Perceived barriers to walking in the neighborhood environment: a survey of middle-aged and older adults

The authors investigated whether low levels of walking among older adults in the UK were associated with demographic and health characteristics, as well as perceived environmental attributes. Survey data were obtained from self-administered standard questionnaires given to 680 people age 50+ (mean age 64.4 yr) attending nationally led walking schemes. Items concerned with demographic characteristics and perceived barriers to neighborhood walking were analyzed using multiple logistic regression. Citing more than 1 environmental barrier to walking, versus not, was associated with significantly reduced levels of (leisure) walking (MET/hr) in the preceding week (Z = -2.35, p = .019), but physical activity levels overall did not differ significantly (Z = -0.71, p = .48). Citing a health-related barrier to walking significantly adversely affected overall physical activity levels (Z = -2.72, p = .006). The authors concluded that, among older people who favor walking, health problems might more seriously affect overall physical activity levels than perceived environmental barriers.     

A multilevel analysis of change in neighborhood walking activity in older adults

The article reports on a multilevel analysis conducted to examine change in neighborhood walking activity over a 12-month period in a community-based sample of 28 neighborhoods of 303 older adults age 65 and over. The study employed a multilevel (residents nested within neighborhoods) and longitudinal (4 repeated measures over 1 year) design and a multilevel analysis of change and predictors of change in neighborhood walking activity. Results indicated a significant neighborhood effect, with neighborhood-level walking characterized by a downward trajectory over time. Inclusion of baseline variables using selected perceived neighborhood-level social- and physical-environment measures indicated that neighborhoods with safe walking environments and access to physical activity facilities had lower rates of decline in walking activity. The findings provide preliminary evidence of neighborhood-level change and predictors of change in walking activity in older adults. They also suggest the importance of analyzing change in physical activity in older adults from a multilevel or macrolevel framework.     

Project LIFE: a partnership to increase physical activity in elders with multiple chronic illnesses

The authors describe a medical center-based randomized trial aimed at determining the feasibility and effectiveness of partnering patients and primary-care providers with an exercise health counselor. Study participants included 165 veterans age 70 years and older. The primary end point was change in physical activity at 3 and 6 months comparing patients receiving high-intensity physical activity counseling, attention control counseling, and usual care after receiving standardized clinic-based counseling. We noted a significant Group x Time interaction (p = .041) for physical activity frequency and a similar effect for caloric expenditure (p = .054). Participants receiving high-intensity counseling and usual care increased physical activity over the short term, but those with usual care returned to baseline by the end of the study. The intervention was well received by practitioners and patients. We conclude that partnering primary-care providers with specialized exercise counselors for age- and health-appropriate physical activity counseling is effective.     

Measuring the influence of built neighborhood environments on walking in older adults

There is a need for greater understanding of how perceptions and objective measures of the physical environment influence physical activity among seniors. The goal of this study was to examine the degree of association between perceived and objective characteristics of the neighborhood environment and the relation of each type of measurement to neighborhood walking in older adults. Data on self-reported frequency of walking in the neighborhood and perceived measures of neighborhood environment from 105 older adults were linked to objective measures assessed by geographic information systems and an audit instrument. Perceived and objective measurements of the built environment exhibited a low degree of agreement (kappas: <.20). After adjustment for education, age, and gender, presence of a mall was positively associated with neighborhood walking in both the objective and perceived models.     

Whole-Life Career Management: A Counseling Intervention Framework

It is widely recognized that career management and counseling require a consideration of work and nonwork roles. The author presents a career counseling intervention framework to help clients self-direct their careers and attain work-nonwork balance. Based on an action regulation approach, the framework consists of 4 stages: (a) clarifying goals across work and nonwork roles, (b) mapping resources and barriers related to goal attainment, (c) developing action strategies for goal attainment, and (d) monitoring and adapting goal pursuit across work and nonwork goals. The author outlines the theoretical foundations of this framework, provides a case study on how the framework can be applied in individual counseling, and gives examples of specific intervention contents. The framework provides a foundation for career counseling practice to assist clients in managing their careers while taking into account nonwork roles. Researchers can use this framework to gain a better understanding of career self-management from a whole-life perspective.     

The impact of high-calorie-expenditure exercise on quality of life in older adults with coronary heart disease

The acceptability of a high-calorie-expenditure (HCE) exercise program in older coronary heart disease patients participating in a behavioral weight-control program was evaluated. Seventy-four overweight patients (median age 63 yr) were randomly assigned to a 5-mo intervention of HCE exercise (3,000-3,500 kcal/wk daily walking) or standard cardiac-rehabilitation (CR) exercise (700-800 kcal/wk). Both groups received counseling to achieve a dietary caloric deficit of 3,500 kcal/ wk. Assessments at baseline and 5 mo included self-reported measures of quality of life and psychosocial variables. The HCE group experienced significantly greater weight loss (8.2 ± 4 vs. 3.7 ± 5 kg, p < .001). Changes from baseline to 5 mo on scores of physical, emotional, and social functioning were greater for the HCE than CR group (p < .05). HCE exercise also resulted in greater positive change in exercise enjoyment (p = .05), which was mediated by weight change. Even high-risk older adults can be successful in an HCE exercise program and experience no adverse physical or emotional changes.     

The Use of the Computer in Counseling College Students

The purpose of this study was to examine the usefulness of a computer program in helping clients clarify their concerns and identify goals for behavior change, prior to their first session counselor. A counseling treatment consisting of three initial computer-interaction sessions, followed by two sessions with a counselor, was compared to a treatment consisting of five sessions with a counselor and no computer interaction, and to a no-contact control group. Participants were 46 college students. The two treatment groups achieved their self-determined goals, as measured by the Goal Attainment Scale (Kiresuk & Sherman, 1968), and reported similar levels of satisfaction with counseling than students working with the computer-based counseling system. It was concluded that computers may be effectively used as part of the counseling process, allowing for a more efficient use of the counselor's time. However, more research is needed to identify the type of counselor intervention needed to facilitate the acceptance of these systems by students.     

Promoting walking among older adults living in retirement communities

The authors tested the feasibility and acceptability, and explored the outcomes, of 2 walking interventions based on ecological models among older adults living in retirement communities. An enhanced intervention (EI) was compared with a standard walking intervention (SI) among residents in 4 retirement facilities (N = 87 at baseline; mean age = 84.1 yr). All participants received a walking intervention including pedometers, printed materials, and biweekly group sessions. EI participants also received phone counseling and environmental-awareness components. Measures included pedometer step counts, activities of daily living, environment-related variables, physical function, depression, cognitive function, satisfaction, and adherence. Results indicated improvements among the total sample for step counts, neighborhood barriers, cognitive function, and satisfaction with walking opportunities. Satisfaction and adherence were high. Both walking interventions were feasible to implement among facility-dwelling older adults. Future studies can build on this multilevel approach.     

A pilot intervention to promote walking and wellness and to improve the health of college faculty and staff

There is a need to investigate novel interventions that promote worksite physical activity and wellness. OBJECTIVE: The authors' purpose in this study was to evaluate the effectiveness of a 12-week walking program supplemented with a pedometer, computer educational program, and weekly e-mails. METHODS: College faculty and staff participated in a one-group pre-posttest study to determine whether the 12-week walking intervention had an effect on body mass index (BMI), blood pressure, blood glucose, and cholesterol. The authors also determined participant-perceived wellness effects. RESULTS: The authors observed differences between baseline and follow-up in BMI (p = .024), blood glucose (p = .06), and total cholesterol (p = .09). The program had a moderate effect on fitness, mood, health awareness, nutrition, and health. CONCLUSIONS: It is incumbent that experts develop innovative worksite physical activity and wellness programs. A pedometer-monitored walking program is one way that a worksite health initiative can improve the health and wellness of its employees and simultaneously reduce health-care costs.     

Infant motor development predicts the dynamics of movement during sleep

The characteristics of infant sleep change over the first year. Generally, infants wake and move less at night as they grow older. However, acquisition of new motor skills leads to temporary increases in night waking and movement at night. Indeed, sleep-dependent movement at night is important for sensorimotor development. Nevertheless, little is known about how movement during sleep changes as infants accrue locomotor experience. The current study investigated whether infant sleep and movement during sleep were predicted by infants' walking experience. Seventy-eight infants wore an actigraph to measure physical activity during sleep. Parents reported when their infants first walked across a room >10 feet without stopping or falling. Infants in the midst of walking skill acquisition had worse sleep than an age-group estimate. Infants with more walk experience had more temporally sporadic movement during sleep and a steeper hourly increase in physical activity over the course of the night. Ongoing motor skill consolidation changes the characteristics of movement during sleep and may alter sleep state-dependent memory consolidation. We propose a model whereby changes in gross motor activity during night sleep reflect movement-dependent consolidation.     

Abstinence versus Moderation Goals in Brief Motivational Treatment for Pathological Gambling

The present study examined the nature and impact of participant goal selection (abstinence versus moderation) in brief motivational treatment for pathological gambling via secondary analyses from a randomized controlled trial. The results demonstrated that the pattern of goal selection over time could be characterized by both fluidity and stability, whereby almost half of participants switched their goal at least one time, over 25 % of participants selected an unchanging goal of ‘quit most problematic type of gambling’, almost 20 % selected an unchanging goal of ‘quit all types of gambling’, and approximately 10 % selected an unchanging goal of ‘gamble in a controlled manner.’ The results also demonstrated that pretreatment goal selection was uniquely associated with three variables, whereby compared to participants who selected the goal to ‘cut back on problem gambling’, those who selected the goal to ‘quit problem gambling’ were more likely to have greater gambling problem severity, to have identified video lottery terminal play as problematic, and to have greater motivation to overcome their gambling problem. Finally, the results demonstrated that goal selection over time had an impact on the average number of days gambled over the course of treatment, whereby those with abstinence-based goals gambled significantly fewer days than those with moderation-based goals. Nevertheless, goal selection over time was not related to dollars gambled, dollars per day gambled, or perceived goal achievement. The findings do not support the contention that abstinence-based goals are more advantageous than moderation goals and are discussed in relation to the broader alcohol treatment literature.     

Career Counseling From the Counselee Perspective: Analysis of Feedback Questionnaires

The effectiveness of career counseling as perceived by counselees was measured using evaluation questionnaires. The results showed that 75% of the respondents rated the career counseling they received as satisfactory. A systematic difference was found between satisfaction with counseling as a result of the enhancement of the counselees' personal understanding and satisfaction as a result of the assistance they perceived in decision making. Respondents were more positive concerning their gains in self-understanding than about the help they felt they were given in arriving at a career decision. On the average, counselees rated discussions with the counselor as more important in counseling than were objective tests, interest inventories or vocational information. Respondents who reported that counseling helped them in both their personal and career problems were more satisfied than those who reported being helped solely in either their personal problems or their career decisions. The theoretical and practical implications of these results for career counseling are discussed.     

Perceptions of environmental supports on the physical activity behaviors of university men and women: a preliminary investigation

OBJECTIVE: To examine perception differences between genders of university sidewalks and safety from crime on the physical activity (PA) behaviors of undergraduate students. PARTICIPANTS: Five hundred and sixty undergraduate students participated in this study. METHODS: The authors derived questions from the South Carolina Environmental Supports for Physical Activity Questionnaire (SCESPAQ) and National College Health Risk Behavior Survey (NCHRS) PA module. RESULTS: The authors found a significant mean difference between genders for the Moderate Intensity Item (eg, walking and biking) and the Flexibility Item, t(558)=3.602, p=.001, and t(558)=1.946, p=.050, respectively. Of participants surveyed, 30% of women perceived this campus to be extremely safe compared with 49% of men, t(558)=4.240, p=.001. Gender and the perceptions of sidewalk presence were significantly related (p<.05) to respondents' walking or bicycling patterns. CONCLUSIONS: Perceptions of sidewalks and safety from crime on this university campus were related to students' PA behaviors.     

The effects of a pedometer-based intervention on first-year university students: A randomized control trial

ABSTRACT

Objectives: To assess the effects of a 12-week pedometer-based intervention on the physical activity behavior, health-related quality of life (HRQOL), and psychological well-being of first-year university students. Participants: First-year university students (N = 184) were recruited during September 2012 and randomly assigned to an intervention or a control group. Methods: Intervention participants were provided with a pedometer, monthly tracking logs, and follow-up e-mails. Control participants received no intervention. Physical activity, HRQOL, and psychological well-being were measured at baseline and post intervention. Data were analyzed using multivariate/univariate analysis of variance (MANOVA/ANOVA). Results: All participants experienced an increase in mild physical activity (p < .01) from baseline to follow-up. The intervention failed to produce significant differences between groups for physical activity (p = .28), HRQOL (p = .80), or psychological well-being (p = .72). Psychological well-being (p < .001), vigorous physical activity (p = .04), and mental health status (p < .001) decreased across the duration of the study. Conclusions: More intensive interventions may be required to elicit physical activity behavior change.     

Associations Between Physical Activity and Health-Related Factors in a National Sample of College Students

Abstract

Objective: To examine associations between meeting the current moderate to vigorous physical activity (MVPA) recommendation and health-related factors in a national sample of college students. Participants: Participants (N = 67,861) completed the National College Health Assessment II during the Fall 2008/Spring 2009 academic year. Methods: Hierarchical binary logistic regression was used to examine the contribution of 19 variables in explaining whether or not participants met the MVPA recommendation. Results: Meeting the MVPA recommendation was associated with several protective factors among college students, including adequate daily fruit and vegetable consumption, positive perception of general health, healthy body mass index, consistent seatbelt use, not smoking cigarettes, less perceived depression, and adequate sleep. In addition, meeting the MVPA recommendation was also significantly associated with a few risky behaviors including binge drinking, physical fighting, and multiple sexual partners. Conclusions: College student PA interventions should consider also addressing fruit/vegetable consumption and binge drinking.     

Smoking-cessation counseling practices of college/university health-care providers--a theory-based approach

OBJECTIVE: The author's purpose in this study was to examine the relation between smoking cessation counseling self-efficacy, knowledge of smoking cessation counseling, motivation to counsel smokers, and barriers to performing smoking cessation counseling, relative to the smoking cessation counseling stage of change. PARTICIPANTS AND METHODS: Members of The American College Health Association, who are health-care providers (N=296), completed a survey measuring the predictor variables of knowledge, motivation, self-efficacy and perceived barriers, and the members' readiness for conducting smoking-cessation counseling with students. RESULTS: The majority reported that they were knowledgeable about smoking-cessation counseling practices, they were motivated to conduct counseling, and they had the confidence (self-efficacy) to perform smoking-cessation counseling effectively. Significant barriers to performing smoking cessation counseling included the lack of reimbursement for counseling, lack of training in smoking-cessation counseling, and lack of resources for follow-up. The author found a moderate negative correlation between self-efficacy for smoking-cessation counseling and barriers to performing smoking-cessation counseling. CONCLUSION: The results suggest that researchers should address the barriers that prevent health-care providers from performing smoking-cessation counseling. Interventions on increasing healthcare providers' counseling self-efficacy may be instrumental in moving them further along the stage continuum and increase their readiness to perform smoking cessation counseling.     

Perceptions of Caucasian users about avian resources and beach restoration following hurricane <Emphasis Type="Italic">Sandy</Emphasis>

Hurricane Sandy resulted in massive destruction of many coastal ecological and human communities in the Northeastern United States in 2012. Beach-nesting and migrating birds are vulnerable to loss of essential habitat as a result of storms. In this paper we report the perceptions of beach users about avian use of the beaches, conservation measures to protect birds, and recent restoration efforts at Stone Harbor Point (New Jersey) to provide beach habitat for birds. Nearly all the visitors to the beach were Caucasian (N = 555), and reported their activity as walking (93 %), birding (19 %), biking (7 %), and lounging, boating, fishing or photographing (5 % or less for each). Visitors mainly came to this beach because of aesthetics, exercise, and vacation or to visit friends. Subjects rated protecting endangered species and the environment, restoring the beach, and designating off-limit areas to protect birds the highest. They rated conservation measures for birds the highest, and allowing dogs on the beach and providing more opportunities for jogging the lowest. The results suggest that protecting endangered species and habitat for nesting birds is a slightly higher goal than restoring dunes and marshes for flood control, which provides evidence for public support of restoration projects that protect both ecological and human communities. Providing more space for their own recreational activities was rated much lower, again supporting community good over personal uses. This information supports the restoration efforts following Sandy, and the importance of restoration projects that integrate ecological and human health goals in urban environments.     

A randomized study of CrossFit Kids for fostering fitness and academic outcomes in middle school students

Within the context of school-based physical education (PE), a strength and conditioning program called CrossFit Kids (CFK) has emerged as a potential intervention for positively impacting students. The purpose of this study was to evaluate through a randomized-controlled trial how academic and health-related fitness outcomes differed for middle school students (age = 12.73; 55.3 % male) who participated in a school-based CFK program (n=72) as compared to a group of students who participated in PE class (n=72). Questionnaire data were collected twice across the 9-month academic year and combined with FitnessGram and grade data.Students in both the intervention and comparison groups increased in health-related fitness outcomes (all p values < .017), and there was a significant treatment group by time interaction on school-reported grades [F(1, 124) = 7.270, p = .008, η_P^2 = .055].Significant gender by time interaction effects were found for the relationship between CFK or PE participation and health-related fitness outcomes, but there were no significant interaction effects by gender on academic outcomes. Because developmental outcomes are conditional and result from the coaction of many factors, the findings suggest that some elements of CFK might be beneficial to build skills yet disadvantageous to academic outcomes.     

Behavior change and the freshman 15: tracking physical activity and dietary patterns in 1st-year university women

OBJECTIVE AND PARTICIPANTS: The authors assessed the stability of diet and physical activity and their relationship to weight changes in first-year university women. METHODS: They collected anthropometric and body composition data from 101 resident women at the beginning of their first year of college and again at 12 months. The authors obtained physical activity and dietary logs 4 times throughout the year. RESULTS: Caloric intake decreased over 12 months in all participants (p = .01). There was little change in physical activity in participants who lost weight (p = .73, d = .18). Those who gained weight experienced a trend toward decreased physical activity (p = .13, d = .38). A significant Time X Group interaction on physical activity (p = .04) suggests that physical activity patterns differed substantially between individuals who gained weight and those who lost weight. CONCLUSIONS: Reduction in physical activity appears to be the defining characteristic in freshman weight gain.     

Chance Events and Career Decidedness: Latent Profiles in Relation to Work Motivation

Research has shown that chance events affect careers but has not established the nature of their effects. Moreover, the relationship between chance and career decidedness is not well understood. The authors used a person‐centered approach with latent profile analysis to examine 312 Swiss adolescents in their 1st year of vocational training. The authors identified 5 qualitatively differing profiles according to levels of perceived chance events and career decidedness: balanced scorers, undecided with mean chance, undecided with high chance, decided with chance, and decided without chance. The groups differed significantly in work motivation (i.e., occupational self‐efficacy beliefs, perceived person–job fit, and work engagement). Decided adolescents reported more favorable work motivation regardless of their level of perceived chance events. The results imply that promoting decidedness remains a valuable goal in career counseling despite the occurrence of unpredicted events.