Exercise interventions for the individual Flashcards
“Health promoting activity designed to promote or maintain physical activity/exercise attitudes, norms and behaviours”
who came up with this?
Carron et al. (2003)
4 categories of Carron et al 2003 intervention definition?
1) Addresses clients needs
2) recognises demographic and environmental factors
3) grounded in theory, evidence and insight
4) has measurable and realistic outcomes
How can physical readiness be determined?
Par-q
Medical screening
cardiac stress test
How can psychological readiness be determined?
Questionnaires and activities
client interview
4 types of questionnaires and activities?
Stage of TTM
self-efficacy and delusional balance
processes of change
social support
What would be identified in a client interview?
exercise history/preference
health/exercise goals
barriers and relapse risk
Miller and Rollnick (2002) said Motivational interviewing should aim to…
Client-centered counseling:
educate and establish rapport
elicit change talk,promote optimism
interviewer should:
express empathy
develop discrepancy between past and future
roll with resistance, support efficacy
Dishmen et al (1996) identified which mode,itensity and duration to have best adherence correlation?
mode-Active living r.=85
intensity- below 50% r=.94
duration 20 mins r =.32
Methods to ensure exercise enjoyment?
variety of exercise modes appropriate intensity group or solo outdoor games/sports music
Karegeorghis et al (1997) found music and exercise had
Distraction benefits: reduces feelings of exertion and fatigue
affect: increases enjoyment, lowers anger,fatigue , depression
rhythm: enhances work output/efficency, lower vo2 etc
Michie et al 2009 wrote a systematic review finding
self-monitoring was most effect
prompt intention formation
prompt specific goal setting
feedback on performance
prompt reviews on behavioral goals
Principles of self-liberation?
Negotiate and sign with GP and fitness professional
objectives and rewards
describes activities
barriers and countermeasures
can be shared with others
Cardiac rehabilitation study by Oldridge and Jones (1983) found
exercise contract increases classes attended
5 prompts for exercise (Gorin et al., 2011)
Motivational posters training charts notes in diary gym clothes laid out exercise equipment
5 competing prompts against exercise
Tv unhealthy foods telephone poor wealth work
Lombard et al 1995 university working study found
more freqeunt calls increases compliancy (63% vs 24%)
freqeunt calls met ACSM PA guidelines (46% vs. 13%)
call structure had little to no impact
types of behaviour modification?
positive/negative reinforcement and punishment
extinction (lack of outcomes)
Epstein et al 1997 found rewards and punishments for children on time spent in free play
control- greatest increase
no difference between reward and punishment
Stahl et al 2001 suggested
spousal support strongest support for increasing PA
Scarapicchia et al 2017 suggested social support mechanisms were
facilitating resource, encouragement, commitment, social comparison, coping
Kyllo et al 1995 principles of goal setting
outcomes and process orentiated
provide direction and structure
outline level or effort and commitment
positive feedback SMART
enhances performance ES= .34
Self-monitoring to record and monitor changes in
exercise frequency and intensity
physical health
thoughts and feelings
achievements
self monitoring increases
efficacy and awareness of benefits: provides insight to barriers and solutions
examples of self monitoring?
fitness diaries self-report Qs visual charts electronic planners physical activtiy trackers
Dishman and Sallis 1994 found that
50% of adults exercisers relapse within first 6 months
Marlatt and george (1984) 5 high risk factors of exercise relapse?
boredom physical fatigue/stress lack of time laziness vacations
