Ecological momentary assessment of the relationship between intention and physical activity behavior in bariatric surgery patients.

Ecological momentary assessment of the relationship between intention and physical activity behavior in bariatric surgery patients.
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DOI:
10.1007/s12529-011-9214-1
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发表时间:
2013-03
影响因子:
2.7
通讯作者:
Wing RR
Wing RR
中科院分区:
心理学4区
文献类型:
--
作者:
Bond DS;Thomas JG;Ryder BA;Vithiananthan S;Pohl D;Wing RR

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对于许多减肥手术患者来说,进行习惯性体力活动(PA)是具有挑战性的。我们使用电子生态瞬时评估来自然地检查减肥手术患者的PA不足是由于PA意图的不频繁还是PA意图的跟进不足。从美国罗德岛州普罗维登斯的多家诊所招募了21名减肥手术后6个月的患者。参与者在醒着6天后使用掌上电脑来表明他们是否打算活跃起来,如果是的话,他们打算在10分钟的≥比赛中进行PA的量。每天晚上,参与者都会报告当天的PA分钟和遇到的障碍。所有21名参与者都报告说打算在至少1天内活跃,但只有9人(42%)打算在≥70%的时间里活跃。12名参与者(57%)在他们计划的每一天都进行了PA,但没有一个人在所有这些天都达到了他们计划的PA量。总体而言,参与者在123天中有81天(66%)有PA意图;49天部分实施(≥10 PA分钟),但只有15天完全实施。参与者在PA上花费了34分钟,比预期的时间少了20分钟。“缺乏时间”是唯一经常被提及的障碍,特别是在PA既不打算也不执行的日子里。很少有患者打算在几乎每天的基础上积极活动,所有患者都难以实现他们的意图。针对规划战略的干预措施可能有助于促进PA的意图,并限制预期的PA与实际的PA之间的差异。
Performing habitual physical activity (PA) is challenging for many bariatric surgery patients. We used electronic ecological momentary assessment to naturalistically examine whether insufficient PA among bariatric surgery patients was due to infrequent PA intentions or inadequate follow through on PA intentions. Twenty-one patients 6-months post-bariatric surgery were recruited from multiple clinics in Providence, Rhode Island, USA. Participants used a palmtop computer upon waking for 6 days to indicate whether they intended to be active, and if so, the amount of PA they intended to perform in bouts ≥10 min. Each evening, participants reported PA minutes and barriers encountered that day. All 21 participants reported intending to be active on at least 1 day but only 9 (42%) intended to be active on ≥70% of days. Twelve (57%) participants performed PA on each of the days they intended, but none achieved the amount of PA they intended on all of these days. Overall, participants had PA intentions on 81 of 123 days (66%); these were partially implemented (≥10 PA minutes) on 49 days, but fully implemented on only 15 days. Participants spent 34 min in PA, or 20 fewer minutes than intended. “Lack of time” was the only frequently cited barrier, particularly on days that PA was neither intended nor performed. Few patients intended to be active on a near daily basis and all patients had difficulty in implementing their intentions. Interventions that target planning strategies may help facilitate PA intentions and limit discrepancy between intended and actual PA.
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