Predicting Quality of Life in Women with Breast Cancer Who Engage in Physical Exercise: The Role of Psychological Variables.

In this study, we aimed to conduct a descriptive analysis of the primary physiological and psychological factors influencing the quality of life in women with breast cancer who engage in physical exercise. The study examined the key psychological variables predicting patients' quality of life, perceived support from family and friends, and the perception of physical condition. The sample consisted of 46 women from Cáceres (Spain) aged between 30 and 75 years undergoing breast cancer treatment. The Functional Evaluation Scale in Cancer Therapy (FACT-B+4) was used to measure quality of life; the Basic Psychological Needs Satisfaction Scale was used to measure autonomy, competence, and social relationships; the Behavior Regulation Questionnaire in Exercise (BREQ-3) was used to measure the types of self-determined motivation for sports participation; the General Evaluation of Self-Esteem Scale was used to measure self-esteem; the International Fitness Scale (IFIS) was used to measure perceived physical condition; and the Perceived Autonomy Support Scale for Exercise Settings (PASSES) was used to measure the perceived autonomy support from family and friends. A multiple regression analysis revealed that perceived physical condition and self-esteem were significant positive predictors of a variance in quality of life, while intrinsic motivation did not significantly predict it. The findings underscore the importance of promoting autonomous motivation in patients to enhance their physical and psychological well-being through physical activity.

Using the Conceptual Framework for Examining Sport Teams to Understand Group Dynamics in Professional Soccer.

(1) Background: The aim of this study is to propose a model of the interactions of group dynamics using the conceptual framework to examine sports teams; (2) Methods: The hypothesized model includes measures of group structure (authentic leadership, perceived justice, coaching competency, role clarity/ambiguity, and role conflict), group cohesion (cohesion and team conflict), and group processes (collective efficacy and transactive memory systems). Participants were 581 professional soccer players (M = 24.51, SD = 3.73; 356 males and 225 females) who completed a multisection questionnaire assessing group dynamics variables; (3) Results: The results show that coach leadership predicts coaching competency and perceived justice, and both competency and justice predict role ambiguity and role conflict. Furthermore, role ambiguity and role conflict predict group cohesion and team conflict, whereas group cohesion and team conflict both predict the transactive memory system. Finally, collective efficacy is predicted by the transactive memory system; (4) Conclusions: The results suggest the importance of coach behavior (leadership, justice, and competency) and group processes to improving team functioning in a professional sports context.

Validity and Reliability of the Portuguese Version of the Healthy Lifestyle Questionnaire-EVS III.

The main objective of this study was to validate the Healthy Lifestyle Questionnaire-EVS III, using confirmatory factor analysis of the measurement model. A total of 822 Portuguese individuals of both genders, aged between 18 and 66 years old (M = 28.43 SD = 12.07), participated in this study, of which 382 were male (46.5%) and 440 were female (53.5%). The main results obtained revealed that the psychometric qualities prove the adequacy of the factor structure of the Healthy Lifestyles Questionnaire-EVS III (7 factors/32 items) and that it has acceptable validity indices: χ2 = 644.6828, p = 0.000, df = 168, χ2/df = 3.84, NFI = 0.901, TLI = 0.902, CFI = 0.921, IFI = 0.922, MFI = 0.900, GFI = 0.909, AGFI = 0.901, RMR = 0.073, SRMR = 0.059 and RMSEA = 0.059, enabling the assessment of factors related to a balanced diet, respect for mealtimes, tobacco consumption, alcohol consumption, consumption of other drugs, resting habits and physical activity habits. The Portuguese version of the Healthy Lifestyles Questionnaire-EVS III can be used with reasonable confidence for the assessment of healthy lifestyles.

Modification of the Forms of Self-Determined Regulation and Quality of Life after a Cardiac Rehabilitation Programme: Tennis-Based vs. Bicycle Ergometer-Based.

BACKGROUND: The objective is to analyse and compare the effects of an adapted tennis cardiac rehabilitation programme and a classical bicycle ergometer-based programme on the type of motivation towards sports practice and quality of life in patients classified as low risk after suffering acute coronary syndrome. METHODS: The Behavioural Regulation in Exercise Questionnaire (BREQ-2) and Velasco's Qualityof Life Test were applied. The sample comprised 110 individuals (age = 55.05 ± 9.27) divided into two experimental groups (tennis and bicycle ergometer) and a control group. RESULTS: The intra-group analysis showed a significant increase between pre- and post-test results in intrinsic regulation in the tennis group and in the control group. In identified regulation, the bicycle ergometer group presented significant differences from the control group. On the other hand, in the external regulation variable, only the tennis group showed significant differences, which decreased. Significant improvements in all quality-of-life factors when comparing the pre-test period with the post-test period were only found in the experimental groups. As per the inter-group analysis, significant differences were observed in favour of the tennis group with respect to the control group in the variables of health, social relations and leisure, and work time as well as in favour of the bicycle ergometer group compared with the control group in the variables of health, sleep and rest, future projects and mobility. No significant differences were found in any of the variables between the tennis group and the bicycle ergometer group. CONCLUSION: It is relevant to enhance the practice of physical exercise in infarcted patients classified as low risk as it improves the forms of more self-determined regulation towards sporting practice and their quality of life.

Validation of the Spanish Healthy Lifestyle Questionnaire.

Background/Objective: It is essential to carry out a diagnosis of people's healthy lifestyles, in order to apply strategies to improve them. The aim of the study was to validate the Healthy Lifestyles Questionnaire (CEVS-II), collecting all factors that make up the concept of a healthy lifestyle, such as a balanced diet, respect for mealtimes, tobacco consumption, rest habits, alcohol consumption, other drug use and physical activity. Method: The questionnaire was completed by 1,132 people between 18 and 89 (M = 42.43; SD = 18.69) years from different parts of Spain. Results: The seven-factor model proposed by the Confirmatory Factor Analysis, according to the goodness indices, presented an acceptable fit (SRMR = .059; CFI = .973; RMSEA = .049; 90% CI [.046, .052]; χ 2/df = 3.76), also presented good reliability indices and was endowed with concurrent validity. Conclusions: The results of the present study proved the validity and reliability of the Healthy Lifestyles Questionnaire in a Spanish population, which is an adequate instrument for the diagnosis of a healthy lifestyles in the Spanish population.

Antecedentes/Objetivo: Resulta primordial realizar un diagnóstico de los estilos de vida saludables de las personas, con el fin de aplicar estrategias para la mejora de estos. El objetivo del estudio fue validar el Cuestionario de Estilos de Vida Saludables (CEVS-II), recogiendo todos los factores que componen el concepto de estilo de vida saludable como son la alimentación equilibrada, el respeto al horario de las comidas, el consumo de tabaco, los hábitos de descanso, el consumo de alcohol, el consumo de otras drogas y la práctica de actividad física. Método: El cuestionario fue cumplimentado por 1.132 personas de 18-89 (M = 42,43; DT = 18,69) años de diferentes partes de España. Resultados: El modelo de siete factores propuesto por el Análisis Factorial Confirmatorio presentó un ajuste aceptable (SRMR = 0,059; CFI = 0,973; RMSEA = 0,049; 90% CI [0,046 - 0,052]; χ 2/df = 3,76), buenos índices de fiabilidad y de validez concurrente. Conclusiones: Los resultados del presente estudio probaron la validez y fiabilidad del Cuestionario de Estilos de Vida Saludables en una muestra española, dando lugar a un instrumento adecuado para la medición de estilos de vida saludables en la población española.

Psychometric Properties of the Healthy Lifestyle Questionnaire for Ecuadorian University Students (EVS-EUE).

University students are considered a key population in promoting and establishing healthy lifestyles that will ensure a full life for the next generations. The purpose of this study was to do a cultural and linguistic adaptation of the healthy lifestyle questionnaire for Ecuadorian university students (EVS-EUE). Two thousand, one hundred and eight (2108) students from 17 to 19 years old (27%), 20 to 24 years old (57%), and over 24 years old (16%) participated (M = 21.81 years; SD = 3.04). A confirmatory factor analysis, internal consistency analysis, and concurrent validity were conducted. The results of the EVS-EUE Questionnaire presented adequate values (χ2/d.f = 9.02, Comparative Fit Index (CFI) = 0.96, Incremental Fit Index (IFI) = 0.96, McDonald Fit Index (MFI) = 0.91, Adjusted Goodness of Fit Index (AGFI) = 0.94, Root Mean Square Error of Approximation (RMSEA) = 0.06, Standardized Root Mean Square Residual (SRMR) = 0.03). The internal consistency showed values above 0.70, and analyzed its concurrent validity, reaching adequate values. This study has provided a valid and reliable questionnaire to evaluate healthy lifestyles in the Ecuadorian population.

Fitbit wear-time and patterns of activity in cancer survivors throughout a physical activity intervention and follow-up: Exploratory analysis from a randomised controlled trial.

OBJECTIVE: There has been growing interest in the use of smart wearable technology to promote physical activity (PA) behaviour change. However, little is known concerning PA patterns throughout an intervention or engagement with trackers. The objective of the study was to explore patterns of Fitbit-measured PA and wear-time over 24-weeks and their relationship to changes in Actigraph-derived moderate-to-vigorous PA (MVPA). METHODS: Twenty-nine intervention participants (88%) from the wearable activity technology and action-planning (WATAAP) trial in colorectal and endometrial cancer survivors accepted a Fitbit friend request from the research team to permit monitoring of Fitbit activity. Daily steps and active minutes were recorded for each participant over the 12-week intervention and throughout the follow-up period to 24-weeks. Accelerometer (GT9X) derived MVPA was assessed at end of intervention (12-weeks) and end of follow-up (24-weeks). RESULTS: Fitbit wear-time over the 24-weeks of data was remarkably consistent, with median adherence score of 100% for all weeks. During the intervention, participants recorded a median 8006 steps/day. Daily step count was slightly increased through week-13 to week-24 with a median of 8191 steps/day (p = 0.039). Actigraph and Fitbit derived measures were highly correlated but demonstrated poor agreement overall. Fitbit measured activity was closest to MVPA measured using Freedson cut-points as no bias was observed. CONCLUSIONS: Step count was maintained throughout the trial displaying promise for the effectiveness of smart-wearable interventions to reduce sedentary behaviour beyond the intervention period. Further worthwhile work should compare more advanced smart-wearable technology with accelerometers in order to improve agreement and explore less resource-intensive methods to assess PA that could be scalable.

Validation of the Portuguese Version of the Healthy Lifestyle Questionnaire.

The main objective of this study was the validation of the Healthy Lifestyle Questionnaire (EVS II), using a confirmatory factorial analysis of the measurement model, with veteran athletes. A total of 348 veteran Portuguese athletes of both genders, aged between 30 and 60 years (M = 41.64, SD = 9.83), of whom 200 were males and 148 were females, from several sports. The results of the confirmatory factor analysis demonstrate the adequacy of the adapted version of the EVS II, as the factorial structure (6 factors/24 items) has acceptable validity indexes: χ2 = 305.925, p = 0.000, df = 120.017, χ2/df = 2.549, NFI (Normed Fit Index) = 0.909, TLI (Tucker Lewis Index) = 0.918, CFI (Comparative Fit Index) = 0.944, GFI (Goodness of Fit Index) = 0.944, AGFI (Adjusted Goodness of Fit Index) = 0.909, SRMR (Standardized Root Mean Square Residual) = 0.048, RMSEA (Root Mean Square of Approximation) = 0.060, allowing evaluation of the dimensions of balanced diet, respect for mealtime, tobacco and alcohol consumption, other drugs consumption and resting habits. The adaptation to sport of the Portuguese version of EVS II can be used with reasonable confidence in the evaluation of healthy lifestyles in the context of sport.

Motivation and Commitment to Sports Practice During the Lockdown Caused by Covid-19.

In Spain, the state of alarm declared on March 14, 2020 caused changes in the population in relation to the habits of physical activity and sports practice. This study analyzed what motivational variables predicted the self-efficacy and commitment to sports practice, as well as the differences according to gender, during lockdown and the progressive de-escalation caused by COVID-19, using the theory of self-determination as a theoretical framework. The study sample was conformed of 179 subjects (90 men and 89 women) between 18 and 65 years of age (M = 28.64; SD = 10.28). The Behavioral Regulation in Sport Questionnaire (BRSQ), the Psychological Need Satisfaction in Exercise Scale (PNSE), the Physical Activity Self-Efficacy scale, and the Sport Commitment scale were applied. The most relevant results have showed significant differences in favor of the male gender in terms of levels of controlled motivation and amotivation, as well as higher levels of self-efficacy and basic psychological need of autonomy. Furthermore, the regression analysis has revealed that self-efficacy and current commitment to sports practice were explained by a variance of 57 and 64%, respectively, due to autonomous motivation and the basic psychological need of competence. Therefore, the basic psychological need of competence should be fostered in order to increase the levels of self-determined motivation, self-efficacy, and commitment to sports practice of the population.

Impact of Weekly Physical Activity on Stress Response: An Experimental Study.

The aim of this research is focused on analyzing the alteration of the psychophysiological and cognitive response to an objective computerized stress test (Determination Test - DT-, Vienna test System®), when the behavioral response is controlled. The sample used was sports science students (N = 22), with a mean age of 22.82 (Mage = 22.82; SD years = 3.67; MPhysicalActivity hours/Week = 7.77; SD hours/week = 3.32) A quasi-experimental design was used in which the response of each participant to the DT test was evaluated. The variable "number of hours of physical activity per week" and the variable "level of behavioral response to stress" were controlled. Before and after this test, the following parameters were measured: activation and central fatigue (Critical Flicker Fusion Threshold (CFF Critical flicker fusion ascending and Critical flicker fusion descending; DC potential), and perceived exertion (Central Rating of Perceived Exertion and Peripheral Rating of Perceived Exertion). Significant differences were found in all of the measures indicated. The usefulness of this protocol and the measures used to analyze the stress response capacity of the study subjects are discussed.

The importance of assigning responsibility during evaluation in order to increase student satisfaction from physical education classes: A structural equation model.

Considering the benefits that students report when evaluating physical education classes, the purpose of the present study was to analyse the relationships between the assignment of student responsibility in the evaluation, motivational variables and the satisfaction with the physical education classes, using The Theory of Self-determination as a support method. The sample for this study was 922 students, of both genres and in Compulsory Secondary Education, aged between 14 and 18 years. To carry out the study, the Student's Scale of Responsibility was used in the physical education assessment, the Basic Psychological Needs Measuring Scale, the Percentage Scale for Physical Education Causality and the Satisfaction Scale in Physical Education. The results of the structural equations model revealed a good adjustment to the data. This finding highlights the importance of giving responsibilities to the students in the evaluation process, in order to satisfy the psychological needs of the students and, therefore, self-determined motivation. Additionally, the satisfaction of psychological needs and self-determined motivation increase satisfaction towards physical education classes.

Promoting physical activity in regional and remote cancer survivors (PPARCS) using wearables and health coaching: randomised controlled trial protocol.

INTRODUCTION: Physically active cancer survivors have substantially less cancer recurrence and improved survival compared with those who are inactive. However, the majority of survivors (70%-90%) are not meeting the physical activity (PA) guidelines. There are also significant geographic inequalities in cancer survival with poorer survival rates for the third of Australians who live in non-metropolitan areas compared with those living in major cities. The primary objective of the trial is to increase moderate-to-vigorous PA (MVPA) among cancer survivors living in regional and remote Western Australia. Secondary objectives are to reduce sedentary behaviour and in conjunction with increased PA, improve quality of life (QoL) in non-metropolitan survivors. Tertiary objectives are to assess the effectiveness of the health action process approach (HAPA) model variables, on which the intervention is based, to predict change in MVPA. METHODS AND ANALYSIS: Eighty-six cancer survivors will be randomised into either the intervention or control group. Intervention group participants will receive a Fitbit and up to six telephone health-coaching sessions. MVPA (using Actigraph), QoL and psychological variables (based on the HAPA model via questionnaire) will be assessed at baseline, 12 weeks (end of intervention) and 24 weeks (end of follow-up). A general linear mixed model will be used to assess the effectiveness of the intervention. ETHICS AND DISSEMINATION: Ethics approval has been obtained from St John of God Hospital Subiaco (HREC/#1201). We plan to submit a manuscript of the results to a peer-reviewed journal. Results will be presented at conferences, community and consumer forums and hospital research conferences. TRIAL REGISTRATION NUMBER: ACTRN12618001743257; pre-results, U1111-1222-5698.

A randomized controlled trial of WATAAP to promote physical activity in colorectal and endometrial cancer survivors.

OBJECTIVE: The objective of this study was to ascertain whether wearable technology coupled with action planning was effective in increasing physical activity (PA) in colorectal and endometrial cancer survivors at cardiovascular risk. METHODS: Sixty-eight survivors who had cardiovascular risk factors and were insufficiently active were randomized to intervention and control arms. Intervention participants were given a wearable tracker for 12 weeks, two group sessions, and a support phone call. Participants in the control arm received print materials describing PA guidelines. Assessments at baseline and 12 weeks measured triaxial and uniaxial estimates of moderate-vigorous physical activity (MVPA), sedentary behaviour, blood pressure, and body mass index (BMI). RESULTS: The intervention group significantly increased MVPA by 45 min/wk compared with a reduction of 21 min/wk in the control group. Group by time interactions were significant for minutes of MVPA (F1,126  = 5.14, P = 0.025). For those with diastolic hypertension, there was a significant group by time interaction (F1,66  = 4.89, P = 0.031) with a net reduction of 9.89 mm Hg in the intervention group. CONCLUSIONS: Significant improvements in MVPA were observed following the intervention. The results display promise for the use of pragmatic, low-intensity interventions using wearable technology.

Wearable Activity Technology And Action-Planning (WATAAP) to promote physical activity in cancer survivors: Randomised controlled trial protocol.

Background/Objective: Colorectal and gynecologic cancer survivors are at cardiovascular risk due to comorbidities and sedentary behaviour, warranting a feasible intervention to increase physical activity. The Health Action Process Approach (HAPA) is a promising theoretical framework for health behaviour change, and wearable physical activity trackers offer a novel means of self-monitoring physical activity for cancer survivors. Method: Sixty-eight survivors of colorectal and gynecologic cancer will be randomised into 12-week intervention and control groups. Intervention group participants will receive: a Fitbit Alta™ to monitor physical activity, HAPA-based group sessions, booklet, and support phone-call. Participants in the control group will only receive the HAPA-based booklet. Physical activity (using accelerometers), blood pressure, BMI, and HAPA constructs will be assessed at baseline, 12-weeks (post-intervention) and 24-weeks (follow-up). Data analysis will use the Group x Time interaction from a General Linear Mixed Model analysis. Conclusions: Physical activity interventions that are acceptable and have robust theoretical underpinnings show promise for improving the health of cancer survivors.

Antecedentes/Objetivo: Los sobrevivientes de cáncer tienen riesgo cardiovascular debido a la comorbilidad y al comportamiento sedentario, lo que justifica desarrollar una adecuada intervención para aumentar la práctica de actividad física. El Enfoque del Proceso de Acción de Salud (EPAS) constituye un marco teórico para el desarrollo de conductas saludables y los dispositivos electrónicos de actividad física son nuevas herramientas de automonitorización para los supervivientes de cáncer. Método: Sesenta y ocho sobrevivientes de cáncer colorrectal y ginecológico serán aleatorizados en grupos de intervención y control. Los participantes del grupo de intervención recibirán un Fitbit Alta™ para monitorizar la actividad física, sesiones grupales y aplicación de un folleto de EPAS, y una llamada telefónica de apoyo. Los participantes del grupo control únicamente recibirán un folleto basado en EPAS. Al inicio del estudio, a las 12 y 24 semanas, se evaluarán la actividad física (usando acelerómetros), la presión arterial, el Índice de Masa Corporal (IMC) y los constructos EPAS. El análisis de datos utilizará la interacción Grupo x Tiempo a partir de un análisis del Modelo Mixto Lineal General. Conclusiones: Las intervenciones de actividad física son factibles y tienen fundamentos teóricos que auguran mejorar la salud de los sobrevivientes de cáncer.

Motivación y estadios de cambio para el ejercicio físico en adolescentes / Motivation and stages of change for physical exercise in adolescents

Resulta primordial que los adolescentes adquieran un estilo de vida activo; por ello, el objetivo de este estudio fue averiguar qué variables de la Teoría de Metas de Logro y del Modelo Jerárquico de la Motivación predecían los estadios de cambio para el ejercicio físico del Modelo Transteórico. Para ello, se empleó un diseño de investigación descriptivo transversal, con una muestra de 359 estudiantes de segundo ciclo de ESO y primero de Bachillerato, que respondieron el Cuestionario de Orientación al Aprendizaje y al Rendimiento en las Clases de Educación Física (LAPOPECQ), la Escala de Motivación Educativa (EME), la Escala de medición de las Necesidades Psicológicas Básicas (BPNES) y el Cuestionario de Estadios de Cambio para el ejercicio físico - Medida continua (URICA-E2), y se realizaron los análisis factorial exploratorio, confirmatorio, de fiabilidad, descriptivo y de regresión. Los resultados más relevantes mostraron que el estadio de precontemplación fue predicho negativamente por la competencia y positivamente por la desmotivación y la percepción del clima motivacional que implica al ego; el estadio de contemplación-preparación fue predicho positivamente por la competencia y la motivación intrínseca-perfección, la motivación extrínseca-introyectada, y negativamente por la autonomía; y el estadio de acción-mantenimiento fue predicho positivamente por la competencia. Estos resultados sugieren que la necesidad psicológica básica de competencia es la variable más relevante para adherirse a los estadios de práctica de ejercicio físico más activos.

It is essential for adolescents to acquire an active lifestyle. Therefore, the purpose of this study was to determine which variables of Achievement Goal Theory and the Hierarchical Model of Motivation predicted the change stages for exercise in the Transtheoretical Model. To this effect, a descriptive and cross-section study was carried out with 359 secondary school and undergraduate students. The Learning and Performance Orientations in Physical Education Classes Questionnaire (LAPOPECQ), Academic Motivation Scale (AMS), Basic Psychological Needs Scale (BPNES), and Stages of Change in Exercise - Continuous Measure (URICA-E2) were applied. Exploratory and confirmatory factorial, reliability, descriptive and regression analyses were subsequently conducted. The most relevant results showed that the Pre-contemplation Stage was predicted negatively by Competence, and positively by Amotivation and perception of ego-involving environment. The Contemplation-Preparation Stage was predicted positively by competence and Perfection Intrinsic Motivation - Introjected Extrinsic Motivation and negatively by autonomy. The Action-Maintenance Stage was positively predicted by competence. These results suggesting that basic psychological need of competence is the most relevant variable for the engagement to the more active stages of physical activity.

Psychometric properties of the Spanish version of the Flow State Scale.

The purpose of this research was to examine the psychometric properties of a Spanish translation of the Flow State Scale (FSS; Jackson & Marsh, 1996). This instrument is used to assess the Flow State in participants of physical activity, although it can be adapted to other contexts (such as work, educational contexts, etc.). This construct can be considered the optimal psychological state to carry out an activity, being closely related to motivation and personal enjoyment (Csikszentmihalyi, 1997). A sample of 2036 athletes was recruited from diverse sports activities. The results revealed satisfactory validity and internal consistency of the instrument, obtaining a factor model made up of a main factor and nine subscales. The correlations between motivational orientations and the flow state are highlighted. The Spanish translation of this instrument is found to be acceptable, with similar psychometric properties as the original scale, although future research in other contexts is needed to support these outcomes.