Exploring How Factors Affecting Exercise Adherence May Inform Strategies To Increase Adherence In General And Depressed Populations: A Literature Review, Henry D. Link

University Honors Theses

Background: Exercise is associated with numerous physical and mental health benefits; however, many people struggle to exercise a sufficient amount and thus do not reap the benefits. Exercise is recognized as an effective treatment for depression with few risks. Professionals must understand the factors affecting exercise adherence to assist individuals of different backgrounds with adhering to exercise over the long term and to avoid common pitfalls that could hinder an individual’s progress.

Objective: This literature review aimed to identify factors affecting exercise adherence and to explore how those factors could inform strategies to increase exercise adherence among depressed …

Accuracy And Precision Of Wearable Camera Media Annotations To Estimate Dimensions Of Physical Activity And Sedentary Behavior, Julian Martinez

Theses and Dissertations

Physical activity (PA) is a complex behavior to measure given its sporadic nature and its all-encompassing definition as bodily movement produced by skeletal muscles that result in increased energy expenditure. Sedentary behavior (SB) is another complex health behavior to measure as it is more exactly defined as sitting, reclining, or lying while having an energy expenditure ≤ 1.5 metabolic equivalents (METs). For both PA and SB, it is important to measure the dimensions of frequency, intensity, duration and type of activity being performed when associating the volume of PA and SB with different health outcomes. However, commonly used measurement tools …

The Relationships Between Parental And Youth Physical Activity Behaviors And Perceptions, Bryanna Deangelis

Honors Theses

Physical activity is defined as any bodily movement by skeletal muscles resulting in energy expenditure. Physical activity has multiple different intensity levels, such as light, moderate, and vigorous. It is extremely important for both physical and mental health. The goals of this study are to examine the relationship between parental physical activity (i.e., leisure-time physical activity [moderate-vigorous physical activity]), youth health (i.e., body mass index [BMI], physical activity (moderate-vigorous physical activity), and perception of parental encouragement towards physical activity in a sample of parent-youth (8-14 years old) dyads. Participants will be sent a link via email that will have the …

Physical Activity On Multiuse Trails And In A Novel Bike Park Within An Urban Wilderness, Douglas Gregory

Doctoral Dissertations

Research has shown that the presence of, access to, and use of parks and trails is associated with increased levels of PA. However, little research exists on nature-based, recreational multiuse trails and bike-specific amenities within parks and their impact on PA. Therefore, to explore the effect trails and bike parks have on PA, this dissertation conducted three investigations to: 1) determine the impact of trail/greenway interventions on PA, 2) investigate how seasonality and weather influence nature-based recreational trail use, and 3) develop a demographic and PA profile of bike park users.

Investigation 1 (Chapter 4) systematically reviewed the literature specific …

Physical Activity, Cardiorespiratory Fitness And All-Cause Mortality, Jorin Dane Larsen

Theses and Dissertations

Introduction Both elevated levels of physical activity (PA) and high cardiorespiratory fitness (CRF) are associated with a decreased risk of all-cause mortality. The degree to which an individual's PA level and CRF status interact to influence mortality is not currently fully understood. This study investigated whether PA and CRF were independently related to all-cause mortality, and to what degree PA was associated with improved mortality risk in individuals with low CRF. Methods This is a prospective cohort study using health assessments on individuals gathered between 1975 and 2002. Health assessment data were matched with the National Death Registry to assess …

Waiting On The World (Of Allied Healthcare) To Change: How Undergraduate Preparedness Curriculum Dis/Includes Ability, Brianna Donnelly

West Chester University Doctoral Projects

Significant concerns for healthcare practitioners and allied health professionals continue to arise regarding treatment of persons with disabilities. Whether disability exists as apparent or non-apparent, temporary, or chronic, people with disabilities tend to be in poorer health and tend to use health care at a significantly higher rate than people who do not have disabilities. Importantly, the absence of professional training on disability competency issues for health care practitioners is one of the most significant barriers that prevent people with disabilities from receiving appropriate and effective health care. This qualitative narrative analysis explores the inclusion of disability concepts and people …

Exploring Usability In Exercise Interventions: From Conceptualization To Measurement And Application, Anne Inger Mørtvedt

Dissertations, Master's Theses and Master's Reports

Exercise interventions hold promise for preventing and treating numerous conditions, diseases, and injuries. However, these interventions will only be effective if they are being used. Unfortunately, uptake and adherence to prescribed exercise and physical activity guidelines are insufficient. Some reasons for this include lack of knowledge, resources, flexibility, and enjoyment. Exercise program developers need to not only consider the effectiveness of the program during the development phase, but also involve end-users and receive feedback on program usability to determine likelihood of uptake and adoption. Usability testing can be used to detect barriers to use and implementation likelihood but has not …

A Reflection Of Experiences Of Adults With Type 1 Diabetes In Integrated Physical Education Classes, Kalleigh West

Human Movement Sciences & Special Education Theses & Dissertations

The purpose of this study was to gain an understanding of the experiences of type 1 diabetics in integrated physical education classes. In this study, we interviewed young type 1 diabetic adults and asked them to reflect on their school-based physical education experiences. An interpretative phenomenological analysis (IPA) approach was adopted to guide data collection, analysis, and interpretation for this retrospective study. Eight participants (ages 19 to 32) were enrolled in this study, and semi-structured interviews focused on their physical education experiences acted as the primary data. Transcribed interview data were analyzed using an IPA approach. Three interrelated themes emerged …

Effectiveness Of Intervention Studies Based On Diet And/Or Physical Activity In Treatment, Prevention, And Management Of Diabetes Among South Asians: A Systematic Review, Ishaan Arora

Theses and Dissertations

The purpose of this study was to describe diet and/or physical activity-based interventions and their control in cardiometabolic risk factors of diabetes for the South Asian (SA) population. A systematic review was conducted in accordance with the PRISMA guidelines. Seventeen randomized control trials meeting the inclusion criteria were included for analysis. Interventions with type-2 diabetic SA showed significant improvements in HbA1c% (4/5 studies), fasting blood glucose (3/4 studies), and postprandial glucose (2/2 studies). Interventions with at-risk/prediabetic and non-diabetic SA showed a modest change in overall outcomes, with significant change reported for post-prandial insulin (3/4 studies), BMI and weight (2/4 studies), …

“Return To Play”: The Impact Of, And Changes To, Ontario Children’S Physical Activity During Covid-19, Monika B. Szpunar Ms.

Electronic Thesis and Dissertation Repository

This dissertation explored parents’ and their children’s perspectives of returning to play/sport during the COVID-19 pandemic in Ontario, Canada, and assessed how children’s physical activity levels changed during COVID-19. To understand the initial impact of the pandemic, Study 1 (August 2020) explored the influence of family sociodemographic factors (e.g., housing type) and risk tolerance (using the validated Tolerance of Risk in Play Scale) on parents’ return to play/sport attitudes. Via interviews with parents (n = 9) and children (n = 12), Study 2 (December 2020 – January 2021) gathered participants’ experiences of getting active …

The Prevalence Of Ontario Undergraduate University Students Meeting The 24-Hour Movement Guidelines And The Role Of Perceived Social Support, Nia Contini

Electronic Thesis and Dissertation Repository

The extensive physical and mental health implications of physical activity, sedentary behaviour, and sleep are irrefutable. The COVID-19 pandemic has had drastic consequences on university students and their already poor movement behaviours. Recommendations for a healthful distribution of physical activity, sedentary behaviour, and sleep were presented in the Canadian 24-Hour Movement Guidelines for Adults. The current research sought to report the prevalence of Ontario undergraduate university students meeting the Guidelines approximately two and a half years into the pandemic and assess the association between meeting the Guidelines and perceived social support. A total of 508 undergraduate students registered at 19 …

Effects Of A Movement-Based Curriculum On The Motor And Cognitive Development Of Preschool-Aged Children, Aaron Wood

Doctoral Dissertations

Physical activity has been shown to be positively associated with improved motor skill and cognitive development in young children. Intervention designs are often constructed without focus on interrelatedness of the development of motor and cognitive self-regulatory skills. Purpose: To investigate the impact of a movement-based curriculum designed to integrate both motor skill and cognitive development in preschool children. Methods: Preschool-aged children [n=34; intervention group (n=28); control group (n=6)] participated in the study. Locomotor and object control motor skills were assessed via the Test of Gross Motor Development – 3rd Edition. Cognitive self-regulation (attention, working memory, and inhibition) was assessed via …

Sit Less, Move More: A National Study Of Physical-Activity Behavior And Cancer, Stella O. Nwogugu

Dissertations, Theses, and Capstone Projects

Background: Physical activity is associated with lower risks of cancer, the second leading cause of death among Americans. Yet, sedentary behavior is the prevailing lifestyle for about 80% of American adults. Additionally, cancer survivors remain significantly inactive, even though physical activity has been shown to decrease risk of cancer and cancer recurrence, improve tolerance of cancer therapy, and reduce mortality. This research explores the relative impact of personal agency, social support, and key demographic variables on physical-activity behavior for a national sample of adults as well as how these relationships differ for cancer survivors and their counterparts.

Methods: Using the …

The Benefits Of Physical Education Programs For Students In Special Education Programs With Attention Deficit Hyperactivity Disorder, Deborah A. Mok

Cal Poly Humboldt theses and projects

Researchers have reported that exercise has had positive results on decreasing many behaviors for children with ADHD. The purpose of this study is to examine the impact of a structured physical education program for students in grades K-4 with attention deficit hyperactivity disorder (ADHD) on academic performance. This study utilized a single subject withdrawal design. Four participants attending a special day class in grades K-4 in Northern California participated in this study. Results of this study demonstrated that 30 minutes of structured physical activity had a positive impact on decreasing the number of off-task behaviors for all four of the …

The Effect Of Brain Breaks On Student Academic Performance And Behaviors In The K-12 School Setting; A Meta-Analysis, Jesse Singh

Cal Poly Humboldt theses and projects

The purpose of this meta-analysis is to examine the effect of brain breaks on academic performance and in-class behaviors in the K-12 educational setting. Also, to conduct subgroup (moderator) analyzes to determine if Brain Breaks were more effective for specific (school and student) population characteristics. Standard meta-analytical procedures were used to determine inclusion criteria, article searches in electronic databases, coding procedures, and statistical methods to synthesize data. Moderator and outcome variables were assessed using coding procedures to understand if Brain Breaks were effective or not. The brain break interventions researched in this study have shown to produce variable results in …

Impact Of Self Determination Theory Amongst Individuals With Autism Spectrum Disorder And Physical Activity: Modifying A Survey, Ruben Guillermo Diaz

Cal Poly Humboldt theses and projects

Prior research has expressed concern for individuals with autism spectrum disorder (ASD), who may be at risk regarding exercise and physical activity due to lack of interest, delays in motor skill development, and/or social impairment. Self Determination theory (SDT) has been suggested as an effective approach for supporting individuals with ASD across a variety of domains. SDT expresses that with the satisfaction of three fundamental psychological needs (autonomy, competence, and relatedness), higher levels of intrinsic motivation will develop which will lead to enhanced development and well-being. While SDT is an effective approach to promoting motivation, it has been suggested that …

The Effects Of Aquatic Programs On Students With Disabilities Fitness And Skill-Based Outcomes; A Meta-Analysis, Delaney Hughes

Cal Poly Humboldt theses and projects

The purpose of the meta-analysis was to determine the impact of aquatic-based interventions on health-related fitness and skill-based outcomes for children with disabilities. PRISMA guidelines were used to complete the procedures of the meta-analysis. Twenty-three studies met the inclusion criteria and results indicate that overall, aquatic programming likely positively affects students with disabilities and health-related fitness outcomes. Recommendations provide direction for future studies to help improve intervention results.

The Effects Of Exogenous Virilizing Testosterone On Strength Training And Self-Compassion In Transgender Nonbinary Individuals, Nadine Sikora

All NMU Master's Theses

Previous exercise science research has excluded transgender nonbinary individuals from their studies. Exercise has been shown to improve symptoms of depression and anxiety as well as improve body composition. Purpose: Identify the impacts of exogenous testosterone on relative strength and levels of self-compassion in transgender nonbinary individuals. Methods: Eighteen untrained individuals (6 transgender nonbinary, 6 ciswomen, and 6 cismen, mean age of 23.7 ± 3.5 years) were recruited and randomly assigned to an 8-week resistance training group or a non-exercise control group. Participants completed a 12-question survey of self-compassion followed by, assessment of strength for chest and leg …

Physical Activity, Social Support, And Health-Related Quality Of Life In Adults With Visual Impairment, Tayah Lynn Otterness

Human Movement Sciences & Special Education Theses & Dissertations

The purpose of this study was to examine the relationship between participation in physical activity (PA), social support for exercise, and health-related quality of life (HRQoL) in adults with visual impairments (VI). Due to limited existing literature, this study was used to investigate variables that may impact HRQoL among the specified population. This study used a cross-sectional design and online surveys to determine relationships between the examined variables. Data was collected via Qualtrics Surveying and Google Forms Software. Physical activity was assessed using the International Physical Activity Questionnaire Short Version (IPAQ-SF), a 7-day recall of walking, moderate PA, vigorous PA, …

Physical Activity And Stress Between American Students And Asian International Students At The University Of South Carolina, Hao Lei

Theses and Dissertations

Many college students are physically inactive and have high levels of stress, and this may be worse among increasing number of international students studying in the US. This study investigated the relationship between physical activity and stress among American students (n=92) and Asian international students (n=64). The Mann-Whitney test was used to compare MET minutes/week from the International Physical Activity Questionnaire short form between those two groups. The independent-samples t test compared the mean of stress from the Perceived Stress Scale between those two groups. Chi-square test was used to compare the percentage of Asian international students and American students …

Relationships Among Sleep, Physical Activity, And Weight Status In Children And Adolescents, Agnes Bucko

Theses and Dissertations

Sleep and physical activity are both associated with multiple behavioral and metabolic health outcomes, and both behaviors have been linked to the development of weight status. Recent estimates suggest that many children are not meeting sleep recommendations or participating in adequate levels of physical activity, which may be related to the high prevalence of childhood overweight and obesity. Much of the research assessing these relationships has focused on adults and older children, and has relied on parent- or child-reported, cross-sectional research in predominantly White samples. Little work has focused on these relationships in very young children. Although more research has …

Evaluating The Impact Of A Safe Exercise Training Workshop On Knowledge And Self-Efficacy To Manage Dysfunctional Exercise Among Eating Disorders Clinicians At Alsana Eating Disorders Center, Danika A. Quesnel

Electronic Thesis and Dissertation Repository

Engaging in dysfunctional exercise (DEX) is detrimental to eating disorders (EDs) prognosis, although common amongst clients. Though nutritionally supported exercise can improve ED treatment outcomes, without negatively impacting weight restoration, clinicians remain hesitant to address DEX, perhaps due to a lack of information and training. The current study examined the effects of a Safe Exercise at Every Stage (SEES) training on clinician knowledge and self-efficacy in managing DEX in ED treatment. Eating disorders clinicians completed measures before (n = 96) and after (n = 44) SEES training to assess their knowledge and self-efficacy around treating DEX, with a …

Physical Activity In Individuals With Down Syndrome: A Qualitative Examination Of The Perspectives Of Guardians And Health Professionals, Emma Schultz

Theses and Dissertations

Identifying factors that influence physical activity (PA) among individuals with Down syndrome (DS) is essential for PA promotion. Insight can be gained from guardians and health professionals. The purpose was to compare guardians and health professional perspectives on facilitators and barriers of PA in individuals with DS. Interviews were conducted with 11 guardians (5 mothers, 4 fathers, 2 legal guardians) and 11 professionals (4 PA specialists, 3 physical therapists, 4 occupational therapists). Grounded Theory was applied to data analysis. Barriers and facilitators fit the levels of the Ecological Model of Health Behavior: (a) Intrapersonal (perceived rewards); (b) Interpersonal (interaction); (c) …

Frailty And Neurocognition In Prostate Cancer, Lindsey Hanson

Theses & Dissertations

Prostate cancer (PCa) treatment often leads to distressing side effects ranging from muscle loss, physical inactivity, and fatigue to cancer associated cognitive decline (CACD). Evidence suggests that men treated with androgen deprivation therapy (ADT) may have a specifically high risk of CACD, partially due to increased frailty. However, the current literature on cognitive effects of ADT is equivocal. Therefore, the primary objectives of this study were to (1) compare cognitive function, physical activity (PA), and fitness in men receiving ADT, men scheduled to receive radiation, and men under active surveillance for PCa; (2) examine changes in cognitive performance and PA …

“It’S Just Part Of Our Hospitality:” Examination Of Cultural Factors That May Inform Future Initiatives To Improve Health Outcomes In A Rural Appalachian Community, Lauren Cassidy Batey

Theses and Dissertations--Nutrition and Food Systems

Diet and physical activity are influenced by a person’s culture and may contribute to the presence of health disparities within a geographic region. Health disparities are evident in Appalachia where a unique cultural identity exists. Culture-based initiatives focused on improving diet quality and increasing physical activity have improved health outcomes in diverse groups, yet interventions considering geographically tied cultures, like Appalachia, are limited. This study aims to identify specific aspects of Appalachian culture that influence health outcomes to inform and increase success of health focused interventions. Five focus groups were conducted in one rural Appalachian community in summer 2021. Grounded …

Changes In Physical Activity And Relationships To Submaximal Exercise Capacity And Cardiac Function During Breast Cancer Therapy, Moriah P. Bellissimo

Theses and Dissertations

Background: Breast cancer (BC) survivors are at high risk for heart failure due to curative cancer therapies. In non-cancer populations, physical activity is a first line treatment for preventing cardiovascular disease. This study examined whether more physical activity was associated with better submaximal exercise capacity and cardiac function during the first three months of cancer therapy.

Methods: Participants included 223 women with stage I-III BC before therapy and after three months of undergoing treatment and 126 controls. Leisure time physical activity was reported using the Godin Sheppard leisure time exercise questionnaire. Cardiac function was assessed by cardiac magnetic resonance, and …

A Comparison Of The Magnitude Of The Mental Health Benefits Of Exercising Outdoors Vs Exercising Indoors: A Review, Greta M. Rueschmann

MSU Graduate Theses

Many people in the United States suffer from poor mental health which can lead to suicide, self-harm, or negative effects on job performance and relationships. Not everyone can afford traditional therapy nor feels comfortable with it. With a greater emphasis placed on taking care of one’s mental health during the COVID-19 pandemic, there should also be a greater emphasis placed on finding alternative types of therapy that can be matched to individuals based on their personalities and preferences. One such alternative is outdoor exercise. This review was conducted to examine whether exercising or performing physical activity outdoors results in greater …

“The Vehicle Was A Hockey Game”: A Holistic Approach To Aging For Older Men, Ryan Tomaselli

Electronic Theses and Dissertations

The many benefits of physical activity are well established. Nonetheless, there remains a need for qualitative research on aging and sports focused on the normalization of sport for older adults, and the increased opportunity for sport participation in older age. Aging and sport research, which has primarily focussed on older elite athletes, has found older adults value health-related benefits, social interaction, and resistance of the aging process through sport participation. However, research examining a broader scope of specific sport participation, such as hockey, in older age may provide a distinguished understanding of participation tied to meaning and lifestyle factors. Therefore, …

Exercise Prescription Practices In University Counseling Centers: Testing The Information-Motivation-Behavioral Skills Model, A'Naja M. Newsome

USF Tampa Graduate Theses and Dissertations

The co-occurence of physical inactivity and poor mental health in the college student population can lead to chronic health issues that have negative short-term (e.g., academic success and weight gain) and long-term (e.g., obesity, serious mental illness, and premature mortality) impacts. Integrating exercise prescription into the mental health treatment plan of college students could enhance the holistic care model described by The American College Health Association (ACHA) and Healthy Campus task force. Understanding the knowledge, attitudes, and skills that mental health professionals (MHPs) hold regarding exercise prescription is important for policy formation and program development for college student health. The …

Accelerometer-Determined Physical Behavior Metrics And Their Associations With Sarcopenia Among Oldest-Old Adults, Eric M. Eberl

Masters Theses

INTRODUCTION: Sarcopenia is a loss of muscle function and muscle mass which frequently occurs among the oldest-old adult population (aged 85+ years). The analysis of accelerometer-determined physical behavior volumes and patterns of oldest-old adults might provide novel insights into the associations with sarcopenia and its components. METHODS: A total of 145 participants in the primary sample and 87 participants in the subsample with a mean age of 88.2 (2.5) years from the Health, Aging, and Body Composition study cohort provided cross-sectional data of handgrip strength, appendicular lean mass, gait speed, and accelerometry. Probable, confirmed, and severe sarcopenia were assessed based …