Objective: To investigate whether 12 weeks of graded exercise with pacing would improve specific physiological, psychological and cognitive functions in people with chronic fatigue syndrome (CFS). Design: Randomised controlled trial. Setting: Human performance laboratory at the University of Western Australia. Participants: 61 patients aged between 16 and 74 years diagnosed with CFS. Interventions: Either graded exercise with pacing (32 patients) or relaxation/flexibility therapy (29 patients) performed twice a day over 12 weeks. Main outcome measures: Changes in any of the physiological, psychological or cognitive variables assessed. Results: Following the graded exercise intervention, scores were improved for resting systolic blood pressure (P = 0.018), work capacity (W·kg‐1) (P = 0.019), net blood lactate production (P = 0.036), depression (P = 0.027) and performance on a modified Stroop Colour Word test (P = 0.029). Rating of perceived exertion scores, associated with an exercise test, was lower after graded exercise (P = 0.013). No such changes were observed in the relaxation/flexibility condition, which served as an attention‐placebo control. Conclusions: Graded exercise was associated with improvements in physical work capacity, as well as in specific psychological and cognitive variables. Improvements may be associated with the abandonment of avoidance behaviours.
The study aim was to examine constructs of autonomy support and competence as well as the motivation continuum from the self-determination theory (SDT) as a framework for understanding physical activity (PA) motivation and behavior in breast cancer survivors. Questionnaires assessing demographics, medical factors, PA, motivation continuum, perceived autonomy support, and competence were completed by 558 breast cancer survivors. Results showed that lymphedema (chi2 = 7.9, p < .01) (chi2 = 4.6, p < .05) were associated with meeting PA guidelines. Moreover, survivors meeting PA guidelines reported more identified regulations and intrinsic motivation (p < .01), autonomy support (p < .01), and competence (p < .01). Forced entry hierarchical regression analysis showed that SDT constructs explained 20.2% (p < .01) of the PA variance. Significant independent SDT predictors included identified regulation (Beta = .14, p < .05) and competence (Beta = .23, p < .01), with autonomy support approaching significance (Beta = .9, p = .057). SDT may be a useful model for understanding PA motivation and behavior in breast cancer survivors.
MS subjects can increase central drive during fatiguing exercise to a greater degree than controls, but this is associated with greater perceived exertion. These factors may underlie the more general complaint of fatigue experienced by people with MS.
Purpose -The purpose of this research is to determine how project managers attribute information technology (IT) project success and failure. Design/methodology/approach -IT personnel from large Australian organisations completed an adapted version of the Attributional Styles questionnaire, which asked them to attribute causes along a number of attribution dimensions, for IT projects which have either succeeded or failed. Findings -The results indicate that IT support workers attribute failure to external factors, whilst attributing success to themselves. On the other hand, executive management took a more balanced perspective which attribute success to external factors and only partially to themselves, whereas they attribute significant personal responsibility for failure. Practical implications -More junior professionals and operational IT employees can learn from their senior professionals in attributing success and failure. Post-implementation reviews and debriefings conducted by senior IT professionals are ways of passing on their experience in relation to project and self-evaluations. Originality/value -This paper takes a well established psychology theory and applies it to the management of information systems (IS)/IT projects. IS/IT research has not examined how IT professionals attribute success and failure within projects.
Although we do not yet know how high, and for how long, cortisol levels need to be elevated for risk of undesirable outcomes to increase, this research signals the importance of emphasizing the need for high-quality care for young children.
The notion of the interdisciplinary team as integral to the delivery of palliative care emerges clearly and consistently in palliative care philosophy and practice discourses. Many studies have found clear benefits of interdisciplinary palliative care teams. The empirical evidence supporting such teams, however, is not all positive. It is perhaps timely and appropriate to examine critically how palliative care interdisciplinary teams provide optimum support for patients and families. This article examines the notion that palliative care interdisciplinary teams are universally or inevitably effective and identifies potential barriers and constraints to effective teamwork. In particular, it is suggested that there is a need for careful examination of how teams function in the realm of 'psychosocial' care, and ways to look beyond rhetoric are articulated in order to facilitate teams to function more efficiently to provide optimum patient care.
The ‘governmentality’ approach has been influential in analyzing how neoliberal governance transfers responsibility to individual agents through an ‘appeal of freedom’ mechanism. This productive conceptualization of power has generated a solid body of research on the workings of (neo)liberal governance and contemporary Western capitalism. However, such research has largely ignored a complementary mechanism characteristic of situations where ‘appeal of freedom’ lets actors down, that is, dynamics of ‘threat to personal control’. Studies focusing and elaborating on this aspect, and ‘control constructs’ more generally, have remained mostly within the disciplinary boundaries of (social) psychology. In this paper we aim to bring the social psychological research on control constructs into a dialogue with governmentality theorizing and to show how neoliberal ‘responsibilization’ can work through threats to personal control, insecurity and governance by fear. We propose one way of utilizing, and advancing, these approaches in tandem with empirical research, by focusing on the analysis of control attributions of the subjects of (neoliberal) governance. With a brief empirical illustration from the context of Australian neoliberal agricultural policies we then show how neoliberal ‘responsibilization’ can be viewed as relying on farmers’ striving to maintain personal control under uncertainty, in addition to the workings of the ‘appeal of freedom’ mechanism
Given that cancer survivors are faced with a number of treatment related morbidities 2 years post-diagnosis, there is a need for health professionals to carefully address a cancer survivor's exercise needs in an attempt to help improve their future QoL.
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