Figures
Abstract
Identifying determinants of leisure-time physical activity (LTPA) often relies on population-level (nomothetic) averages, potentially overlooking person-specific (idiographic) associations. This study uses an idiographic perspective to explore how subjective readiness and motives for LTPA relate to volitional effort (duration, intensity) and affective experience (pleasure, displeasure). We also highlight the potential for different interpretations when data are averaged within individuals and assessed using a variable-centered approach. Participants (N = 22, 25±8 years old, 54.5% women) were asked to continue their regular PA patterns for 10 weeks. Ecological momentary assessment procedures allowed participants to provide pre-activity reports (physical, cognitive, emotional readiness and situational motive for activity) and post-activity reports (activity type, duration, perceived exertion, ratings of affective valence). Spearman rank correlation was implemented to interpret within- and between-person associations. Data visualization approaches were used to showcase person-specific differences in associations. Participants provided 519 reports of LTPA (24±11 events/person), which displayed between- and within-person variety in type, duration, intensity, and affective experience. Exemplar cases highlight discrepancies in interpretation based on level of analysis, such that the nomothetic association (rho = .42, p = .05; 95% CI -.02, .72) between motive to replenish energy and LTPA duration was observed in only one within-person analysis (41% were weak-to-large inverse effects). Alternatively, the negligible nomothetic association (rho = .02, p = .93; 95% CI -.41, .44) between physical readiness and LTPA-related affect did not reflect the 59% of within-person analyses showing moderate-to-large, positive effects. Future research aiming to identify determinants of LTPA effort and experience should integrate contemporary, idiographic analyses in early-stage research for developing person-specific strategies for LTPA promotion.
Citation: Strohacker K, Sudeck G, Ibrahim AH, Keegan R (2024) Exploring person-specific associations of situational motivation and readiness with leisure-time physical activity effort and experience. PLoS ONE 19(7): e0307369. https://doi.org/10.1371/journal.pone.0307369
Editor: Zulkarnain Jaafar, Universiti Malaya, MALAYSIA
Received: February 29, 2024; Accepted: July 3, 2024; Published: July 18, 2024
Copyright: © 2024 Strohacker et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Data Availability: All relevant data are within the manuscript and its Supporting Information files.
Funding: The author(s) received no specific funding for this work.
Competing interests: The authors have declared that no competing interests exist.
Introduction
Leisure-time physical activity (LTPA) broadly refers to activities performed in one’s free time based on personal interests and needs, which includes formal exercise training as well as activities such as walking, hiking, sport, or dance [1]. Regular engagement in LTPA protects against physical health conditions (cardiovascular disease, type 2 diabetes, renal disease, certain cancers) that serve as leading causes of mortality and disability in Westernized countries [2, 3]. Mental health benefits have also been associated with LTPA [4]. However, insufficient physical activity remains a global public health problem [5]; in the United States, for example, 26% of adults report engaging in no LTPA at all [6], and maintaining consistent patterns of LTPA appears relatively difficult for the majority of adults [7–9].
Strategies for LTPA promotion are informed by identifying behavioral determinants. Determinants of physical activity are numerous and multifaceted, spanning multiple classifications [10, 11]. Relating to individuals, for example, Self-Determination Theory supports that psychological needs (e.g., perceived autonomy, competence, and relatedness) must be met to elicit intrinsic motivation [12]. Additionally, the characteristics of physical activity itself (e.g., intensity, perceived effort) are considered determinants of future behavior [10]. It is critical to note, however, that determinants generally have been inferred based on variable-centered approaches (i.e., averaging across pooled samples, with summary statistics pertaining to the aggregate); however, it cannot be assumed that similar inferences can be made for each individual within a given subpopulation [13].
Thus, it is crucial to also understand determinants of LTPA using person-specific and person-centered analyses [14]. Person-specific approaches (i.e., testing within-person associations for individuals separately) can be implemented to estimate inter-individual differences in associations (magnitude and direction) between hypothesized determinants and LTPA-related outcomes [15, 16]. Analysis of person-specific data may uncover observable subpopulations, for which more generalized inferences can be held based on person-centered analyses [17]. Identifying which determinants of LTPA are unique to a person, are shared within an identifiable subgroup, and are shared across the general population aligns with expert-led calls to view physical activity as a complex and dynamic health behavior, requiring interventions that are individualized and person-adaptive [15, 18, 19].
Ecological momentary assessment (EMA) techniques can be used to understand determinants and consequences of physical activity at the person-specific level by repeatedly collecting data from individuals over time, within their natural environment [20]. Existing research using EMA, however, has been criticized for reducing the richness of data in order to conduct traditional statistical approaches (e.g., linear regression, multilevel modeling; [21]) for generalizing relationships across the sample. Few studies to date have explicitly demonstrated evidence for heterogeneity in within-person associations specific to physical activity [22, 23], which were limited to quantitative characteristics of performed physical activity (e.g., duration, intensity, steps per day) that influence physiological adaptations. Beyond that, experiential factors must be accounted for when assessing person-specific associations, as contemporary models and theories in exercise psychology [24–27] identify affective and evaluative responses arising from physical activity as determinants of future intentions and behavior, in general.
The aim of the current paper is to explore interindividual variability in person-specific associations regarding hypothesized predictors of volitional LTPA effort and affective experiences. We also explore the potential for differing interpretations when data are averaged within individuals and then assessed using a variable-centered approach. Target variables were chosen based on a proposed person-adaptive model for exercise behavior (flexible nonlinear periodization; FNLP) [28]. Under this conceptual model, an individual’s situational motivation for physical activity (e.g., for fitness, stress relief, social contact) and activity-related readiness (availability of physical, cognitive, emotional resources) are hypothesized to influence volitional effort (intensity, duration), as well as affect-related experiences (e.g., pleasure vs. displeasure). Enactment of FNLP (choosing activities specifically based on acute situational motivation and readiness states) incorporates variety, autonomy-support and flexible goal-setting to support factors related to behavior maintenance, such as enjoyment and self-regulation [29].
Importantly, in light of the need for transparency in kinesiology research–including exercise psychology [30]–we emphasize that the work presented herein was designed to be exploratory. To further enhance transparency, we rely on descriptive approaches and visualization [31] to explore the data at this early stage of inquiry. We anticipate that demonstrating proof-of-concept for heterogeneity in association and potentially conflicting interpretations will stimulate multi-level (person-specific, person-centered, variable centered) research to more thoroughly understand determinants of LTPA performance and experience. This should allow for improved knowledge about which constructs are most meaningful within and across individuals, which can effectively guide the development of person-adaptive intervention strategies that support sustained physical activity.
Methods
Study design
Adults in the United States and Germany were recruited to participate in research-related activities for 10 consecutive weeks. While enrolled, participants used their personally-owned smartphones to enact event-contingent ecological momentary assessments (pre- and post-activity) in response to purposeful (performed with intention, awareness) physical activity sessions lasting ten or more minutes. The EMA data were used to computed person-specific and variable-centered associations. All procedures described were approved for each site (The University of Tennessee, Knoxville Institutional Review Board; Ethics Committee of the Faculty of Economics and Social Sciences at University Tübingen) and all participants provided written, informed consent to engage in research-related activities by signing a standardized paper consent form, which was witnessed and also signed by the overseeing research associate.
Inclusivity in global research
Additional information regarding the ethical, cultural, and scientific considerations specific to inclusivity in global research is included in the S1 Checklist.
Procedures
Recruitment, orientation, and enrollment.
Participants were recruited in rolling cohorts in the United States (08/23/2022 to 09/27/2022; Southeastern flagship university) and Germany (11/8/2022 to 01/15/2023; Southwest university). Recruitment was conducted using flyer advertisements, social media, classroom announcements, and snowball sampling. Individuals were eligible to participate if they were at least 18 years old, reported engaging in at least 60 minutes per week of moderate-to-vigorous physical activity, on average, and owned a smartphone capable of accessing the Internet. Exclusion criteria included reported visual or cognitive impairments that would limit survey completion or anticipated planned, extended travel where cellular service was limited. Though confirmatory statistics were not conducted the study, recruitment goals and enrollment duration were guided by repeated measures correlation power curves [32], such that a minimum of 10 individuals, each with 10 within-person data points (i.e., 1 report of LTPA per week) would be required to detect at least medium (r = 0.3) effects with 80% power.
Each orientation session consisted of a study overview, informed consent procedures, completion of baseline surveys, the bookmarking of the recurring web survey link in participants’ smartphone Internet browser, and recording of height and weight to compute body mass index (six German participants provided only self-reported metrics). Participants were instructed to continue their usual pattern of physical activity behavior and initiate event-contingent surveys starting the day after the orientation visit and continue reporting for the subsequent 10 weeks of enrollment. All participants were emailed weekly reminders to initiate reports and targeted re-engagement emails were sent to those who did not submit at least one activity report over a two-week period. No incentives or compensation were provided for engaging in research activities.
Event-contingent ecological momentary (EMA) assessment.
Surveys were built and disseminated using Qualtrics Research Suite (Provo, UT). Upon opening the survey link, participants entered their study identification number and indicated the report’s purpose (e.g. submit a momentary pre-activity report; submit a momentary post activity report; to retrospectively report an activity bout) to guide subsequent display logic. The pre-activity survey first captured the domain of the impending physical activity. The answer triggered survey skip logic to display mode options for each domain–leisure-time (e.g., hiking, weightlifting, jogging), transportation (e.g., walking, biking), domestic (e.g., gardening, moving furniture), occupational (e.g., moving heavy objects, manual labor). Each list included an “other” option to type in an unlisted activity. Participants then rated their situational motive(s) for engaging in LTPA based on the revised Bernese Motive and Goal Inventory in Exercise and Sport (33) and provided ‘right now’ ratings of physical, cognitive, and emotional readiness and fatigue using a shortened version of the Acute Readiness Monitoring Scale (34). The post-activity survey allowed individuals to indicate total activity duration and to recall and rate their perceived exertion (Catgory-10 Ratio Scale; (35)) and affective valence using the Feeling Scale (36), regarding the activity they had performed. Retrospective surveys included all aforementioned items, plus additional items to indicate the date and time that the reported activity was initiated.
Instrumentation
Bernese motive and goal inventory in exercise and sport (BMZI; revised version).
The revised BMZI is a validated [33] instrument used to assess multidimensional motive profiles. Following the prompt “why do you exercise / why would you exercise”, participants were asked to rate 25 items on a 5-point Likert scale (1 = I strongly agree, 5 = I strongly disagree). Items represented seven motive domains: contact, performance/competition, distraction/catharsis, body/appearance, aesthetics, fitness, health. The BMZI, in full, was administered one time within the baseline survey packet. Eleven single items were selected considering their representativeness for the motive domain and their appropriateness for situational assessments, with modified to “right now” phrasing in the pre-activity surveys.
Acute readiness monitoring scale (ARMS).
The ARMS is a 32-item scale that was designed to assess situational readiness. Ten items were chosen to represent the five factors (of nine, total) deemed pertinent to volitional physical activity behavior: physical readiness (“I feel physically fit”; “I am physically fresh”), physical fatigue (“I am physically tired”; “I am physically spent”), cognitive readiness (“I am thinking clearly”; “I can focus well”), cognitive fatigue (“I cannot focus today”; “I am mentally tired”), threat-challenge readiness (“I have things under control today”; “I can handle unpleasant feelings”). Items are rated on 7-point Likert scale (0 = does not apply at all; 6 = fully applies). Prior research has supported the psychometric soundness of items [34, 35]. The ARMS was administered at each event-contingent pre-activity survey.
Feeling scale (FS).
Recalled affective valence during physical activity was assessed using the FS. The FS is an 11-point scale that assesses core affect regarding pleasure and displeasure [36] and has been used extensively to understand experiences relating to both muscle-strengthening activities [37] and aerobic activities [38]. The FS ranges from -5 (very bad) to 5 (very good) with 0 (neutral) as the midpoint and has been validated in German [39]. Rather than using ‘right now’ framing (which is likely to capture a rebound effect [40]), instructions were provided to elicit ratings as representative as possible of affective experiences while under exertion (‘Overall, how pleasant or unpleasant did you feel WHILE you were physically active’), as true in-task measures were not able to be captured in this study. The FS was administered at each event-contingent post-activity survey.
Category-10 ratio (CR-10) scale for ratings of perceived exertion (RPE).
Perceptions of activity-related heaviness and strain was assessed using the CR-10, a validated single-item instrument [41] where respondents provide a rating on an 11-pt scale (0 = rest; 1 = very, very easy; 2 = easy; 3 = moderate; 4 = somewhat hard; 5 = hard; 7 = very hard; 10 = maximal). Scale points 6, 8, and 9 are intentionally blank. The CR-10 was administered at each event-contingent post-activity survey.
Behavioral regulation in exercise questionnaire (BREQ)-3.
The BREQ-3 is a validated [42] instrument used to assess behavioral regulations in an exercise context using six subscales: amotivation, external regulation, introjected regulation, identified regulation, integrated regulation, and intrinsic regulation. 24 items representing each domain are scored on a 5-point scale (0 = not true, 5 = very true) and the mean value for each subscale is calculated. The relative autonomy index (RAI) is a score derived from all subscales that describes how self-determined respondents are at that time. The RAI is obtained by applying a weighting to each subscale (amotivation = -3, external = -2, introjected = -1, identified = 1, integrated = 2, intrinsic = 3) and then summing the weighted scores. The BREQ-3 was administered one time within the baseline survey packet.
Physical activity-related health competence (PAHCO).
To assess PAHCO, respondents answered 13 items, scored on a 5-pt scale (1 = disagree completely, 5 = agree completely) related to four areas of competence: ‘control competence for physical training’, ‘physical activity-related affect regulation’, ‘physical activity-specific self-control’, and ‘motivational competence’. These instruments have been found to be valid and reliable [43, 44] and were administered one time within the baseline survey packet.
Perceived physical fitness scale (PPFS).
The PPFS is a validated [45], 12-item scale that assesses respondents’ perceptions of their physical fitness across four domains: cardiorespiratory fitness (5 items), muscular strength (3 items), flexibility (2 items), and body composition (2 items). All items are assessed on a 5-pt Likert scale (1 = strongly disagree, 2 = disagree, 3 = undecided, 4 = agree, 5 = strongly agree). Scores are summed within each domain and across all domains to provide an overall perceived physical fitness scores (range 12 to 60). The PPFS was administered within the baseline survey packet.
World Health Organization–five well-being index (WHO-5).
The WHO-5 is a validated [46] short, self-reported measure of current subjective well-being. Participants are presented with five statements (“I have felt cheerful and in good spirits”, “I have felt calm and relaxed”, I have felt active and vigorous”, “I woke up feeling refreshed and rested”, “my daily life has been filled with things that interest me”) and asked to provide a frequency rating pertaining to feelings over the last two weeks. Each statement is rated on a 6-point scale (0 = at no time, 1 = some of the time, 2 = less than half of the time, 3 = more than half of the time, 4 = most of the time, 5 = all of the time). Raw scores (ranging from 0–25) are multiplied by 4 and then interpreted with 0 representing the worst imaginable well-being and 100 representing the best imaginable well-being. The WHO-5 was administered within the baseline survey packet.
Demographics.
Within the baseline survey packet, participants provided their age in years, as well as self-identified their gender identity by choosing one or more designations (agender, woman, gender fluid, man, non-binary, transgender, other, prefer not to answer) and highest level of education achieved (high school diploma, GED or alternative credential, some college, Associate’s degree, Bachelor’s degree, Master’s degree, professional degree) at the time of study enrollment. Items to allow self-identification of race and ethnicity (African American/Black, Arab American, Asian American / Pacific Islander, Indigenous / First Nations / Native American, Latino or Hispanic, White, other, prefer not to answer) were presented to the US cohort only, as questions on race and ethnicity are not common for participants in Germany and discomfort by asking participants these questions should be avoided.
Data processing
Pre-, post-, and retrospective physical activity databases were merged and organized, such that all single LTPA session reports from a given participant were chronologically listed in subsequent rows to support person-specific analyses of association. Columns included survey meta-data (e.g., survey duration, date and time of completion) as well as target study variables. The database was further organized to only include exercise-related and non-exercise-related LTPA (i.e., excluding any sessions designated as domestic or occupational). One report from one participant was excluded, as it pertained to an extreme outlier (11-hour activity session; mean duration of remaining 33 sessions = 47.78±14.53 min). Four participants from analyses due to reporting less than 5 LTPA sessions (minimum engagement considered to be study active). A separate database contained within-person averages for all target variables to conduct variable-centered analyses of association.
Statistical and visual analyses
All analyses described were conducted using the Statistical Package for Social Sciences (SPSS). Basic descriptive and frequency analyses were conducted to describe the sample and summarize within-person readiness states, behavior, and experiences. Coefficients of variation were computed (person-specific standard deviation divided by person-specific mean) to understand degrees of within-person variability regarding LTPA duration, intensity, and affective valence. Individuals demonstrating the lowest, median, and highest coefficient of variation for each outcome were visualized using standard line graphs.
Each individual’s most important motives and goals for LTPA were computed using their baseline BMZI data to further describe the participants based on existing classification approach of typical motive and goal profiles for LTPA [47]. Furthermore, radar plots were constructed for each individual to visually demonstrate within-person variability across all reported LTPA sessions regarding the 5 domains of readiness and 11 types of situational motivation.
To account for measuring most variables using ordinal scales, Spearman rank correlation procedures were used to compute size and direction of association (rho; ρ), as well as 95% confidence intervals to explore how pre-activity ratings of situational motivation and readiness related to subsequent activity duration, perceived exertion, and affective responses at the person-specific level. Of the 1,056 idiographic analyses (22 participants x 16 domains for situational motivation and readiness x 3 LTPA outcomes) there were 48 instances (across 6 participants) where analyses could not be conducted due to the individual reporting no variance in one correlate. When averaging session-to-session ratings within each person, data were kept in their ordinal form (zero decimal places) and we repeated the Spearman rank correlation processes to explore variable-centered associations. Forest plots were constructed to visualize interindividual variance in person-specific associations, whereas scatterplots of ranked values were constructed to visualize variable-centered associations.
Heat maps were constructed to broadly visualize the proportion of individuals (red = 0 individuals; dark green = highest number of individuals) assigned across seven categories: negligible association; negative associations (small, medium, large); positive associations (small, medium, large) based on idiographic analyses. Each heat map was organized first based on hypothesized determinant (motivation type or readiness domain), then listed in order from the strongest positive to the strongest negative nomothetic association. For the purpose of highlighting potential differences in interpretation, associations are referred to as small (.10 to .29), medium (.30-.49), or large (>.50) based on standard demarcations [48].
Results
In general, participants retained for analysis (N = 22) were 25±8 years of age (range 18–56 years) with an average body mass index of 22.8±3.6 kg/m2 (range 17.1–33.2 kg/m2). All participants identified as either a man (45.5%) or a woman (54.5%), with four participants reporting having achieved a graduate degree (Master’s, Doctorate) at the time of study enrollment. Of the participants retained from the US cohort (n = 7), six self-identified as non-Hispanic White, with one participant identifying as both White and Hispanic. Participants generally presented scores in the upper end of the scale ranges for physical activity-related health competencies, autonomous exercise regulation, and perceived overall physical fitness (Table 1).
Overall, the 22 participants provided a total of 519 reports of LTPA (24±11; min = 8, max = 50) for analysis. Table 2 demonstrates idiographic differences in number of reported LTPA sessions, most important motives and goals, and variety in LTPA types reported.
To further demonstrate the degree of observed inter- and intra-individual variability in LTPA duration, intensity, and affective experience, Fig 1 highlights individuals demonstrating the lowest, median, and highest coefficients of variation regarding LTPA duration (Panel A), intensity (Panel B), and affective valence (Panel C) across all reported sessions. Fig 2 provides two exemplar cases to demonstrate the potential for within-person and between-person differences regarding dynamics of readiness and situational motivation states. One individual (P008) demonstrated more consistency in rating readiness relatively high and fatigue relatively low, with little motivation to perform their 29 LTPA sessions for distraction/stress reduction (e.g., organize thoughts, reduce stress) or for weight regulation / body shape (e.g., regulate weight, shape my body). In comparison, the second individual (P121) reported 32 LTPA sessions, which were preceded with rather high variation across readiness and fatigue states, as well across most types of situational motivation.
Participants (N = 22) provided ecological momentary assessments across 10 weeks to indicate total minutes per session (Panel A), overall ratings of perceived exertion (category-10 ratio scale; Panel B), and recalled affective valence (feeling scale; Panel C). Representative participants are those presenting with the lowest (black squares), median (gray circles), and highest (white diamonds) coefficient of variation in each target outcome.
Participants (N = 22) provided ecological momentary assessments across 10 weeks to indicate readiness states and motives to prior to performing leisure-time physical activity. Example cases are based on 29 (P008) and 32 (P121) reported sessions; differing colors indicate ratings from one specific session.
Of the 48 nomothetic correlations and 48 sets (22 participants per set) of idiographic correlations, four exemplar comparisons are presented to highlight the potential for differing interpretations based on variable-centered or person-specific analyses in Fig 3. Panel A shows a case where the nomothetic result–a medium positive association between variables (motive to replenish energy; activity duration)–is reflected by a single within-person association. Panel B highlights an instance where most within-person associations reflect the direction of the nomothetic interpretation (stronger motives to be social relate to longer reported durations), with varying effect sizes. Panels C and D represent cases where a negligible-to-weak nomothetic association misrepresents observations that more than half of the within-person associations are medium-to-large and in the expected direction (higher physical readiness relates to more positive ratings of recalled affective valence; stronger situational motivation for fitness relate to higher ratings of perceived exertion).
Exemplar cases showing direction and magnitude (Spearman’s rho) of associations computed using ecological momentary assessment across 10 weeks (N = 22); forest plots show idiographic results with 95% confidence intervals (black vertical line represents ‘no association’; dotted box denotes range for negligible effects) and scatter plots show nomothetic results from aggregated within-person data. Panel A: positive between-person association does not correspond with most person-specific associations. Panel B: positive between-person association corresponds with most person-specific associations. Panels C and D: negligible-to-small between-person association misrepresents rather consistent positive person-specific associations.
It is essential to transparently represent our whole dataset holistically to show the potential for heterogeneity in person-specific associations across all variable combinations, beyond the highlighted exemplar cases in Fig 3. Thus, Figs 4–6 contain heat maps that denote a higher versus lower number of participants categorized across 7 levels of association, with reference nomothetic associations for each variable combination. For example, while the nomothetic association suggests a medium inverse effect such that higher cognitive fatigue is related to lower LTPA duration, only two individuals demonstrated a similar within-person association (Fig 4). Remaining within-person patterns were: small (n = 5) or large (n = 1) inverse associations; negligible associations (n = 9); and small (n = 4) or medium (n = 1) positive associations. In some cases, all levels of association were represented by one or more individuals based on within-person analyses, deviating from the nomothetic interpretations (e.g., strength in motivation to organize thoughts negligibly related to perceived exertion, Fig 5; stronger motivations for health moderately related to less pleasant ratings of affective valence, Fig 6).
Participants (N = 22) provided ecological momentary assessments across 10 weeks to indicate readiness states and motives to prior to performing LTPA; compared to nomothetic associations, the heat map denotes the number of individuals categorized into each type of association based on direction and magnitude (red = 0 individuals, darker green = higher number of individuals).
Participants (N = 22) provided ecological momentary assessments across 10 weeks to indicate readiness states and motives to prior to performing LTPA; compared to nomothetic associations, the heat map denotes the number of individuals categorized into each type of association based on direction and magnitude (red = 0 individuals, darker green = higher number of individuals).
Participants (N = 22) provided ecological momentary assessments across 10 weeks to indicate readiness states and motives to prior to performing LTPA; compared to nomothetic associations, the heat map denotes the number of individuals categorized into each type of association based on direction and magnitude (red = 0 individuals, darker green = higher number of individuals).
Discussion
Summary of findings
The current study was designed to explore interindividual variability in person-specific associations regarding hypothesized predictors of volitional LTPA effort and experience, as well as highlight the potential for differing interpretations when data are assessed across individuals. By leveraging event-contingent EMA procedures to allow participants to report on purposeful (to them) instances of LTPA, this work demonstrates that–within a relatively small sample (N = 22) over a multi-week period of time (10-weeks)–situational motivations, readiness states, LTPA behavior (session-to-session mode, duration and intensity), and affective experience can vary generally across and dynamically within individuals. Further, this exploratory data provides proof-of-concept that how researchers and practitioners interpret relationships between physical activity-related variables is likely to be impacted by the level of analysis (idiographic vs. nomothetic). This work provides the requisite foundation to stimulate future research based on both our preliminary findings and study limitations.
Variability in reported LTPA characteristics
The observed variability across and within participants regarding LTPA in this naturalistic study reflects prior findings from single time-point or shorter term studies designed to quantify the complexity of physical activity behavior. Prior data collected for cross-sectional [49], as well as 7-day [50] and 14-day [51, 52] EMA designs demonstrate that sample populations report engaging various primary modes relating to aerobic, resistance, combined aerobic and resistance (e.g., Tae Bo, CrossFit), and group sports in their leisure time, in line with data provided in Table 2. Low to moderate consistency in session-by-session intensity (objectively measured and perceived) and volume (intensity multiplied by duration) has also been documented for volitional LTPA [50].
Research has also demonstrated that experiential responses vary across individuals [38, 40], as well as within individuals over several imposed exercise sessions [53] or over 7 to 28 days [50, 54–56]. Such variability reflects the expectation that physical activity-related experiences are multifaceted (physical, psychological, social effects), which may differ across mode and context [57]. Resultant experiences from physical stimuli are likely to be influenced, in part, by pre-activity perceptions of readiness and multi-thematic situational motivations, which have been shown to fluctuate over time [50, 58]. As demonstrated in this study (Fig 2), the degree of fluctuation may also be relatively person-specific, warranting further research to understand how low-to-high variance explains or predicts individuals’ physical activity behavior and related experiences.
Level of analysis and differing data interpretation
Our findings present the possibility of Simpson’s paradox regarding relationships between situational motivation, readiness, and target physical activity outcomes. Simpson’s paradox refers to instances where an association at the population level may be reversed within the subgroups comprising that population [59]. Using simulation models, Molenaar [60] suggests that–mathematically–data derived from interindividual variation cannot be generalized to results based on intraindividual variation. In acknowledging this possibility, Kievit [13] cautioned that differences in interpretation, especially when the direction of association are in opposition, can have significant implications for delivery of care in medical and social contexts. We offer two scenarios to demonstrate how differing interpretations may unfavorably impact practice related to physical activity promotion.
From our data, we consider the observed nomothetic pattern that individuals with stronger general motives to replenish energy tended to perform longer LTPA, on average. If this relationship is uncritically assumed to exist within individuals, an exercise professional may urge clients with relatively low energy levels to engage in longer-than-normal bouts of activity, reflecting the traditionally held belief that ‘exercise makes people feel better’ [40]. However, this interpretation opposes our preliminary observation that the larger proportion of participants demonstrated an inverse association between variables, meaning that stronger motives for replenishing energy were associated with lower reported duration over time.
The current analyses also revealed that the nomothetic interpretation that physical readiness had almost no association with recalled affective valence. This lack of association opposes a growing body of qualitative findings, which identify factors underlying perceptions of physical readiness (e.g., energy, fitness, body integrity) as influencing physical activity-related cognitions and affective experiences [61–63]. Relying solely on the nomothetic interpretation, a client’s poor perception of physical readiness may not dissuade a practitioner from imposing a scheduled, more strenuous exercise session–potentially eliciting a rather unpleasant experience. Conversely, based on observations that individuals reported LTPA sessions that were preceded by more unfavorable readiness states, it would also be shortsighted to conclude that physical activity should be generally be avoided completely if physical, mental, and emotional states are suboptimal.
Future directions in data analysis and intervention development
The potential for emergent subgroups, based on direction and magnitude of idiographic associations, has implications for future statistical analyses. The process of first examining person-specific data is recommended prior to estimating within-person and between-person effects using repeated-measures correlation or subsequent multi-level modeling [32], as the observation of small effects could be due to consistently small effects across subjects (i.e., good model fit) or an artifact of heterogeneous slopes (i.e., poor model fit). Sufficient time-series data can also be leveraged to conduct network analyses [21]. For example, group iterative multiple model estimation (GIMME) procedures can be applied to create personalized maps comprised of nodes (variables operationalizing target constructs) and edges (indicating relation between nodes that are unique to each individual or common across the sample) [64, 65]. Given that GIMME can adequately map between 3 and 20 variables, this approach may be particularly suitable to understand which types of situational motivation and domains of readiness are most powerful–for whom and in general–for predicting physical activity-related effort and experience. In line with an advancing focus on precision health [66], the need for robust idiographic exploration (and later replication and confirmation of findings) extends beyond our selected variables and pertains broadly to hypothesized determinants of physical activity adoption and adherence [10, 11] to effectively inform person-adaptive treatment approaches.
In anticipation of applying network approaches to broadly understand and quantify determinants of physical activity performance and experience (including our selected variables of situational motivation and readiness), we propose several key considerations. Given the potential for numerous different types, contexts and experiences of physical activity, the first consideration is to narrow the focus of subsequent studies. For instance, specifically assessing the impact of situational motivation and readiness on perceived pleasure during cycling exercise in cardiac rehabilitation may yield more meaningful, directly translatable information for that context more so than analyzing various forms for physical activity and assuming inferences are broadly transferable to all physical activity-related situations. The second consideration is that longer (or repeated) observation periods may be required. While a generalized target of 60 data points per person [67] has been recommended for GIMME, simulation studies should also be conducted to tailor sample size needs to specific research questions [21]. For example, Dai et al. [68] produced person-specific models for physical activity (in addition to other variables, such as mental sharpness and social engagement) with 36 participants who had 13–25 data points. As repeated performance of physical activity elicits physiological and psychological adaptations, it is reasonable to consider that initial person-specific maps of determinants may evolve (or become obsolete) over time. Thus, our third consideration is for future research to assess the utility of creating person-specific maps based on EMA of forecasted responses to hypothetical physical activity sessions, in order to collect the requisite amount of data in a more timely manner, without repeated physical stimuli.
It is critical to understand which determinants of LTPA effort and experience are specific to an individual or generalizable across groups to develop, refine, and tailor behavioral interventions. For example, developing hypothesized pathways by which a treatment can support physical activity from both nomothetic and idiographic perspectives aligns with calls for applying flexible, iterative optimization processes to candidate treatments prior to conducting randomized controlled trials [69]. Accounting for intraindividual variation and integrating person-specific determinants stands to improve recipients’ acceptability of a physical activity intervention, thusly enhancing engagement, compliance to the program, and long-term behavioral adherence [70].
Optimal intervention development and research also necessitates sufficient and replicable descriptions of active components. Given that enactment of FNLP–the exercise programming model that informed study variables–is hypothesized to foster more self-determined forms of motivation [28], intervention development efforts should incorporate terms and definitions according to the taxonomy of motivation and behavior-change techniques proposed by Teixeira and colleagues (2020) for health promotion contexts [71]. For example, FNLP ‘provides choice’ and encourages self-experimentation [28] as autonomy-support techniques to ‘assist in setting optimal challenge’ based on situational motivation and readiness states as a competence-support technique. As FNLP may be implemented by a professional (e.g., certified exercise physiologist, behavioral interventionist) who educates patients or clients, a complementary taxonomy proposed by Ahmadi and colleagues (2023) will also benefit intervention development and assessment efforts [72]. This taxonomy importantly specifies behaviors of the educator that can support or thwart autonomous motivation, in recognition outcomes are differently impacted via separate pathways (e.g., psychological need satisfaction and need frustration) [73].
Limitations
While we prefaced this work as exploratory and caution against premature inferences based solely our findings, we also acknowledge several limitations. First, these data were collected using a convenience sample of individuals who self-selected into the study, who can be described as rather active with high competences in support of a physically active lifestyle. For example, the overall perceived physical fitness and physical activity-related competency scores in the current sample were higher compared to prior reports [43, 74, 75]. Further research must be conducted to understand within-person associations in varied sample populations. A second limitation is that results based on event-contingent reporting of volitional LTPA may be skewed more positive, as individuals could be less likely to initiate reports in response to strongly negative experiences. Additionally, despite the prompts specifically asking individuals to recall feelings during activity, capturing data in the post-activity stay may still yield higher-than-actual ratings of pleasure. While this approach had been used previously [61] to overcome limitations in collecting in-task data, it will be necessary to replicate these methods in intervention or treatment settings, paired with wearable devices or direct observation to more accurately monitor physical stimuli and implement approaches to capture actual in-task ratings of affect.
This work is also limited by potential influences of translating survey items; the BMZI and PAHCO were translated from German to English and the ARMS, BREQ-3, and PPFS were translated from English to German. While structured forward-backward translation procedures (including bi-lingual native speakers) were applied, further validation is needed for surveys targeting hypothesized determinants and outcome variables. Specifically, the predictive validity of single-item measures is imperative [76], as their use has practical importance for minimizing survey fatigue [77]. A final limitation relates to the high degree of variability in the number of sessions reported; less data can compromise the quality of correlation analyses for certain individuals. Conversely, while participants in the current sample were explicitly asked to maintain normal patterns of behavior and were not given a minimum number of sessions to perform or incentivized to initiate EMA reports, we cannot with certainty rule out the possibility for reactivity. It is important to acknowledge that perceived enforcement of behavior (e.g., performing additional or undesired LTPA due to being observed by researchers) would compromise the aim to understand volitional behavior and experiential aspects thereof. In future studies, it may be beneficial to conduct debriefing assessments (quantitative surveys or qualitative interviews) to understand the potential for reactivity and determine strategies to minimize such effects. Thus, while the 10-week study described in this paper is substantially longer that most existing single-wave EMA studies pertaining to physical activity, which generally aim to capture data across several days or several weeks [78–80], we re-iterate the necessity of subsequent research to appropriately estimate person-specific or person-oriented effects with minimal reporting bias.
Conclusions
The findings presented in the current paper importantly demonstrate the potential for heterogeneity regarding how hypothesized determinants (situational motivation, readiness) are associated with effort- and affect-related outcomes of LTPA. The ability to predict, and thusly manage, physical activity dosage and experience is a high priority, as these impact subsequent physiological adaptations (necessary for reducing disease risk and severity) and behavioral repetition (necessary to sustain any acquired benefits). Continued research is warranted to understand dynamic psychological processes underlying physical activity behavior. Uncovering personalized models that identify LTPA determinants represents a key step to realize goals for precision behavioral medicine applied to physical activity and exercise in support of long-term health and well-being.
Supporting information
S1 Checklist. Global inclusivity in research questionnaire.
https://doi.org/10.1371/journal.pone.0307369.s001
(DOCX)
Acknowledgments
The authors would like to acknowledge the efforts of Michael Zweier and Oliver Neumann in facilitating participant recruitment and data collection.
References
- 1. Howley ET. Type of activity: resistance, aerobic and leisure versus occupational physical activity. Med Sci Sports Exerc. 2001;33(6 Suppl):S364–369. pmid:11427761
- 2. Ruegsegger GN, Booth FW. Health benefits of exercise. Cold Spring Harb Perspect Med. 2018;8(7):a029694. pmid:28507196
- 3. Bonekamp NE, Visseren FLJ, Ruigrok Y, Cramer MJM, de Borst GJ, May AM, et al. Leisure-time and occupational physical activity and health outcomes in cardiovascular disease. Heart. 2023;109(9):686–694. pmid:36270785
- 4. White RL, Babic MJ, Parker PD, Lubans DR, Astell-Burt T, Lonsdale C. Domain-Specific physical activity and mental health: A meta-analysis. Am J Prev Med. 2017;52(5):653–666. pmid:28153647
- 5. Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet Glob Health. 2018;6(10):e1077–e86.
- 6.
Centers for Disease Control and Prevention. National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity. Data, Trend and Maps [online]. [accessed Aug 03, 2023]. URL: https://www.cdc.gov/nccdphp/dnpao/data-trends-maps/index.html
- 7. Middleton KR, Anton SD, Perri MG. Long-term adherence to health behavior change. Am J Lifestyle Med. 2013;7(6):395–404. pmid:27547170
- 8. McEwan D, Rhodes RE, Beauchamp MR. What happens when the party is over?: Sustaining physical activity behaviors after intervention cessation. Behav Med. 2022;48(1):1–9. pmid:32275199
- 9. Seelig H, Fuchs R. Physical exercise participation: A continuous or categorical phenomenon? Psychology of sport and exercise. 2011;12(2):115–23.
- 10. Trost SG, Owen N, Bauman AE, Sallis JF, Brown W. Correlates of adults’ participation in physical activity: review and update. Med Sci Sports Exerc. 2002;34(12):1996–2001. pmid:12471307
- 11. Bauman AE, Reis RS, Sallis JF, Wells JC, Loos RJ, Martin BW. Correlates of physical activity: why are some people physically active and others not? Lancet. 2012;380(9838):258–271. pmid:22818938
- 12.
Ryan R. M., & Deci E. L. (2017). Self-determination theory: Basic psychological needs in motivation, development and wellness. New York, NY: Guildford Press.
- 13. Kievit RA, Frankenhuis WE, Waldorp LJ, Borsboom D. Simpson’s paradox in psychological science: a practical guide. Front Psychol. 2013;4:513. pmid:23964259
- 14. Howard MC, Hoffman ME. Variable-centered, person-centered, and person-specific approaches: Where theory meets the method. Organ Res Methods. 2018;21(4):846–876.
- 15. Chevance G, Perski O, Hekler EB. Innovative methods for observing and changing complex health behaviors: four propositions. Transl Behav Med. 2020;11(2):676–685.
- 16. Kwasnicka D, Naughton F. N-of-1 methods: A practical guide to exploring trajectories of behaviour change and designing precision behaviour change interventions. Psychol Sport Exerc. 2020;47:101570.
- 17. Molenaar PC. On the implications of the classical ergodic theorems: analysis of developmental processes has to focus on intra-individual variation. Dev Psychobiol. 2008;50(1):60–69. pmid:18085558
- 18. Conroy DE, Lagoa CM, Hekler E, Rivera DE. Engineering Person-Specific Behavioral Interventions to Promote Physical Activity. Exerc Sport Sci Rev. 2020;48(4):170–179. pmid:32658043
- 19. Nahum-Shani I, Smith SN, Spring BJ, Collins LM, Witkeiwitz K, Tawari A, et al. Just-in-time adaptive interventions (JITAIs) in mobile health: Key components and design principles for ongoing health behavior support. Ann Behav Med. 2018;52(6):446–462. pmid:27663578
- 20. Dunton GF. Ecological Momentary Assessment in Physical Activity Research. Exerc Sport Sci Rev. 2017;45(1):48–54. pmid:27741022
- 21. Ruissen GR, Zumbo BD, Rhodes RE, Puterman E, Beauchamp MR. Analysis of dynamic psychological processes to understand and promote physical activity behaviour using intensive longitudinal methods: a primer. Health Psychol Rev. 2022;16(4):492–525. pmid:34643154
- 22. Burg MM, Schwartz JE, Kronish IM, Diaz KM, Alcantara C, Duer-Hefele J, et al. Does stress result in you exercising less? Or does exercising result in you being less Stressed? Or is it both? Testing the bi-directional stress-exercise association at the group and person (N of 1) level. Ann Behav Med. 2017;51(6):799–809. pmid:28290065
- 23. Chevance G, Baretta D, Romain AJ, Godino JG, Bernard P. Day-to-day associations between sleep and physical activity: a set of person-specific analyses in adults with overweight and obesity. J Behav Med. 2022;45(1):14–27. doi: https://doi.org/10.31236/osf.io/nfjqv pmid:34427820
- 24. Cheval B, Boisgontier MP. The theory of effort minimization in physical activity. Exerc Sport Sci Rev. 2021;49(3):168–178. pmid:34112744
- 25. Brand R, Ekkekakis P. Affective-reflective theory of physical inactivity and Exercise: Foundations and preliminary evidence. German Journal of Exercise and Sport Research. 2018;48(1):48–58.
- 26. Bryan AD, Nilsson R, Tompkins SA, Magnan RE, Marcus BH, Hutchison KE. The big picture of individual differences in physical activity behavior change: A transdisciplinary approach. Psychol Sport Exerc. 2011;12(1):20–26. pmid:21278837
- 27. Williams DM. Exercise, affect, and adherence: an integrated model and a case for self-paced exercise. J Sport Exerc Psychol. 2008;30(5):471–496. pmid:18971508
- 28. Strohacker K, Sudeck G, Keegan R, Ibrahim AH, Beaumont CT. Contextualising flexible nonlinear periodization as a person-adaptive behavioral model for exercise maintenance. Health Psychol Rev. 2023:1–14. pmid:37401403
- 29. Kwasnicka D, Dombrowski SU, White M, Sniehotta F. Theoretical explanations for maintenance of behaviour change: a systematic review of behaviour theories. Health Psychol Rev. 2016;10(3):277–296. pmid:26854092
- 30. Tiller NB, Ekkekakis P. Overcoming the “ostrich effect”: A narrative review on the incentives and consequences of questionable research practices in kinesiology. Kinesiol Rev. 2023;12(3):201–216.
- 31. Tay L, Parrigon S, Huang Q, LeBreton JM. Graphical descriptives: A way to improve data transparency and methodological rigor in psychology. Perspect Psychol Sci. 2016;11(5):692–701. pmid:27694464
- 32. Bakdash JZ, Marusich LR. Repeated Measures Correlation. Front Psychol. 2017;8:456. pmid:28439244
- 33. Schmid J, Gut V, Conzelmann A, Sudeck G. Bernese motive and goal inventory in exercise and sport: Validation of an updated version of the questionnaire. PLoS ONE. 2018;13(2):e0193214. pmid:29470555
- 34. Keegan RJ, Flood A, Niyonsenga T, Welvaert M, Rattray B, Sarkar M, et al. Development and initial validation of an acute readiness monitoring scale in military personnel. Front Psychol. 2021;12:738609. pmid:34867619
- 35. Summers SJ, Keegan RJ, Flood A, Martin K, McKune A, Rattray B. The acute readiness monitoring scale: Assessing predictive and concurrent validation. Front Psychol. 2021;12:738519. pmid:34630249
- 36. Hardy CJ, Rejeski, W.J. Not what, but how one feels: The measurment of affect during exercise. Journal of Sport and Exercise Psychology. 1989;11:304–17.
- 37. Beaumont CT, Ferrara PM, Strohacker K. Measurements of acute affective responses to resistance exercise: A narrative review. Trans J Am Coll Sports Med. 2020;5(11):1–7.
- 38. Ekkekakis P, Parfitt G, Petruzzello SJ. The pleasure and displeasure people feel when they exercise at different intensities: decennial update and progress towards a tripartite rationale for exercise intensity prescription. Sports Med. 2011;41(8):641–671. pmid:21780850
- 39. Maibach M, Niedermeier M, Sudeck G, Kopp M. Measuring acute affective responses to physical activity: a validation study of German versions of the feeling scale and felt arousal scale. Zeitschrift Fur Sportpsychologie. 2020;27(1):4–12.
- 40. Backhouse SH, Ekkekakis P, Bidle SJ, Foskett A, Williams C. Exercise makes people feel better but people are inactive: paradox or artifact? J Sport Exerc Psychol. 2007;29(4):498–517. pmid:17968050
- 41. Borg G, Hassmen P, Lagerstrom M. Perceived exertion related to heart rate and blood lactate during arm and leg exercise. Eur J Appl Physiol Occup Physiol. 1987;56(6):679–685. pmid:3678222
- 42. Wilson PM, Rodgers WM, Loitz CC, Scime G. It’s who I am… really!’ The importance of integrated regulation in exercise contexts. J App. Biobehav Res. 2007;11(1):79–104.
- 43. Sudeck G, Pfeifer K. Physical activity-related health competence as an integrative objective in exercise therapy and health sports–conception and validation of a short questionnaire. Sportwissenschaft. 2016;46(2):74–87. https://doi.org/10.1007%2Fs12662-016-0405-4
- 44. Schorno N, Sudeck G, Gut V, Conzelmann A, Schmid J. Choosing an activity that suits: Development and validation of a questionnaire on motivational competence in exercise and sport. German Journal of Exercise and Sport Research. 2021;51(1):71–78.
- 45. Abadie BR. Construction and validation of a perceived physical fitness scale. Percept Mot Skills. 1988;67(3):887–892. pmid:3226844
- 46. Topp CW, Ostergaard SD, Sondergaard S, Bech P. The WHO-5 well-being index: a systematic review of the literature. Psychother Psychosom. 2015;84(3):167–176. pmid:25831962
- 47. Sudeck G, Lehnert K, Conzelmann A. Motive-based types of sports person: Towards a person-oriented approach in target group-specific leisure and health sports. Zeitschrift für Sportpsychologie. 2011;18:1–17.
- 48. Cohen J. A power primer. Psychological bulletin. 1992;112(1):155–159. pmid:19565683
- 49. Box AG, Feito Y, Brown C, Petruzzello SJ. Individual differences influence exercise behavior: how personality, motivation, and behavioral regulation vary among exercise mode preferences. Heliyon. 2019;5(4):e01459. pmid:31065599
- 50. Jeckel S, Sudeck G. Sport activities in daily routine: Situational associations between individual goals, activity characteristics, and affective well-being. German Journal of Exercise and Sport Research. 2018;48:26–39.
- 51. Sheridan LF, Toth L, Strohacker K. Feasibility of using participant owned smartphone features to conduct ecological momentary assessment of planned exercise behavior in college-aged adults. Pursuit: The Journal of Undergraduate Research at the University of Tennessee. 2019;9(1). Available at: https://trace.tennessee.edu/pursuit/vol9/iss1/1
- 52. Dunton GF, Dzubur E, Intille S. Feasibility and performance test of a real-time sensor-informed context-sensitive ecological momentary assessment to capture physical activity. J Med Internet Res. 2016;18(6):e106. pmid:27251313
- 53. Unick JL, Strohacker K, Papandonatos GD, Williams D, O’Leary KC, Dorfman L, et al. Examination of the consistency in affective response to acute exercise in overweight and obese women. J Sport Exerc Psychol. 2015;37(5):534–546. pmid:26524099
- 54. Do B, Rhodes RE, Kanning M, Hewus M, Dunton GF. Examining whether affectively-charged motivations predict subsequent affective response during physical activity: An ecological momentary assessment study. Front Sports Act Living. 2022;4:1029144. pmid:36465585
- 55. Loehr VG, Baldwin AS, Rosenfield D, Smits JA. Weekly variability in outcome expectations: examining associations with related physical activity experiences during physical activity initiation. J Health Psychol. 2014;19(10):1309–1319. pmid:23740264
- 56. Baldwin AS, Baldwin SA, Loehr VG, Kangas JL, Frierson GM. Elucidating satisfaction with physical activity: an examination of the day-to-day associations between experiences with physical activity and satisfaction during physical activity initiation. Psychology & health. 2013;28(12):1424–41. pmid:23909464
- 57. Thiel A, Sudeck G, Gropper H, Maturana FM, Schubert T, Srismith D, et al. The iReAct study ‐ A biopsychosocial analysis of the individual response to physical activity. Contemp Clin Trials Commun. 2020;17:100508. pmid:31890988
- 58. Strohacker K, Keegan R, Beaumont CT, Zakrajsek RA. Applying P-technique factor analysis to explore person-specific models of readiness-to-exercise. Front Sports Act Living. 2021;3:685813. pmid:34250469
- 59. Simpson EH. The interpretation of interaction in contingency tables. J R Stat Soc Series B Stat Methodol. 1951;13(2):238–241.
- 60. Molenaar PC. A manifesto on psychology as idiographic science: Bringing the person back into scientific psychology, this time forever. Measurement. 2004;2(4):201–218.
- 61. Beaumont CT, Ferrara PM, Strohacker K. Exploring determinants of recalled in-task affective valence during recreational exercise. Physiol Behav. 2021;230:113261. pmid:33232740
- 62. Strohacker K, Zakrajsek RA, Schaltegger ET, Springer CM. Readiness to perform aerobic activity in adults with obesity: A thematic analysis of online surveys. Res Q Exerc Sport. 2019;90(4):619–28. pmid:31437112
- 63. Smith-Ricketts J, Beaumont CT, Fleming JK, Hornbuckle LM, Strohacker K. Exploring determinants of exercise-related affective valence in regular exercisers between the ages of 55 and 69 years. J Aging Phys Act. 2023;31(3):440–52.
- 64. Beltz AM, Wright AG, Sprague BN, Molenaar PC. Bridging the nomothetic and idiographic approaches to the analysis of clinical data. Assessment. 2016;23(4):447–58. pmid:27165092
- 65. Beltz AM, Gates KM. Network mapping with GIMME. Multivariate Behav Res. 2017;52(6):789–804. pmid:29161187
- 66. Hekler E, Tiro JA, Hunter CM, Nebeker C. Precision health: The role of the social and behavioral sciences in advancing the vision. Annals Behav Med. 2020;54(11):805–26. pmid:32338719
- 67. Lane ST, Gates KM. Automated selection of robust individual-level structural equation models for time series data. Struct Equ Modeling. 2017;24(5):768–82.
- 68. Dai S, Kehinde OJ, Schmitter-Edgecombe M, French BF. Modeling daily fluctuations in everyday cognition and health behaviors at general and person-specific levels: a GIMME analysis. Behaviormetrika. 2023;50:563–83.
- 69. Czajkowski SM, Powell LH, Adler N, Naar-King S, Reynolds KD, Hunter CM, et al. From ideas to efficacy: The ORBIT model for developing behavioral treatments for chronic diseases. Health Psychol, 2015;34(10): 971–982. pmid:25642841
- 70. Sekhon M, Cartwright M, Francis JJ. Acceptability of healthcare interventions: an overview of reviews and development of a theoretical framework. BMC Health Serv Res. 2017;17(1):88. pmid:28126032
- 71. Teixeira PJ, Marques MM, Silva MN, Brunet J, Duda JL, Haerens L, et al. A classification of motivation and behavior change techniques used in self-determination theory-based interventions in health contexts. Motiv Sci. 2020;6(4):438–455.
- 72. Ahmadi A, Noetel M, Parker P, Ryan RM, Ntoumanis N, Reeve J, et al. A classification system for teachers’ motivational behaviors recommended in self-determination theory interventions. J Educ Psychol. 2023;115(8):1158–1176.
- 73. Haerens L, Aelterman N, Vansteenkiste M, Soenens B, & Van Petegem S. Do perceived autonomy-supportive and controlling teaching relate to physical education students’ motivational experiences through unique pathways? Distinguishing between the bright and dark side of motivation. Psychol Sport Exerc. 2015;16(3):26–36.
- 74. Schuler PB, Marzilli TS. Use of self-reports of physical fitness as substitutes for performance-based measures of physical fitness in older adults. Percept Mot Skills. 2003;96(2):414–20. pmid:12776822
- 75. Zamani Sani SH, Eskandernejad M, Fathirezaie Z. Body image, perceived physical fitness, physical activity, body mass index and age in women. Women’s Health Bull. 2016;3(3):1–5.
- 76.
Cronbach LJ. Essentials of Psychological Testing. 2nd ed: Harper; 1960.
- 77. Viswanathan M, Kayande U. Commentary on “Common method bias in marketing: Causes, mechanisms, and procedural remedies”. Journal of Retailing. 2012;88(4):556–62.
- 78. Liao Y, Skelton K, Dunton G, Bruening M. A systematic review of methods and procedures used in ecological momentary assessments of diet and physical activity research in youth: An adapted STROBE checklist for reporting EMA studies (CREMAS). J Med Internet Res. 2016;18(6):e151. pmid:27328833
- 79. Zapata-Lamana R, Lalanza JF, Losilla JM, Parrado E, Capdevila L. mHealth technology for ecological momentary assessment in physical activity research: a systematic review. PeerJ. 2020;8:e8848. pmid:32257648
- 80. Papini NM, Yang CH, Do B, Mason TB, Lopez NV. External contexts and movement behaviors in ecological momentary assessment studies: a systematic review and future directions. Int Rev Sport Exerc Psychol. 2023;16(1):337–67.