Exercise DVD Improves Exercise Expectations in Cardiovascular Outpatients

Vickers, Kristin S.; Nies, Mary A.; Dierkhising, Ross A.; Salandy, Simone; Jumean, Marwan; Squires, Ray W.; Thomas, Randal J.; Kopecky, Stephen L.

doi:10.5993/ajhb.35.3.5

Cited by 9 publications

(12 citation statements)

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“…We also found that less depressed mood was significantly associated with higher outcome expectations. This finding adds to previous research suggesting that depressed individuals are more inclined to hold a pessimistic attitude about exercise outcomes . Two studies confirmed an association of greater depressive symptoms with lower exercise expectations .…”

Section: Discussionsupporting

confidence: 73%

Outcome Expectations and Osteoarthritis: Association of Perceived Benefits of Exercise With Self‐Efficacy and Depression

Marszałek

Price

Harvey

et al. 2017

Arthritis Care & Research

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Objective Outcome expectancy is recognized as a determinant of exercise engagement and adherence. However, little is known about which factors influence outcome expectations for exercise among people with knee osteoarthritis. This is the first study to examine the association of outcome expectations for exercise with demographic, physical and psychosocial outcomes in individuals with knee osteoarthritis. Methods We performed a cross-sectional analysis of the baseline data from a randomized trial of Tai Chi versus physical therapy in participants with symptomatic knee osteoarthritis. Knee pain was evaluated using the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index. Outcome expectations for exercise, self-efficacy, depression, anxiety, stress, and social support were measured using standard instruments. Logistic regression models were utilized to determine associates of outcome expectations. Results There were 262 participants with a mean age of 59.8 years, BMI 32.1 kg/m2, 69.1% female, 51.5% white, mean disease duration 8.6 years, and mean WOMAC knee pain and function scores of 260.8 and 906.8, respectively. Higher outcome expectations for exercise were associated with greater self-efficacy (odds ratio [OR] 1.25, 95% confidence interval [95% CI] 1.11–1.41; P=0.0004) as well as with less depressive symptoms (OR 0.84 for each 5-point increase, 95% CI 0.73–0.97; P=0.01). Outcome expectancy was not significantly associated with gender, race, education, pain, function, radiographic severity, social support, anxiety, or stress. Conclusions Our results suggest significant associations between outcome expectations for exercise and self-efficacy and depression. Future studies should examine how these relationships longitudinally affect long-term clinical outcomes of exercise-based treatment for knee osteoarthritis.

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Section: Discussionsupporting

confidence: 73%

Outcome Expectations and Osteoarthritis: Association of Perceived Benefits of Exercise With Self‐Efficacy and Depression

Marszałek

Price

Harvey

et al. 2017

Arthritis Care & Research

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“…Improving outcome expectations has been shown to enhance adoption of physical activity, 29 have an impact on obesity treatment, 30 and be important for cardiovascular health. 31 It has been proposed that having individuals become more aware of QOL improvements will help offset any disappointment associated with unrealistic health status change expectations. Therefore, if confirmed in randomized future studies, having wellness center participants rate and track their physical, mental, and overall QOL has the potential to improve participation in wellness programs.…”

Section: Discussionmentioning

confidence: 99%

Is Usage of a Wellness Center Associated with Improved Quality of Life?

Clark¹,

Jenkins²,

Limoges³

et al. 2013

Am J Health Promot

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“…Table 1 summarizes the characteristics of included studies. Studies were conducted in the United States (n = 8 [23][24][25][26][27][28][29][30] ), Australia (n = 6 [31][32][33][34][35][36] ), the UK (n = 4 [37][38][39][40] ), Germany (n = 4 [41][42][43][44] ), Canada, 45 Poland 46 and New Zealand. 47 In all included studies, the experimental group received a brief PA counselling session based on behaviour change principles, including some or all of the following elements: education; exercise prescription; goal setting; problem solving to overcome barriers to PA; behavioural reinforcement; and consideration of social supports.…”

Section: Study Descriptionmentioning

confidence: 99%

“…39,40,45 The brief counselling sessions in the included studies ranged in duration from 5 minutes 35 up to 2 hours, 45 with the longer session also including nutrition education and counselling. Follow-up length ranged from single session interventions with no follow-up [24][25][26][27]29,30,35,36,[42][43][44]46,47 to three 30-minute face-to-face sessions combined with three 10-minute phone sessions over 24 weeks. 38 The mean duration of follow up was 24 weeks.…”

Section: Study Descriptionmentioning

confidence: 99%

What is the effect of a brief intervention to promote physical activity when delivered in a health care setting? A systematic review

Green

Cox

Arden

et al. 2023

Health Prom J of Aust

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Issue AddressedWhat are the effects of a brief intervention to promote physical activity (PA) delivered in a health care setting other than primary care?MethodsMEDLINE, EMBASE, CINAHL and PsycINFO were used to identify randomised controlled trials which evaluated the effect of brief interventions to increase PA, delivered in a health care setting. Review outcomes included subjectively or objectively measured PA, adherence to prescribed interventions, adverse events, health‐related quality of life, self‐efficacy and stage of change in relation to PA. Where possible, clinically homogenous studies were combined in a meta‐analysis.ResultsTwenty‐five eligible papers were included. Brief counselling interventions were associated with increased PA compared to control, for both self‐reported PA (mean difference 34 minutes/week, 95% confidence intervals [95% CI] 9‐60 minutes), and pedometer (MD 1541 steps/day, 95% CI 433‐2649) at medium term follow up.ConclusionOur findings suggest that some brief interventions to increase PA, delivered in the health care setting, are effective at increasing PA in the medium term. There is limited evidence for the long‐term efficacy of such interventions. The wide variation in types of interventions makes it difficult to determine which intervention features optimize outcomes.So What?Brief counselling interventions delivered in a health care setting may support improved PA. Clinicians working in health care settings should consider the implementation of brief interventions to increase PA in vulnerable patient groups, including older adults and those with chronic illness.

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Exercise DVD Improves Exercise Expectations in Cardiovascular Outpatients

Abstract: A minimal intervention improves outcome expectations for exercise.

Cited by 9 publications

References 0 publications

Outcome Expectations and Osteoarthritis: Association of Perceived Benefits of Exercise With Self‐Efficacy and Depression

Outcome Expectations and Osteoarthritis: Association of Perceived Benefits of Exercise With Self‐Efficacy and Depression

Is Usage of a Wellness Center Associated with Improved Quality of Life?

What is the effect of a brief intervention to promote physical activity when delivered in a health care setting? A systematic review

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