Within-Person Associations of Accelerometer-Assessed Physical Activity With Time-Varying Determinants in Older Adults: Time-Based Ecological Momentary Assessment Study.
EMA
associations
ecological momentary assessment
emotions
intention
mobile phone
older adult
physical concerns
self-efficacy
Journal
JMIR aging
ISSN: 2561-7605
Titre abrégé: JMIR Aging
Pays: Canada
ID NLM: 101740387
Informations de publication
Date de publication:
23 Nov 2023
23 Nov 2023
Historique:
received:
18
11
2022
accepted:
10
10
2023
revised:
02
03
2023
medline:
23
11
2023
pubmed:
23
11
2023
entrez:
23
11
2023
Statut:
epublish
Résumé
Despite the availability of physical activity (PA) interventions, many older adults are still not active enough. This might be partially explained by the often-limited effects of PA interventions. In general, health behavior change interventions often do not focus on contextual and time-varying determinants, which may limit their effectiveness. However, before the dynamic tailoring of interventions can be developed, one should know which time-dependent determinants are associated with PA and how strong these associations are. The aim of this study was to examine within-person associations between multiple determinants of the capability, opportunity, motivation, and behavior framework assessed using Ecological Momentary Assessment (EMA) and accelerometer-assessed light PA, moderate to vigorous PA, and total PA performed at 15, 30, 60, and 120 minutes after the EMA trigger. Observational data were collected from 64 healthy older adults (36/64, 56% men; mean age 72.1, SD 5.6 y). Participants were asked to answer a time-based EMA questionnaire 6 times per day that assessed emotions (ie, relaxation, satisfaction, irritation, and feeling down), the physical complaint fatigue, intention, intention, and self-efficacy. An Axivity AX3 was wrist worn to capture the participants' PA. Multilevel regression analyses in R were performed to examine these within-person associations. Irritation, feeling down, intention, and self-efficacy were positively associated with subsequent light PA or moderate to vigorous PA at 15, 30, 60, or 120 minutes after the trigger, whereas relaxation, satisfaction, and fatigue were negatively associated. Multiple associations were observed in this study. This knowledge in combination with the time dependency of the determinants is valuable information for future interventions so that suggestions to be active can be provided when the older adult is most receptive.
Sections du résumé
BACKGROUND
BACKGROUND
Despite the availability of physical activity (PA) interventions, many older adults are still not active enough. This might be partially explained by the often-limited effects of PA interventions. In general, health behavior change interventions often do not focus on contextual and time-varying determinants, which may limit their effectiveness. However, before the dynamic tailoring of interventions can be developed, one should know which time-dependent determinants are associated with PA and how strong these associations are.
OBJECTIVE
OBJECTIVE
The aim of this study was to examine within-person associations between multiple determinants of the capability, opportunity, motivation, and behavior framework assessed using Ecological Momentary Assessment (EMA) and accelerometer-assessed light PA, moderate to vigorous PA, and total PA performed at 15, 30, 60, and 120 minutes after the EMA trigger.
METHODS
METHODS
Observational data were collected from 64 healthy older adults (36/64, 56% men; mean age 72.1, SD 5.6 y). Participants were asked to answer a time-based EMA questionnaire 6 times per day that assessed emotions (ie, relaxation, satisfaction, irritation, and feeling down), the physical complaint fatigue, intention, intention, and self-efficacy. An Axivity AX3 was wrist worn to capture the participants' PA. Multilevel regression analyses in R were performed to examine these within-person associations.
RESULTS
RESULTS
Irritation, feeling down, intention, and self-efficacy were positively associated with subsequent light PA or moderate to vigorous PA at 15, 30, 60, or 120 minutes after the trigger, whereas relaxation, satisfaction, and fatigue were negatively associated.
CONCLUSIONS
CONCLUSIONS
Multiple associations were observed in this study. This knowledge in combination with the time dependency of the determinants is valuable information for future interventions so that suggestions to be active can be provided when the older adult is most receptive.
Identifiants
pubmed: 37995131
pii: v6i1e44425
doi: 10.2196/44425
pmc: PMC10704312
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e44425Informations de copyright
©Iris Maes, Lieze Mertens, Louise Poppe, Tomas Vetrovsky, Geert Crombez, Femke De Backere, Ruben Brondeel, Delfien Van Dyck. Originally published in JMIR Aging (https://aging.jmir.org), 23.11.2023.
Références
Exerc Sport Sci Rev. 2017 Jan;45(1):48-54
pubmed: 27741022
Psychol Sport Exerc. 2021 Jul;55:
pubmed: 33841048
Ann Behav Med. 2018 May 18;52(6):446-462
pubmed: 27663578
J Sport Exerc Psychol. 2013 Oct;35(5):493-502
pubmed: 24197717
Br J Sports Med. 2019 Oct;53(19):1206-1213
pubmed: 29331992
Br J Health Psychol. 2019 May;24(2):315-333
pubmed: 30672069
J Sport Exerc Psychol. 2010 Apr;32(2):253-61
pubmed: 20479481
Gait Posture. 2017 Mar;53:11-16
pubmed: 28064084
J Phys Act Health. 2016 Mar;13(3):344-51
pubmed: 26284314
Annu Rev Clin Psychol. 2008;4:1-32
pubmed: 18509902
Ageing Res Rev. 2011 Sep;10(4):464-74
pubmed: 21570493
Gerontologist. 2019 Jul 16;59(4):709-717
pubmed: 29688424
Med Sci Sports Exerc. 2018 Feb;50(2):257-265
pubmed: 28976493
Health Psychol. 2021 Dec;40(12):845-857
pubmed: 32914997
Health Educ Res. 2011 Apr;26(2):308-22
pubmed: 21321008
Clinics (Sao Paulo). 2005 Feb;60(1):61-70
pubmed: 15838583
Clin Interv Aging. 2013;8:549-56
pubmed: 23723694
J Sport Exerc Psychol. 2016 Aug;38(4):423-434
pubmed: 27634288
J Med Internet Res. 2016 Jun 21;18(6):e151
pubmed: 27328833
J Behav Med. 2017 Jun;40(3):445-457
pubmed: 27766481
J Am Diet Assoc. 2009 Jan;109(1):30-5
pubmed: 19103320
J Sport Exerc Psychol. 2010 Oct;32(5):674-93
pubmed: 20980710
Eur J Hosp Pharm. 2019 Jan;26(1):57-58
pubmed: 31157099
Lancet. 2012 Jul 21;380(9838):247-57
pubmed: 22818937
Psychosom Med. 2002 Mar-Apr;64(2):258-66
pubmed: 11914441
Psychol Sport Exerc. 2017 Jul;31:79-87
pubmed: 29151810
Trials. 2019 Jun 10;20(1):340
pubmed: 31182147
PeerJ. 2022 May 19;10:e13234
pubmed: 35611175
Psychol Aging. 2010 Sep;25(3):641-52
pubmed: 20853970
Br J Sports Med. 2020 Dec;54(24):1451-1462
pubmed: 33239350
Ann Behav Med. 2009 Dec;38(3):249-55
pubmed: 20052568
Implement Sci. 2011 Apr 23;6:42
pubmed: 21513547
Prev Med. 2019 Aug;125:55-61
pubmed: 31125627
Trends Psychiatry Psychother. 2021 Jul-Sep;43(3):177-184
pubmed: 33890431
J Stat Distrib Appl. 2021;8(1):8
pubmed: 34760432
J Sports Sci. 2019 Jun;37(11):1270-1279
pubmed: 30558487
Braz J Psychiatry. 2014 Jan-Mar;36(1):76-88
pubmed: 24554274
J Sport Exerc Psychol. 2011 Dec;33(6):807-27
pubmed: 22262706
Health Place. 2021 Jan;67:102492
pubmed: 33316601
Ann Behav Med. 2021 Feb 12;55(1):41-54
pubmed: 32441738
Br J Health Psychol. 2016 Nov;21(4):827-841
pubmed: 27193530