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  Subjects -> PSYCHOLOGY (Total: 927 journals)
Showing 1 - 174 of 174 Journals sorted alphabetically
Acción Psicológica     Open Access   (Followers: 3)
Acta Colombiana de Psicología     Open Access   (Followers: 5)
Acta Comportamentalia     Open Access   (Followers: 3)
Acta de Investigación Psicológica     Open Access   (Followers: 3)
Acta Psychologica     Hybrid Journal   (Followers: 25)
Activités     Open Access   (Followers: 1)
Actualidades en Psicologia     Open Access   (Followers: 2)
Ad verba Liberorum : Journal of Linguistics & Pedagogy & Psychology     Open Access   (Followers: 9)
Addictive Behaviors Reports     Open Access   (Followers: 7)
ADHD Attention Deficit and Hyperactivity Disorders     Hybrid Journal   (Followers: 22)
ADHD Report The     Full-text available via subscription   (Followers: 9)
Advances in Experimental Social Psychology     Full-text available via subscription   (Followers: 42)
Advances in Mental Health     Hybrid Journal   (Followers: 73)
Advances in Methods and Practices in Psychological Science     Full-text available via subscription   (Followers: 3)
Advances in Physiotherapy     Hybrid Journal   (Followers: 62)
Advances in Psychology     Full-text available via subscription   (Followers: 59)
Advances in the Study of Behavior     Full-text available via subscription   (Followers: 29)
African Journal of Cross-Cultural Psychology and Sport Facilitation     Full-text available via subscription   (Followers: 5)
Aggression and Violent Behavior     Hybrid Journal   (Followers: 429)
Aggressive Behavior     Hybrid Journal   (Followers: 17)
Aging, Neuropsychology, and Cognition     Hybrid Journal   (Followers: 39)
Ágora - studies in psychoanalytic theory     Open Access   (Followers: 3)
Aletheia     Open Access   (Followers: 1)
American Behavioral Scientist     Hybrid Journal   (Followers: 18)
American Imago     Full-text available via subscription   (Followers: 3)
American Journal of Applied Psychology     Open Access   (Followers: 42)
American Journal of Community Psychology     Hybrid Journal   (Followers: 26)
American Journal of Health Behavior     Full-text available via subscription   (Followers: 22)
American Journal of Orthopsychiatry     Hybrid Journal   (Followers: 5)
American Journal of Psychoanalysis     Hybrid Journal   (Followers: 20)
American Journal of Psychology     Full-text available via subscription   (Followers: 32)
American Psychologist     Full-text available via subscription   (Followers: 192)
Anales de Psicología     Open Access   (Followers: 2)
Análise Psicológica     Open Access   (Followers: 1)
Análisis y Modificación de Conducta     Open Access   (Followers: 2)
Analitika : Jurnal Magister Psikologi Uma     Open Access  
Analysis     Full-text available via subscription   (Followers: 3)
Annual Review of Clinical Psychology     Full-text available via subscription   (Followers: 72)
Annual Review of Organizational Psychology and Organizational Behavior     Full-text available via subscription   (Followers: 33)
Annual Review of Psychology     Full-text available via subscription   (Followers: 238)
Anuario de investigaciones (Facultad de Psicología. Universidad de Buenos Aires)     Open Access   (Followers: 1)
Anuario de Psicología / The UB Journal of Psychology     Open Access   (Followers: 1)
Anuario de Psicología Jurídica     Open Access   (Followers: 1)
Anxiety, Stress & Coping: An International Journal     Hybrid Journal   (Followers: 21)
Applied and Preventive Psychology     Hybrid Journal   (Followers: 16)
Applied Cognitive Psychology     Hybrid Journal   (Followers: 74)
Applied Neuropsychology : Adult     Hybrid Journal   (Followers: 40)
Applied Neuropsychology : Child     Hybrid Journal   (Followers: 21)
Applied Psycholinguistics     Hybrid Journal   (Followers: 19)
Applied Psychological Measurement     Hybrid Journal   (Followers: 20)
Applied Psychology     Hybrid Journal   (Followers: 153)
Applied Psychology: Health and Well-Being     Hybrid Journal   (Followers: 49)
Applied Psychophysiology and Biofeedback     Hybrid Journal   (Followers: 8)
Archive for the Psychology of Religion / Archiv für Religionspychologie     Hybrid Journal   (Followers: 23)
Archives of Clinical Neuropsychology     Hybrid Journal   (Followers: 30)
Archives of Scientific Psychology     Open Access   (Followers: 4)
Arquivos Brasileiros de Psicologia     Open Access   (Followers: 1)
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 8)
Asia-Pacific Psychiatry     Hybrid Journal   (Followers: 3)
Asian American Journal of Psychology     Full-text available via subscription   (Followers: 5)
Asian Journal of Behavioural Studies     Open Access  
Asian Journal of Business Ethics     Hybrid Journal   (Followers: 9)
Assessment     Hybrid Journal   (Followers: 12)
Attachment: New Directions in Psychotherapy and Relational Psychoanalysis     Full-text available via subscription   (Followers: 14)
Attention, Perception & Psychophysics     Full-text available via subscription   (Followers: 12)
Australasian Journal of Organisational Psychology     Hybrid Journal   (Followers: 8)
Australian and Aotearoa New Zealand Psychodrama Association Journal     Full-text available via subscription  
Australian Educational and Developmental Psychologist, The     Full-text available via subscription   (Followers: 8)
Australian Journal of Psychology     Hybrid Journal   (Followers: 19)
Australian Journal of Rehabilitation Counseling     Full-text available via subscription   (Followers: 4)
Australian Psychologist     Hybrid Journal   (Followers: 11)
Autism Research     Hybrid Journal   (Followers: 36)
Autism Research and Treatment     Open Access   (Followers: 25)
Autism's Own     Open Access   (Followers: 2)
Autism-Open Access     Open Access   (Followers: 6)
Avaliação Psicológica     Open Access  
Avances en Psicologia Latinoamericana     Open Access   (Followers: 1)
Aviation Psychology and Applied Human Factors     Hybrid Journal   (Followers: 20)
Balint Journal     Hybrid Journal   (Followers: 2)
Barbaroi     Open Access  
Basic and Applied Social Psychology     Hybrid Journal   (Followers: 39)
Behavior Analysis in Practice     Full-text available via subscription   (Followers: 8)
Behavior Analysis: Research and Practice     Full-text available via subscription   (Followers: 2)
Behavior Analyst     Hybrid Journal   (Followers: 4)
Behavior Modification     Hybrid Journal   (Followers: 10)
Behavior Research Methods     Hybrid Journal   (Followers: 19)
Behavior Therapy     Hybrid Journal   (Followers: 50)
Behavioral Development Bulletin     Full-text available via subscription  
Behavioral Interventions     Hybrid Journal   (Followers: 10)
Behavioral Neuroscience     Full-text available via subscription   (Followers: 54)
Behavioral Sciences & the Law     Hybrid Journal   (Followers: 24)
Behavioral Sleep Medicine     Hybrid Journal   (Followers: 7)
Behaviormetrika     Hybrid Journal  
Behaviour     Hybrid Journal   (Followers: 12)
Behaviour Change     Full-text available via subscription   (Followers: 12)
Behaviour Research and Therapy     Hybrid Journal   (Followers: 19)
Behavioural and Cognitive Psychotherapy     Hybrid Journal   (Followers: 135)
Behavioural Processes     Hybrid Journal   (Followers: 8)
Biofeedback     Hybrid Journal   (Followers: 4)
BioPsychoSocial Medicine     Open Access   (Followers: 7)
BMC Psychology     Open Access   (Followers: 17)
Body, Movement and Dance in Psychotherapy: An International Journal for Theory, Research and Practice     Hybrid Journal   (Followers: 10)
Boletim Academia Paulista de Psicologia     Open Access  
Boletim de Psicologia     Open Access  
Brain Informatics     Open Access  
British Journal of Clinical Psychology     Full-text available via subscription   (Followers: 143)
British Journal of Developmental Psychology     Full-text available via subscription   (Followers: 37)
British Journal of Educational Psychology     Hybrid Journal   (Followers: 35)
British Journal of Health Psychology     Full-text available via subscription   (Followers: 45)
British Journal of Mathematical and Statistical Psychology     Full-text available via subscription   (Followers: 21)
British Journal of Psychology     Full-text available via subscription   (Followers: 60)
British Journal of Psychotherapy     Hybrid Journal   (Followers: 68)
British Journal of Social Psychology     Full-text available via subscription   (Followers: 33)
Burnout Research     Open Access   (Followers: 8)
Cadernos de psicanálise (Rio de Janeiro)     Open Access  
Cadernos de Psicologia Social do Trabalho     Open Access  
Canadian Art Therapy Association     Hybrid Journal  
Canadian Journal of Behavioural Science     Full-text available via subscription   (Followers: 5)
Canadian Journal of Experimental Psychology     Full-text available via subscription   (Followers: 15)
Canadian Psychology / Psychologie canadienne     Full-text available via subscription   (Followers: 13)
Case Studies in Sport and Exercise Psychology     Hybrid Journal   (Followers: 1)
Cendekia : Jurnal Kependidikan dan Kemasyarakatan     Open Access  
Child Development Perspectives     Hybrid Journal   (Followers: 28)
Child Development Research     Open Access   (Followers: 16)
Ciencia Cognitiva     Open Access   (Followers: 2)
Ciencia e Interculturalidad     Open Access   (Followers: 2)
Ciências & Cognição     Open Access  
Ciencias Psicológicas     Open Access  
Clínica y Salud     Open Access  
Clinical Medicine Insights : Psychiatry     Open Access   (Followers: 9)
Clinical Practice in Pediatric Psychology     Full-text available via subscription   (Followers: 11)
Clinical Psychological Science     Hybrid Journal   (Followers: 11)
Clinical Psychologist     Hybrid Journal   (Followers: 17)
Clinical Psychology & Psychotherapy     Hybrid Journal   (Followers: 71)
Clinical Psychology and Special Education     Open Access   (Followers: 3)
Clinical Psychology Review     Hybrid Journal   (Followers: 41)
Clinical Psychology: Science and Practice     Hybrid Journal   (Followers: 22)
Clinical Schizophrenia & Related Psychoses     Full-text available via subscription   (Followers: 8)
Coaching : Theorie & Praxis     Open Access  
Coaching Psykologi - The Danish Journal of Coaching Psychology     Open Access   (Followers: 1)
Cogent Psychology     Open Access  
Cógito     Open Access  
Cognition & Emotion     Hybrid Journal   (Followers: 43)
Cognitive Behaviour Therapist     Hybrid Journal   (Followers: 12)
Cognitive Behaviour Therapy     Hybrid Journal   (Followers: 17)
Cognitive Neuropsychology     Hybrid Journal   (Followers: 35)
Cognitive Psychology     Hybrid Journal   (Followers: 71)
Cognitive Research : Principles and Implications     Open Access   (Followers: 3)
Consciousness and Cognition     Hybrid Journal   (Followers: 32)
Construção Psicopedagógica     Open Access  
Consulting Psychology Journal : Practice and Research     Full-text available via subscription   (Followers: 4)
Contagion : Journal of Violence, Mimesis, and Culture     Full-text available via subscription   (Followers: 5)
Contemporary Educational Psychology     Hybrid Journal   (Followers: 27)
Contemporary School Psychology     Hybrid Journal   (Followers: 4)
Contextos Clínicos     Open Access  
Counseling et spiritualité / Counselling and Spirituality     Full-text available via subscription  
Counseling Outcome Research and Evaluation     Hybrid Journal   (Followers: 12)
Counseling Psychologist     Hybrid Journal   (Followers: 17)
Counseling Psychology and Psychotherapy     Open Access   (Followers: 12)
Counselling and Psychotherapy Research : Linking research with practice     Hybrid Journal   (Followers: 26)
Counselling and Values     Hybrid Journal   (Followers: 4)
Counselling Psychology Quarterly     Hybrid Journal   (Followers: 12)
Couple and Family Psychoanalysis     Full-text available via subscription   (Followers: 1)
Couple and Family Psychology : Research and Practice     Full-text available via subscription   (Followers: 6)
Creativity Research Journal     Hybrid Journal   (Followers: 24)
Creativity. Theories - Research - Applications     Open Access   (Followers: 5)
Criminal Justice Ethics     Hybrid Journal   (Followers: 10)
Cuadernos de Neuropsicología     Open Access   (Followers: 1)
Cuadernos de Psicologia del Deporte     Open Access  
Cuadernos de Psicopedagogía     Open Access  
Cultural Diversity and Ethnic Minority Psychology     Full-text available via subscription   (Followers: 16)
Cultural-Historical Psychology     Open Access   (Followers: 2)
Culturas Psi     Open Access  
Culture and Brain     Hybrid Journal   (Followers: 4)
Current Addiction Reports     Hybrid Journal   (Followers: 12)
Current Behavioral Neuroscience Reports     Hybrid Journal   (Followers: 2)
Current Directions In Psychological Science     Hybrid Journal   (Followers: 56)
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 3)
Current Opinion in Psychology     Hybrid Journal   (Followers: 7)
Current Psychological Research     Hybrid Journal   (Followers: 14)
Current Psychology     Hybrid Journal   (Followers: 14)
Current psychology letters     Open Access   (Followers: 2)
Current Research in Psychology     Open Access   (Followers: 17)
Cyberpsychology, Behavior, and Social Networking     Hybrid Journal   (Followers: 16)
Decision     Full-text available via subscription   (Followers: 4)
Depression and Anxiety     Hybrid Journal   (Followers: 22)
Depression Research and Treatment     Open Access   (Followers: 13)
Development and Psychopathology     Hybrid Journal   (Followers: 8)
Developmental Cognitive Neuroscience     Open Access   (Followers: 18)
Developmental Neuropsychology     Hybrid Journal   (Followers: 20)
Developmental Psychobiology     Hybrid Journal   (Followers: 9)
Developmental Psychology     Full-text available via subscription   (Followers: 43)
Diagnostica     Hybrid Journal   (Followers: 2)
Dialectica     Hybrid Journal   (Followers: 1)
Discourse     Full-text available via subscription   (Followers: 9)
Diversitas : Perspectivas en Psicologia     Open Access  
Drama Therapy Review     Hybrid Journal   (Followers: 2)
Dreaming     Full-text available via subscription   (Followers: 11)
Drogues, santé et société     Full-text available via subscription  
Dynamics of Asymmetric Conflict: Pathways toward terrorism and genocide     Hybrid Journal   (Followers: 16)

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Journal Cover British Journal of Health Psychology
  [SJR: 1.322]   [H-I: 64]   [45 followers]  Follow
   Full-text available via subscription Subscription journal
   ISSN (Print) 1359-107X
   Published by British Psychological Society Homepage  [10 journals]
  • Issue Information
    • PubDate: 2018-01-02T01:11:27.560701-05:
      DOI: 10.1111/bjhp.12268
  • BJHP – Continuing to increase the profile of health psychology
    • Authors: Madelynne Arden; Joseph Chilcot
      Pages: 1 - 2
      PubDate: 2018-01-02T01:11:28.407813-05:
      DOI: 10.1111/bjhp.12290
  • Editorial acknowledgement
    • Pages: 225 - 227
      PubDate: 2018-01-02T01:11:28.498637-05:
      DOI: 10.1111/bjhp.12286
  • ‘It's when you're not doing too much you feel tired’: A qualitative
           exploration of fatigue in end-stage kidney disease
    • Authors: Federica Picariello; Rona Moss-Morris, Iain C Macdougall, Joseph Chilcot
      Abstract: BackgroundFatigue is commonly experienced in end-stage kidney disease (ESKD) patients. In order to develop patient-centred psychosocial interventions to help patients manage fatigue symptoms, a more in-depth understanding regarding the experience of fatigue is needed.ObjectiveThe objective of this study was to explore renal patients’ experiences of fatigue, across renal replacement therapy (RRT) modalities.MethodsTwenty-five in-depth semi-structured interviews were conducted. Interviews were audio-taped, transcribed, and analysed using inductive thematic analysis.ResultsMain themes included the strong role of the illness and treatment in the aetiology of fatigue. Two contrasting streams of illness–fatigue interpretations emerged: catastrophizing versus normalizing. Participants emphasized the importance of having a sense of purpose in facilitating active management of fatigue. Many participants described the consequences of fatigue on their functioning. Low mood, frustration, and anger were common emotional consequences of fatigue. Three dominant fatigue management strategies emerged: one related to accommodation of activities around fatigue, another on increasing activities to counteract fatigue, and the third one revolved around self-compassion. Social support emerged as an important aspect of the fatigue experience, serving as a source of motivation, yet participants were wary of becoming a burden to others.ConclusionFindings identify casual attributions, behavioural and emotional reactions, management strategies, and facilitators of active management of fatigue in ESKD. Untying fatigue from the illness and treatment may help patients to develop alternative less catastrophic perceptions of fatigue, increase their perception of control over fatigue, and facilitate active fatigue management.Statement of contributionWhat is already known on this subject'Fatigue is persistent and debilitating in end-stage kidney disease (ESKD), with no consistent treatment model.Promising evidence is available for psychological fatigue interventions in other chronic conditions.There is a gap in studies looking at the fatigue experiences of patients with ESKD across renal replacement therapies.What does this study add'Fatigue is not inherently negative, but shaped by patients’ beliefs and behaviours.Findings provide novel insights, for example, on the important role social support seems to play in fatigue.An in-depth understanding of fatigue may help to inform a future patient-centred intervention in ESKD.
      PubDate: 2017-12-27T00:01:11.121623-05:
      DOI: 10.1111/bjhp.12289
  • Psychological mechanisms in a digital intervention to improve physical
           activity: A multicentre randomized controlled trial
    • Authors: Ralf Schwarzer; Lisa Warner, Lena Fleig, Maryam Gholami, Sergio Salvatore, Luisella Cianferotti, Evangelia Ntzani, Blanca Roman-Viñas, Antonia Trichopoulou, Maria L. Brandi
      Abstract: ObjectivesThe randomized controlled trial examined factors that might be responsible for individual differences in physical activity change among men and women who participated in a lifestyle intervention. The main purpose of the analyses regarded the role of psychological mechanisms involving motivation, planning, self-monitoring, and habit strength.DesignA two-arm digital intervention was conducted in Italy, Spain, and Greece to improve physical activity levels, with follow-ups at 3 and 6 months after baseline assessment.MethodsParticipants were 1,564 adults at baseline, n = 638 at 6-month follow-up. Linear mixed models examined the intervention effects, and a two-group longitudinal structural equation model explored which psychological constructs (motivation, planning, self-monitoring, habit strength) were associated with changes in physical activity.ResultsIn addition to an overall increase in self-reported activity, there were interactions between time and sex and between time and experimental groups, and a triple interaction between time, sex, and experimental groups, indicating that men reported an increase in activity independent of groups, whereas women in the active control group did not benefit from the intervention. Planning, self-monitoring, and habit strength mediated sequentially between initial motivation and follow-up physical activity.ConclusionsAlthough the intervention produced overall improvements in physical activity, the time-by-treatment interaction emerged only for women. The mechanism included a sequence leading from motivation via planning, self-monitoring, and habit strength towards physical activity.Statement of contributionWhat is already known on this subject'Digital lifestyle interventions can be effective in terms of physical activity performance gains.Men are on average more physically active than women.Long-term adherence rates to digital interventions are usually low.What does this study add'Giving users of an online platform more interactive options did not make a difference.Women gained more than men from adaptive, dynamic online platform content.Individual characteristics (motivation, planning, self-monitoring, habit) were more important than online treatment features.
      PubDate: 2017-12-19T04:03:31.172034-05:
      DOI: 10.1111/bjhp.12288
  • Challenges and proposed solutions for formative research to inform
           systematic intervention development in rare and unstudied conditions: The
           case example of Xeroderma Pigmentosum
    • Authors: Kirby Sainsbury; Jessica Walburn, Vera Araujo-Soares, John Weinman
      PubDate: 2017-12-19T00:26:18.643068-05:
      DOI: 10.1111/bjhp.12287
  • Left behind and left out: The impact of the school environment on young
           people with continence problems
    • Authors: Katie Whale; Helen Cramer, Carol Joinson
      Abstract: ObjectivesTo explore the impact of the secondary school environment on young people with continence problems.DesignIn-depth qualitative semi-structured interviews.MethodsWe interviewed 20 young people aged 11–19 years (11 female and nine male) with continence problems (daytime wetting, bedwetting, and/or soiling). Interviews were conducted by Skype (n = 11) and telephone (n = 9). Transcripts were analysed using inductive thematic analysis.ResultsWe generated five main themes: (1) Boundaries of disclosure: friends and teachers; (2) Social consequences of avoidance and deceit; (3) Strict and oblivious gatekeepers; (4) Intimate actions in public spaces; and (5) Interrupted learning.ConclusionDisclosure of continence problems at school to both friends and teachers was rare, due to the perceived stigma and fears of bullying and social isolation. The lack of disclosure to teachers and other school staff, such as pastoral care staff, creates challenges in how best to support these young people. Young people with continence problems require unrestricted access to private and adequate toilet facilities during the school day. There is a need for inclusive toilet access policies and improved toilet standards in schools. Addressing the challenges faced by young people with continence problems at school could help to remove the barriers to successful self-management of their symptoms. It is particularly concerning that young people with continence problems are at higher risk of academic underachievement. Increased support at school is needed to enable young people with continence problems to achieve their academic potential.Statement of ContributionWhat is already known on this subject'Continence problems are among the most common paediatric health problemsSelf-management of continence problems requires a structured schedule of fluid intake and bladder emptyingInadequate toilet facilities and restricted access make it difficult for young people to manage their incontinenceWhat does this study add'Improvement is needed in teacher understanding of the needs of young people with continence problemsYoung people are reluctant to disclose continence problems due to perceived stigma and fear of social isolationYoung people with continence problems may be at increased risk of academic underachievement
      PubDate: 2017-12-11T18:45:31.35991-05:0
      DOI: 10.1111/bjhp.12284
  • Interventions to promote healthy eating choices when dining out: A
           systematic review of reviews
    • Authors: Breanna Wright; Peter Bragge
      Abstract: PurposeTo synthesize review research pertaining to the effectiveness of interventions in dining-out settings to reduce food/calorie consumption.MethodsA rapid review methodology was employed to focus on synthesized research. A comprehensive search for peer-reviewed systematic reviews from 2010 to 2015 yielded 1,847 citations. Following screening, ten systematic reviews were included.ResultsThe 10 included systematic reviews identified 183 primary studies evaluating evidence in three behavioural intervention areas: social models/norms, manipulation of size, and provision of health information. Three systematic reviews evaluating the use of social models/norms found this was an effective intervention for influencing food intake. Five systematic reviews that assessed manipulation of portion/dishware/cutlery size found a small-to-moderate effect on food consumption. Three systematic reviews looked at the provision of health information, which was not effective alone; however, in combination with contextual or interpretive material such as traffic lights or exercise equivalence, this was shown to reduce calorie consumption. One systematic review covered two topic areas.ConclusionsThe results indicate that policies or interventions that aim to improve healthy choices or consumption when dining out would benefit from harnessing social norms and positive positioning of social identity. Furthermore, provision of health information should always be accompanied by an interpretative guide, such as traffic lights. Manipulation of plate/portion/cutlery size may be effective; however, the effect size is small and further research is required to investigate whether this effect is retained in overweight or obese populations.Statement of contributionWhat is already known on this subject'Eating behaviours (food choices, consumption) have played a role in the obesity epidemic.Behavioural ‘nudges’ have tried to increase healthier eating choices.What does this study add'Social norms and modelling have a strong influence in both directions on how much people consume.Provision of nutritional information needs to be paired with interpretative aids (e.g., traffic lights).Manipulation of portion size is less effective in overweight populations.
      PubDate: 2017-11-26T23:15:31.010219-05:
      DOI: 10.1111/bjhp.12285
  • Benefit finding trajectories in cancer patients receiving psychological
           care: Predictors and relations to depressive and anxiety symptoms
    • Authors: Lei Zhu; Adelita V. Ranchor, Vicki S. Helgeson, Marije Lee, Bert Garssen, Roy E. Stewart, Robbert Sanderman, Maya J. Schroevers
      Abstract: ObjectivesThis study aimed to (1) identify benefit finding trajectories in cancer patients receiving psychological care; (2) examine associations of benefit finding trajectories with levels of and changes in psychological symptoms; and (3) examine whether socio-demographic and medical characteristics distinguished trajectories.DesignNaturalistic longitudinal study design.MethodsParticipants were 241 cancer patients receiving psychological care at specialized psycho-oncological institutions in the Netherlands. Data were collected before starting psychological care, and three and 9 months thereafter. Latent class growth analysis was performed to identify benefit finding trajectories.ResultsFive benefit finding trajectories were identified: ‘high level-stable’ (8%), ‘very low level-small increase’ (16%), ‘low level-small increase’ (39%), ‘low level-large increase’ (9%), and ‘moderate level-stable’ (28%). People in distinct benefit finding trajectories reported significant differential courses of depression but not of anxiety symptoms. Compared with the other four trajectories, people in the ‘low level-large increase’ trajectory reported the largest decreases in depression over time. Perceptions of cancer prognosis distinguished these trajectories, such that people with a favourable prognosis were more likely to belong to the ‘high level-stable’ trajectory, while people perceiving an uncertain prognosis were more likely to belong to the ‘low level-large increase’ trajectory of benefit finding.ConclusionsCancer patients showed distinct benefit finding trajectories during psychological care. A small proportion reporting a large increase in benefit finding were also most likely to show decreases in depressive symptoms over time. These findings suggest a relation between perceiving benefits from cancer experience and improved psychological functioning in cancer patients receiving psychological care.Statement of contributionWhat is already known on this subject'People vary in course of benefit finding (BF) after trauma, with some experiencing enhanced BF and others decreased BF.Empirical studies have identified subgroups of cancer patients with distinct BF trajectories.What does this study add'This is the first study showing that cancer patients followed different BF trajectories during psychological care.Only a small proportion experienced clinically meaningful increases in BF over time.More attention is needed for cancer patients with decreased BF, as they are at a higher risk of remaining depressed.
      PubDate: 2017-11-15T06:15:33.080718-05:
      DOI: 10.1111/bjhp.12283
  • Adolescent temperament dimensions as stable prospective risk and
           protective factors for salivary C-reactive protein
    • Authors: Benjamin W. Nelson; Michelle L. Byrne, Julian G. Simmons, Sarah Whittle, Orli S. Schwartz, Neil M. O'Brien-Simpson, Katrina A. Walsh, Eric C. Reynolds, Nicholas B. Allen
      Abstract: ObjectiveTemperament has associations with later physical health outcomes, yet there is a dearth of research exploring the connection between temperament and mechanisms that have known associations with these health outcomes. Recent research has delineated a connection between personality and inflammation during adulthood, but this association has not yet been studied in adolescent samples.DesignWe investigated whether stable adolescent temperament (averaged over two years), specifically effortful control and negative emotionality, provided a more robust prediction of inflammation as measured by salivary C-reactive protein (sCRP), than depressive symptoms.MethodsTemperament and depressive symptoms were measured in a sample of sixty-three adolescents (37 males) when they were approximately 12 years old (mean age = 12.30, SD = 0.69) and again when they were approximately 14 years old (mean age = 14.84, SD = 0.49). Levels of sCRP were determined approximately 7 months later (mean = 6.77, SD = 2.99) when participants were approximately 15 years old (mean age = 15.49, SD = 0.49).ResultsRegression analyses revealed that effortful control (EC) was significantly associated with lower sCRP levels, while higher negative emotionality (NE) was significantly associated with higher sCRP levels. Furthermore, these associations were larger than those for depressive symptoms and were differentially impacted by the addition of covariates. Implications for the role of stable risk and protective factors in inflammatory processes are discussed.ConclusionsThese findings are the first to show associations between adolescent temperament and inflammation. Furthermore, these findings extend previous personality research to temperamental research in a younger sample of adolescents.Statement of contributionWhat is already known'There is a large extant literature on the association between depressive symptoms and inflammation.There is a smaller extant literature on the association between personality and inflammation.No studies have examined how adolescent temperament traits may relate to inflammation.What does this study add'Longitudinal data collection over the course of 3 years in an adolescent sample.Addresses the question of whether temperament factors relate to inflammation.Temperament provides a more robust predictor of later inflammation than depressive symptoms.
      PubDate: 2017-10-15T23:30:23.06632-05:0
      DOI: 10.1111/bjhp.12281
  • The prioritization of symptom beliefs over illness beliefs: The
           development and validation of the Pain Perception Questionnaire for Young
    • Authors: Daniela Ghio; Wendy Thomson, Rachel Calam, Fiona Ulph, Eileen M. Baildam, Kimme Hyrich, Lis Cordingley
      Abstract: ObjectivesTo investigate the suitability of the revised Illness Perception Questionnaire (IPQ-R) for use with adolescents with a long-term pain condition and to validate a new questionnaire for use with this age group.DesignA three-phase mixed-methods study.MethodsPhase 1 comprised in-depth qualitative analyses of audio-recorded cognitive interviews with 20 adolescents with juvenile idiopathic arthritis who were answering IPQ-R items. Transcripts were coded using framework analysis. A content analysis of their intended responses to individual items was also conducted. In Phase 2, a new questionnaire was developed and its linguistic and face validity were assessed with 18 adolescents without long-term conditions. In Phase 3, the construct validity of the new questionnaire was assessed with 240 adolescents with juvenile idiopathic arthritis. A subset of 43 adolescents completed the questionnaire a second time to assess test–retest reliability. All participants were aged 11–16 years.ResultsParticipants described both conceptual and response format difficulties when answering IPQ-R items. In response, the Pain Perception Questionnaire for Young People (PPQ-YP) was designed which incorporated significant modifications to both wording and response formats when compared with the IPQ-R. A principal component analysis of the PPQ-YP identified ten constructs in the new questionnaire. Emotional representations were separated into two constructs, responsive and anticipatory emotions. The PPQ-YP showed high test–retest reliability.ConclusionsSymptom beliefs appear to be more salient to adolescents with a long-term pain condition than beliefs about the illness as a whole. A new questionnaire to assess pain beliefs of adolescents was designed. Further validation work may be needed to assess its suitability for use with other pain conditions.Statement of contributionWhat is already known on this subject'Versions of the adult Revised Illness Perception Questionnaire (IPQ-R) have been adapted for adolescents and children by changing item wording; however, research to assess the degree to which the underlying IPQ-R constructs are relevant to adolescents with a long-term condition had not been performed.What the present study adds'In adolescents, beliefs about symptoms of their condition are more salient than beliefs about the illness as a whole.Question response formats for children and young people need to take account of age-specific abilities.A new questionnaire has been designed for adolescents with pain. It is theoretically congruent with the CS-SRM.
      PubDate: 2017-10-09T01:11:50.30255-05:0
      DOI: 10.1111/bjhp.12275
  • Impact of low alcohol verbal descriptors on perceived strength: An
           experimental study
    • Authors: Milica Vasiljevic; Dominique-Laurent Couturier, Theresa M. Marteau
      Abstract: ObjectivesLow alcohol labels are a set of labels that carry descriptors such as ‘low’ or ‘lighter’ to denote alcohol content in beverages. There is growing interest from policymakers and producers in lower strength alcohol products. However, there is a lack of evidence on how the general population perceives verbal descriptors of strength. The present research examines consumers’ perceptions of strength (% ABV) and appeal of alcohol products using low or high alcohol verbal descriptors.DesignA within-subjects experimental study in which participants rated the strength and appeal of 18 terms denoting low (nine terms), high (eight terms) and regular (one term) strengths for either (1) wine or (2) beer according to drinking preference.MethodsThousand six hundred adults (796 wine and 804 beer drinkers) sampled from a nationally representative UK panel.ResultsLow, Lower, Light, Lighter, and Reduced formed a cluster and were rated as denoting lower strength products than Regular, but higher strength than the cluster with intensifiers consisting of Extra Low, Super Low, Extra Light, and Super Light. Similar clustering in perceived strength was observed amongst the high verbal descriptors. Regular was the most appealing strength descriptor, with the low and high verbal descriptors using intensifiers rated least appealing.ConclusionsThe perceived strength and appeal of alcohol products diminished the more the verbal descriptors implied a deviation from Regular. The implications of these findings are discussed in terms of policy implications for lower strength alcohol labelling and associated public health outcomes.Statement of contributionWhat is already known about this subject'Current UK and EU legislation limits the number of low strength verbal descriptors and the associated alcohol by volume (ABV) to 1.2% ABV and lower.There is growing interest from policymakers and producers to extend the range of lower strength alcohol products above the current cap of 1.2% ABV set out in national legislation.There is a lack of evidence on how the general population perceives verbal descriptors of alcohol product strength (both low and high).What does this study add'Verbal descriptors of lower strength wine and beer form two clusters and effectively communicate reduced alcohol content.Low, Lower, Light, Lighter, and Reduced were considered lower in strength than Regular (average % ABV).Descriptors using intensifiers (Extra Low, Super Low, Extra Light, and Super Light) were considered lowest in strength.Similar clustering in perceived strength was observed amongst the high verbal descriptors.The appeal of alcohol products reduced the more the verbal descriptors implied a deviation from Regular.
      PubDate: 2017-10-09T00:34:28.16524-05:0
      DOI: 10.1111/bjhp.12273
  • Systematic review of behaviour change techniques to promote participation
           in physical activity among people with dementia
    • Authors: Samuel R. Nyman; Natalia Adamczewska, Neil Howlett
      Abstract: PurposeThe objective of this study was to systematically review the evidence for the potential promise of behaviour change techniques (BCTs) to increase physical activity among people with dementia (PWD).MethodsPsychINFO, MEDLINE, CINAHL, and the Cochrane Central Register of Controlled Trials databases were searched 01/01/2000–01/12/2016. Randomized controlled/quasi-randomized trials were included if they recruited people diagnosed/suspected to have dementia, used at least one BCT in the intervention arm, and had at least one follow-up measure of physical activity/adherence. Studies were appraised using the Cochrane Collaboration Risk of Bias Tool, and BCTs were coded using Michie et al., 2013, Annals of Behavioral Medicine, 46, 81. taxonomy. Intervention findings were narratively synthesized as either ‘very promising’, ‘quite promising’, or ‘non-promising’, and BCTs were judged as having potential promise if they featured in at least twice as many very/quite promising than non-promising interventions (as per Gardner et al., 2016, Health Psychology Review, 10, 89).ResultsNineteen articles from nine trials reported physical activity findings on behavioural outcomes (two very promising, one quite promising, and two non-promising) or intervention adherence (one quite promising and four non-promising). Thirteen BCTs were used across the interventions. While no BCT had potential promise to increase intervention adherence, three BCTs had potential promise for improving physical activity behaviour outcomes: goal setting (behaviour), social support (unspecified), and using a credible source.ConclusionsThree BCTs have potential promise for use in future interventions to increase physical activity among PWD.Statement of contributionWhat is already known on this subject'While physical activity is a key lifestyle factor to enhance and maintain health and wellbeing amongst the general population, adults rarely participate in sufficient levels to obtain these benefits.Systematic reviews suggest that specific behaviour change techniques can increase physical activity, although one review suggested that self-regulatory techniques may be counterproductive when promoting physical activity among older people.Until now, no systematic review has been conducted to assess which behaviour change techniques may be associated with greater participation in physical activity among people with dementia.What does this study add'Interventions showed mixed promise for increasing physical activity and little effect on participant adherence.Goal setting (behaviour), social support (unspecified), and using a credible source are promising approaches.No technique showed promise for increasing adherence to physical activity interventions among people with dementia.
      PubDate: 2017-10-04T23:50:31.554861-05:
      DOI: 10.1111/bjhp.12279
  • The longitudinal effects of emotion regulation on physical and
           psychological health: A latent growth analysis exploring the role of
           cognitive fusion in inflammatory bowel disease
    • Authors: Inês A. Trindade; Cláudia Ferreira, José Pinto-Gouveia
      Abstract: ObjectiveThis study thus aims to test differences between patients with inflammatory bowel disease (IBD) regarding IBD symptomatology, cognitive fusion, and psychological and physical health, as well as to explore whether the maladaptive emotion regulation process of cognitive fusion longitudinally impacts on the baseline and evolution of these outcomes over a period of 18 months.Design and methodsParticipants include 116 IBD patients with a mean age of 36.76 (SD = 11.39) of both genders (69.83% females) that completed the self-report measures of interest in three different times, equally spaced 9 months apart, over a period of 18 months. Latent growth curve models were conducted using structural equation modelling to estimate the growth trajectory of the variables in study.ResultsInflammatory bowel disease symptomatology and cognitive fusion's levels were negatively associated with psychological health and physical health's baseline levels. Furthermore, IBD symptomatology did not influence the growth of psychological health, while cognitive fusion did (β = .30, p = .007). The same result was found for physical health (β = .26, p = .024). These findings indicate that individuals with higher levels of cognitive fusion present lower levels of psychological health and physical health that tend to further decrease over the time through the effects of this maladaptive emotion regulation process.ConclusionsThis study implies that it is of crucial importance to include psychotherapeutic interventions in the health care of patients with IBD. If successful, these interventions could represent decreases in the cost of IBD treatment and in the use of drugs with adverse side effects, in addition to improving patients’ mental health and quality of life. Further implications for clinical and research work are discussed.Statement of contributionWhat is already known on this subject'Research has demonstrated the impact of emotion regulation on both physical and mental health.Nevertheless, the longitudinal effects of the specific emotion regulation process of cognitive fusion on physical and psychological health have never been explored.Additionally, no study has yet examined the causal role of emotion regulation in evolution of physical health in inflammatory bowel disease (IBD).What does this study add'Cognitive fusion longitudinally impacted on IBD patients’ physical and mental health.These variables were measured over a period of 18 months.Treatment for IBD should include interventions aiming to diminish maladaptive emotion regulation.
      PubDate: 2017-10-04T23:45:29.236916-05:
      DOI: 10.1111/bjhp.12280
  • Reducing discrepancies of personal goals in the context of cancer: A
           longitudinal study on the relation with well-being, psychological
           characteristics, and goal progress
    • Authors: Marlous R. Pama; Moniek Janse, Mirjam A. G. Sprangers, Joke Fleer, Adelita V. Ranchor
      Abstract: ObjectivesTo (1) examine whether reducing discrepancies between goal importance and goal attainability is an adaptive predictor of well-being, (2) investigate intrusion, awareness, optimism, and pessimism as determinants of reducing discrepancies between goal importance and goal attainability, and (3) explore how goal progress is involved in reducing discrepancies between goal importance and goal attainability during two major periods after a colorectal cancer diagnosis.DesignProspective design.MethodsNewly diagnosed colorectal cancer patients (n = 120) were interviewed three times: within a month, 7 months (treatment period), and 18 months (follow-up period) post-diagnosis. Data were analysed using multiple regressions.ResultsResults showed that (1) reducing discrepancies enhances well-being, (2) optimism and pessimism are predictors of reducing discrepancies during the treatment period but not during the follow-up period, while intrusion and awareness do not predict reducing discrepancies in either period, and (3) goal progress is a predictor of reducing discrepancies during the follow-up period, but no evidence for a moderating or mediating role of goal progress in the relation between psychological characteristics and reducing discrepancies was found.ConclusionsReducing discrepancies between goal importance and goal attainability could benefit colorectal cancer patients’ well-being. Optimism, pessimism, and goal progress appear to influence cancer patients’ ability to reduce discrepancies. Providing assistance in improving goal progress to those who are less optimistic and highly pessimistic may be a suitable training for cancer patients to prevent deterioration in well-being.Statement of contributionWhat is already known on this subject'More discrepancy between goal importance and goal attainability is associated with lower levels of well-being.People are able to change evaluations of importance and attainability, but it is unknown whether this positively impacts well-being.Underlying causes of differences in the extent to which discrepancies between goal importance and goal attainability are reduced are unknown.What does this study add'This is the first study to show that reducing discrepancies between goal importance and goal attainability is beneficial for well-being.This is the first study to show that optimism and pessimism are determinants of reducing discrepancies between goal importance and goal attainability.Goal progress might be an effective target for interventions that aim to facilitate one's ability to reduce discrepancies between goal importance and goal attainability.
      PubDate: 2017-09-27T04:35:53.69846-05:0
      DOI: 10.1111/bjhp.12278
  • Self-management support in routine primary care by nurses
    • Authors: Heleen Westland; Carin D. Schröder, Jessica Wit, Judith Frings, Jaap C. A. Trappenburg, Marieke J. Schuurmans
      Abstract: ObjectivesTo examine how and to what extent self-management support, including behaviour change support, is provided by primary care nurses in routine consultations with chronically ill patients.DesignObservational study design.MethodsRoutine consultations of primary care nurses in the Netherlands with chronically ill patients were audio-taped and analysed. The analysis identified health topics addressed according to health care standards, self-management topics addressed using a validated set of topics, and behaviour change techniques (BCTs) using the Behaviour Change Techniques Taxonomy v1.ResultsSeventy-eight routine consultations of 17 primary care nurses with chronically ill patients were included in the analysis. Nurses addressed both health topics and self-management topics in brief, fragmented, and often inconsistent manners. Dietary intake and physical activity were the most frequently addressed topics. Nurses applied 21 BCTs to target behaviour change, but the use of these techniques was mainly inconsistent and implicit. The most consistently used BCTs were review behaviour goal(s) (56.4%) and feedback on behaviour (51.3%).ConclusionsNurses addressed both health topics and self-management topics in their routine consultations. The duration, frequency, and number of addressed topics differed throughout the consultations. Nurses tended to prioritize the monitoring and optimization of patients’ medical treatment and provided limited self-management support. Nurses seldom deepened their focus on behaviour change and infrequently used effective techniques to support this change. Adoption of self-management in primary care, including behaviour change, might be enhanced if nurses consistently and explicitly use effective BCTs in their consultations.Statement of contributionWhat is already known on this subject'Primary care nurses play a pivotal role in self-management support for patients with a chronic condition.Adequate self-management support requires nurses to activate patients and enhance behaviour change.Little is known regarding to what extent nurses provide self-management support in routine primary care.What does this study add'Self-management support is brief, fragmented, and inconsistently provided by nurses.Nurses tend to prioritize medical treatment optimization and seldom focus on behavioural change.Nurses’ use of effective behaviour change techniques is low and should be enhanced.
      PubDate: 2017-09-27T01:05:20.962635-05:
      DOI: 10.1111/bjhp.12276
  • A randomized controlled trial of a brief online intervention to reduce
           alcohol consumption in new university students: Combining
           self-affirmation, theory of planned behaviour messages, and implementation
    • Authors: Paul Norman; David Cameron, Tracy Epton, Thomas L. Webb, Peter R. Harris, Abigail Millings, Paschal Sheeran
      Abstract: ObjectivesExcessive alcohol consumption increases when students enter university. This study tests whether combining (1) messages that target key beliefs from the theory of planned behaviour (TPB) that underlie binge drinking, (2) a self-affirmation manipulation to reduce defensive processing, and (3) implementation intentions (if-then plans to avoid binge drinking) reduces alcohol consumption in the first 6 months at university.DesignA 2 (self-affirmation) × 2 (TPB messages) × 2 (implementation intention) between-participants randomized controlled trial with 6-month follow-up.MethodsBefore starting university, students (N = 2,951) completed measures of alcohol consumption and were randomly assigned to condition in a full-factorial design. TPB cognitions about binge drinking were assessed immediately post-intervention (n = 2,682). Alcohol consumption was assessed after 1 week (n = 1,885), 1 month (n = 1,389), and 6 months (n = 892) at university. TPB cognitions were assessed again at 1 and 6 months.ResultsParticipants who received the TPB messages had significantly less favourable cognitions about binge drinking (except perceived control), consumed fewer units of alcohol, engaged in binge drinking less frequently, and had less harmful patterns of alcohol consumption during their first 6 months at university. The other main effects were non-significant.ConclusionsThe findings support the use of TPB-based interventions to reduce students’ alcohol consumption, but question the use of self-affirmation and implementation intentions before starting university when the messages may not represent a threat to self-identity and when students may have limited knowledge and experience of the pressures to drink alcohol at university.Statement of contributionWhat is already known on this subject'Alcohol consumption increases when young people enter university.Significant life transitions represent potential teachable moments to change behaviour.Interventions with a strong theoretical basis have been found to be more effective.What does this study add'A brief online intervention delivered to students before they start university can reduce alcohol consumption.The theory of planned behaviour can be used to inform the design of interventions to change health behaviour.
      PubDate: 2017-09-20T23:55:20.429268-05:
      DOI: 10.1111/bjhp.12277
  • The interplay between regulatory focus and temporal distance in the health
    • Authors: Aleksandra Berezowska; Arnout R. H. Fischer, Hans C. M. Trijp
      Abstract: ObjectivesThis study identifies how the interaction between temporal distance, regulatory focus, and framing of health outcomes affects individuals’ intention to adopt a personalized nutrition service.DesignA 2 (temporal distance: immediate health outcomes vs. delayed health outcomes) × 2 (regulatory focus: prevention vs. promotion) × 2 (health outcome framing: illness prevention vs. health promotion) full-factorial between-subjects design.MethodsIn two experiments with samples of 236 and 242 students, regulatory focus was manipulated by asking participants to describe which academic outcomes they want to either achieve or prevent and how they aim to do this. Temporal distance and health outcome framing were manipulated by modifying descriptions of personalized nutrition services. To study the process through which temporal distance, regulatory focus, and health outcome framing affect adoption intention, measures of perceived privacy risk and perceived personalization benefit were included as mediators.ResultsThe interaction between temporal distance and regulatory focus had a significant effect on adoption intention, perceived privacy risk, and perceived personalization benefit. For prevention-focused individuals’ adoption intention was higher, perceived personalization benefit was higher, and perceived privacy risk was lower when health outcomes were immediate instead of delayed. These effects were not significant for promotion-focused individuals. Health outcome framing affected the interaction between temporal distance and regulatory focus, but only in Study 1. Only perceived personalization benefit served as a mediator.ConclusionTailoring temporal distance to individuals’ regulatory focus increases adoption intention for personalized nutrition advice.Statement of contributionWhat is already known on this subject'Intention to adopt dietary recommendations results from a cognitive decision-making process.Regulatory focus and temporal distance are relevant for the adoption of dietary recommendations.Temporal distance and regulatory focus are interrelated.What does this study add'The interaction between temporal distance and regulatory focus affects adoption intention.Interaction between temporal distance and regulatory focus moderates the cognitive process that drives adoption.
      PubDate: 2017-09-19T04:45:40.663635-05:
      DOI: 10.1111/bjhp.12272
  • ‘It's like a frog leaping about in your chest’: Illness and treatment
           perceptions in persistent atrial fibrillation
    • Authors: Elaina C. Taylor; Mark O'Neill, Lyndsay D. Hughes, Susan Carroll, Rona Moss-Morris
      Abstract: ObjectivesPersistent atrial fibrillation (AF) is an abnormal heart rhythm associated with low quality of life (QoL) and significant health-related costs. The purpose of the study was to examine patients’ illness and treatment beliefs and ways of coping with AF symptoms, to provide insight into promoting better QoL and treatment-specific management.DesignBeliefs were explored across three procedural treatment groups using a qualitative cross-sectional design.MethodsThirty semi-structured interviews were carried out with patients undertaking cardioversion (n = 10), catheter ablation (n = 11) and atrioventricular node ablation (n = 9). Interviews were transcribed and analysed using inductive thematic analysis with elements of grounded theory.ResultsAn overarching theme of a vicious cycle was evident, which related to perceived lack of knowledge and understanding of AF, attempts to control symptoms and negative emotional reactions to failed control attempts. This vicious cycle related to three subordinate themes: (1) unpredictability and uncertainty of AF and symptoms; (2) coping with symptoms through (a) avoidance (b) all-or-nothing- (c) slowing down behaviours; and (3) concerns and expectations about treatment.ConclusionsPatients outlined a need to gain control of unpredictable symptoms by monitoring and varying activity levels. These behaviours were often appraised as ineffective at controlling symptoms, leading to heightened uncertainty and increased activity avoidance. Treatment concerns escalated with increasing number and invasiveness of procedures. Improving AF patients’ perceived understanding of their illness and treatment and promoting more effective symptom-management strategies may alleviate psychological distress and improve QoL. Themes elaborated on the common-sense model whereby patients’ beliefs about illness and treatment interact with coping behaviours.Statement of contributionWhat is already known about this subject'Quality of life (QoL) is disproportionately low in people with persistent atrial fibrillation (psAF).The common-sense model suggests illness perceptions and coping predict QoL in chronic illnesses.No previous studies have examined the idiosyncratic beliefs and coping behaviours of psAF patients.What does this study add'A vicious cycle of perceived lack of understanding of AF, attempts to control AF and distress at failed attempts at control, was a key theme.PsAF patients reported continued avoidance/all-or-nothing behaviours despite symptomatic relief post-procedure, and disengagement from enjoyable activities.PsAF patients reported procedure-specific concerns/expectations, which could be targeted in future interventions aimed at reducing distress.
      PubDate: 2017-09-05T23:26:05.697341-05:
      DOI: 10.1111/bjhp.12267
  • A qualitative investigation of physical activity compensation among older
    • Authors: Phillip Gray; Marie Murphy, Alison Gallagher, Ellen Elizabeth Anne Simpson
      Pages: 208 - 224
      Abstract: ObjectivesThis study explored the mechanisms of physical activity (PA) compensation among older adults who recently reduced their non-exercise physical activity (NEPA) in response to a structured PA intervention.DesignA post-trial, retrospective qualitative process evaluation using interviews was employed.MethodsLevels of PA compensation were determined by comparing NEPA prior to and during the final week of a 4-week structured PA intervention. Those who reduced their NEPA by 10% or greater were considered as compensators. Interviews were conducted with older adult compensators (mean age = 58.56 ± 3.88 years; n = 9), employing thematic analysis to identify potential mechanisms of PA compensation.ResultsThe findings suggest that the majority of participants were unaware that they had compensated in their PA, suggesting that this may be a non-volitional process. Most participants perceived PA compensation to hold negative implications for health and well-being. Physiological processes of fatigue and delayed onset of muscle soreness were cited as the principal cause of PA compensation, whereas psychological processes including a drive to be inactive, fear of overexertion, deficient motivation, and perceived time constraints were cited to a lesser extent.ConclusionA range of physiological and psychological compensatory barriers were identified. Implications of and methods to overcome these compensatory barriers are discussed.Statement of contributionWhat is already known on this subject'Physical activity compensation holds negative implications for physical activity promotion and health.Older adults are an age group more likely to compensate in their physical activity levels.What does this study add'Physical activity compensation may be a result of a range of physiological and psychological processes including fatigue and delayed onset of muscle soreness, compensatory health beliefs, fear of overexertion, deficient motivation, and perceived time constraints.Most older adult compensators may be unaware they are compensating and, however, agree that physical activity compensation has negative implications for health and well-being.
      PubDate: 2017-11-24T05:01:38.457573-05:
      DOI: 10.1111/bjhp.12282
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