Skip to main content Accessibility help
×
Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-04T17:28:16.487Z Has data issue: false hasContentIssue false

Physical activity interventions

from Psychology, health and illness

Published online by Cambridge University Press:  18 December 2014

Michael Ussher
Affiliation:
St. George's, University of London
Susan Ayers
Affiliation:
University of Sussex
Andrew Baum
Affiliation:
University of Pittsburgh
Chris McManus
Affiliation:
St Mary's Hospital Medical School
Stanton Newman
Affiliation:
University College and Middlesex School of Medicine
Kenneth Wallston
Affiliation:
Vanderbilt University School of Nursing
John Weinman
Affiliation:
United Medical and Dental Schools of Guy's and St Thomas's
Robert West
Affiliation:
St George's Hospital Medical School, University of London
Get access

Summary

Introduction

Sedentary lifestyles are a global public health problem (World Health Organization (WHO), 2004). Those who are physically inactive have an increased risk of premature death and of developing major chronic diseases; including coronary heart disease, cancers and diabetes (Baumann, 2004). Physical activity (PA) refers to any bodily movement resulting in energy expenditure (Caspersen, 1989) and includes routine activities such as walking and housework, as well as structured exercise, sport and occupational activity. For general health benefits, it is recommended that adults accumulate a total of at least 30 minutes a day of at least moderate intensity PA on five or more days a week (Department of Health (DOH), 2004). Children are advised to accumulate at least 60 minutes of at least moderate intensity activity every day (DOH, 2004). Over the last 20 to 30 years PA levels have declined, largely due to a reduction in PA at work, in the home and as a means of transport (DOH, 2004). It is estimated that 60% to 85% of adults are insufficiently active to benefit their health and promoting PA is a priority for health policy in most developed nations (WHO, 2004).

This chapter provides an overview of the application of psychological theory in PA interventions. Discussion is mostly restricted to adult populations as very few studies have examined the effect of psychologically-based interventions on PA levels in children (Lewis et al., 2002).

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ajzen, I. (1988) Attitudes, personality and behavior. Chicago: Dorsey Press.
Andersen, R. E., Franckowiak, S. C., Snyder, J., Bartlett, S. J. & Fontaine, K. R. (1998). Can inexpensive signs encourage the use of stairs? Results from a community intervention. Annals of Internal Medicine, 129, 363–9.Google Scholar
Avenell, A., Brown, T. J., McGee, M. A.et al. (2004). What interventions should we add to weight reducing diets in adults with obesity? A systematic review of randomized controlled trials of adding drug therapy, exercise, behaviour therapy or combinations of these interventions. Journal of Human Nutrition and Dietetics, 17, 293–316.Google Scholar
Bandura, A. (1986). Social foundations of thought and action: a social cognitive theory. New Jersey: Prentice-Hall.
Baum, J. G., Clark, H. B. & Sandler, J. (1991). Preventing relapse obesity through post-treatment maintenance system: comparing the relative efficacy of two levels of therapist support. Journal of Behavioral Medicine, 14, 287–302.Google Scholar
Bauman, A. E. (2004). Updating the evidence that physical activity is good for health: an epidemiological review 2000–2003. Journal of Science and Medicine in Sport, 7(Suppl.), 6–19.Google Scholar
Becker, M. H., Haefner, D. P., Kasl, S. V.et al. (1977). Selected psychosocial models and correlates of individual health-related behaviors. Medical Care, 15(Suppl.), 27–46.Google Scholar
Biddle, S. J. H. & Mutrie, N. (2001). Psychology of physical activity: determinants, well-being and interventions. London: Routledge.
Blanchard, C. M., Courneya, K. S., Rodgers, W. M.et al. (2003). Is the theory of planned behavior a useful framework for understanding exercise adherence during phase II cardiac rehabilitation?Journal of Cardiopulmonary Rehabilitation, 23, 29–39.Google Scholar
Bock, B. C., Marcus, B. H., Pinto, B. M. & Forsyth, L. H. (2001). Maintenance of physical activity following an individualized motivationally tailored intervention. Annals of Behavioral Medicine, 23, 79–87.Google Scholar
Buckworth, J. & Dishman, R. K. (2002). Exercise psychology. Champaign, IL: Human Kinetics.
Calfas, K. J., Sallis, J. F., Oldenburg, B. & Ffrench, M. (1997). Mediators of change in physical activity following an intervention in primary care: PACE. Preventive Medicine, 26, 297–304.Google Scholar
Calfas, K. J. & Taylor, W. C. (1994). Effects of physical activity on psychological variables in adolescents. Pediatric Exercise Science, 6, 406–23.Google Scholar
Camacho, T. C., Roberts, R. E., Lazarus, N. B., Kaplan, G. A. & Cohen, R. D. (1991). Physical activity and depression: evidence from the Alameda County Study. American Journal of Epidemiology, 134, 220–31.Google Scholar
Caspersen, C. J. (1989). Physical activity epidemiology: concepts, methods, and applications to exercise science. Exercise and Sport Sciences Reviews, 17, 423–73.Google Scholar
Craft, L. L. & Landers, D. M. (1998). The effect of exercise on clinical depression and depression resulting from mental illness: a meta-analysis. Journal of Sport and Exercise Psychology, 20, 339–57.Google Scholar
Croteau, K. A. (2004). A preliminary study on the impact of a pedometer-based intervention on daily steps. American Journal of Health Promotion, 18, 217–20.Google Scholar
Davidson, S., Judd, F., Jolley, D.et al. (2001). Cardiovascular risk factors for people with mental illness. Australian and New Zealand Journal of Psychiatry, 35, 196–202.Google Scholar
Department of Health (2004). At least five a week: evidence on the impact of physical activity and its relationship to health, a report from the Chief Medical Officer. London: Department of Health.
Dishman, R. K. (1994). The measurement conundrum in exercise adherence research. Medicine and Science in Sports and Exercise, 26, 1382–90.Google Scholar
Donaghy, M. & Ussher, M. (2005). Exercise interventions in drug and alcohol rehabilitation. In Faulkner, G. E. J. & Taylor, A. H. (Eds.). Exercise, health and mental health: emerging relationships. (pp. 48–69). Routledge: London.
Dunn, A. L., Trivedi, M. H. & O'Neal, H. A. (2002). Physical activity dose–response effects on outcomes of depression and anxiety. Controlled Clinical Trials, 23, 584–603.Google Scholar
Farmer, M. E., Locke, B. Z., Moscicki, E. K.et al. (1988). Physical activity and depressive symptoms: the NHANES I epidemiologic follow-up study. American Journal of Epidemiology, 128, 1340–51.Google Scholar
Faulkner, G. & Biddle, S. (1999). Exercise as an adjunct treatment for schizophrenia: a review of the literature. Journal of Mental Health, 8, 441–57.Google Scholar
Field, T., Diego, M. & Sanders, C. (2001). Adolescent depression and risk factors. Adolescence, 36, 491–8.Google Scholar
Glanz, K. & Rimer, B. K. (1995). Theory at a glance: a guide for health promotion practice. Bethesda, MD: US Department of Health and Human Services.
Hausenblas, H., Carron, A. V. & Mack, D. E. (1997). Application of the theories of reasoned action and planned behavior to exercise behavior: a meta-analysis. Journal of Sport and Exercise Psychology, 19, 36–51.Google Scholar
Janis, I. L. & Mann, L. (1977). Decision making: a psychological analysis of conflict, choice, and commitment. New York: Collier Macmillan.
King, A. C., Blair, S. N., Bild, D. E.et al. (1992). Determinants of physical activity and interventions in adults. Medicine and Science in Sports and Exercise, 24(Suppl.), 221–36.Google Scholar
King, A. C. & Fredericksen, L. W. (1984). Low-cost strategies for increasing exercise behavior: relapse preparation training and support. Behavior Modification, 8, 3–21.Google Scholar
King, T. K., Marcus, B. H., Pinto, B. M., Emmons, K. M. & Abrams, D. B. (1996). Cognitive–behavioral mediators of changing multiple behaviors: smoking and a sedentary lifestyle. Preventive Medicine, 25, 684–91.Google Scholar
Lawlor, D. A. & Hopker, S. W. (2001). The effectiveness of exercise as an intervention in the management of depression: systematic review and meta-regression analysis of randomised controlled trials. British Medical Journal, 322, 763–7.Google Scholar
Lewis, B. A., Marcus, B. H., Pate, R. R. & Dunn, A. L. (2002). Psychosocial mediators of physical activity behavior among adults and children. American Journal of Preventive Medicine, 23(Suppl.), 26–35.Google Scholar
Lindsay-Reid, E. & Osborn, R. W. (1980). Readiness for exercise adoption. Social Science and Medicine, 14A, 139–46.Google Scholar
Marcus, B. H. & Forsyth, L. H. (2003). Motivating people to be physically active. Champaign, IL: Human Kinetics.
Marcus, B. H., Nigg, C. R., Riebe, D. & Forsyth, L. H. (2000). Interactive communication strategies: implications for population-based physical-activity promotion. American Journal of Preventive Medicine, 19, 121–6.Google Scholar
Marcus, B. H., Selby, V. C., Niaura, R. S. & Rossi, J. S. (1992). Self-efficacy and the stages of exercise behavior change. Research Quarterly for Exercise and Sport, 63, 60–6.Google Scholar
Marcus, B. H. & Stanton, A. L. (1993). Evaluation of relapse prevention and reinforcement interventions to promote exercise adherence in sedentary females. Research Quarterly for Exercise and Sport, 64, 447–52.Google Scholar
Marlatt, G. A. & Gordon, J. R. (1985). Relapse prevention: maintenance strategies in addictive behavior change. New York: Guilford Press.
Martin, J. E., Dubbert, P. M., Katell, A. D.et al. (1984). Behavioural control of exercise in sedentary adults: Studies 1 through 6. Journal of Consulting and Clinical Psychology, 52, 795–811.Google Scholar
Martinsen, E. W. (1993). Therapeutic implications of exercise for clinically anxious and depressed patients. International Journal of Sport Psychology, 24, 185–99.Google Scholar
McLeroy, K. R., Bibeau, D., Steckler, A. & Glanz, K. (1988). An ecological perspective on health promotion programs. Health Education Quarterly, 15, 351–77.Google Scholar
Motl, R. W., Birnbaum, A. S., Kubik, M. Y. & Dishman, R. K. (2004). Naturally occurring changes in physical activity are inversely related to depressive symptoms during early adolescence. Psychosomatic Medicine, 66, 336–42.Google Scholar
Nies, M. A. & Kershaw, T. C. (2002). Psychosocial and environmental influences on physical activity and health outcomes in sedentary women. Journal of Nursing Scholarship, 34, 243–9.Google Scholar
O'Connor, P. J., Raglin, J. S. & Martinsen, E. W. (2000). Physical activity, anxiety and anxiety disorders. International Journal of Sport Psychology, 31, 136–55.Google Scholar
Okun, M. A., Ruehlman, L., Karoly, P., Lutz, R., Fairholme, C. & Schaub, R. (2003). Social support and social norms: do both contribute to predicting leisure-time exercise?American Journal of Health Behavior, 27, 493–507.Google Scholar
Oldridge, N. B. & Jones, N. L. (1983). Improving patient compliance in cardiac rehabilitation: effects of written agreement and self-monitoring. Journal of Cardiopulmonary Rehabilitation, 3, 257–62.Google Scholar
Pinto, B. M., Lynn, H., Marcus, B. H., DePue, J. & Goldstein, M. G. (2001). Physician-based activity counseling: intervention effects on mediators of motivational readiness for physical activity. Annals of Behavioral Medicine, 23, 2–10.Google Scholar
Sallis, J. F., Bauman, A. & Pratt, M. (1998). Environmental and policy interventions to promote physical activity. American Journal of Preventive Medicine, 15, 379–97.Google Scholar
Sciamanna, C. N., Lewis, B., Tate, D.et al. (2002). User attitudes toward a physical activity promotion website. Preventive Medicine, 35, 612–15.Google Scholar
Sher, L. (1998). The endogenous euphoric reward system that reinforces physical training: a mechanism for mankind's survival. Medical Hypotheses, 51, 449–50.Google Scholar
Skinner, B. F. (1953). Science and human behaviour. New York: Free Press.
Steptoe, A. & Butler, N. (1996). Sports participation and emotional wellbeing in adolescents. Lancet, 347, 1789–92.Google Scholar
Ussher, M. (2005). Exercise interventions in smoking cessation. Tobacco addiction module of the cochrane database of systematic reviews. Oxford: The Cochrane Collaboration, Update Software.
World Health Organization (2004). Sedentary lifestyle: a global public health problem. www.who.int/hpr/physactiv/sedentary.lifestyle1.shtml, accessed March 30, 2005.

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×