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Theories and Techniques for Promoting Physical Activity Behaviours

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Summary

The primary goal of this article is to review theoretical models utilised in designing physical activity interventions for healthy adults. Physical activity offers numerous benefits for improved physical and psychological health. However, the majority of the population is sedentary and therefore at increased risk for morbidity and mortality. Many techniques have been developed for intervening with physical activity behaviours, some of which are based on theoretical models. While some of these models show more promise than others, no model is sufficient to thoroughly explain exercise behaviours or how to best intervene. In the final section, recommendations for future research are presented, and promising areas of development in physical activity interventions are discussed. This is not an exhaustive review of theoretical models but rather focuses on models most commonly applied to physical activity.

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References

  1. Blair SN, Kohl HW, Barlow MS, et al. Changes in physical fitness and all-cause mortality: a prospective study of healthy and unhealthy men. JAMA 1995; 273(14): 1093–8

    Article  PubMed  CAS  Google Scholar 

  2. Bovens AM, Van Baak MA, Vrencken JG, et al. Physical activity, fitness, and selected risk factors for CHD in active men and women. Med Sci Sports Exerc 1993; 25: 572–6

    PubMed  CAS  Google Scholar 

  3. Young DR, Haskell WL, Jatulis DE, et al. Associations between changes in physical activity and risk factors for coronary heart disease in a community based sample of men and women: The Stanford Five-City Project. Am J Epidemiol 1993; 138: 206–16

    Google Scholar 

  4. Helmrich SP, Ragland DR, Leung RW, et al. Physical activity and reduced occurrence of non-insulin-dependent diabetes mellitus. N Engl J Med 1991; 325: 147–52

    Article  PubMed  CAS  Google Scholar 

  5. Craighead LW, Blum MD. Supervised exercise in behavioral treatment for moderate obesity. Behav Ther 1989; 20: 49–59

    Article  Google Scholar 

  6. King AC, Prey-Hewitt B, Dreon DM, et al. Diet vs exercise in weight maintenance: the effects of minimal intervention strategies on long-term outcomes in men. Arch Intern Med 1989; 149: 2741–6

    Article  PubMed  CAS  Google Scholar 

  7. Kohl HW, LaPorte RE, Blair SN. Physical activity and cancer. Sports Med 1988; 6: 222–37

    Article  PubMed  CAS  Google Scholar 

  8. Bernstein L, Henderson BE, Hanisch R, et al. Physical exercise and reduced risk of breast cancer in young women. J Natl Cancer Inst 1994; 86: 1403–8

    Article  PubMed  CAS  Google Scholar 

  9. Pinto BM, Marcus BH. Physical activity, exercise and cancer in women. Med Exerc Nutr Health 1994; 3: 102–11

    Google Scholar 

  10. Marcus R, Drinkwater B, Dalsky G, et al. Osteoporosis and exercise in women. Med Sci Sports Exerc 1992; 24Suppl. 6: S301–7

    PubMed  CAS  Google Scholar 

  11. Raglin JS. Exercise and mental health: beneficial and detrimental effects. Sports Med 1990; 9: 323–9

    Article  PubMed  CAS  Google Scholar 

  12. Ossip-Klein DJ, Doyne EJ, Bowman ED, et al. Effects of running or weight lifting on self-concept in clinically depressed women. J Consult Clin Psychol 1989; 57: 158–61

    Article  PubMed  CAS  Google Scholar 

  13. Pappas GP, Golin S, Meyer DL. Reducing symptoms of depression with exercise. Psychosomatics 1990; 31: 112–3

    Article  PubMed  CAS  Google Scholar 

  14. King AC, Taylor CB, Haskell WL. The effects of differing intensities and formats of twelve months of exercise training on psychological outcomes in older adults. Health Psychol 1993; 12(4): 292–300

    Article  PubMed  CAS  Google Scholar 

  15. United States Centers for Disease Control and Prevention. Prevalence of sedentary lifestyle-behavioral risk factor surveillance system. United States, 1991. MMWR Morb Mortal Wkly Rep 1993; 42: 576–9

    Google Scholar 

  16. American College of Sports Medicine. Position statement on the recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness in healthy adults. Med Sci Sports Exerc 1990; 22: 265–74

    Google Scholar 

  17. Dishman RK. Determinants of participation in physical activity. In: Bouchard C, Shephard RJ, Stephens T, et al. editors. Exercise, fitness and health. Champaign (IL): Human Kinetics, 1990: 75–102

    Google Scholar 

  18. Sallis JF, Hovell MF, Hofstetter CR. Predictors of adoption and maintenance of vigorous physical activity in men and women. Prev Med 1992; 21: 237–51

    Article  PubMed  CAS  Google Scholar 

  19. Pate RR, Pratt M, Blair SN, et al. Physical activity and public health: a recommendation from the Centers for Disease Control and the American College of Sports Medicine. JAMA 1995; 273: 402–7

    Article  PubMed  CAS  Google Scholar 

  20. Becker MH, editor. The health belief model and personal health behavior. Health Educ Monogr 1974; 2: 324–473

    Google Scholar 

  21. Rosenstock IM. Why people use health services? Milbank Mem Fund Q 1966; 44: 94–127

    Article  PubMed  Google Scholar 

  22. Meichenbaum D, Turk DC. Facilitating treatment adherence: a practitioners guidebook. New York: Plenum Press, 1987

    Book  Google Scholar 

  23. Dishman RK. Increasing and maintaining physical activity and exercise. Behav Ther 1991; 41: 3–15

    Google Scholar 

  24. Ferrini R, Edlestein S, Barrett-Connor E. The association between health beliefs and health behavior change in older adults. Prev Med 1994; 23: 1–5

    Article  PubMed  CAS  Google Scholar 

  25. Mirotznik J, Feldman L, Stein R. The health belief model and adherence with a community center-based, supervised coronary heart disease exercise program. J Community Health 1995; 20: 233–47

    Article  PubMed  CAS  Google Scholar 

  26. Oldridge NB, Streiner DL. The health belief model: predicting compliance and dropout in cardiac rehabilitation. Med Sci Sports Exerc 1990; 22: 678–83

    Article  PubMed  CAS  Google Scholar 

  27. Wurtele SK, Maddux JE. Relative contributions of protection motivation theory components in predicting exercise intentions and behavior. Health Psychol 1987; 6(5): 453–66

    Article  PubMed  CAS  Google Scholar 

  28. Courneya KS. Perceived severity of the consequences of physical inactivity across the stages of change in older adults. J Sport Exerc Psychol 1995; 17: 447–57

    Google Scholar 

  29. Ajzen I, Fishbein M. Understanding Attitudes and Predicting Social Behavior. Englewood Cliffs (NJ): Prentice Hall, 1980: 1–278

    Google Scholar 

  30. Godin G. Theories of reasoned action and planned behavior: usefulness for exercise promotion. Med Sci Sports Exerc 1994; 26(11): 1391–4

    PubMed  CAS  Google Scholar 

  31. Godin G, Cox HM, Shephard RJ. The impact of physical fitness evaluation on behavioral intentions towards regular exercise. Can J Appl Sport Sci 1983; 8: 240–5

    PubMed  CAS  Google Scholar 

  32. Riddle PK. Attitudes, beliefs, behavioral intentions and behaviors of women and men toward regular jogging. Res Q Exerc Sport 1980; 51: 663–74

    PubMed  CAS  Google Scholar 

  33. Ajzen I. From intention to actions: a theory of planned behavior. In: Kuhl J, Beckmann J, editors. Action control: from cognition behavior. Heidelberg: Springer, 1985: 11–39

    Google Scholar 

  34. Gatch CL, Kendzierski D. Predicting exercise intentions: the theory of planned behavior. Res Q Exerc Sport 1990; 61(1): 100–2

    PubMed  CAS  Google Scholar 

  35. Kemiecik J. Predicting vigorous physical activity of corporate employees: comparing the theories of reasoned action and planned behavior. J Sport Exerc Psychol 1992; 14: 192–206

    Google Scholar 

  36. Rodgers WM, Brawley, LR. Using both self-efficacy theory and the theory of planned behavior to discriminate adherers and dropouts from structured programs. J Appl Sport Psychol 1993; 5: 195–206

    Article  Google Scholar 

  37. King AC, Blair SN, Bild D, et al. Determinants of physical activity and interventions in adults. Med Sci Sports Exerc 1992; 24 Suppl.: S221–36

    PubMed  CAS  Google Scholar 

  38. Dolce JJ, Crocker MF, Moletteire C, et al. Exercise quotas, anticipatory concern and self-efficacy expectancies in chronic pain: a preliminary report. Pain 1986; 29: 365–72

    Article  Google Scholar 

  39. Epstein LH, Wing RR, Thompson JK, et al. Attendance and fitness in aerobics exercise. Behav Modif 1980; 4: 465–79

    Article  Google Scholar 

  40. Epstein LH, Saelens BE, O’Brien JG. Effects of reinforcing increases inactive behavior versus decreases in sedentary behavior for obese children. Int J Behav Med 1995; 2: 41–50

    Article  PubMed  CAS  Google Scholar 

  41. Wysocki T, Hall G, Iwata B, et al. Behavioral management of exercise: contracting for aerobic points. J Appl Behav Anal 1979; 12: 55–64

    Article  PubMed  CAS  Google Scholar 

  42. Juneau M, Rogers F, DeSantos V, et al. Effectiveness of self-monitored, homebased, moderate intensity exercise training in middle-aged men and women. Am J Cardiol 1987; 60: 66–77

    Article  PubMed  CAS  Google Scholar 

  43. Brownell KD, Stunkard AJ, Albaum JM. Evaluation and modification of exercise patterns in the natural environment. Am J Psychiatry 1980; 137: 1540–5

    PubMed  CAS  Google Scholar 

  44. Knadler GF, Rogers T. Mountain climb month program: a low-cost exercise intervention program at a high-rise worksite. Fitness in business. Baltimore (MD): Williams & Wilkins, 1987 Oct: 64–7

    Google Scholar 

  45. King AC, Taylor CB, Haskell WL, et al. Strategies for increasing adherence to and long-term maintenance of home-based exercise training in healthy middle-aged men and women. Am J Cardiol 1988; 61: 628–32

    Article  PubMed  CAS  Google Scholar 

  46. Mayer J, Geller ES. Motivating energy efficient travel: a community-based intervention for encouraging biking. J Environ Syst 1982–83; 12: 99–112

    Google Scholar 

  47. Fitterling JE, Martin JE, Gramling S, et al. Behavioral management of exercise training in vascular headache patients: an investigation of exercise adherence and headache activity. J Appl Behav Anal 1988; 21: 9–19

    Article  PubMed  CAS  Google Scholar 

  48. King AC, Carl F, Birkel L, et al. Tailoring exercise among blue-collar employees: the tailoring of worksite programs to meet specific needs. Prev Med 1988; 17: 357–65

    Article  PubMed  CAS  Google Scholar 

  49. Owen N, Lee C, Naccarella L, et al. Exercise by mail: a mediated behavior change program for aerobic exercise. J Sport Psychol 1987; 9: 346–57

    Google Scholar 

  50. Bandura A. Self-efficacy. Toward a unifying theory of behavioral change. Psychol Rev 1977; 84: 191–215

    Article  PubMed  CAS  Google Scholar 

  51. Bandura A. Social foundations of thought and action. A social cognitive theory. Englewood Cliffs (NJ): Prentice Hall, 1986

    Google Scholar 

  52. Martin JE, Dubbert PM, Katell AD, et al. Behavioral control of exercise in sedentary adults: studies 1 through 6. J Consult Clin Psychol 1984; 52: 795–811

    Article  PubMed  CAS  Google Scholar 

  53. Hoyt MF, Janis IL. Increasing adherence to a stressful decision via a motivational balance-sheet procedure: a field experiment. J Pers Soc Psychol 1975; 31: 833–9

    Article  Google Scholar 

  54. Wankel LM. Decision-making and social support strategies for increasing exercise involvement. J Card Rehabil 1984; 4: 124–35

    Google Scholar 

  55. Marcus BH, Stanton AL. Evaluation of relapse prevention and reinforcement interventions to promote exercise adherence in sedentary females. Res Q Exerc Sport 1994; 64: 447–52

    Google Scholar 

  56. Kau ML, Fischer J. Self-modification of exercise behavior. J Behav Exper Psychiatry 1974; 5: 213–4

    Article  Google Scholar 

  57. Brownell KD, Marlatt GA, Lichtenstein E, et al. Understanding and preventing relapse. Am Psychol 1986; 41: 765–82

    Article  PubMed  CAS  Google Scholar 

  58. Blair SN, Piserchia PV, Wilbur CS, et al. A public health intervention model for worksite health promotion: impact on exercise and physical fitness in a health promotion plan after 24 months. JAMA 1986; 255: 921–6

    Article  PubMed  CAS  Google Scholar 

  59. King AC, Haskell WL, Taylor CB, et al. Group vs home-based exercise training in healthy older men and women. JAMA 1991; 266: 1535–42

    Article  PubMed  CAS  Google Scholar 

  60. Belisle M, Roskies E, Levesque J. Improving adherence to physical activity. Health Psychol 1987; 2: 159–72

    Article  Google Scholar 

  61. King AC, Frederiksen LW. Low-cost strategies for increasing exercise behavior. Behav Modif 1984; 8: 3–21

    Article  Google Scholar 

  62. Marcus BH, Eaton CA, Rossi JS, et al. Self-efficacy, decision making and stages of change: an integrative model of physical exercise. J Appl Social Psychol 1994; 24: 489–508

    Article  Google Scholar 

  63. McAuIey E, Courneya KS, Rudolph DL, et al. Enhancing exercise adherence in middle-aged males and females. Prev Med 1994; 23: 498–506

    Article  Google Scholar 

  64. Dzewaltowski DA. Physical activity determinants: a social cognitive approach. Med Sci Sports Exerc 1994; 26: 1395–9

    PubMed  CAS  Google Scholar 

  65. Janis IL, Mann L. Decision making: a psychological analysis of conflict, choice and commitment. New York: Free Press, 1977

    Google Scholar 

  66. Marcus BH, Rakowski W, Rossi JS. Assessing motivational readiness and decision-making for exercise. Health Psychol 1992; 11: 257–61

    Article  PubMed  CAS  Google Scholar 

  67. Prochaska JO, Di Clemente CC. Stages and processes of self-change of smoking: toward an integrative model of change. J Consult Clin Psychol 1983; 51: 390–5

    Article  PubMed  CAS  Google Scholar 

  68. Marcus BH, Rossi JS, Selby VC, et al. The stages and processes of exercise adoption and maintenance in a worksite sample. Health Psychol 1992; 11: 386–95

    Article  PubMed  CAS  Google Scholar 

  69. Marcus BH, Banspach SW, Lefebvre RC, et al. Using the stages of change model to increase the adoption of physical activity among community participants. Am J Health Promot 1992; 6: 424–9

    Article  PubMed  CAS  Google Scholar 

  70. Marcus BH, Emmons KM, Simkin LR, et al. Evaluation of stage-matched versus standard self-help physical activity interventions at the workplace. Ann Behav Med 1994; 16: S035

    Google Scholar 

  71. Marcus BH, Bock BC, Rossi JS, et al. Development and evaluation of an exercise expert system for cardiovascular risk reduction [Rhode Island affiliate grant]. Providence (RI): American Heart Association, 1994

    Google Scholar 

  72. Dishman RK. Compliance/adherence in health-related exercise. Health Psychol 1982; 81: 237–67

    Article  Google Scholar 

  73. Marlatt GA, Gordon JR. Relapse prevention: maintenance strategies in addictive behavior change. New York: Guilford, 1985

    Google Scholar 

  74. Marlatt GA, Gordon JR. Determinants of relapse: implications for the maintenance of behavior change. In: Davidson PO, editor. Behavioral medicine: changing health lifestyles. Elmsford (NY): Pergamon, 1980: 410–52

    Google Scholar 

  75. Simkin LR, Gross AM. Assessment of coping with high-risk situations for exercise relapse among healthy women. Health Psychol 1994; 13: 274–7

    Article  PubMed  CAS  Google Scholar 

  76. Miller WR, Rollnick S. What motivates people to change? Motivational interviewing: preparing people to change addictive behavior. New York: Guilford, 1991: 14–29

    Google Scholar 

  77. Miller WR. Motivation for treatment: a review with special emphasis on alcoholism. Psychol Bull 1985; 98: 84–107

    Article  PubMed  CAS  Google Scholar 

  78. Saunders B, Wilkinson C, Phillips M. The impact of a brief motivational intervention with opiate users attending a methadone programme. Addiction 1995; 90(3): 415–24

    Article  PubMed  CAS  Google Scholar 

  79. Marcus BH, Sallis JF. Physical activity and cardiovascular health: a national consensus. Champaign (IL): Human Kinetics Books. In press

  80. Dubbert PM, Stetson B, Corrigan SA. Predictors of exercise maintenance in community women. American Psychological Association Annual Meeting; 1991 Aug; San Francisco

  81. Stokols D. Establishing and maintaining healthy environments: toward a social ecology of health promotion. Am Psychol 1992; 47(1): 6–22

    Article  PubMed  CAS  Google Scholar 

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Marcus, B.H., King, T.K., Clark, M.M. et al. Theories and Techniques for Promoting Physical Activity Behaviours. Sports Med 22, 321–331 (1996). https://doi.org/10.2165/00007256-199622050-00005

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