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1.
Ann Behav Med ; 56(12): 1284-1299, 2022 11 18.
Artigo em Inglês | MEDLINE | ID: mdl-35802004

RESUMO

BACKGROUND: Previous research suggests that there is a bidirectional relationship between incidental affect (i.e., how people feel in day-to-day life) and physical activity behavior. However, many inconsistencies exist in the body of work due to the lag interval between affect and physical activity measurements. PURPOSE: Using a novel continuous-time analysis paradigm, we examined the temporal specificity underlying the dynamic relationship between positive and negative incidental affective states and moderate-to-vigorous physical activity (MVPA). METHODS: A community sample of adults (n = 126, Mage = 27.71, 51.6% Male) completed a 14-day ambulatory assessment protocol measuring momentary positive and negative incidental affect six times a day while wearing a physical activity monitor (Fitbit). Hierarchical Bayesian continuous-time structural equation modeling was used to elucidate the underlying dynamics of the relationship between incidental affective states and MVPA. RESULTS: Based on the continuous-time cross-effects, positive and negative incidental affect predicted subsequent MVPA. Furthermore, engaging in MVPA predicted subsequent positive and negative incidental affect. Incidental affective states had a greater relative influence on predicting subsequent MVPA compared to the reciprocal relationship. Analysis of the discrete-time coefficients suggests that cross-lagged effects increase as the time interval between measurements increase, peaking at about 8 h between measurement occasions before beginning to dissipate. CONCLUSIONS: The results provide support for a recursive relationship between incidental affective states and MVPA, which is particularly strong at 7-9 hr time intervals. Future research designs should consider these medium-term dynamics, for both theory development and intervention.


Assuntos
Exercício Físico , Monitores de Aptidão Física , Adulto , Humanos , Masculino , Feminino , Teorema de Bayes , Exercício Físico/psicologia , Emoções
2.
J Med Internet Res ; 23(7): e30709, 2021 07 30.
Artigo em Inglês | MEDLINE | ID: mdl-34328433

RESUMO

BACKGROUND: In response to the COVID-19 pandemic, experts in mental health science emphasized the importance of developing and evaluating approaches to support and maintain the mental health of older adults. OBJECTIVE: The aim of this study was to assess whether a group-based exercise program relative to a personal exercise program (both delivered online) and waitlist control (WLC) can improve the psychological health of previously low active older adults during the early stages of the COVID-19 pandemic. METHODS: The Seniors COVID-19 Pandemic and Exercise (SCOPE) trial was a 3-arm, parallel randomized controlled trial conducted between May and September 2020 in which low active older adults (aged ≥65 years) were recruited via media outlets and social media. After baseline assessments, consented participants were randomized to one of two 12-week exercise programs (delivered online by older adult instructors) or a WLC condition. A total of 241 older adults (n=187 women) provided baseline measures (via online questionnaires), were randomized (ngroup=80, npersonal=82, ncontrol=79), and completed measures every 2 weeks for the duration of the trial. The trial's primary outcome was psychological flourishing. Secondary outcomes included global measures of mental and physical health, life satisfaction, and depression symptoms. RESULTS: The results of latent growth modeling revealed no intervention effects for flourishing, life satisfaction, or depression symptoms (P>.05 for all). Participants in the group condition displayed improved mental health relative to WLC participants over the first 10 weeks (effect size [ES]=0.288-0.601), and although the week 12 effect (ES=0.375) was in the same direction the difference was not statistically significant (P=.089). Participants in the personal condition displayed improved mental health, when compared with WLC participants, in the same medium ES range (ES=0.293-0.565) over the first 8 weeks, and while the effects were of a similar magnitude at weeks 10 (ES=0.455, P=.069) and 12 (ES=0.258, P=.353), they were not statistically significant. In addition, participants in the group condition displayed improvements in physical health when compared with the WLC (ES=0.079-0.496) across all 12 weeks of the study following baseline. No differences were observed between the personal exercise condition and WLC for physical health (slope P=.271). CONCLUSIONS: There were no intervention effects for the trial's primary outcome (ie, psychological flourishing). It is possible that the high levels of psychological flourishing at baseline may have limited the extent to which those indicators could continue to improve further through intervention (ie, potential ceiling effects). However, the intervention effects for mental and physical health point to the potential capacity of low-cost and scalable at-home programs to support the mental and physical health of previously inactive adults in the COVID-19 pandemic. TRIAL REGISTRATION: ClinicalTrials.gov NCT04412343; https://clinicaltrials.gov/ct2/show/NCT04412343.


Assuntos
COVID-19 , Pandemias , Idoso , Exercício Físico , Feminino , Humanos , Saúde Mental , SARS-CoV-2
3.
J Behav Med ; 39(2): 214-24, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26546241

RESUMO

The purpose of this study was to examine the extent to which the provision of variety (i.e., variety support) is related to exercise behavior among physically inactive adults and the extent to which the 'experience of variety' mediates those effects. One hundred and twenty one inactive university students were randomly assigned to follow a high or low variety support exercise program for 6 weeks. Assessments were conducted at baseline, 3- and 6-weeks. Participants in the high variety support condition displayed higher levels of adherence to the exercise program than those in the low variety support condition [F(1, 116) = 5.55, p = .02, η(p)(2) = .05] and the relationship between variety support and adherence was mediated by perceived variety (ß = .16, p < .01). Exercise-related variety support holds potential to be an efficacious method for facilitating greater exercise adherence behaviors of previously inactive people by fostering perceptions of variety.


Assuntos
Exercício Físico/psicologia , Comportamento Exploratório , Motivação , Cooperação do Paciente/psicologia , Adolescente , Adulto , Colúmbia Britânica , Feminino , Seguimentos , Humanos , Masculino , Treinamento Resistido , Comportamento Sedentário , Adulto Jovem
4.
Psychol Health ; : 1-13, 2023 May 25.
Artigo em Inglês | MEDLINE | ID: mdl-37231641

RESUMO

BACKGROUND: With the onset of the COVID-19 pandemic, many exercise programs moved online. The purpose of this study was to examine the extent to which older adults' social identification with other exercise program members contributed to their psychological flourishing and exercise program adherence. METHODS: The study represented a secondary analysis of data derived from the Seniors COVID-19 Pandemic and Exercise (SCOPE) Trial, in which older adults were randomized to a waitlist control condition or one of two online (personal v group) exercise programs. Only data from participants in the trial intervention conditions (N = 162; Mage = 73.52 years; SD = 5.61) were utilized in this secondary analysis. We assessed psychological flourishing and social identification at baseline and every two weeks, as well as program adherence over each 2-week block, for 12 weeks. RESULTS: Based on stepwise multilevel modeling the results revealed that older adults' social identification with others in their respective exercise program had a direct effect on psychological flourishing (ΔR2Unique Marginal = 0.063, p < .001) and program adherence (ΔR2Unique Marginal = 0.014, p = .03). CONCLUSIONS: The results highlight the value of bolstering older adults' social identification with others in an online exercise program to support adherence and well-being.

5.
JMIR Res Protoc ; 12: e39977, 2023 Mar 14.
Artigo em Inglês | MEDLINE | ID: mdl-36917173

RESUMO

BACKGROUND: The Canadian 24-Hour Movement Guidelines for adults provide specific recommendations for levels of physical activity, sedentary behavior, and sleep (ie, the movement behaviors) required for optimal health. Performance of the movement behaviors is associated with improved mental well-being. However, most postsecondary students do not meet the movement behavior recommendations within the Canadian 24-Hour Movement Guidelines and experience increased stress and declining well-being, suggesting the need for an intervention targeting students' movement behaviors. OBJECTIVE: We aimed to develop and implement a theory-informed intervention intended to improve the movement behaviors and mental well-being of first-year postsecondary students. METHODS: The Intervention Mapping protocol was applied in the development and implementation of the intervention. Intervention Mapping entailed performing a needs assessment, determining the intervention outcomes, selecting theory- and evidence-based change methods and applications, preparing and producing intervention plans and materials, developing the implementation plan, and finally developing an evaluation plan. The Theoretical Domains Framework and the Behavior Change Wheel were also used in conjunction with the Intervention Mapping protocol to ensure a solid theoretical basis for the intervention. This protocol led to the development and implementation of a 6-week, theory-informed ParticipACTION app-based intervention aimed at helping first-year postsecondary students improve their movement behaviors and mental well-being. The developed app content provided students with information on each of the movement behaviors and behavioral strategies (ie, goal setting, action planning, monitoring, and coping planning). The use of Intervention Mapping allowed for the continuous involvement of various multidisciplinary partners and end users, ensuring that the intervention design and implementation was appropriate for the target audience. The feasibility, acceptability, and potential impact of the intervention will be examined in a subsequent proof-of-concept study at 2 Canadian university campuses. RESULTS: Participant recruitment occurred during September 2021, and the intervention was conducted from October to December 2021. The deadline for completion of the postintervention questionnaire by participants was mid-December 2021. The analysis of data examining the feasibility, acceptability, and potential impact of the intervention began in January 2022, with the publication of the proof-of-concept evaluation expected in 2023. CONCLUSIONS: Intervention Mapping with the Theoretical Domains Framework and Behavior Change Wheel was a useful approach to combine evidence and theoretical concepts to guide the design and implementation of a ParticipACTION app-based intervention targeting postsecondary students' movement behaviors and mental well-being. This process may serve as an example for other researchers developing multiple behavior change app-based interventions. Should the forthcoming evaluation demonstrate the intervention's acceptability, feasibility, and potential impact, the intervention may provide a scalable method of improving postsecondary students' movement behaviors and mental well-being. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR1-10.2196/39977.

6.
Health Psychol Rev ; 16(4): 492-525, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-34643154

RESUMO

Physical activity behaviour displays temporal variability, and is influenced by a range of dynamic psychological processes (e.g., affect) and shaped by various co-occurring events (e.g., social/environmental factors, interpersonal dynamics). Yet, most physical activity research tends not to examine the dynamic psychological processes implicated in adopting and maintaining physical activity. Intensive longitudinal methods (ILM) represent one particularly salient means of studying the complex psychological dynamics that underlie and result from physical activity behaviour. With the increased recent interest in using intensive longitudinal data to understand specific dynamic psychological processes, the field of exercise and health psychology is well-positioned to draw from state-of-the-art measurement and statistical approaches that have been developed and operationalised in other fields of enquiry. The purpose of this review is to provide an overview of some of the fundamental dynamic measurement and modelling approaches applicable to the study of physical activity behaviour change, as well as the dynamic psychological processes that contribute to such change.


Assuntos
Exercício Físico , Humanos
7.
Health Psychol ; 40(3): 166-177, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33630638

RESUMO

OBJECTIVE: To examine the psychological mediators of exercise adherence among older adults in a group-based physical activity randomized controlled trial. METHOD: Older adults (≥65 years) were randomized to one of three conditions as part of the "GrOup-based physical Activity for oLder adults" (GOAL) randomized controlled trial. These included similar age same gender (SASG) and similar age mixed gender (SAMG) exercise programs that were informed by the tenets of self-categorization theory, and a "standard" mixed age mixed gender (MAMG) exercise program. Participants represented a subgroup (n = 483, Mage = 71.41 years) from the larger trial (n = 627) who completed measures of the trial's putative psychological mediators (i.e., group cohesion and affective attitudes) over the course of the 24-week exercise programs. RESULTS: Piecewise latent growth modeling revealed different trajectories between participants in the two intervention conditions (SASG, SAMG) when compared with the comparison MAMG condition with regard to perceptions of group cohesion and affective attitudes. Results of subsequent cross-lagged panel modeling revealed that better program adherence in the two intervention conditions, when compared with the referent MAMG condition, was mediated by perceptions of group cohesion. CONCLUSIONS: The findings provide insight into how the two intervention programs differentially strengthened perceptions of group cohesion and affective attitudes over time. Consistent with self-categorization theory, the results also shed light on the role of group cohesion, in particular, as a psychological mechanism of action to promote older adults' exercise adherence behaviors. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Exercício Físico/psicologia , Comportamentos Relacionados com a Saúde , Cooperação do Paciente/psicologia , Atividades Cotidianas , Idoso , Atitude Frente a Saúde , Terapia por Exercício/métodos , Feminino , Promoção da Saúde/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Aptidão Física/psicologia , Comportamento Sedentário
8.
Appl Psychol Health Well Being ; 12(2): 559-583, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32149456

RESUMO

BACKGROUND: To examine the extent to which group-based exercise programs, informed by self-categorisation theory, result in improvements in psychological flourishing and reductions in age- and gender-related stigma consciousness among older adults. METHODS: In the study, older adults (N = 485, ≥ 65 years) were randomised to similar age same gender (SASG), similar age mixed gender (SAMG), or "standard" mixed age mixed gender (MAMG) group-based exercise programs. Flourishing and stigma consciousness were assessed on six occasions during the 24-week intervention and represented secondary trial outcomes. Multilevel growth models examined the effects of the interventions on flourishing and stigma consciousness over time. RESULTS: Participants in the SASG and SAMG conditions demonstrated, on average, higher levels of flourishing, relative to the MAMG condition, over the course of the 24 weeks (p < .05). Additionally, participants demonstrated lower levels of age- and gender-related stigma consciousness in both the SASG and SAMG conditions relative to the MAMG condition (p < .05). No time by group interaction effects were observed for either flourishing or stigma consciousness. CONCLUSIONS: The results provide some support for the utility of group exercise programs, informed by self-categorisation theory, to enhance psychological flourishing and reduce stigma consciousness among older adults.


Assuntos
Etarismo/psicologia , Envelhecimento/psicologia , Terapia por Exercício/psicologia , Processos Grupais , Autoimagem , Sexismo/psicologia , Estigma Social , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Teoria Psicológica , Resultado do Tratamento
9.
Psychol Health ; 34(5): 590-608, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30736704

RESUMO

OBJECTIVE: A growing body of evidence suggests that affective judgements are distinct from, and exert greater influence on, physical activity behaviours than instrumental judgements. DESIGN: As part of a randomised controlled trial, 110 insufficiently active, female, university students were randomised to (a) an affective mental contrasting condition, (b) an instrumental mental contrasting condition, or (c) a 'standard' mental contrasting intervention (with no modifications). In the analyses concerning the trial's primary outcome, the affective mental contrasting condition was found to be more effective for increasing physical activity than the standard or instrumental conditions. The purpose of this study was to qualitatively examine the physical activity outcomes and obstacles elicited from participants as part of the three mental contrasting interventions within this trial. RESULTS: 32 lower-order physical activity judgement themes, categorised within seven high-order themes, were derived through the use of the mental contrasting intervention. In addition to identifying several affective and instrumental outcomes and obstacles that have previously been recognised, participants in this study also highlighted contextualised responses that describe complicated relationships that exist between affective and instrumental judgements. CONCLUSIONS: This study provides fine-grained insight into cognitive processes derived from a novel intervention involving insufficiently active women.


Assuntos
Afeto , Exercício Físico/psicologia , Pensamento , Adolescente , Feminino , Humanos , Julgamento , Pesquisa Qualitativa , Comportamento Sedentário , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Universidades , Adulto Jovem
10.
Health Psychol ; 37(1): 51-60, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-28981303

RESUMO

OBJECTIVE: Transition to university is a vulnerable period for discontinuing regular physical activity that can have implications for students' physical and psychological health. Accordingly, it is imperative to find and implement cost and time-effective interventions to mitigate the consequences of this transition. Intervention research has shown mental contrasting is an effective means of promoting various health-enhancing behaviors including physical activity. However, the efficacy of this intervention approach may be bolstered by targeting affective judgments (e.g., enjoyable-unenjoyable), which exert greater influence on physical activity behaviors compared to health-related instrumental judgments (e.g., useful-useless). The purpose of this study was to compare the relative efficacy of a mental contrasting intervention that targeted affective judgments associated with physical activity, in relation to a mental contrasting intervention that targeted instrumental judgments, and a "standard" mental contrasting intervention (with no modifications). METHOD: Using a 3-arm parallel randomized controlled trial design (ClinicalTrials.gov Number NCT02615821), 110 insufficiently active, female, university students were randomly assigned to an affective, instrumental, or standard mental contrasting intervention following simple randomization procedures. Assessments were conducted at baseline and 4 weeks postintervention. RESULTS: Participants in the affective mental contrasting condition displayed higher levels of moderate-to-vigorous physical activity than those in the instrumental or standard comparison conditions, F(2, 90) = 3.14, p < .05, ηp2 = 0.065. CONCLUSION: Overall, affective mental contrasting has the potential to represent a low-cost and time-efficient intervention that may help insufficiently active, female students increase activity or attenuate declining levels of moderate-to-vigorous physical activity that occurs during university. (PsycINFO Database Record


Assuntos
Exercício Físico/psicologia , Saúde Mental/tendências , Adulto , Feminino , Humanos , Masculino , Adulto Jovem
11.
Health Psychol ; 37(5): 451-461, 2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-29698019

RESUMO

BACKGROUND: Despite the health benefits of regular physical activity, across the globe older adults represent the least active section of society. PURPOSE: The GrOup-based physical Activity for oLder adults (GOAL) trial was a three-arm parallel randomized controlled trial (RCT) that was designed to test the efficacy of two group-based exercise programs for older adults, informed by self-categorization theory (SCT), in comparison to a standard group-based exercise program. METHODS: RCT conducted in Greater Vancouver, Canada, enrolled 627 older adults (Mage = 71.57 years, SD = 5.41; 71.0% female). Participants were randomized to similar age same gender (SASG), similar age mixed gender (SAMG), or 'standard' mixed age mixed gender (MAMG) exercise group conditions. In addition to group composition, the intervention programs operationalized principles from SCT designed to foster a sense of social connectedness among participants. The primary outcome of the trial was exercise adherence behavior over 12 and 24 weeks. RESULTS: Analyses of variance revealed that older adults randomized to the SAMG (12-weeks d = .51, p < .001; 24-weeks d = .47, p < .001) and SASG (12-weeks d = .28, p = .012; 24-weeks d = .29, p = .016) conditions adhered to a greater extent than those in the MAMG comparison condition. There were no significant differences between the SAMG and SASG conditions. CONCLUSIONS: The results provide support for the efficacy of group-based physical activity programs informed by SCT. Furthermore, the results suggest that community group-based exercise programs should attempt to engage in age-targeting but not necessarily gender-targeting among older adults. (PsycINFO Database Record


Assuntos
Terapia por Exercício/métodos , Exercício Físico/psicologia , Idoso , Idoso de 80 Anos ou mais , Feminino , Objetivos , Humanos , Masculino , Projetos de Pesquisa
12.
PLoS One ; 12(1): e0169604, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28085922

RESUMO

The objective of this study was to conduct a systematic review and meta-analysis of teamwork interventions that were carried out with the purpose of improving teamwork and team performance, using controlled experimental designs. A literature search returned 16,849 unique articles. The meta-analysis was ultimately conducted on 51 articles, comprising 72 (k) unique interventions, 194 effect sizes, and 8439 participants, using a random effects model. Positive and significant medium-sized effects were found for teamwork interventions on both teamwork and team performance. Moderator analyses were also conducted, which generally revealed positive and significant effects with respect to several sample, intervention, and measurement characteristics. Implications for effective teamwork interventions as well as considerations for future research are discussed.


Assuntos
Comportamento Cooperativo , Modelos Teóricos , Análise e Desempenho de Tarefas , Ensino , Humanos
13.
Health Psychol Rev ; 10(1): 67-88, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26445201

RESUMO

Drawing from goal setting theory (Latham & Locke, 1991; Locke & Latham, 2002; Locke et al., 1981), the purpose of this study was to conduct a systematic review and meta-analysis of multi-component goal setting interventions for changing physical activity (PA) behaviour. A literature search returned 41,038 potential articles. Included studies consisted of controlled experimental trials wherein participants in the intervention conditions set PA goals and their PA behaviour was compared to participants in a control group who did not set goals. A meta-analysis was ultimately carried out across 45 articles (comprising 52 interventions, 126 effect sizes, n = 5912) that met eligibility criteria using a random-effects model. Overall, a medium, positive effect (Cohen's d(SE) = .552(.06), 95% CI = .43-.67, Z = 9.03, p < .001) of goal setting interventions in relation to PA behaviour was found. Moderator analyses across 20 variables revealed several noteworthy results with regard to features of the study, sample characteristics, PA goal content, and additional goal-related behaviour change techniques. In conclusion, multi-component goal setting interventions represent an effective method of fostering PA across a diverse range of populations and settings. Implications for effective goal setting interventions are discussed.


Assuntos
Exercício Físico , Objetivos , Comportamentos Relacionados com a Saúde , Promoção da Saúde , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
14.
Appl Psychol Health Well Being ; 8(2): 213-31, 2016 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-27097736

RESUMO

BACKGROUND: The purpose of this study was to experimentally examine the extent to which variety support in a resistance exercise program influences exercise-related well-being among inactive adults. METHODS: A sample of 121 inactive university students were randomly assigned and participated in either a high or low variety support 6-week exercise program. Measures of exercise-related perceived variety, positive affect, negative affect, and subjective vitality were completed at baseline, after 3 weeks, and after 6 weeks (i.e. post-test). RESULTS: Through use of structural equation modelling, the results showed that for those who completed measures at post-test (i.e. n = 55), and for all participants who received variety support (i.e. a modified intention-to-treat analysis; N = 121), exercise-related variety support indirectly explained higher levels of exercise-related positive affect, and subjective vitality, and lower levels of negative affect, through the mediating role of perceived variety. CONCLUSIONS: The provision of variety support in a resistance exercise program influences exercise-related well-being through perceptions of variety. Results are discussed in relation to the potential utility of providing variety support to promote exercise-related well-being in people who are physically inactive.


Assuntos
Afeto , Exercício Físico/psicologia , Felicidade , Satisfação Pessoal , Treinamento Resistido/métodos , Adulto , Feminino , Seguimentos , Humanos , Masculino , Qualidade de Vida/psicologia , Adulto Jovem
15.
Disabil Rehabil ; 38(19): 1884-92, 2016 09.
Artigo em Inglês | MEDLINE | ID: mdl-26728176

RESUMO

PURPOSE: Drawing from the tenets of transformational leadership theory, the purpose of this study was to examine the nature of effective peer mentoring of adults with a spinal cord injury (SCI) from the perspective of mentees. METHODS: The study utilised a qualitative methodology (informed by a social constructionist approach), involving 15 adult mentees with a SCI (mean age = 47.2; mean time since injury = 14.5 years), in which data were obtained via semi-structured interviews. RESULTS: The results revealed that effective mentoring, as used by mentors with SCIs, closely aligns with the core components of transformational leadership. Specifically, all four dimensions of transformational leadership (idealised influence, inspirational motivation, individualised consideration and intellectual stimulation) as displayed by mentors with a SCI were evident in their interactions with mentees. Participants who perceived their mentors to use transformational leadership behaviours reported increases in motivation, self-confidence, hope and overall well-being, relatedness with their mentor, greater comfort/acceptance of their situation, a redefined sense of their limitations, as well as greater engagement in various life pursuits. CONCLUSIONS: Displays of transformational leadership by peer mentors (i.e. transformational mentoring) were reported by mentees to be associated with a range of adaptive psychological and behavioural outcomes. The results have the potential to inform the development and dissemination of peer mentor-based interventions and initiatives. Implications for Rehabilitation Within the context of spinal cord injury (SCI) rehabilitation, positive peer mentorship is reflected in mentors' use of transformational leadership behaviours (idealised influence, inspirational motivation, individualised consideration and intellectual stimulation). When SCI peer mentors use transformational leadership behaviours, mentees report a redefined sense of their limitations, and increased self-confidence, hope, motivation, acceptance, participation and overall well-being. The results of this study have the potential to inform future longitudinal and experimental research concerning the (causal) effects of peer mentoring on mentee outcomes. In particular, research should examine the effects of peer-mentorship training, informed by the tenets of transformational leadership theory, in relation to the mentee outcomes assessed in this qualitative study.


Assuntos
Liderança , Tutoria , Grupo Associado , Traumatismos da Medula Espinal/reabilitação , Adulto , Canadá , Feminino , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa , Qualidade de Vida
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