Documente Academic
Documente Profesional
Documente Cultură
physical activity is a key component in the management of chronic diseases, provides physical and
cognitive benefits, and decreases anxiety levels
factors in the "built environment" may increase walking and mobility in older adults
o higher residential densities, accessible transportation, and local amenities (post offices,
newsstands, food stores) are all associated with increased walking
most research has been done on those older adults who are relatively inactive or who have limited
mobility;
this study looked at physically active older adults, and hoped to explain how these active older adults
sustain their mobility as they age
took a strengths-based perspective (focus on the individual's capabilities)
competence model - suggests that an individual's level of competence is matched with the demands of
the environment
concept of place attachment model - an individual's feeling of connectedness to their neighborhood
influences physical activity levels
the purpose was to examine the secrets of active older adults that may explain how these individuals
sustain their mobility as they age
participants selected from a cross-sectional study; recruited from a provincial government agency
providing rental subsidies; narrowed down to 27 community-dwelling older adults from Metro Vancouver,
British Columbia (men and women over the age of 65) who received housing assistance, reported leaving
home at least once per week, were able to walk at least 10 minutes with or without assistance, spoke
English, and who did not have any significant memory problems; only 10 were chosen (the rest weren't
active enough)
The active older adults included in the study had an age range of 66 to 88 years old and an average MVPA
of 47.2 minutes/day
resourcefulness - self help strategies that are used to maintain independence in daily tasks, despite
adverse situations
o self-efficacy
o self-control
o adaptability
social connections - includes living condition, social interactions, and a sense of connectedness or
belonging
natural and built environment influences physical activity
Implications
it's important to focus effort on programs for older adults and development of policies that promote
physical activity in this age group
o fitness classes
FINAL REVIEW
o
o
o
2
social events at community centers
more appropriate fitness programming throughout the person's lifespan
planning neighborhoods/communities with physical activity in mind (sidewalks, more green
space, more availability of basic needs)
a dynamic process that is reflected in the tendency for a group to stick together and remain united in
pursuit of its task objective and/or the satisfaction of a member affective needs
the more cohesive the group, the higher the adherence to exercise, and the fewer dropouts
Attractions
to the
group-Task
1.
2.
Individual Level
Task
Aspects
Group
Cohesion
Group
IntegrationTask
Group Level
Attractions to
the
group -Social
Social
Aspects
Group
Integration
-Social
FINAL REVIEW
4.
a. "We all take responsibility if one of our exercise classes goes poorly"
Group Integration-Social (GIS)
a. "Members of our exercise class rarely socialize together" (this is a negative example)
social support is a complex phenomenon with multiple definitions from different researchers
social support is important for health and well-being (tend to live longer and have a healthier life)
Support Networks
Supportive Climate
Perceived Support
FINAL REVIEW
o women have lower depression levels than men because women seek emotional suport
Supportive Climates
o reflects the quality of support
Enacted and Received Support
o support involves at least two people: provider and recipient
Perceived Support
o does the individual perceive that they get enough quality support?
Concept
Support availability
Support appraisal
Support behavior
Frequency of occurrence or
likelihood of behavior
Measure
Network size - total # of people who
can provide support
Network density - total # of people
who can provide a certain type of
support
Attachment
Social integration
Self-worth
Esteem support
Reliable alliance
Guidance
Financial assistance
Practical assistance
Emotional support
Advice or guidance
Positive interactions
FINAL REVIEW
Active Recruitment
a. pre-identified population of interest (we know them, how many, who they are)
b. contact through phone, direct mail, face-to-face recruitment
c. more effective for the underserved population
FINAL REVIEW
2.
Passive Recruitment
a. no direct solicitation of potential study participants (don't know how many, where they are)
b. contact through mass advertisements (study flyer, press-release, media, internet)
c. waits for participants to come to the researcher
Purpose
active recruitment
techniques for PA
promotion and proper
diet
Population
Two African-American
populations of different
socio-economic status
(SES)
PA and nutrition
intervention program active vs. passive
recruitment
AA women of different
BMI and education levels
Results
Low SES: active
approaches
(presentations)
High SES: other
approaches
High BMI & low
education: personalized
approaches
Low BMI & high SES:
passive approaches
Purpose
Web-based PA promotion
using passive recruitment
Population
Adults with physical
disabilities
Warren-Findlow et al.
(200)
Exercise intervention
using a combo of active
and passive strategies
Results
Mostly White, welleducated participants;
50% recruitment rate
87% recruitment rate
Race did not affect
recruitment
Age and functional level
affected recruitment
Researcher
Academic institutions (LSU)
Interviewers
FINAL REVIEW
general model provides lessons learned related to successful recruitment of older, ethnic minority adults
to PA programs
there has to be an effective interaction on three levels: macro, mediator, and individual
language
lack of trust
fear of lack of confidentiality
functional level, SES, education, age, ethnicity, and attitudes affect participation in PA promotion research
and recruitment techniques
overcome fear and distrust through collaboration with community agents
understand cultural differences
diversify the cultural characteristics of research staff
give feedback to the community about the results
overcome transportation barriers
Medical Model
o disability = defective, inferior, less than
o biological/psychological anomalies and deficits
FINAL REVIEW
2.
o negative terminology
o goal = give advice and prescription
o graphics are passive
Social Minority model
o disability - simply being different
o one shared experience = social stigma
o terminology = positive, neutral, person-first emphasized
o goal is to empower the individual, self-actualization
o graphics are active
2.
Categorical approach
a. labeling, assumption of homogeneity, stereotypes
b. lined to medical model
c. Characteristics of this approach
i. people are identified by categories
1. need to target each group differently
2. experts need to communicate differently with each group
3. these labels can take another term - labeling
ii. labeling assumes the problem is in the individual, relieves responsibility from the
exercise leader
iii. assumption of population homogeneity
1. people within this group are the same
2. we assume that the group of people have the same or similar characteristics
3. this effects how we develop our exercise programs
4. we cannot assume this, because each person is different
iv. reinforces stereotypes and under-expectations
v. labeling becomes permanent; you don't see the person, you see the label
vi. relieves responsibility of exercise leaders
Non-Categorical approach
a. promotion of inclusion in the least restrictive environment
b. linked to social minority model
c. Characteristics of Non-Categorical approach
i. promotion of inclusion in the least restrictive environment
1. integrating disabled with non-disabled people
2. the people can function at optimal levels
ii. inclusion as an attitude, a philosophy
1. it starts with attitude before action
2. if the fitness center is acceptable, it will attract more people
iii. APA viewed as service, not a place
Disability Terminology
1.
FINAL REVIEW
2.
3.
infuse content about disability throughout the required (and elective) coursework in the undergraduate
curriculum of Kinesiology
Level
Approach
Content Level
Participant
Commitment
Little or none
Additive
Comprehension
II
Inclusion
Application
Analysis
Partial
III
Infusion
Analysis
synthesis
Evaluation
Strong
Learning
Experience
Single
Isolated
Passive
Unrelated
Multiple
Reflective
Related
Integral
Integrated
Active
Value Level
Exposure
Initial awareness
Enrich
Partial
understanding
Enrich
Ownership
Understanding
Example:
increased knowledge and understanding of disability, individuals with a disability, and equity issues
o decreased nervousness in dealing with wheelchair users
commitment of faculty and students to disability issues
FINAL REVIEW
10
Emancipatory research
o meaningful research in the disability community, that emphasizes the inclusive approach
participatory model of research
o people with disabilities as researchers, as well as the researched
focus on individual, environment, and their interaction
o disability as a social construct, not just a medical issue
challenge traditional images of the "ideal" athletic body
o women elite athletes with disabilities, amputee high jump without prosthesis, and wheelchair
dance in light of athletic ability
o look at the athlete/performance, not the disability
reinforcement - the use of rewards and punishments that increase or decrease the likelihood of a similar
response occurring in the future
the consequences of behavior (rewards or punishment) lead to a positive or negative response...the
behavior reoccurring or being terminated
FINAL REVIEW
Behavioral Strategy
Positive reinforcement
Negative reinforcement
Punishment
Punishment
Extinction
11
Stimulus
Presented
Avoided
Presented
Removed
Does not change
Behavioral Effect
Increase positive behavior
Increase positive behavior
Decrease negative behavior
Decrease negative behavior
decrease
FINAL REVIEW
12
Benefits of Feedback
motivational feedback - enhance confidence and effort, positive moods, reinforcement, and establish goal
setting
instructional feedback - behavior to be performed, goals, and current level of proficiency
such psychological skills as increased self-confidence and self-esteem, arousal regulation (e.g., attention
or concentration skills), stress management, and coping with injury can enhance performance,
motivation, self-satisfaction, and smooth and effective injury recovery
why is it important?
o to reduce nerves
o increase motivation to follow an exercise program because you are able to overcome depression
following an exercise-induced injury
o most sports are more mental than physical in nature (tennis, golf)
FINAL REVIEW
2.
3.
Acquisition Phase
a. strategies and techniques for learning mental skills (positive self-talk, goal setting, relaxation,
imagery, etc)
Practice Phase
a. automate skills through over learning
b. skill integration into performance
c. skill simulation in actual competition
2.
3.
4.
5.
13
FINAL REVIEW
o
o
o
o
14
lack of conviction
lack of time
lack of sport knowledge
lack of follow-up
Personality
Factors
Potentially
Stressful
Situation
History of
Stressors
Coping
Resources
Stress Response
Perception Increased Attention
of threat State
Distraction
Anxiety
Muscle
Tension
Injury
Psychological
Skill
Interventions
FINAL REVIEW
1.
2.
3.
15
Injury-Illness phase
Rehabilitation-Recovery Phase
Return to full activity phase
build rapport
educate injured athlete about injury and recovery process
teach psychological coping skills (goal setting, positive self-talk, relaxation, imagery)
teach how to cope with setbacks - no panic
foster social support
learn from injured athletes
Coaches
Understand individual variation in
injury
Foster social supprot
Motivate by optimally pushing
Patience and realistic expectations
Do not mention injury repeatedly
Individualized training
overtraining - a short cycle of training during which athletes expose themselves to excessive training loads
that are near or at maximal capacity
based on the overload principle - when individuals are faced with higher volume, more intense workouts,
during recovery their body will recover and they will come back more fit and stronge r
Overtraining Process
Positive Overtraining
Improved performance
Maintenance
No change in performance
Negative Overtraining
Burnout and Staleness
Impaired Performance
FINAL REVIEW
16
the goal over overload is for the body to adapt to a higher volume
overreaching is a state where the individual experiences impaired performance levels for a short period of
time (3 days to a week)
this overreached state is what we call the recovery state (when body recovers from overtraining and tried
to adapt to the higher training volume)
three things can happen during the overreaching state
o positive overtraining and increased performance
o maintenance and no change in performance
o negative overtraining and impaired performance, leading the burnout and staleness
poor performance
apathy
lethargy/sleep disturbance
weight loss/appetite loss
elevated resting HR/BP
muscle pain or soreness
mood changes
GI disturbances
retarded recovery from exertion
overuse injuries
immune system deficiency
concentration loss
Staleness Definition
physiological state of overtraining which manifests as deteriorated athletic readiness and performance
lasts at least 2 weeks
80% of athletes are also depressed
Negative affect
Mood changes
Substance abuse
Changes in values and beliefs
Emotional isolation
Increased anxiety
Highs and lows
FINAL REVIEW
17
Of demands
Of resources
Of consequences
Of meaning of
consequences
Burnout
Overload
Low social
support
Low
autonomy
Low rewards
Boredom
Perceived overload
Helplessness
Low meaningful
accomplishments
Devaluation of selfactivity
Physiological
responses
Tension, anger,
anxiety, depression
Insomnia, fatigue
Illness
susceptibility
Coping &
task
behaviors
Rigid
behavior
Decreased
performance
Interpersonal
difficulties
Activity
withdrawal
4 Stages
1.
2.
3.
4.
What are the similarities and differences among overtraining, staleness, and burnout?
FINAL REVIEW
18
all of these lead to lack of participation, high stress, increased rates of drop outs; differences in that
overtraining can lead to positive performance results, whereas staleness can lead to only negative burnout/withdrawal
"the craving for leisure time physical activity that results in uncontrollable excessive behavior and that
manifests in physiological (tolerance, withdrawal) and psychological symptoms (anxiety, depress)
symptomatology
o tolerance
exercising at high intensity isn't enough, they don't feel satisfied so they add more and
more
o withdrawal
if they have to stop (due to injury or vacation), they don't respond well...high stress
o lack of control
exercise controls their life.. scheduling activities around exercise
o time
o reduction
of non-exercise activities (time with family/friends)
o continuance
even when they are injured or should step back
Cognitive Symptoms
Low concentration
confusion
Physiological Symptoms
Muscle soreness
Fatigue
Lethargy
Low vigor
Sleep problems
Anorexia
Social Symptoms
Need for social interaction
FINAL REVIEW
19
refusal to maintain body weight at or above a minimally normal weight for age and height
intense fear of gaining weight, despite being underweight
negative perception about body shape/weight
amenorrhea
don't realize they have this problem, so it's more dangerous than bulimia
Bulimia Nervosa
EXE and AN: Four Models, two proposed studies and practical implications
study purpose was to identify the links between excessive exercise (EXE) and anorexia nervosa (AN) under
the assumption that EXE is a syndrome (i.e., distinct diagnostic entity)
Model I
o EXE and exercise anorexia nervosa (E-AN) are distinct groups
o the main goal of people with E-AN is to lose weight through such behaviors as exercise, and the
main goal of people who are EXE is to increase performance
o Implications
the similarity between the two groups is superficial, bc the goals of each are different
undiagnosed cases of eating disorders
athletes (wouldn't think they have eating disorders)
male adults/exerciser
older adults
Model II
o EXE can lead to AN through
addiction to starvation mechanism
many athletes who exercise a lot diet to increase performance
through this diet, they are addicted to low food intake
FINAL REVIEW
20
Model III o Stronger model version: AN and EXE are a variant of another disorder --> these are symptoms of
another disorder (OCD, perfectionism, anxiety, depress)
limitation:
different course and symptoms and varying epidemiological data
o Weaker model version: another disorder might be a predisposing factor for both AN and EXE
another disorder leads to both; Depression or OCD or anxiety leads to AN and EXE
Limitation
lack of explanations about the link between AN and EXE
Model IV
o EXE is a variant of (the same thing as) AN
o AN and EXE have a similar etiology that explains the ratio differences between males and females
in the two disorders
o specifically: the same factors (family and social pressures) that form female adolescent AN also
form the "mid-life crisis" of the "obligatory male athlete"
o it is believed AN occurs mostly among adolescent females due to social pressure to be thin
o model limitation:
the use of two different age cohorts (groups)
2.