Objective
Self-efficacy and physical activity (PA) enjoyment are related to PA
behavior, but it is unclear which is more important and how they
interrelate. The purpose of this study was to examine how these two
constructs interrelate to influence PA behavior.
Design
Participants were low active adults (n=448) participating in
a RCT examining the effect of a PA promotion intervention. Participants
completed physical activity, enjoyment, and self-efficacy measures at
baseline, six, and 12 months.
Results
Self-efficacy and enjoyment at both baseline and six months predicted
PA at 12 months. However, enjoyment was a stronger predictor than
self-efficacy in that self-efficacy no longer predicted PA behavior when
included alongside enjoyment. In follow-up mediation analyses, enjoyment at
six months did not mediate the effect of baseline self-efficacy on 12-month
PA; however, six-month self-efficacy mediated the effect of baseline
enjoyment on 12-month PA.
Conclusion
Our results indicate that interventions should perhaps initially
focus on increasing enjoyment of physical activity. Greater PA enjoyment
appears to influence individuals’ self-reported ability to engage in
regular PA (i.e., higher self-efficacy ratings). Additional research is
needed to better understand the interrelationships between self-efficacy and
enjoyment and how these constructs affect PA.
Background
Approximately 13–19% of postpartum women experience postpartum depression and a majority report at least some stress during the postpartum phase. Traditional interventions such as psychotherapy and antidepressant medications are often not feasible or desirable. The purpose of this study was to examine two low cost, brief, accessible interventions designed to prevent postpartum depression and perceived stress among women at high risk.
Methods
Participants (n = 450) who were on average four weeks postpartum, had a history of depression before pregnancy, and exercised less than 60 min per week were randomly assigned to one of the following three conditions: (1) 6-month telephone-based exercise intervention; (2) 6-month telephone-based wellness/support intervention (e.g., healthy eating, sleep, and perceived stress); or (3) usual care.
Results
Overall, 2.4% of participants met criteria for depression at 6 months and 3.6% at 9 months with no differences between groups. At 6 months following randomization, median symptoms of depression were significantly lower among wellness participants compared to usual care participants (b = − 1.00, SE = 0.46, p = .03). Perceived stress at 6 months post-randomization was significantly lower among exercise vs. usual care participants (b = − 2.00, SE = .98, p = .04) and exercise vs. wellness participants (b = − 2.20, SE = 1.11, p = .04).
Conclusions
The wellness intervention was efficacious for preventing symptoms of depression; however, postpartum depression that met the diagnostic criteria was surprisingly low in all conditions among this at risk sample of postpartum women. Exercise interventions may have a protective effect on perceived stress among women at risk for postpartum depression. Practitioners should consider integrating exercise and wellness interventions into postpartum care.
Trial registration
Clinical Trials Number: NCT01883479 (06/21/2013).
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