Sustained positive behaviour change of wounded, injured and sick UK military following an adaptive adventure sports and health coaching recovery course.

INTRODUCTION: A rising trend has occurred in the physical and mental health challenges faced by recovering UK service personnel. To support these individuals, bespoke inclusive multiactivity and adventurous training courses (MAC) have been developed. This study investigated the MAC's influence on participants' ability to sustain day-to-day changes that facilitate positive mental health and psychological need satisfaction. METHODS: The 146 UK service personnel who participated in this study attended a five-day MAC 12 months ago. To investigate how the supportive experience influenced participants' lives, quantitative and qualitative data were collected via an online survey. Open-ended questioning and abductive analysis were conducted to understand mechanisms, influential aspects of the course and positive behaviour change. RESULTS: Positive behaviour changes were reported by 74% of the respondents. These changes align with positive psychological well-being (98%). Impactful elements of the course experienced by participants mostly aligned with the three basic psychological needs of autonomy (34%), competence (36%) and relatedness (61%). CONCLUSIONS: Recovery support programmes that encompass health coaching adventurous activities, such as the MAC, can initiate long-term positive behaviour change for recovering military personnel. In this specific context, the concurrence of the self-determination theory concepts that underpin the course delivery and participant outcomes is a powerful endorsement of implementation fidelity.

Effect of a single bout of exercise on the mood of pregnant women.

AIM: Few studies have been conducted investigating the psychological benefits of exercise during pregnancy. Additionally, hormonal and cardiovascular responses to water-based and land-based exercise in pregnant women are different. Therefore, this study investigated the influence of a single bout of exercise on the mood of pregnant women participating in an aqua- or studio-based exercise class compared to a parentcraft and a control group. METHODS: The study consisted of 4 conditions: the 66 participants either took part in an aqua class, a gym studio class, a parentcraft class or acted as controls. Mood was assessed using the profile of mood states (POMS) just prior to the activity and shortly following the activity. RESULTS: No initial differences were observed between the four conditions before exercise or activity participation. However, participation in the aqua and studio conditions resulted in increased overall mood score and showed a significant increase on the vigor subscale. Also, a decrease in the depression sub-scale of the POMS was found in the aqua condition. The parentcraft classes did not alter the women's mood state. CONCLUSIONS: Although the physiological and hormonal reactions are different for aqua- and land-based exercise both modes of exercise appear to be equally beneficial for pregnant women to engage in to improve mood. Additionally, exercise, but not parentcraft classes, resulted in enhanced mood in women in their 2nd or 3rd trimester of pregnancy. Although exercise has mood benefits that are comparable to other mood management techniques, it also has additional physiological and physical benefits to both the mother and the fetus.

Are standard heart rate variability measures associated with the self-perception of stress of firefighters in action?

Stress is a major factor for the degradation of cardiac health in first responder professionals such as firefighters. Monitoring stress during real events might be the key for controlling this problem. In this paper we inspect how standard heart rate variability (HRV) measures are associated with the self-perception of stress of firefighters in action, supported by an advanced technological solution to acquire this data. Results obtained from more than 94 hours of annotated ECG recordings of firefighters in action are promising, showing positive association with various standard HRV measures. Given the richness of the gathered data, we have also measured the association of the HRV measures with the stage of a firefighting event (pre, during, post), obtaining some interesting results that hint that the psychological impact of the post-event may be one of the most concerning situations for a firefighter, motivating further studies on this in the future.

Vital analysis: annotating sensed physiological signals with the stress levels of first responders in action.

First responders such as firefighters are exposed to extreme stress and fatigue situations during their work routines. It is thus desirable to monitor their health using wearable sensing but this is a complex and still unsolved research challenge that requires large amounts of properly annotated physiological signals data. In this paper we show that the information gathered by our Vital Analysis Framework can support the annotation of these vital signals with the stress levels perceived by the target user, confirmed by the analysis of more than 4600 hours of data collected from real firefighters in action, including 717 answers to event questionnaires from a total of 454 different events.