Evaluation of a Simple Intervention to Increase Self- Efficacy for Independent Exercise in Cardiac Rehabilitation Participants

Purpose: While benefits of exercise after a cardiac event are well documented, participation in and adherence to cardiac rehabilitation (CR) programs is often low. The purpose of this study was to test the effectiveness of a self- efficacy coaching intervention (SCI): a simple theory-based behavioral intervention to increase self-efficacy for independent exercise as well as independent exercise behavior in CR patients. It was hypothesized that persons receiving the SCI treatment (T) would have higher levels of self-efficacy for exercise and greater participation in independent exercise than participants in an attention control (C) group. Methods: People referred to a hospitalbased CR program by their physician were invited to participate in the study (N = 65). Participants were assigned to either T or C groups which had been randomly designated by class time. The SCI was administered approximately every two weeks by CR staff as a supplement to standard CR care. Patients in the T group received coaching about independent exercise, patients in the C group received coaching matched for time and technique but covering information about healthy eating. Self-efficacy for independent exercise was assessed at the beginning and end of the supervised CR program with an Exercise Self-Efficacy (ESE) scale and a Barriers Self-Efficacy (BARSE) scale. Participation in independent exercise was determined by self- report with activity logs. Outcome differences between T and C groups were analyzed through one-way ANOVA. Results: Mean change scores for the T group were larger than those seen in the C group, but differences between groups were not statistically significant (p \u3e .10). Significant difference between change scores for ESE, BARSE and independent exercise were noted when interaction effects between SCI treatment and previous exercise were considered. Conclusions: This study adds to the limited body of knowledge about theory-based interventions in cardiac rehabilitation programs and takes an important step in translating self-efficacy theory into a simple, practical application that will promote maintenance of lifestyle changes in this population

Seasonal Variation of Physical Activity in Community-Living vs. Residential-Dwelling Older Adults

Background and Purpose: Although physical activity (PA) is important for all ages including older adults, participation may be influenced by weather variation and access to programming. Our primary aim was determine if PA participation is influenced by season and place of residence. A secondary aim was to compare objective and subjective measure of PA participation. Methods: Participants included older individuals (age>65) living in a residential retirement community (RR) with access to an on-site fitness facility (n=7) and additional volunteers (n=9) who lived at home and traveled to exercise at a nonresidential community (NR) activities center Accelerometers were used to measure daily PA during the summer and again during the winter. Results: PA for the NR group was higher in the summer (268.4�73.7 min vs. RR=186.8�68.0, p=0.039), but not in the winter (NR=261.8�92.6 min, RR=182.0�72.5, p=0.082). No within-group change in PA was noted from summer to winter for either group (p>0.05). The correlation between subjective and objective measures of PA was low (r=.262). Conclusion: Access to appropriate facilities and programming serves to help older individuals maintain PA levels despite seasonal weather variations. The low correlation between objective and subjective measures suggest a need to re-evaluate methods of tracking PA participation by older adults

Videogames and young people with developmental disorders

Young people with developmental disorders experience difficulties with many cognitive and perceptual tasks, and often suffer social impairments. Yet, like typical youth, many appear to enjoy playing videogames. This review considers the appeal of videogames to individuals with autism spectrum disorders, attention deficit hyperactivity disorder, and specific language impairment. It examines how they respond to the various challenges that play entails with particular reference to sensory, cognitive, and social dimensions. It is argued that research into how these young people engage voluntarily with this dynamic and challenging medium offers great potential to extend our empirical and theoretical understanding of the disorders. Many gaps in our current knowledge are identified and several additional themes for possible future research are proposed