond, Tya M Arthur, Ashley M Butler, Rebecca R Pauly, Sharon L Surrency
OBJECTIVE: Health Self-Empowerment Theory (health motivation, health self-efficacy, health self-praise, and active coping) was examined as a predictor of levels of engagement in four health-promoting behaviors (health responsibility behaviors, regular exercise, healthy eating, and stress management behaviors) among low-income African American adolescents and non-Hispanic White American adolescents living with at least one chronic illness. METHODS: Eighty-seven participants completed measures of the Health Self-Empowerment Theory variables and of level of engagement in each of the four health-promoting behaviors...
November 2014: Journal of Health Care for the Poor and Underserved
Giovanna Calogiuri, Stiliani Chroni
BACKGROUND: An understanding of how the living environment influences physical activity (PA) is of great importance for health promotion. Researchers have reported increased PA when there is a greater availability of nature within people's living environment. However, little has been said about underlying motivational processes. The aim of this study was to review the existing literature on the relationship between the natural environment (NE) and PA, integrating it into a conceptual model that depicts the motivational process underlying this relationship...
2014: BMC Public Health
Agnes Tiwari, Cecilia Lai Wan Chan, Rainbow Tin Hung Ho, George Sai Wah Tsao, Wen Deng, Athena Wai Lin Hong, Daniel Yee Tak Fong, Helina Yin King Yuk Fung, Emily Pei Shin Pang, Denise Shuk Ting Cheung, Joyce Lai Chong Ma
BACKGROUND: Abused women, who suffer from chronic psychological stress, have been shown to have shorter telomeres than never abused women. Telomere shortening is associated with increased risk of cell death, and it is believed that adopting health-promoting behaviors can help to increase the activity of telomerase, an enzyme that counters telomere shortening. Qigong is an ancient Chinese mind-body integration, health-oriented practice designed to enhance the function of qi, an energy that sustains well-being...
August 15, 2014: BMC Complementary and Alternative Medicine
Morgan H James, Erin J Campbell, Frederick R Walker, Doug W Smith, Heather N Richardson, Deborah M Hodgson, Christopher V Dayas
Early life stress (ELS) is a known antecedent for the development of mood disorders such as depression. Orexin neurons drive arousal and motivated behaviors in response to stress. We tested the hypothesis that ELS alters orexin system function and leads to an altered stress-induced behavioral phenotype in adulthood. We also investigated if voluntary exercise during adolescent development could reverse the ELS-induced changes. Male and female Wistar rats were subjected to maternal separation stress on postnatal days (PND) 2-14...
2014: Frontiers in Behavioral Neuroscience
Anouk Middelweerd, Julia S Mollee, C Natalie van der Wal, Johannes Brug, Saskia J Te Velde
BACKGROUND: In May 2013, the iTunes and Google Play stores contained 23,490 and 17,756 smartphone applications (apps) categorized as Health and Fitness, respectively. The quality of these apps, in terms of applying established health behavior change techniques, remains unclear. METHODS: The study sample was identified through systematic searches in iTunes and Google Play. Search terms were based on Boolean logic and included AND combinations for physical activity, healthy lifestyle, exercise, fitness, coach, assistant, motivation, and support...
2014: International Journal of Behavioral Nutrition and Physical Activity
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