Browsing by Author "Johnson, Elizabeth"

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    The Feasibility of Ecological Momentary Assessment of Pain Intensity, Affect and Self-Efficacy Associated with Exercise in Women with Chronic Pain
    Johnson, Elizabeth (Virginia Tech, 2010-04-30)
    Objective: The purpose of the following study was to test the feasibility of using an ecological momentary assessment strategy during participation in water exercise. This assessment strategy was used to collect ratings of pain intensity level, affective status and self-efficacy for engaging in regular exercise prior to, during and following participation in water exercise for women with chronic pain. Design: Participants (N=15) completed six measures assessing physical activity level and reactions to physical activity and exercise participation and participated in elicitation interviews focused on their experiences with chronic pain and physical activity and exercise. Participants reported daily pain intensity levels, affect and self-efficacy each morning by phone and used cellular phones to report momentary ratings immediately following participation in water exercise for 6 weeks. Results: Participant profiles were developed to display patterns of pain intensity, affect and self-efficacy over the course of 6 weeks. Profiles indicated a variety of levels of exercise consistency in participants. Pain intensity, affect and self-efficacy varied over the course of an exercise event and revealed varied patterns across participants. Overall, momentary self-efficacy (M¹= 7.98, SD=1.65; M²= 8.29, SD=1.62; M³=8.45, SD=1.45) and affect mean ratings (M¹= 2.05, SD=1.42; M²= 2.76, SD=1.22; M³=3.02, SD=1.06) increased over the course of the exercise events while pain levels decreased from pre-exercise levels (M¹= 2.67, SD=2.30; M²= 1.85, SD=1.86; M³=1.95, SD=2.05). Elicitation interviews indicated themes related to the importance of enjoyment of exercise, social factors, and impact on pain level and overall physical condition. Final interviews provided information about the reactions of participants to the assessment strategy and offered insight into the acceptance of this approach for future studies of exercise behaviors. Conclusion: Overall, this approach to ecological momentary assessment of variables associated with exercise was acceptable to participants and revealed variable patterns of pain intensity, self-efficacy and affective state in relation to water-exercise engagement.
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    The Relationship of Environmental, Social and Individual Factors and Physical Activity Participation Level in Young Adults
    Johnson, Elizabeth (Virginia Tech, 2008-01-16)
    Objective: To explore the relationship between individual factors (i.e. affect, self-efficacy, and self-regulation), social and environmental factors, and their effects on the level of participation in physical activity (PA). Design: Undergraduate and graduate students (N = 386) completed 11 online measures assessing physical activity level and reactions to physical activity participation at Time 1, 9 online measures at Time 2, and a measure of physical activity participation at Time 3. Measures included those assessing affective reactions to PA, outcome expectancy, self-efficacy, self-regulation, social support, and perceptions of the environment. Results: Affect had a small total effect on METs (Ã =.13, p=.03), which was partially mediated by self-regulation, a strong predictor of METs (Ã =.45, p<.01). The total effect of affect on METs was substantially reduced (Ã =.05, p=.34) when self-efficacy was added as a precursor in the model. Self-efficacy influenced both METs (Ã =.39, p<.01) and affect (Ã =.23, p<.01). Adding environment and social support as predictors of self-efficacy (Ã =.23, p<.01; Ã =.19, p<.01, respectively) further reduced the influence of affect on METs (Ã =.03, p=.63) as environment and social support influenced affect (Ã =.20, p<.01; Ã =.14, p=.02, respectively) and METs (Ã =.15, p=.02; Ã =.21, p<.01, respectively). Conclusion: As in earlier studies of acute affective response to PA, these results provide evidence that anticipatory affect is positively associated with behavioral decision-making related to PA participation. Although increasing an individual's self-efficacy for PA should increase their affective association with the behavior, affect may not influence PA decision-making independently of self-efficacy and ecological factors (i.e. environment and social support).