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01-04-2014

Using a combined protection motivation theory and health action process approach intervention to promote exercise during pregnancy

Auteurs: Anca Gaston, Harry Prapavessis

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 2/2014

Abstract

Despite the benefits of exercise during pregnancy, many expectant mothers are inactive. This study examined whether augmenting a protection motivation theory (PMT) intervention with a Health Action Process Approach can enhance exercise behavior change among pregnant women. Sixty inactive pregnant women were randomly assigned to one of three treatment groups: PMT-only, PMT + action-planning, and PMT + action-and-coping-planning. Week-long objective (accelerometer) and subjective (self-report) exercise measures were collected at baseline, and at 1- and 4-weeks post-intervention. Repeated-measures ANOVAs demonstrated that while all participants reported increased exercise from baseline to 1-week post-intervention, participants in both planning groups were significantly more active (p < .001) than those in the PMT-only group by 4-weeks post-intervention (η ² = .13 and .15 for accelerometer and self-report data, respectively). In conclusion, augmenting a PMT intervention with action or action-and-coping-planning can enhance exercise behavior change in pregnant women.

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The intervention material can be obtained by contacting the principal investigator (corresponding author).

Please refer to Sniehotta et al. (2006) for a detailed description of the planning sheets.

These data are available upon request from the principal investigator.

Abraham, C., & Michie, S. (2008). A taxonomy of behavior change techniques used in interventions. Health Psychology, 27, 379–387.PubMedCrossRef

Bandura, A. (1997). Self-efficacy: The exercise of control. New York: W. H. Freeman.

Brawley, L. R. (1993). The practicality of using social psychological theories for exercise and health research and intervention. Journal of Applied Sport Psychology, 5, 99–115.CrossRef

Chasan-Taber, L., Freedson, P. S., Roberts, D. E., Schmidt, M. D., & Fragala, M. S. (2007). Energy expenditure of selected household activities during pregnancy. Research Quarterly for Exercise and Sport, 78, 133–137.PubMedCrossRef

Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159.PubMedCrossRef

Colley, R. C., Garriguet, D., Janssen, I., Craig, C. L., Clarke, J., & Tremblay, M. S. (2011). Physical activity of Canadian adults: Accelerometer results from the 2007 to 2009 Canadian Health Surveys Measure. Health Reports, 22, 1–8.

Davidson, K. W., Goldstein, M., Kaplan, R. M., Kaufmann, P. G., Knaterund, G. L., Orleans, C. T., et al. (2003). Evidence-based behavioural medicine: What is it and how do we achieve it? Annals of Behavioral Medicine, 26, 161–171.PubMedCrossRef

Davies, G. A., Wolfe, L. A., Mottola, M. F., & MacKinnon, C. (2003). Joint SOGC/CSEP clinical practice guideline: Exercise in pregnancy and the postpartum period. Canadian Journal of Applied Physiology, 28, 329–341.CrossRef

Esliger, D., Copeland, J., Barnes, J., & Tremblay, M. S. (2005). Standardizing and optimizing the use of accelerometer data for free-living physical activity monitoring. Journal of Physical Activity and Health, 2, 366–383.

Fjeldsoe, B. S., Marshall, A. L., & Miller, Y. D. (2009). Behavior change interventions delivered by mobile telephone short-message service. American Journal of Preventive Medicine, 36, 165–173.PubMedCrossRef

Gaston, A., & Cramp, A. (2011). Exercise during pregnancy: A review of patterns and determinants. Journal of Science and Medicine in Sport, 14, 299–305.PubMedCrossRef

Gaston, A., & Prapavessis, H. (2009). Maternal-fetal disease information as a source of exercise motivation during pregnancy. Health Psychology, 28, 726–733.PubMedCrossRef

Godin, G., & Shephard, R. (1985). A simple method to assess exercise behavior in the community. Canadian Journal of Applied Sports Science, 10, 141–146.

Gollwitzer, P. M. (1999). Implementation intentions: Strong effects of simple plans. American Psychologist, 54, 493–503.CrossRef

Gollwitzer, P. M., & Sheeran, P. (2006). Implementation intentions and goal achievement: A meta-analysis of effects and processes. Experimental Social Psychology, 38, 69–120.CrossRef

Health Canada. (2007). Canada’s food guide. Retrieved February 15, 2010 from http://www.hc-sc.gc.ca/fn-an/food-guide-aliment/basics-base/index-eng.php

Heil, D. (2006). Predicting activity energy expenditure using the Actical activity monitor. Research Quarterly for Exercise and Sport, 77, 64–80.PubMedCrossRef

Hooker, S. P., Freeney, A., Hutto, B., Pfeiffer, K. A., McIver, K., Heil, D. P., et al. (2011). Validation of the Actical activity monitor in middle-aged and older adults. Journal of Physical Activity and Health, 8, 372–381.PubMed

Lewis, B., Avery, M., Jennings, E., Sherwood, N., Martinson, B., & Crain, A. L. (2008). The effect of exercise during pregnancy on maternal outcomes: Practical implications for practice. American Journal of Lifestyle Medicine, 2, 441–455.CrossRef

Maddux, J. E. (1993). Social cognitive models of health and exercise behaviour: An introduction and review of conceptual issues. Journal of Applied Sports Psychology, 5, 116–140.CrossRef

Michie, S., Johnston, M., Abraham, C., Lawton, R., Parker, D., & Walker, A. (2005). Making psychological theory useful for implementing evidence based practice: a consensus approach. Quality & Safety in Health Care, 14, 26–33.CrossRef

Milne, S., Orbell, S., & Sheeran, P. (2002). Combining motivational and volitional interventions to promote exercise participation: Protection motivation theory and implementation intentions. British Journal of Health Psychology, 7, 163–184.PubMedCrossRef

Milne, S., Sheeran, P., & Orbell, S. (2000). Prediction and intervention in health related behaviour: A meta-analytic review of protection motivation theory. Journal of Applied Social Psychology, 30, 106–143.CrossRef

Moher, D., Schultz, K. F., Altman, D. G., & The CONSORT Group. (2001). The CONSORT statement: Revised recommendations for improving the quality of reports of parallel-group randomized trials. The Lancet, 357, 1191–1194.CrossRef

Pivarnik, J. M., Chambliss, H., Clapp, J. F., et al. (2006). Impact of physical activity during pregnancy and postpartum on chronic disease risk: An ACSM roundtable consensus statement. Medicine and Science in Sports and Exercise, 38, 989–1005.CrossRef

Prestwich, A., Lawton, R., & Conner, M. (2003). The use of implementation intentions and the decision balance sheet in promoting exercise behaviour. Psychology & Health, 18, 707–721.CrossRef

Puyau, M. R., Adolph, A. L., Vohra, F. A., & Butte, N. F. (2002). Validation and calibration of physical activity monitors in children. Obesity Research, 10, 150–157.PubMedCrossRef

Rejeski, W. J., Brawley, L. R., McAuley, E., & Rapp, S. (2000). An examination of theory and behavior change in randomized clinical trials. Controlled Clinical Trials, 21, 164–170.CrossRef

Rogers, R. W. (1975). A protection motivation theory of fear appeals and attitude change. Journal of Psychology: Interdisciplinary and Applied, 91, 93–114.CrossRef

Scholz, U., Sniehotta, F. F., Burkert, S., & Schwarzer, R. (2007). Increasing physical exercise levels—Age-specific benefits of planning. Journal of Aging and Health, 19, 851–866.PubMedCrossRef

Schwarzer, R. (1992). Self-efficacy in the adoption and maintenance of health behaviors: Theoretical approaches and a new model. In R. Schwarzer (Ed.), Self-efficacy: Thought control of action (pp. 217–242). Washington, DC: Hemisphere.

Schwarzer, R. (2008). Modeling health behavior change: How to predict and modify the adoption and maintenance of health behaviors. Applied Psychology: An International Review, 57, 1–29.

Sniehotta, F. F., Scholz, U., & Schwarzer, R. (2006). Action plans and coping plans for physical exercise: A longitudinal intervention study in cardiac rehabilitation. British Journal of Health Psychology, 11, 23–37.PubMedCrossRef

Sniehotta, F. F., Schwarzer, R., Scholz, U., & Schuz, B. (2005). Action planning and coping planning for long-term lifestyle change: Theory and assessment. European Journal of Social Psychology, 25, 565–576. doi:10.1002/ejsp.258 CrossRef

Urbaniak, G., & Plous, S. (2008). Research randomizer. Retrieved April 1, 2010 from http://www.randomizer.org

Warburton, D. E., Nicol, C. W., & Bredin, S. (2006). Prescribing exercise as preventive therapy. Canadian Medical Association Journal, 174, 961–974.PubMedCentralPubMedCrossRef

Wareham, N., & Rennie, K. (1998). The assessment of physical activity in individuals and populations: Why try to be more precise about how physical activity is assessed? International Journal of Obesity Related Metabolic Disorders, 22, S30–S38.PubMed

Webb, T. L., & Sheeran, P. (2006). Does changing behavioral intentions engender behavior change? A meta-analysis of the experimental evidence. Psychological Bulletin, 132, 249–268.PubMedCrossRef

Webb, T. L., & Sheeran, P. (2008). Mechanisms of implementation intention effects: The role of goal intentions, self-efficacy, and accessibility of plan components. British Journal of Social Psychology, 47, 373–395.PubMedCrossRef

Weissgerber, T., Wolfe, L., Davies, G., & Mottola, M. (2006). Exercise in the prevention and treatment of maternal-fetal disease: A review of the literature. Applied Physiology, Nutrition and Metabolism, 31, 661–674.CrossRef

Wilkin, T. J. (2011). Can we modulate physical activity in children? No. International Journal of Obesity (London), 35, 1270–1276.CrossRef

World Health Organization. (2005). Handbook for good clinical research practice. Retrieved July 16, 2011 from http://apps.who.int/medicinedocs/index/assoc/s14084e/s14084e.pdf

World Medical Assocation. (2008). WMA declaration of Helsinki—Ethical principles of research involving human subjects. Retrieved July 16, 2011 from http://www.wma.net/en/30publications/10policies/b3/

Zanna, M. P., & Fazio, R. H. (1982). The attitude-behavior relation: Moving toward a third generation of research. In M. P. Zanna, E. T. Higgins, & C. P. Herman (Eds.), Consistency in social behavior: The Ontario symposium (Vol. 2, pp. 283–301). Hillsdale, NJ: Erlbaum.

Zhang, Y., & Cooke, R. (2011). Using a combined motivational and volitional intervention to promote exercise and healthy dietary behaviour among undergraduates. Diabetes Research and Clinical Practice,. doi:10.1016/j.diabres.2011.10.006

Titel: Using a combined protection motivation theory and health action process approach intervention to promote exercise during pregnancy
Auteurs: Anca Gaston
Harry Prapavessis
Publicatiedatum: 01-04-2014
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 2/2014
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-012-9477-2

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