Behavioural intervention increasing exercise
English language-only papers were included for pragmatic reasons.
Behavior modification to increase exercise
Self-efficacy refers to the extent to which an individual believes they are capable of carrying out a behavioral change, and increasing self-efficacy will lead to increased effort and time being devoted to the task [ 36 ]. Flow of participants through the study is provided in Fig. Any disagreements were resolved by discussion. Type of intervention Lifestyle and recreational physical activity interventions that aimed to increase physical activity self-efficacy. Eight trials reported adverse events that ranged from minor — for example, muscular—skeletal problems Musanti, to major events — for example, death Kim et al, At the same time, clinicians should inform patients on the negative aspects of sedentary life and the benefits of engaging in healthy exercising. Every reason for change should be reinforced. Use of generalisation of behaviour was also a common and relatively unique feature of interventions, which reported better adherence. Goal-setting has been found to be more effective when goals are short-term [ 19 — 21 ], specific [ 22 — 24 ] and set by patients or in collaboration with healthcare professionals rather than by them [ 25 ]. The mean age of participants was Physical activity increases energy expenditure. Exercise alone, without any dietary intervention, produces minimal weight loss i. Involving Significant Others Social support is a key ingredient for behavioral change. Without this evidence, intervention developers may develop ineffective physical activity interventions due to the techniques they employ not changing self-efficacy.
Trial registration Open Peer Review reports Background Regular physical activity PA is recommended for coronary heart disease CHD patients for its role in the prevention and treatment of CHD risk factors such as hypertension and overweight [ 1 — 3 ] and positive benefits for quality of life [ 45 ].
Only three trials were identified that attempted to objectively validate independent exercise behaviour with accelerometers or heart rate monitoring Pinto et al,; Cadmus et al, Strength measurements revealed a significant increase in shoulder extension strength and a trend towards increased shoulder flexion strength.
Key Principles to Enhance the Motivation to Change Similar to other motivational enhancement approaches [ 43 ], cognitive behavior therapy adopts key principles to enhance the motivation of patients to address behavioral changes [ 44 ].

To supplement this evidence, grey literature was evaluated, leading experts in the field and charities were written to and reference lists of other recent systematic reviews were screened for potential trials. At this point, clinicians should actively suggest that patients should try to change.
A total of 36 intervention groups from 27 unique studies provided self-efficacy and physical activity data and were included in this study.
Behavioural intervention increasing exercise
The initial psychological well-being may also be relevant to adherence. Exercise interventions for cancer survivors have received increasing attention over the last decade as an effective way to improve health-related quality of life, physical function and reduce fatigue Fong et al, ; Mishra et al, a , b. Behavioral intervention, exercise, and nutrition education to improve health and fitness BENEfit in adolescents with mobility impairment due to spinal cord dysfunction. Sport or laboratory-based studies focused on competitive sports or fitness were excluded, as were papers if the intervention targeted more than one behaviour e. Patients should learn how to use cognitive credits once they reach their activity goals using positive sentences towards themselves e. Clinicians should emphasize that change is a necessary step to achieve a long-term weight control and to improve the physical and psychosocial negative effects of obesity. Studies have demonstrated the value of delivering behavioural change strategies through face-to-face consultation, and telephone follow-up [ 4 , 27 ]. There are many practical recommendations for physical exercise in weight loss programs [ 64 ], as outlined below. Just six trials incorporated prescriptions that would meet current recommendations for aerobic exercise. A total of participants were randomised in these trials. Effect size was 0. A one-way Spearman's Rho correlation coefficient was conducted to assess the extent to which change in self-efficacy, as a consequence of particular intervention characteristics, was associated with change in physical activity behaviour.
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