Psychometric Evaluation of the Physical Activity Enjoyment Scale in Adults with Functional Limitations

Murrock, Carolyn J.; Bekhet, Abir K.; Zauszniewski, Jaclene A.

doi:10.3109/01612840.2015.1088904

Cited by 31 publications

(18 citation statements)

References 32 publications

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“…The negatively-worded items are reversed-scored, and the responses are added to a score that ranges from 16 to 80. PACES has been tested in 18- to 24-year-old students and adults with functional limitations, and it shows acceptable test-retest reliability, internal consistency, and criterion validity that correlates with physical functioning [54, 55]. The modified PACES has shown satisfactory factorial and construct validity for adolescent girls [30] and invariance for the factor structure, factor loadings and factor variances across time [56].…”

Section: Methodsmentioning

confidence: 99%

Which patients benefit from physical activity on prescription (PAP)? A prospective observational analysis of factors that predict increased physical activity

Lundqvist¹,

Börjesson²,

Larsson³

et al. 2019

BMC Public Health

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Background There is robust evidence that regular physical activity (PA) has positive health effects. However, the best PA methods and the most important correlates for promoting PA remain unclear. Physical activity on prescription (PAP) aims to increase the patient’s motivation for and level of PA. This study investigated possible predictive baseline correlates associated with changes in the PA level over a 6-month period of PAP treatment in order to identify the primary care patients most likely to benefit from a PAP intervention. Methods The study included 444 patients with metabolic risk factors who were aged 27 to 85 years and physically inactive. The patients received PAP treatment that included individual counseling plus an individually-tailored PA recommendation with a written prescription and individualised structured follow-up for 6 months. Eight baseline correlates of PA were analysed against the PA level at the 6-month follow-up in a predictor analysis. Results Five baseline correlates predicted the PA level at the 6-month follow-up: self-efficacy expectations for changing PA; the patient’s preparedness and confidence regarding readiness to change PA; a BMI < 30; and a positive valued physical health. The proportion of patients increasing the PA level and achieving a PA level that was in accordance with public health recommendations was higher with a positive valued baseline correlate. The odds of achieving the recommended PA level increased substantially when 2 to 4 predictive correlates were present. PA levels increased to a greater extent among patients with low PA at baseline than patients with high PA at baseline, especially in combination with 2 to 4 positively-valued correlates (87–95% vs. 62–75%). Conclusions This study identified potential predictive correlates of an increased PA level after a 6-month PAP intervention. This contributes to our understanding of PAP and could help individualise PAP support. The proportion of patients with the lowest PA level at baseline increased their PA level in a higher extent (84%) and thus may benefit the most from PAP. These results have clinical implications for behavioural change in those patients having the greatest health gains by increasing their PA level. Trial registration ClinicalTrials.gov ; NCT03586011 . Retrospectively registered on July 17, 2018. Electronic supplementary material The online version of this article (10.1186/s12889-019-6830-1) contains supplementary material, which is available to authorized users.

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Section: Methodsmentioning

confidence: 99%

Which patients benefit from physical activity on prescription (PAP)? A prospective observational analysis of factors that predict increased physical activity

Lundqvist¹,

Börjesson²,

Larsson³

et al. 2019

BMC Public Health

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“…The two studies of which we are aware that have examined the association between physical activity enjoyment and depressive symptoms, both non-specific to smoking, have yielded inconsistent results. Among adults with functional limitations, depressive symptoms and physical activity enjoyment were not significantly related (Murrock et al., 2016). In contrast, among college students, physical activity enjoyment mediated the association between anhedonia and lower physical activity levels (Leventhal, 2012).…”

Section: Introductionmentioning

confidence: 99%

The role of physical activity enjoyment on the acute mood experience of exercise among smokers with elevated depressive symptoms

Abrantes

Farris

Garnaat

et al. 2017

Mental Health and Physical Activity

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Problem Depressive symptoms are consistently shown to be related to poor smoking cessation outcomes. Aerobic exercise is a potential treatment augmentation that, given its antidepressant and mood enhancing effect, may bolster cessation outcomes for smokers with elevated depressive symptoms. Lower enjoyment of physical activity may inhibit the acute mood enhancing effects of aerobic exercise. The current study investigated the associations between depressive symptoms, physical activity enjoyment and the acute mood experience from exercise among low-active smokers with elevated depressive symptoms. Method Daily smokers with elevated depressive symptoms (N=159; Mage = 45.1, SD = 10.79; 69.8% female) were recruited for a randomized controlled exercise-based smoking cessation trial. Participants self-reported levels of depressive symptoms, physical activity enjoyment, and rated their mood experience (assessed as “mood” and “anxiety”) before and after a standardized aerobic exercise test. Results Hierarchical regression analysis revealed that depressive symptom severity accounted for significant unique variance in physical activity enjoyment (R2 =.041, t = −2.61, p = .010), beyond the non-significant effects of gender and level of tobacco dependence. Additionally, physical activity enjoyment was a significant mediator of the association between depressive symptom severity and acute mood experience (“mood” and “anxiety”) following the exercise test. Conclusions Physical activity enjoyment may explain, at least in part, how depressive symptom severity is linked to the acute mood experience following a bout of activity. Interventions that target increasing physical activity enjoyment may ultimately assist in enhancing the mood experience from exercise, and therefore improve smoking cessation likelihood, especially for smokers with elevated depressive symptoms.

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“…The PACES is an 18-item scale that assesses enjoyment for PA by asking patients to rate how they feel at the time of PA on a 7-point Likert scale, from 1 (I enjoy it) to 7 (I hate it). Scores range between 18 and 126, with higher scores indicating higher enjoyment [ 42 , 43 ]. After completing all four conditions, participants ranked ordered their preferences based on what they liked best.…”

Section: Methodsmentioning

confidence: 99%

Comparison of neuromuscular and cardiovascular exercise intensity and enjoyment between standard of care, off-the-shelf and custom active video games for promotion of physical activity of persons post-stroke

Deutsch

James-Palmer

Damodaran

et al. 2021

J NeuroEngineering Rehabil

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Background Active video games have been embraced for the rehabilitation of mobility and promotion of physical activity for persons post-stroke. This study seeks to compare carefully matched standard of care stepping activities, off-the-shelf (non-custom) active video games and custom active video games that are either self-paced or game-paced for promoting neuromuscular intensity and accuracy, cardiovascular intensity, enjoyment and perceived effort. Methods Fifteen persons (ages 38–72) with mild to moderate severity in the chronic phase post-stroke (average 8 years) participated in a single group counter balanced repeated measures study. Participants were included if they were greater than 6 months post-stroke, who could walk 100 feet without assistance and stand unsupported for three continuous minutes. They were excluded if they had cardiac, musculoskeletal or neurologic conditions that could interfere with repeated stepping and follow instructions. In a single session located in a laboratory setting, participants executed for 8.5 min each: repeated stepping, the Kinect-light race game, two custom stepping games for the Kinect, one was repeated and self-paced and the other was random and game paced. Custom video games were adjusted to the participants stepping volume. Ten-minute rest periods followed the exercise during which time participants rested and completed the PACES an enjoyment questionnaire. Participants were instrumented with a metabolic cart and heart rate sensor for collection of cardiovascular intensity (METs and % of max HR) data. Stepping frequency, accuracy and pattern were acquired via video. Data were analyzed using a RMANOVA and post-hoc comparison with a Holm's/Sidak correction. Results Neuromuscular intensity (repetitions) was significantly greater for the off-the-shelf and self-paced custom game, however accuracy was greater for the custom games. Cardiovascular intensity for all activities took place in the moderate intensity exercise band. Enjoyment (measured with a questionnaire and rankings) was greater for the custom active video games and rate of perceived exertion was lower for the custom active video games. Conclusions Custom active video games provided comparable intensity but better accuracy, greater enjoyment and less perceived exertion than standard of care stepping activities and a carefully matched off-the-shelf (non-custom) video game. There were no differences between the game-paced and self-paced custom active video games. Trial registration: NCT04538326.

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Psychometric Evaluation of the Physical Activity Enjoyment Scale in Adults with Functional Limitations

Cited by 31 publications

References 32 publications

Which patients benefit from physical activity on prescription (PAP)? A prospective observational analysis of factors that predict increased physical activity

Which patients benefit from physical activity on prescription (PAP)? A prospective observational analysis of factors that predict increased physical activity

The role of physical activity enjoyment on the acute mood experience of exercise among smokers with elevated depressive symptoms

Comparison of neuromuscular and cardiovascular exercise intensity and enjoyment between standard of care, off-the-shelf and custom active video games for promotion of physical activity of persons post-stroke

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