As part of the emergence of alternative research paradigms in exercise and sport psychology, we draw upon data from an ethnographic study of 3 individuals with schizophrenia to explore the use of exercise as an adjunct therapy for schizophrenia. A 10-week exercise program of twice-weekly sessions was implemented. Participant observation and interviews with participants and their assigned key-workers were the primary sources of data collection used. The influence of exercise on the lives of participants and their mental health and the underlying mechanisms of change were explored. Our findings indicate that exercise has the potential to help reduce participants’ perceptions of auditory hallucinations, raise self-esteem, and improve sleep patterns and general behavior. The process of exercising, via the provision of distraction and social interaction rather than the exercise itself, was very influential in providing these benefits. In conclusion, we strongly recommend the inclusion of exercise as an adjunct treatment in psychiatric rehabilitation.
Guy Faulkner and Andrew Sparkes
Julia Rudecki, Katie Weatherson and Guy Faulkner
Background: Many studies have attempted to mitigate the negative health consequences of sedentary behavior (SB) in the work environment using standing desks. However, no studies have explored the use of standing desks in the home. Purpose: To evaluate interest, factors influencing desk usage, and acceptability of a low-cost standing desk in the home. Methods: Participants (adults aged 18-65 years living in university residential areas) received a low-cost standing desk, and completed online surveys at baseline and 4 weeks to assess leisure SB. After 4 weeks, participants completed a phone interview to assess level of engagement and acceptability. A follow-up interview was conducted at 6 months. A descriptive content analysis was conducted. Results: A total of 71 participants were recruited, with 55 and 49 participants completing the 4-week and 6-month interview, respectively. At 4 weeks, there was a self-reported decline in weekday leisure SB (P < .05), but not on weekend days. Approximately 75% of interviewed participants reported using the desk every week. After 6 months, 21 participants (30%) were still using the desk. Conclusion: This study indicates interest in using standing desks in the home. Future research could examine the behavioral and health impact of SB interventions in this setting.
Guy Faulkner and Stuart J.H. Biddle
Research continues to support the consideration of exercise as an adjunctive treatment for depression. Adopting a qualitative approach, the aim of this study was to extend our understanding of the motives and barriers to exercise faced by this clinical population, and to explore the role of physical activity in promoting psychological well-being, in a way that encompasses the variability and contextuality of the lives of individuals. Marking a departure from standard content analyses reported in the literature, instrumental case studies are developed that offer a different format for representing qualitative data. Given its longitudinal nature, this study demonstrates the fundamental importance of considering the wider context of participants’ lives in order to understand the relationship between physical activity and psychological well-being. This association is likely to be complex and highly idiosyncratic. Such an understanding may inform a more critical insight into the potential of exercise as an antidepressant in terms of process and effectiveness.
John Cairney, Matthew YW Kwan, Scott Veldhuizen and Guy EJ Faulkner
To examine the prevalence of exercise as a coping behavior for stress, compare this to other coping behaviors, and examine its demographic, behavioral, and health correlates in a nationally representative sample of Canadians.
We used data from the Canadian Community Health Survey 1.2, a cross-sectional survey of 36,984 Canadians aged 15 and over, and conducted univariate and logistic regression analyses to address our objectives.
40% of Canadians reported using exercise for coping with stress (ranked 8th overall). These individuals were more likely to endorse other ‘positive’ coping strategies and less likely to use alcohol or drugs for coping. Being younger, female, unmarried, of high SES, and a nonsmoker were associated with higher likelihoods of using exercise as a coping strategy. High levels of leisure-time physical activity were associated with increased, and heavy physical activity at work with decreased, odds of reporting using exercise for stress coping.
While reported use of exercise for stress coping is common in the general population, it is less so than several other behaviors. Encouraging exercise, particularly in groups identified as being less likely to use exercise for stress coping, could potentially reduce overall stress levels and improve general health and well-being.
Guy Faulkner, Sara-Jane Finlay and Stephannie C. Roy
News media may play a critical role in disseminating research about physical activity and health. This study examined how much physical activity research gets reported in the media and its prominence and credibility.
A content analysis was conducted of the reporting of physical activity research in Canadian national and local newspapers from November 2004 to April 2005.
Physical activity research was given some prominence and treated as news through the use of several devices to infer credibility. However, newspapers appeared to invest little in the production of physical activity research as news and information about research methodology was infrequent.
While stories reporting physical activity research were given some prominence and credibility, the lack of significant investment and the limited reporting on research methodology suggests that important aspects of research related to physical activity may not be well represented in newspaper coverage.
Katie Weatherson, Lira Yun, Kelly Wunderlich, Eli Puterman and Guy Faulkner
Background: Ecological momentary assessment (EMA) is a method of collecting behavioral data in real time. The purpose of this study was to examine EMA compliance, identify factors predicting compliance, assess criterion validity of, and reactivity to, using EMA in a workplace intervention study. Methods: Forty-five adults (91.1% female, 39.7 [9.6] y) were recruited for a workplace standing desk intervention. Participants received 5 surveys each day for 5 workdays via smartphone application. EMA items assessed current position (sitting/standing/stepping). EMA responses were time matched to objectively measured time in each position before and after each prompt. Multilevel logistic regression models estimated factors influencing EMA response. Cohen kappa measured interrater agreement between EMA-reported and device-measured position. Reactivity was assessed by comparing objectively measured sitting/standing/stepping in the 15 minutes before and after each EMA prompt using multilevel repeated-measures models. Results: Participants answered 81.4% of EMA prompts. Differences in compliance differed by position. There was substantial agreement between EMA-reported and device-measured position (κ = .713; P < .001). Following the EMA prompt, participants sat 0.87 minutes more than before the prompt (P < .01). Conclusion: The use of EMA is a valid assessment of position when used in an intervention to reduce occupational sitting and did not appear to disrupt sitting in favor of the targeted outcome.
Richard Larouche, Travis John Saunders, Guy Edward John Faulkner, Rachel Colley and Mark Tremblay
The impact of active school transport (AST) on daily physical activity (PA) levels, body composition and cardiovascular fitness remains unclear.
A systematic review was conducted to examine differences in PA, body composition and cardiovascular fitness between active and passive travelers. The Medline, PubMed, Embase, PsycInfo, and ProQuest databases were searched and 10 key informants were consulted. Quality of evidence was assessed with GRADE and with the Effective Public Health Practice Project tool for quantitative studies.
Sixty-eight different studies met the inclusion criteria. The majority of studies found that active school travelers were more active or that AST interventions lead to increases in PA, and the quality of evidence is moderate. There is conflicting, and therefore very low quality evidence, regarding the associations between AST and body composition indicators, and between walking to/from school and cardiovascular fitness; however, all studies with relevant measures found a positive association between cycling to/from school and cardiovascular fitness; this evidence is of moderate quality.
These findings suggest that AST should be promoted to increase PA levels in children and adolescents and that cycling to/from school is associated with increased cardiovascular fitness. Intervention studies are needed to increase the quality of evidence.
Nicholas Gilson, Wendy J. Brown, Guy Faulkner, Jim McKenna, Marie Murphy, Andy Pringle, Karin Proper, Anna Puig-Ribera and Aphroditi Stathi
This paper aimed to use the Delphi technique to develop a consensus framework for a multinational, workplace walking intervention.
Ideas were gathered and ranked from eight recognized and emerging experts in the fields of physical activity and health, from universities in Australia, Canada, England, the Netherlands, Northern Ireland, and Spain. Members of the panel were asked to consider the key characteristics of a successful campus walking intervention. Consensus was reached by an inductive, content analytic approach, conducted through an anonymous, three-round, e-mail process.
The resulting framework consisted of three interlinking themes defined as “design, implementation, and evaluation.” Top-ranked subitems in these themes included the need to generate research capacity (design), to respond to group needs through different walking approaches (implementation), and to undertake physical activity assessment (evaluation). Themes were set within an underpinning domain, referred to as the “institution” and sites are currently engaging with subitems in this domain, to provide sustainable interventions that refect the practicalities of local contexts and needs.
Findings provide a unique framework for designing, implementing, and evaluating walking projects in universities and highlight the value of adopting the Delphi technique for planning international, multisite health initiatives.
Joel D. Barnes, Christine Cameron, Valerie Carson, Jean-Philippe Chaput, Guy E.J. Faulkner, Katherine Janson, Ian Janssen, Roger Kramers, Allana G. LeBlanc, John C. Spence and Mark S. Tremblay
The ParticipACTION Report Card on Physical Activity for Children and Youth is the most comprehensive assessment of child and youth physical activity in Canada and provides an update or “state of the nation” that assesses how Canada is doing at promoting and facilitating physical activity opportunities for children and youth. The purpose of this paper is to summarize the results of the 2016 ParticipACTION Report Card.
Twelve physical activity indicators were graded by a committee of experts using a process that was informed by the best available evidence. Sources included national surveys, peer-reviewed literature, and gray literature such as government and nongovernment reports and online content.
Grades were assigned to Daily Behaviors (Overall Physical Activity: D-; Organized Sport and Physical Activity Participation: B; Active Play: D+; Active Transportation: D; Physical Literacy: D+; Sleep: B; Sedentary Behaviors: F), Settings and Sources of Influence (Family and Peers: C+; School: B; Community and Environment: A-), and Strategies and Investments (Government: B-; Nongovernment: A-).
Similar to previous years of the Report Card, Canada generally received good grades for indicators relating to investment, infrastructure, strategies, policies, and programming, and poor grades for behavioral indicators (eg, Overall Physical Activity, Sedentary Behaviors).