Depressive symptoms associated with psychological correlates of physical activity and perceived helpfulness of intervention features

https://doi.org/10.1016/j.mhpa.2015.08.001Get rights and content

Highlights

  • We examined physical activity motivation in people with depressive symptoms.

  • People with depressive symptoms have unique needs for physical activity programs.

  • People with more frequent depressive symptoms want intervention goal-setting tools.

  • People with more frequent symptoms have lower perceived behavioral control.

Abstract

The anti-depressive benefits of physical activity are well-evidenced; however little is known about whether people with more frequent depressive symptoms have different psychological correlates of physical activity than people with less frequent symptoms, or whether special consideration is needed in targeting web-based physical activity interventions toward people with frequent depressive symptoms. An online cross-sectional survey was used to collect data from 511 adults (age = 45.99 ± 14.73 years). Two multiple regression analyses were conducted to test the relationship between frequency of depressive symptoms and (1) psychological correlates of physical activity (i.e., intentions, perceived behavioral control, affective attitudes, instrumental attitudes, and perceived physical activity effectiveness), and (2) perceived helpfulness of a variety of web-based physical activity intervention features. People with more frequent depressive symptoms had lower perceived behavioral control of physical activity (β = −0.19), were more likely to report that goal-setting intervention tools (β = 0.10) and personally-relevant information (β = 0.09) would be helpful, and were less likely to report intervention features portraying information about how similar people are being regularly active as helpful (β = −0.10) than those with less frequent symptoms. These findings highlight key components for designing web-based physical activity intervention content for people with depressive symptoms.

Section snippets

Depressive symptoms and psychological correlates of physical activity

Physical activity interventions based on traditional behavior change theories such as the theory of planned behavior (Ajzen, 1991), self-determination theory (Deci & Ryan, 2002), and Bandura, 1977, Bandura, 2004 social cognitive theory have focused on enhancing psychological constructs including a person's intentions to participate in physical activity, perceived behavioral control (i.e., perceptions of ability to perform the behavior), affective attitudes toward physical activity (i.e.,

Depressive symptoms and physical activity intervention features

There are a variety of behavior change techniques that can be implemented through a variety of delivery modes to assist people in increasing physical activity (Michie, Abraham, Whittington, McAteer, & Gupta, 2009), and there are increasing trends towards delivering these intervention strategies using web-based platforms (Davies et al., 2012, Vandelanotte et al., 2007). By using text, video, or graphical-based messaging, web-based physical activity interventions have been used to provide advice

The present study

The promotion of physical activity among those with depressive symptoms is a promising public health approach to reducing disease burden. However, little is known about how key psychological correlates of physical activity behavior differ as a function of frequency of depressive symptoms, or the unique intervention needs of people with frequent depressive symptoms. To inform future physical activity behavior change interventions targeting people with depressive symptoms, this study aimed to

Procedure & participants

Data used in this cross-sectional study were collected from the baseline assessment of a larger on-going research project (Australian New Zealand Clinical Trials Registry number: ACTRN12613001215718). Participants were recruited via advertisements promoting a web-based physical activity intervention for people with depressive symptoms (‘Feeling down? Get active!’). Participants were required to be 18 years or older. Informed consent was provided prior to participating in the study. Approval for

Results

Participants (N = 514) filled out the online survey between November 2013 and February 2014. Most participants were female (64.19%), had an annual income of at least AUD$52,000 (57.93%), and had education beyond year 12 equivalency (i.e., technical, tertiary studies, or advanced degrees) (60.86%). The average age of participants was 45.99 ± 14.73 years, and the average BMI was 29.05 ± 7.26. Table 1 provides the descriptive statistics of the study variables. There was a wide range of depressive

Discussion

The aim of this study was to test how frequency of depressive symptoms was associated with psychological correlates of physical activity and perceived helpfulness of intervention features. The results suggest that people who experienced more frequent depressive symptoms had lower perceived behavioral control of physical activity than those who experienced less frequent depressive symptoms. Additionally people with more frequent depressive symptoms were more likely to report that goal-setting

Acknowledgments

This research has been supported by the CQUniversity Health CRN www.cqu.edu.au/crn and the Australian Government's Collaborative Research Networks Program.

Mitch J. Duncan is supported by a Future Leader Fellowship (ID 100029) from the National Heart Foundation of Australia.

References (73)

  • C. Vandelanotte et al.

    Website-delivered physical activity interventions: a review of the literature

    American Journal of Preventive Medicine

    (2007)
  • K. Wilhelm et al.

    Prevalence and correlates of DSM-IV major depression in an Australian national survey

    Journal of Affective Disorders

    (2003)
  • C. Abraham et al.

    A taxonomy of behavior change techniques used in interventions

    Health Psychology

    (2008)
  • N. Akhtar-Danesh et al.

    Relation between depression and sociodemographic factors

    International Journal of Mental Health Systems

    (2007)
  • American Psychiatric Association

    Diagnostic and statistical manual of mental disorders

    (2013)
  • S. Ashford et al.

    What is the best way to change self-efficacy to promote lifestyle and recreational physical activity? A systematic review with meta-analysis

    British Journal of Health Psychology

    (2010)
  • Australian Bureau of Statistics

    Physical activity in Australia: A snapshot, 2007–08

    (2011)
  • Australian Bureau of Statistics

    Household income and income distribution, Australia 2011–2012

    (2013)
  • Australian Institute of Health and Welfare

    The active Australia survey: A guide and manual for implementation, analysis and reporting

    (2003)
  • D. Azar et al.

    Physical activity correlates in young women with depressive symptoms: a qualitative study

    International Journal of Behavioral Nutrition and Physical Activity

    (2010)
  • M. Babyak et al.

    Exercise treatment for major depression: maintenance of therapeutic benefit at 10 months

    Psychosomatic Medicine

    (2000)
  • A. Bandura

    Self-efficacy: toward a unifying theory of behavioral change

    Psychological Review

    (1977)
  • A. Bandura

    Health promotion by social cognitive means

    Health Education & Behavior: The Official Publication of the Society for Public Health Education

    (2004)
  • V. Barnett et al.
    (1994)
  • L.J. Barney et al.

    Stigma about depression and its impact on help-seeking intentions

    Australian and New Zealand Journal of Psychiatry

    (2006)
  • K.A. Bosak et al.

    Effects of an internet physical activity intervention in adults with metabolic syndrome

    Western Journal of Nursing Research

    (2009)
  • K. Broekhuizen et al.

    A systematic review of randomized controlled trials on the effectiveness of computer-tailored physical activity and dietary behavior promotion programs: an update

    Annals of Behavioral Medicine

    (2012)
  • N.W. Burton et al.

    Are psychologists willing and able to promote physical activity as part of psychological treatment?

    International Journal of Behavioral Medicine

    (2010)
  • S. Buuren et al.

    MICE: multivariate imputation by chained equations in R

    Journal of Statistical Software

    (2011)
  • S. Clement et al.

    What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies

    Psychological Medicine

    (2015)
  • R.F. Cook et al.

    A field test of a web-based workplace health promotion program to improve dietary practices, reduce stress, and increase physical activity: randomized controlled trial

    Journal of Medical Internet Research

    (2007)
  • G.M. Cooney et al.

    Exercise for depression

    Cochrane Database of Systematic Reviews

    (2013)
  • P. Corrigan

    How stigma interferes with mental health care

    American Psychologist

    (2004)
  • K.S. Courneya

    Predicting repeated behavior from intention: the issue of scale correspondence

    Journal of Applied Social Psychology

    (1994)
  • K.S. Courneya et al.

    Utility of the theory of planned behavior for understanding exercise during breast cancer treatment

    Psycho-Oncology

    (1999)
  • K.S. Courneya et al.

    Correlates of adherence and contamination in a randomized controlled trial of exercise in cancer survivors: an application of the theory of planned behavior and the five factor model of personality

    Annals of Behavioral Medicine

    (2002)
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      Behavioural avoidance is a key symptom associated with depression (Ottenbreit & Dobson, 2004) and RCT's evaluating the effect of exercise on depression have shown substantial drop out and poor adherence rates (Cooney et al., 2013). Depression is also a determinant of sedentary behaviour (Vancampfort et al., 2014) and is associated with lower perceived control (Hemmis et al., 2015) and lower levels of self-efficacy (Bauman et al., 2012; Vancampfort et al., 2014). Behavioural activation (BA) may present an opportunity to promote physical activity to people with depression who are less active than the general population (Farrand et al., 2014).

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