Healthy for life: a randomized trial examining physical activity outcomes and psychosocial mediators

Ann Behav Med. 2013 Apr;45(2):203-12. doi: 10.1007/s12160-012-9439-5.

Abstract

Background: Researchers theorize that interventions increase physical activity by influencing key theory-based mediators (e.g., behavioral processes). However, few studies have been adequately powered to examine the importance of mediators.

Purpose: This study examined both physical activity behavior and psychosocial mediators in a randomized trial specifically powered to detect mediation.

Methods: Healthy, sedentary adults (n = 448; 70 % Caucasian, 87 % women, mean age was 43) were randomly assigned to either a 6-month print-based theory tailored physical activity intervention (n = 224) or a 6-month health/wellness contact control arm (n = 224).

Results: The print intervention arm exhibited greater increases in physical activity than the control arm at 6 and 12 months (p < .05). Additionally, behavioral processes were found to be an important mediator of physical activity behavior.

Conclusions: It is important for researchers and practitioners to focus on increasing behavioral strategies for physical activity adoption. Future studies should examine other potential mediators of physical activity.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Exercise / psychology*
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Health Promotion*
  • Humans
  • Male
  • Motor Activity
  • Sedentary Behavior*
  • Self Efficacy