The aim was to examine how exercise motives differ across stages of change. British government employees completed questionnaires measuring exercise motives and exercise stage of change at baseline (N = 425) and at 3-month follow-up (247 of the original sample). Discriminant analysis was used to determine whether exercise motives (and age and gender) could collectively discriminate between baseline stages of change; and whether exercise motives could discriminate between those who stayed inactive, stayed active, became active or became inactive over the 3 months. Taken as a whole, and with some qualifications, the results suggest that extrinsic (specifically bodily) motives dominate during the early stages of exercise adoption, but that intrinsic (specifically enjoyment) motives are important for progression to and maintenance of actual activity. This is consistent with Deci and Ryan's (1985) self- determination theory. The implications for exercise promotion are discussed.

The benefits of rehabilitation following acquired brain injury (ABI) are all too often disrupted by a lack of engagement in the process, variously attributed to cognitive, emotional and neurobehavioural sequelae, and prominently to impaired self-awareness of deficits. Motivational Interviewing (MI) has been widely applied to address treatment adherence in health settings, including a small but emerging evidence base in brain injury contexts. A conceptual review of the literature is offered, examining the interplay of neurological and psychosocial determinants of engagement difficulties after ABI, and discussing the possibilities and limitations of MI as a therapeutic strategy to enhance motivation. The theoretical bases of MI are outlined, focusing particularly on the transtheoretical stages of change model and self-determination theory. The converging evidence suggests that the guiding philosophy and principles of MI - characterised by non-confrontation, collaboration and self-efficacy - might help to foster readiness for participation in rehabilitation. A dynamic motivational model of engagement is presented, identifying MI's potential contribution in three key areas: firstly, to set the stage for therapeutic alliance and case formulation; secondly, to facilitate acceptance of deficits and realistic goal-setting; and thirdly, to promote constructive engagement in the range of clinical interventions that comprise a holistic neurorehabilitation programme.

Trauma exposure and post-traumatic stress disorder are more prevalent in people with intellectual disabilities (PWID) than in the general population, yet the evidence base for trauma interventions in this population is sparse. Compassion-focused therapy (CFT) may be particularly well-suited to PWID for a number of reasons, including its adaptability to different developmental levels. PWID are more likely to have issues with self-relating (e.g. shame and self-criticism) and attachment than the general population, two issues that are compounded by trauma and which CFT explicitly seeks to address. Furthermore, compassion-focused approaches emphasize cultivating a sense of safeness while empowering people to make behavioural changes; this is particularly pertinent to PWID who have been traumatized and may feel unsafe and disempowered. An overview of CFT and its application to trauma are given, as well as some case studies using CFT with PWID.

The interplay between individuals' subjective beliefs about traumatic brain injury, their coping style and their self-awareness might provide a more helpful guide to rehabilitation goals than looking at these factors in isolation. We therefore conducted a preliminary study to determine whether the Self-Regulatory Model can identify different clusters of individuals according to belief schemata, and to explore whether clusters differed across measures of coping and self-awareness. The Illness Perception Questionnaire-Revised was administered to 37 participants with severe traumatic brain injury (TBI), along with the Ways of Coping Checklist-Revised and the European Brain Injury Questionnaire. Clinicians also rated clients' level of difficulties using the latter scale, and the discrepancy between client and clinician scores was used as a measure of self-awareness. Hierarchical cluster analysis distinguished three groups based on profiles of subjective beliefs about TBI, labelled "low control/ambivalent", "high salience", and "high optimism". The high salience group was characterised by beliefs about serious consequences of the injury and greater self-awareness, and reported a greater range of coping strategies. The other two groups showed lower levels of awareness but differed in coping styles, with the low control/ambivalent group showing a trend towards more avoidance coping against a background of lower perceived control.

PurposeThe purpose of this paper is to assess whether firefighters display different decision‐making biases: either a liberal bias to accepting information as true or a conservative bias to rejecting information, with the former carrying risk of “false alarm” errors and the latter of “misses”.Design/methodology/approachSituation awareness (SA) and decision‐making biases were examined in Fire and Rescue (FRS) “table‐top” and Breathing Apparatus (BA) training exercises. The former involved showing 50 operational FRS personnel a powerpoint presentation representing the drive‐to, views and information related to the incident. The BA study involved 16 operational FRS personnel entering a smoke‐filled training building in a search‐and‐rescue exercise. True/False answers to statements about the incidents were analysed by a signal‐detection‐type tool (QASA) to give measures of SA and bias.FindingsIn both studies, there were two groups showing different bias patterns (either conservative with risk of “miss” errors, or liberal with risk of “false alarms”) (p≤0.001), but not different SA (p>0.05).Research limitations/implicationsFuture work will involve more realistic training exercises and explore the consistency of individual bias tendencies over different contexts.Practical implicationsRisk in fireground decision making may be minimised by increasing awareness of individual tendencies to either conservative or liberal bias patterns and the associated risk of respectively making “miss” or “false alarm” errors.Social implicationsThe results may help to minimise fireground risk.Originality/valueThis is the first evidence to show firefighter decision bias in two different exercises.