Evidence map›Paper›PMID 22149130›Full record

Trial reportHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2012

Mediators of physical activity behavior change: findings from a 12-month randomized controlled trial.

George D Papandonatos, David M Williams, Ernestine G Jennings, Melissa A Napolitano, Beth C Bock, Shira Dunsiger, Bess H Marcus

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Face-to-face interventions for promoting physical activity.The Cochrane database of systematic reviews · 2013
    Pooled it
  3. Trial
  4. Trial
  5. Mediators of Weight Loss Maintenance in the Keep It Off Trial.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2018
    Trial
  6. Trial
  7. Trial
  8. Trial
  9. Internet and Telephone Treatment for smoking cessation: mediators and moderators of short-term abstinence.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2015
    Trial
  10. Trial
  11. Mediators of exercise maintenance after cardiac rehabilitation.Journal of cardiopulmonary rehabilitation and prevention
    Trial
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
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  19. Article
  20. Self-regulation of exercise behavior in the TIGER study.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2014
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

George D PapandonatosDepartment of Biostatistics, Brown University, Providence, RI 02912, USA. gdp@stat.brown.edu
David M Williams
Ernestine G Jennings
Melissa A Napolitano
Beth C Bock
Shira Dunsiger
Bess H Marcus
Miriam Hospital · USBrown University · USTemple University · USUniversity of California San Diego · US

Funding

EXERCISE INSTRUCTION VIA PHONE OR PRINTR01HL064342 · NHLBI · MIRIAM HOSPITAL · PI MARCUS, BESS HYA · 2000 to 2009
$3.6M
NHLBI NIH HHS 5R01HL64342NHLBI NIH HHS R01 HL064342
6 · The paper itself

Abstract

objectiveTo examine putative mediators of a 12-month motivationally tailored physical activity (PA) promotion intervention.

designWe randomly assigned 239 healthy, underactive adults (moderate-vigorous physical activity <90 min/week; mean age = 47.5 years; 82% women) to receive (a) print-based feedback, (b) phone-based feedback, or (c) contact control. PRIMARY OUTCOME: PA at baseline, 6, and 12 months, as measured by the 7-day physical activity recall interview. MEDIATORS: Four TransTheoretical Model constructs explicitly targeted by the intervention (i.e., self-efficacy, decisional balance, cognitive and behavioral processes of change), as well as four additional constructs linked to PA behavior change (i.e., social support, outcome expectancy, PA enjoyment, exercise-induced feelings).

resultsMultivariate mediation analyses were used to analyze longitudinal PA outcomes. Changes in behavioral processes and one aspect of exercise-induced feelings (revitalization) satisfied both action theory (i.e., treatment effects on mediators) and conceptual theory (i.e., mediator effects on PA) tests at 6 and 12 months and emerged as statistically significant mediators of treatment effects on PA across delivery channels (ps <.014). Cognitive processes, self-efficacy, decisional balance, and social support for PA participation satisfied Action Theory tests at both 6 and 12 months, but failed conceptual theory tests. Delayed intervention effects were observed on other aspects of exercise-induced feelings, PA enjoyment, and outcome expectancies, but these variables failed mediation testing at 12 months.

conclusionFindings are consistent with previous research illustrating the importance of behavioral processes of change, but also indicate that affective response to PA may warrant more attention as a potential target of behavior change programs.

Indexed as

FeedbackMotivationAdultCognitionExerciseFemaleHealth BehaviorHealth PromotionHumansLongitudinal StudiesMaleMiddle AgedSelf EfficacySocial Support

Identifiers

PMID22149130
PMCPMC5718351
OpenAlexW2076694287

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.