Abstract
Techniques to increase physical activity among pulmonary rehabilitation patients outside of the rehabilitation context are warranted. Implementation intentions are a strategy used to initiate goal-directed behaviour, and have been found to be useful in other populations. This study compared the long-term effects of exercise and social implementation intentions interventions on objectively measured physical activity in 40 pulmonary rehabilitation patients randomly assigned to condition. Repeated measures ANOVAs found that those in the exercise implementation intentions group took more steps (p = .007) at the end of pulmonary rehabilitation than those in the social implementation intentions group. Improvements attained by the exercise group during the intervention were not maintained 6-months following rehabilitation. Implementation intentions targeting physical activity appear to have positive short term effects on physical activity, although the long term effects are less consistent. This may be due in part to methods used to assess physical activity behaviour.
Similar content being viewed by others
References
Baumeister, R. F., Heatherton, T. F., & Tice, D. M. (Eds.). (1994). Losing control: How and why people fail at self-regulation. San Diego: Academic Press.
Berkman, L. F., & Glass, T. (2000). Social integration, social networks, social support, and health. In L. F. Berkman & I. Kawachi (Eds.), Social epidemiology (pp. 137–173). New York: Oxford.
Berkman, L. F., Glass, T., Brissette, I., & Seeman, T. E. (2000). From social integration to health: Durkheim in the new millennium. Social Science and Medicine, 51, 843–857. doi:10.1016/S0277-9536(00)00065-4
Bourbeau, J. (2009). Activities of life: The COPD patient. COPD, 6(3), 192–200. doi:10.1080/15412550902902638
Bourbeau, J., Nault, D., & Dang-Tan, T. (2004). Self-management and behaviour modification in COPD. Patient Education and Counselling, 52(3), 271–277. doi:10.1016/S0738-3991(03)00102
Brickell, T. A., Chatzisarantis, N. L. D., & Pretty, G. M. (2006). Using past behaviour and spontaneous implementation intentions to enhance the utility of the theory of planned behaviour in predicting exercise. British Journal of Health Psychology, 11, 249–262. doi:10.1348/135910705x52471
Cole, P. J., LeMura, L. M., Klinger, T. A., Strohecker, K., & McConnell, T. R. (2004). Measuring energy expenditure in cardiac patients using the Body Media Armband versus indirect calorimetry. A validation study. Journal of Sports Medicine and Physical Fitness, 44(3), 262–271.
Conn, V. S., Hafdahl, A. R., Brown, S. A., & Brown, L. M. (2008). Meta-analysis of patient education interventions to increase physical activity among chronically ill adults. Patient Education and Counselling, 70(2), 157–172. doi:10.1016/j.pec.2007.10.004
Davis, A. H., Carrieri-Kohlman, V., Janson, S. L., Gold, W. M., & Stulbarg, M. S. (2006). Effects of treatment on two types of self-efficacy in people with chronic obstructive pulmonary disease. Journal of Pain Symptom Management, 32(1), 60–70. doi:10.1016/j.jpainsymman.2006.01.012
de Blok, B. M., de Greef, M. H., ten Hacken, N. H., Sprenger, S. R., Postema, K., & Wempe, J. B. (2006). The effects of a lifestyle physical activity counseling program with feedback of a pedometer during pulmonary rehabilitation in patients with COPD: A pilot study. Patient Education and Counselling, 61(1), 48–55. doi:10.1016/j.pec.2005.02.005
DiMatteo, M. R. (2004). Social support and patient adherence to medical treatment: A meta-analysis. Health Psychology, 23, 207–218. doi:10.1037/0278-6133.23.2.207
Effing, T. W., Bourbeau, J., Vercoulen, J., Apter, A. J., Coultas, D., Meek, P., et al. (2012). Self-management programmes for COPD: Moving forward. Chronic Respiratory Disease, 9(1), 27–35. doi:10.1177/14799723114335749/1/27
Foster, S., & Thomas, H. M., 3rd. (1990). Pulmonary rehabilitation in lung disease other than chronic obstructive pulmonary disease. American Review of Respiratory Disease, 141(3), 601–604.
Fraser, S. N., & Rodgers, W. M. (2009). Influences of upstream social factors on downstream perceptions of social support in cardiac rehabilitation. Journal of Applied Social Psychology, 39(7), 1739–1761.
Fraser, S. N., & Rodgers, W. M. (2012). The influence of general and exercise specific social support on self-efficacy for overcoming barriers to cardiac rehabilitation. Journal of Applied Social Psychology, 42(8), 1811–1829. doi:10.1111/j.1559-1816.2012.00919.x
Fruin, M. L., & Rankin, J. W. (2004). Validity of a multi-sensor armband in estimating rest and exercise energy expenditure. Medicine and Science in Sports and Exercise, 36(6), 1063–1069.
Godin, G., Belanger-Gravel, A., Amireault, S., Gallani, M. C., Vohl, M. C., & Perusse, L. (2010). Effect of implementation intentions to change behaviour: Moderation by intention stability. Psychological Reports, 106(1), 147–159. doi:10.2466/PR0.106.1.147-159
Godin, G., & Shephard, R. J. (1985). A simple method to assess exercise behaviour in the community. Canadian Journal of Applied Sport Sciences, 10, 141–146.
Gollwitzer, P. M. (Ed.). (1993). Goal achievement: The role of intentions (Vol. 4). Chichester: Wiley.
Gollwitzer, P. M. (1999). Implementation Intentions: Strong effects of simple plans. American Psychologist, 54, 493–503. doi:10.1037/0003-066X.54.7.493
Gollwitzer, P. M., & Oettingen, G. (1998). The emergence and implementation of health goals. Psychology and Health, 13(4), 687–715. doi:10.1080/08870449808407424
Gollwitzer, P. M., & Sheeran, P. (2006). Implementation intentions and goal achievement: A meta-analysis of effects and processes. In M. P. Zanna (Ed.), Advances in experimental social psychology (Vol. 38, pp. 69–119). San Diego: Elsevier Academic Press Inc.
Jacobs, D. R., Ainsworth, B. E., Hartman, T. J., & Leon, A. S. (1993). A simultaneous evaluation of 10 commonly used physical-activity questionnaires. Medicine and Science in Sports and Exercise, 25, 81–91. doi:10.1249/00005768-199301000-00012
Jakicic, J. M., Marcus, M., Gallagher, K. I., Randall, C., Thomas, E., Goss, F. L., et al. (2004). Evaluation of the SenseWear Pro Armband to assess energy expenditure during exercise. Medicine and Science in Sports and Exercise, 36(5), 897–904. doi:http://www.ncbi.nlm.nih.gov/pubmed/15126727
Johannsen, D. L., Calabro, M. A., Stewart, J., Franke, W., Rood, J. C., & Welk, G. J. (2010). Accuracy of armband monitors for measuring daily energy expenditure in healthy adults. Medicine and Science in Sports and Exercise, 42(11), 2134–2140. doi:10.1249/MSS.0b013e3181e0b3ff
King, G. A., Torres, N., Potter, C., Brooks, T. J., & Coleman, K. J. (2004). Comparison of activity monitors to estimate energy cost of treadmill exercise. Medicine and Science in Sports and Exercise, 36(7), 1244–1251.
Latimer, A. E., Ginis, K. A., & Arbour, K. P. (2006). The efficacy of an implementation intention intervention for promoting physical activity among individuals with spinal cord injury: A randomized controlled trial. Rehabilitation Psychology, 51(4), 273–280. doi:10.1037/0090-5550.51.4.273
Levine, J. A. (2005). Measurement of energy expenditure. Public Health Nutrition, 8(7), 1123–1132. doi:10.1079/PHN2005800
Life and breath: Respiratory Disease in Canada. (2007). Ottawa: Public Health Agency of Canada.
Luszczynska, A. (2006). An implementation intentions intervention, the use of a planning strategy, and physical activity after myocardial infarction. Social Science and Medicine, 62(4), 900–908. doi:10.1016/j.socscimed.2005.06.043
Meichenbaum, D., & Turk, D. (1987). Facilitating treatment adherence: A practitioner’s guidebook. New York: Plenum.
Milne, S., Orbell, S., & Sheeran, P. (2002). Combining motivational and volitional interventions to promote exercise participation: Protection motivation theory and implementation intentions. British Journal of Health Psychology, 7(Pt 2), 163–184. doi:10.1348/135910702169420
Murray, T. C., Rodgers, W. M., & Fraser, S. N. (2009). Examining implementation intentions in an exercise intervention: The effects on adherence and self-efficacy in a naturalistic setting 1. Journal of Applied Social Psychology, 39(10), 2303–2320.
Prestwich, A., Lawton, R., & Conner, M. (2003). The use of implementation intentions and the decision balance sheet in promoting exercise behaviour. Psychology and Health, 18(6), 707–721. doi:10.1080/08870440310001594493
Rhodes, R. E., Blanchard, C. M., Matheson, D. H., & Coble, J. (2006). Disentangling motivation, intention, and planning in the physical activity domain. Psychology of Sport and Exercise, 7(1), 15–27. doi:10.1016/j.psychsport.2005.08.011
Ries, A. L. (2008). Pulmonary rehabilitation: Summary of an evidence-based guideline. Respiratory Care, 53(9), 1203–1207.
Rise, J., Thompson, M., & Verplanken, B. (2003). Measuring implementation intentions in the context of the theory of planned behavior. Scandinavian Journal of Psychology, 44(2), 87–95. doi:10.1111/1467-9450.00325
St-Onge, M., Mignault, D., Allison, D. B., & Rabasa-Lhoret, R. (2007). Evaluation of a portable device to measure daily energy expenditure in free-living adults. American Journal of Clinical Nutrition, 85(3), 742–749.
Webb, T. L., & Sheeran, P. (2004). Identifying good opportunities to act: Implementation intentions and cue discrimination. European Journal of Social Psychology, 34(4), 407–419. doi:10.1002/ejsp.205
Ziegelmann, J. P., Luszczynska, A., Lippke, S., & Schwarzer, R. (2007). Are goal intentions or implementation intentions better predictors of health behavior? A longitudinal study in orthopedic rehabilitation. Rehabilitation Psychology, 52(1), 97–102. doi:10.1037/0090-5550.52.1.97
Acknowledgments
Funded by the Social Sciences and Humanities Research Council of Canada and the Alberta Lung Association.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Rodgers, W.M., Selzler, AM., Haennel, R.G. et al. An experimental assessment of the influence of exercise versus social implementation intentions on physical activity during and following pulmonary rehabilitation. J Behav Med 37, 480–490 (2014). https://doi.org/10.1007/s10865-013-9503-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10865-013-9503-z