Chapter 2B

Screening

Assess’ health history and current health status; determines risk factors and contraindications

American College of Sports Medicine’s (ACSM)

the largest sports medicine and exercise science organization in the world

Physical Activity Readiness Questionnaire (PAR-Q)

Questionnaire for people aged 15-69

• Screens primary cardiovascular risk factors and preexisting conditions

• Self-administered questionnaire with assitance

Assessment of Physical Activity

Need to determine: aim of the physical activity?

Intensity level?

Achieve recommended min/wk?

Godin Leisure-Time Exercise Questionnaire (GLTEQ) PROS

Measures performance during last month and behavior measured by effort of activities

• avg sessions/wk

• avg session duration

frequency x duration = approximation of energy expenditure

Godin Leisure-Time Exercise Questionnaire (GLTEQ) CONS

Doesn’t account for physical activity domains

Motivational

The desires that lead individuals to become more physically active

• intention to perform behavior or “readiness to change” are important determinants of behavior

Likert scales

Used to gather information about the opinion or position of a person in relation to an issue

Example scale:

—5 – Strongly agree

—4 – Agree

—3 – Neutral

—2 – Disagree

—1 – Strongly disagree

Health Action Process Approach

A psychological model of health behavior change, distinguishing between pre-intentional (motivational) and post-intentional (volitional) phases.

Non-intentional

HAPA Stage 1 of behavior change: aware of risks of behaviors, if intention is formed, the next phase is entered

how many stages of behavior change are there according to Health action process approach (HAPA)

3

Intentional

HAPA Stage 2 of behavior change: behavior regulation is under volitional control

Action

HAPA behavior change stage 3: maintenance of action achieved by self-regulatory skills and strategies

If Goal is to Increase Behavior & Intention....

Measure these outcomes:

• Risk perception

• Outcome expectancies

• Planning which bridges gap between intention and behavior

• self-efficacy

  • social suppor

Asses other health behaviors:

Individuals might have same behaviors for different reasons:

–Group A: wants to socialize

•engage in group exercise class, then go out for a drink & smoke

–Group B: wants to lose weight

•exercise, follow diet plan but smoke to suppress appetite

–Group C: feels stressed

•exercise, watch TV and eat chocolate to relax

•All groups exercise

–however, motivations and behaviors are linked

What are pros of Health Promoting Lifestyle Profile II

Measuring degree to which clients engage in health promoting lifestyle

What are cons of Health Promoting Lifestyle Profile II

Self-reported and not clear if items measure behavior or attitudes and wishes.

Assessments

Help design appropriate interventions and evaluations