ArticlePDF Available

Abstract and Figures

It is known that the transition to adulthood represents a critical period of life when acquiring healthy behaviors can influence lifestyle and health throughout adulthood. Given the importance of the consequences of a sedentary lifestyle, identifying influence factors is key to improving healthy behaviors. The objective of this study is to explore the role of postsecondary students’ motivation toward physical activity in the association with their screen time and out-of-school physical activity practice. A total of 1522 postsecondary students (90% were aged 17-20 years) recruited from 17 postsecondary institutions completed the self-reported questionnaire during course time. Multivariate linear regression was used to assess the association between motivation to move including additional predictors of behavior such as intention and tendency to self-activate and self-reported screen time and physical activity controlling for age and sex. Motivation including all 3 motivational variables (interest, utility, competence) was negatively associated with screen time, b = −0.498 (95% CI between −0.635 and −0.361) and positively associated with moderate-to-vigorous physical activity, b = 133.986, (95% CI between 102.129 and 165.843). Of the 3 motivational variables, interest had the strongest negative association with screen time, b = −0.434 (95% CI between −0.551 and −0.317), and the strongest positive association with physical activity, b = 113.671, (95% CI between 86.396 and 140.946). These findings indicate that the motivation of postsecondary students toward physical activity significantly influences their behaviors, including screen time and physical activity engagement.
This content is subject to copyright.
https://doi.org/10.1177/00469580241254032
Creative Commons CC BY: This article is distributed under the terms of the Creative Commons Attribution 4.0 License
(https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission
provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
INQUIRY: The Journal of Health Care
Organization, Provision, and Financing
Volume 61: 1 –8
© The Author(s) 2024
Article reuse guidelines:
sagepub.com/journals-permissions
DOI: 10.1177/00469580241254032
journals.sagepub.com/home/inq
Motivation for Physical Activity as a
Key Determinant of Sedentary Behavior
Among Postsecondary Students
Rachel Surprenant, MEd1,2 , Isabelle Cabot, PhD2,3,
and Caroline Fitzpatrick, PhD2
Abstract
It is known that the transition to adulthood represents a critical period of life when acquiring healthy behaviors can influence
lifestyle and health throughout adulthood. Given the importance of the consequences of a sedentary lifestyle, identifying
influence factors is key to improving healthy behaviors. The objective of this study is to explore the role of postsecondary
students’ motivation toward physical activity in the association with their screen time and out-of-school physical activity
practice. A total of 1522 postsecondary students (90% were aged 17-20 years) recruited from 17 postsecondary institutions
completed the self-reported questionnaire during course time. Multivariate linear regression was used to assess the
association between motivation to move including additional predictors of behavior such as intention and tendency to self-
activate and self-reported screen time and physical activity controlling for age and sex. Motivation including all 3 motivational
variables (interest, utility, competence) was negatively associated with screen time, b = −0.498 (95% CI between −0.635
and −0.361) and positively associated with moderate-to-vigorous physical activity, b = 133.986, (95% CI between 102.129
and 165.843). Of the 3 motivational variables, interest had the strongest negative association with screen time, b = −0.434
(95% CI between −0.551 and −0.317), and the strongest positive association with physical activity, b = 113.671, (95% CI
between 86.396 and 140.946). These findings indicate that the motivation of postsecondary students toward physical activity
significantly influences their behaviors, including screen time and physical activity engagement.
Keywords
motivation, screen time, physical activity, postsecondary students, sedentary behavior
What is already known on this topic?
Some studies have linked adolescent screen time to physical activity, while others have found associations between
motivation to be physically active and involvement in physical activity. However, less research has examined associa-
tions between motivation for physical activity and screen time.
How does this research contribute to the field?
This study contributes by exploring the relationship between motivation toward physical activity, considering three
dimensions of motivation simultaneously, as well as intention to practice physical activity and tendency to self-activate,
and screen time and physical activity practice among postsecondary students.
What are this research’s implications toward practice?
Our findings may help in the elaboration and implementation of healthy lifestyle interventions in school settings and
suggest that teachers and practitioners direct their efforts on influencing student motivation and interest in physical
activity.
Original Research Article
1254032INQXXX10.1177/00469580241254032INQUIRYSurprenant et al
research-article2024
Introduction
The transition to adulthood is generally accompanied by a
sharp drop in physical activity and fitness levels among stu-
dents.1-7 For example, according to one study, 37.2% of
postsecondary students (n = 1886) engaged in less than
10 min of weekly physical activity outside of school.8 At the
same time, the amount of time allocated to recreational
screen use among young adults is considerable, averaging
4.7 h per day.9 Consequently, it is unsurprising that a
2 INQUIRY
significant number of postsecondary students do not meet
24-Hour movement guidelines for adults.10 More specifi-
cally, 38.9% fail to achieve the recommended 150 min per
week of moderate-to-vigorous physical activity, 63.8%
exceed the maximum of 3 h per day of recreational screen
time, and 43.7% exceed the recommended limit of 8 h of sed-
entary time per day.9
Screen time and physical activity behaviors adopted dur-
ing the transition to adulthood may become important pre-
dictors of long-term health, due to the predisposition to carry
such behavioral patterns into adulthood.11 Both are also inde-
pendently associated with health status among youth.12-14 In
addition, a sedentary lifestyle, including high levels of screen
time and low levels of physical activity, is considered one of
the world’s leading causes of mortality,15 and is linked to car-
diovascular disease,16,17 type 2 diabetes,18 and certain types
of cancers.19,20 Sedentary behaviors are also associated with
higher risks of anxiety,21 depression,22 and indicators of psy-
chological distress such as low self-esteem, feelings of lone-
liness, and high levels of stress.23 In addition, screen media
use in particular is associated with increased levels of anxi-
ety24 and depression25 in youth.
From a public health perspective, it is essential to identify
the modifiable factors or determinants of sedentary behav-
iors in postsecondary students in order to improve interven-
tions and health promotion efforts. Youth motivation is an
essential determinant of their eventual engagement in a
behavior.26,27 Motivation helps trigger engagement in behav-
ior, which translates into participation in a task.28
Consequently, the concept of engagement is closely linked to
that of motivation, since motivation precedes engage-
ment.29,30 We understand motivation as “a process in which
goal-directed activity is instigated and sustained” (p. 5).31
Various models of motivation (including Expectation-Value,
Self-determination and Motivational dynamics models) from
different approaches agree that motivation includes specific
dimensions of interest (eg,: I enjoy being physically active),
utility (eg,: Physical activity practice is useful for me), and
perceived competence (eg,: When I am physically active, I
feel competent).30,32-36
In socio-cognitive approach theories, interest consists of
emotions and cognitions and is divided into 2 types of inter-
est: situational and personal. Situational interest is mainly
emotional, temporary and dependent on the environment,
while personal interest content emotions and cognitions, is
stable and inherent to the individual. In the process of
developing an interest, situational interest precedes the
deployment of personal interest.37 Interest is similar of intrin-
sic motivation in self-determination theory.38 For its part, the
utility attributed to an activity is defined as the person’s
assessment of the compatibility between this activity and the
person’s goal pursuit.34,39 It’s similar to extrinsic motivation
in self-determination theory.40 Competence refers to an indi-
vidual’s perception of their ability to achieve an activity
properly.30 In self-determination theory, it represents 1 of the
3 fundamental psychological needs.41
Motivation for physical activity in turn influences predic-
tors of behavior as the intention to engage in practicing phys-
ical activity and the tendency to self-activate. Indeed,
intention is considered closer to behavior than motivation
because it includes the planning stage of the intended behav-
ior.42 Conceptually, intention is between motivation and the
concrete engagement in the planned behavior.43 The ten-
dency to self-activate, reflecting a personal propensity to
engage in what has been planned, is closely and positively
linked to motivation and this has been examined in young
adults.44 For example, as illustrated in Figure 1, a person
might be motivated by an activity (eg, cycling), and plan a
time to engage in it (intention). However, just before the
planned activity (cycling), an alternative motivational activ-
ity might arise (eg, playing a video game with friends), creat-
ing a motivational conflict45,46 that threatens the execution of
the planned behavior. If the person possesses a tendency to
self-activate (meaning a predisposition to carry out what is
planed, as defined earlier), he or she would be more likely to
enact the planed behavior. Although tendency to self-activate
has been linked to motivation to move, less is known about
its potential role as a determinant of screen time in young
adulthood.
A literature review was conducted that examines how
motivation toward physical activity can influence both
screen time and the practice of physical activity. Some stud-
ies have linked adolescent screen time to moderate-to-vigor-
ous physical activity.47-49 Others have found associations
between motivation for physical activity, and engagement in
physical activity in adolescents.50,51 To date, less research has
examined associations between motivation for physical
activity and screen time. This research gap contributes to the
pertinence of this study. The objective of this study is to
examine how motivation for physical activity contributes to
screen time and physical activity practice among young
adults. More specifically we examine how motivation and its
1Cégep de Saint-Hyacinthe, Saint-Hyacinthe, QC, Canada
2Université de Sherbrooke, Sherbrooke, QC, Canada
3Cégep Édouard-Montpetit, Longueuil, QC, Canada
Received 18 January 2024; revised 23 April 2024; revised manuscript accepted 24 April 2024
Corresponding Author:
Rachel Surprenant, Cégep de Saint-Hyacinthe, 3000 Av. Boullé, Saint-Hyacinthe, QC J2S 1H9, Canada.
Email: rsurprenant@cegepsth.qc.ca
Surprenant et al 3
dimensions (interest, utility, competence) and additional pre-
dictors of behavior (intention and tendency to self-activate)
are associated with screen time and physical activity. We
hypothesize that young adult’s motivation toward physical
activity will be associated with lower screen time and greater
physical activity levels.
Methods
Participants
In the present study, we use a community-based convenience
sample of 1706 participants between the ages of 17 and 42
recruited from 17 colleges in the province of Quebec, Canada
called “collèges d’enseignement général et professionnel”
(CEGEP). CEGEPs are publicly funded postsecondary edu-
cational institutions, offering 2-year pre-university programs
and 3-year vocational programs. A cohort of 815 students
was recruited during the Fall 2021 semester and a second
cohort of 891 students was recruited during the Winter 2022
semester. Participants provided informed consent and com-
pleted a questionnaire during their physical education class.
This study received approval from the ethics review boards
of all participating institutions, and all participants signed a
written informed consent before completing the survey.
Students with missing data on continuous or control vari-
ables were excluded from the study (10.8% of the baseline
sample), resulting in a final sample of 1522 students. In total,
there were 923 females (60.6%) and 595 males (39.1%)
participants.
Measures
Predictors
Motivation. We created a variable to measure motivation for
physical activity, comprising 14 items from 3 scales, each
targeting a dimension of motivation; 6 items measure inter-
est in physical activity; 4 items measure the utility of physi-
cal activity; and 4 items measure competence in physical
activity practice. Participants rated each item on a Likert
scale ranging from 1 (strongly disagree) to 5 (strongly
agree). We used the mean of each scale (interest,
usefulness, competence) to represent this variable ranged
from 1 to 5.
Dimensions of Motivation
Interest. This variable derives from items developed and
validated in the studies by Cabot et al,27,52 and was subse-
quently adapted for a study focusing specifically on interest
in physical activity.53 This variable contains 6 items (λ = 0.90)
and represents the two dimensions of personal interest (cog-
nitive and affective). The cognitive dimension enables the
participant to express interest in learning about physical
activity (eg,: I enjoy learning about physical activity even
outside the school context); the affective dimension enables
emotional expression of interest in physical activity (eg,: I
always want to be physically active).
Utility. This variable comprises 4 items (λ = 0.85) derived
from the utility attributed to the practice of physical activity
scale: It’s important for me to engage in regular physical
activity practice; I find it worthwhile to engage in regular
physical activity practice; Regular physical activity practice
is useful for me; and Regular physical activity practice brings
me benefits in life.54 Studies of Hulleman and Harackie-
wicz34 justified a slight adjustment of the items by reformu-
lating them in a more personal way. For example, the item
“Regular physical activity practice is useful”54 became
“Regular physical activity practice is useful for me.”53
Competence. This variable represents the participants’ per-
ceived competence toward the practice of physical activity54
which is composed of 4 Likert-type items (λ = 0.84): I am
good at physical activity; When I do physical activity, I am
among the best; When I do physical activity, I feel compe-
tent; and I know many things about physical activity.
Intention. This variable reflects the intention to meet physi-
cal activity guidelines and was measured using the following
question: “The World Health Organization recommends at
least 150 min of moderate-intensity physical activity or at
least 75 min of vigorous-intensity physical activity each
week. Over the next 3 months, do you intend to follow these
Figure 1. Relationship between motivation, intention, tendency to self-activate and behavior.
4 INQUIRY
recommendations?” Participants rated this question as fol-
lows: (1) yes; (2) yes, maybe; (3) no, probably not; (4) no.
Responses were reverse coded so that higher scores reflect
higher levels of intention to practice physical activity.
Tendency to self-activate. The tendency to be active relates
specifically to an individual’s ability to maintain control over
planned behavior until it is realized. This variable was
inspired by the notion of behavioral control and was devel-
oped from validated items.44 The scale comprises 4 items
(λ = 0.85) on a 5-point Likert scale (1-5) from strongly dis-
agree to strongly agree: When I want to do physical activity,
I do it; I am able to put myself in action to influence my
physical condition; When I plan to practice physical activity,
I really do it; I am able to go beyond my desire to be active:
I really am).
Dependent Variables
Screen time. Screen time was assessed using the following
question: How many hours a day do you usually spend on
screen during your free time (outside school or work)? To
ensure the participant excluded screen time devoted to school
or work obligations, an additional question specifically tar-
geted work-based screen time.
Physical activity. Participants reported physical activity prac-
tice during a typical week over the last 3 months before the
beginning of the semester. Specifically, they indicated the
duration (minutes/week), nature (eg, swimming, jogging,
playing soccer), and intensity (eg, low, moderate, vigorous)
of physical activity (Table 1,55). The responses were then
used to estimate a single variable reflecting total weekly
minutes of moderate and vigorous-intensity physical activ-
ity. The number of minutes spent in vigorous-intensity activ-
ity was multiplied by 2 and then added to the number of
minutes spent in moderate-intensity activity to reflect the
WHO’s recommendation in which the duration of vigorous-
intensity activity is equivalent to twice the duration of mod-
erate-intensity activity. The World Health Organization56
recommends a minimum of 150 min of moderate-intensity
endurance activity or a minimum of 75 min of vigorous-
intensity endurance activity per week for health benefits.
Covariates. Participants reported age (in years) and sex, as
either male or female.
Data Analysis
We estimate a series of multiple linear regression with 95%
confidence intervals to examine the contribution of young
adult’s motivation for physical activity to their screen time
and physical activity practice, adjusting for age and sex. The
intention to engage in physical activity practice and the ten-
dency to self-activate were also included as additional
predictors in the model examining the associations between
motivation and screen time and physical practice. To limit
the impact of extreme values, values outside ± 3 standard
deviation thresholds were considered outliers and removed
from the analyses.57 All analyses were conducted using IBM
SPSS Statistics for Windows, Version 28.0 (IBM Corp.,
Armonk, NY, USA).58
Results
Descriptive statistics (n, % or mean, SD) are presented in
Table 1 for the total sample. A total of 1522 participants
(89.2% of the baseline sample) provided complete data and
were used for the analysis. Our sample was predominantly
female (60.6% females). Participants were aged 17 to
42 years (M = 19.09, SD = 2.18) but 90.0% were between age
17 and 20 years. Participants in our sample spent on average
3.87 h per day for recreational screen time and 48.2% of the
sample exceeded daily recommendations of 3 h or less per
day. With regard to physical activity, participants were active
an average of 381 min per week and 43.8% of the sample did
not meet physical activity guidelines.
Regression Results
Table 2 presents the results of the multivariate analyses used
to model the association between motivation toward physical
activity, including intention or tendency to self-activate and
screen time and physical activity. Significant associations
were observed between all motivational variables (interest,
utility, competence) and screen time. Of all three dimensions
Table 1. Descriptive Characteristics.
Total sample
(n = 1522)
Sex, n (%)
Male 595 (39.10)
Female 923 (60.60)
Other/Preferred not to answer 4 (0.30)
Age, years, n (%)
17-18 704 (46.20)
19-20 667 (43.80)
21 151 (10.00)
Motivation, (mean, SD)
Motivation (include interest, utility,
competence)
3.57 (0.86)
Interest 3.35 (1.00)
Utility 4.03 (0.89)
Competence 3.33 (0.95)
Intention, (mean, SD) 3.28 (0.77)
Tendency to self-activate, (mean, SD) 3.53 (0.99)
Screen time (hours/day, mean, SD) 3.87 (2.35)
Physical activity (minutes/week, mean, SD) 380.74 (512.27)
Note. SD = standard deviation.
Surprenant et al 5
for motivation to move, interest had the strongest negative
association with screen time, b = −0.434 (95% CI between
−0.551 and −0.317). Each unit of utility attributed to physi-
cal activity made significant negative contributions to screen
time b = −0.360 (95% CI between −0.492 and −0.227).
Finally, competence in physical activity practice scale was
also associated with significant decreases in screen time
(hours), b = −0.426 (95% CI between −0.552 and −0.300).
Model Motivation presents unstandardized regression coef-
ficients for motivation including all 3 motivational variables
(interest, utility, competence), and adjusted for age and sex.
In this Model, we observed the strongest negative associa-
tion with screen time, b = −0.498 (95% CI between −0.635
and −0.361). In Model Intention, the intention to practice
physical activity was included in the Model Motivation.
Significant associations were observed with screen time,
b = −0.384 (95% CI between −0.551 and −0.218) after con-
trolling for covariates. Instead of intention, the tendency to
self-activate was included in the last model which made
smaller contributions to screen time, b = −0.326 (95% CI
between −0.561 and −0.091).
Significant associations were also observed between all
motivational variables and physical activity practice. The
dimension of interest had the strongest positive association
with physical activity, b = 113.671, (95% CI between 86.396
and 140.946). Each unit of utility attributed to physical activ-
ity made significant positive contributions to physical activ-
ity, b = 103.421 (95% CI between 72.717 and 134.125).
Competence in physical activity practice was also associated
with significant increases in physical activity (minutes),
b = 112.137, (95% CI between 82.827 and 141.447). Model
Motivation made the strongest positive association with
physical activity, b = 133.986, (95% CI between 102.129 and
165.843). In Model Intention, being motivated by physical
activity was associated with an increase of b = 117.923 (95%
CI between 79.310 and 156.536) in the physical activity
practice scores after controlling for covariates. Finally,
Model Tendency to self-activate made smaller contributions
to physical activity, b = 95.543 (95% CI between 40.497 and
150.589).
Discussion
As far as we know, the present study is the first to describe
the relationship between motivation toward physical activ-
ity, screen time and physical activity practice among post-
secondary students. In addition, this is the first study to
simultaneously consider these dimensions of motivation as
well as intention to practice physical activity and tendency
to self-activate. After adjusting for age and sex, we found
that motivation for physical activity was the strongest pre-
dictor of youth screen time and moderate-to-vigorous physi-
cal activity. Being interested in and feeling competent in
performing physical activity were the two dimensions of
motivation most strongly linked to physical activity involve-
ment and time spent using screens in our sample of young
adults. Neither intention to engage in physical activity nor
tendency to self-activate were related to our outcomes. This
is consistent with another study that demonstrates the key
role of intrinsic motivation, which is conceptually linked to
interest in physical activity, in enhancing levels of physical
activity.59
Our study extends previous work on adolescents by sug-
gesting that similar motivational processes may be involved
in the adoption of lifestyle habits.51 The present result is also
in line with a recent study of motivation for physical activity
and sedentary behaviors among secondary students which
revealed that intrinsic motivation was negatively linked with
sedentary behaviors and positively associated with physical
activity engagement.60 Furthermore, our findings align with
another study showing positive associations between healthy
behaviors (eg, physical activity and healthy weight control
behaviors) and autonomous motivation.61
Some limitations should be considered. First, our study
used a cross-sectional design that does not allow us to infer
the directionality in the observed associations. For instance,
Table 2. Unstandardized regression coefficients and 95% confidence intervals (CIs) for screen time and physical activity according to
motivation for physical activity (n = 1522).
Screen time B
(95% CI)
Physical activity B
(95% CI)
Motivational variables
Interest −0.434 (−0.551, −0.317)** 113.671 (86.396, 140.946)**
Utility −0.360 (−0.492, −0.227)** 103.421 (72.717, 134.125)**
Competence −0.426 (−0.552, −0.300)** 112.137 (82.827, 141.447)**
Model motivation −0.498 (−0.635, −0.361)** 133.986 (102.129, 165.843)**
Model intention −0.384 (−0.551, −0.218)** 117.923 (79.310, 156.536)**
Model tendency to self-activate −0.326 (−0.561, −0.091)* 95.543 (40.497, 150.589)**
Note. Screen time variable is measured in hours per day. Physical activity variable is measured in minutes per week. Motivation includes interest, utility,
competence, and is adjusted for age and sex. Model Intention is Motivation plus adjustment for intention. Model Tendency to self-activate is Motivation
plus adjustment for Tendency to self-activate.
*P < .01. **P < .001.
6 INQUIRY
it may be case that accumulating lower levels of physical
activity and spending more time in front of screens are con-
tributing to decrease motivation in youth. Experimental or
longitudinal studies could examine changes in the relation-
ship over time and clarify the direction of the association. In
addition, we used self-reported measures of motivation,
screen time, and physical activity involvement. This could
have resulted in shared measurement error or social desir-
ability bias. Indeed, self-reported measures, particularly
reports of moderate-to-vigorous physical activity, can lead to
overestimations.62 As such, future studies using objective
measures, such as accelerometers are warranted. Another
limitation is the use of a convenience sample which is poten-
tially limiting the generalizability of the findings. Finally, we
had limited socioeconomic variables for the participants. For
instance, the socioeconomic status or ethnicity of the stu-
dents may moderate the observed associations.
The main strength of this study is our ability to simultane-
ously consider the impact of multiple dimensions of motiva-
tion on screen time and physical activity in young adults. To
date, most research has focused on the role of the sociodemo-
graphic characteristics of individuals in the adoption of life-
style choices.49,63 Though important, these determinants are
likely to be more difficult to leverage through interventions.
Our study is one of the first to examine how psychological
motivation for physical activity contributes to the adoption
of healthy behaviors. Furthermore, our study provides a
detailed account of these associations by considering mul-
tiple dimensions of motivation (ie, interest, utility, compe-
tence, intention, and tendency to self-activate).
The present study may help the elaboration and imple-
mentation of healthy lifestyle interventions in the postsec-
ondary school setting. First, our results indicate the
importance of psychological interventions aimed at encour-
aging students to adopt or maintain a healthy, active lifestyle
which are consistent with recent work showing that peda-
gogical practices focusing on enjoyment and perceived ben-
efits of physical activity influence students to get moving.64,65
Feeling pleasure is one of the important factors that makes
people do more physical activity.66 Our findings suggest that
teachers and practitioners should work specifically to influ-
ence motivation and improve interest in physical activity by
setting up activities that bring pleasure and positive emo-
tions. Moreover, focusing on specific motivational behav-
iors to provide necessary support could improve healthy
behaviors.67
Conclusion
Motivation to move plays an important role in screen time
and the practice of physical activity outside of the school
context among postsecondary students. Future studies should
use longitudinal designs and objective measures of physical
activity to better understand the association between stu-
dents’ motivation, screen time and physical activity practice.
Our results support the development of interventions to tar-
get the motivation to move in physical education classes to
reduce sedentary behavior among students.
Acknowledgments
The authors thank all CEGEP teachers and students who made this
research possible. Shannon Bell, research colleague, is also thanked
for providing assistance in the linguistic revision.
Author Contributions
RS carried out the cross-sectional study, reviewed the current litera-
ture on the subject, performed the statistical analysis, and drafted
the manuscript. IC carried out the cross-sectional study, reviewed
the current literature on the subject, and drafted the manuscript. CF
edited the manuscript and provided critical feedback.
Availability of Data and Materials
Not applicable.
Declaration of Conflicting Interests
The author(s) declared no potential conflicts of interest with respect
to the research, authorship, and/or publication of this article.
Funding
The author(s) disclosed receipt of the following financial support
for the research, authorship, and/or publication of this article: This
research has been funded by the Ministère de l’Enseignement
supérieur under the Program d’aide à la recherche sur l’enseignement
et l’apprentissage [11664]. In addition, the preparation of this arti-
cle has benefited from a financial contribution from the Ministère
de l’Enseignement supérieur under the Program d’aide à la diffu-
sion des résultats de recherche.
ORCID iD
Rachel Surprenant https://orcid.org/0009-0001-2343-1271
References
1. Ahmad N, Asim HH, Juatan N, et al. Contributing factors
to decline in physical activity among adolescents: a scop-
ing review. Malays J Soc Sci Humanit. 2021;6(9):447-463.
doi:10.47405/mjssh.v6i9.998
2. Castro O, Bennie J, Vergeer I, Bosselut G, Biddle SJH. How
sedentary are university students? A systematic review and
meta-analysis. Prev Sci. 2020;21:332-343. doi:10.1007/
s11121-020-01093-8
3. Poriau S, Delens C. Activité physique et événements de vie:
transition entre les études secondaires et les études supérieures.
eJRIEPS. 2017;42(42):4-27. doi: 10.4000/ejrieps.520
4. Statistics Canada. Table 13-10-0339-01, Average time spent
being physically active. 2021. Accessed december 2024.
https://www150.statcan.gc.ca/t1/tbl1/en/tv.action?pid=131003
3901&request_locale=en
5. Wilson OWA, Walters SR, Naylor ME, Clarke JC. Physical
activity and associated constraints following the transition from
high school to university. Recreat Sports J. 2021;45(1):52-60.
doi:10.1177/1558866121995138
Surprenant et al 7
6. Lemoyne J, Girard S. Activité physique, estime de soi et con-
dition physique: étude longitudinale d’une cohorte d’étudiants
québécois. STAPS. 2018;120(2):99-115. doi:10.3917/sta.
120.0099
7. Leone M, Levesque P, Bourget-Gaudreault S, et al. Secular
trends of cardiorespiratory fitness in children and adolescents
over a 35-year period: chronicle of a predicted foretold. Front
Public Health. Frontiers in public health. 2023;10. doi:10.3389/
fpubh.2022.1056484
8. Leriche J, Walczak F. Les obstacles à la pratique sportive des
cégépiens. Research report. Cégep de Sherbrooke, Cégep de
Trois-Rivières; 2014.
9. Weatherson KA, Joopally H, Wunderlich K, et al. Post-
secondary students’ adherence to the Canadian 24-Hour move-
ment guidelines for adults: results from the first deployment
of the Canadian Campus Wellbeing Survey (CCWS). Heal
Promot Chronic Dis Prev Can Res Policy Pr. 2021;41(6):173-
181. doi:10.24095/hpcdp.41.6.01
10. Canadian Society for Exercise Physiology. Canadian
24-Hour movement guidelines. 2021. Accessed december
2024. 24-Hour Movement Guidelines – Canadian 24-Hour
Movement Guidelines (csepguidelines.ca)
11. Lanoye A, Brown KL, LaRose JG. The transition into young
adulthood: a critical period for weight control. Curr Diab Rep.
2017;17(11):114. doi:10.1007/s11892-017-0938-4
12. Bang F, Roberts KC, Chaput J-P, Goldfield GS, Prince SA.
Physical activity, screen time and sleep duration: combined
associations with psychosocial health among Canadian children
and youth. Health Rep. 2020;31(5):9-16. doi:10.25318/82-003-
x202000500002-eng
13. Khan A, Lee E-Y, Rosenbaum S, Khan SR, Tremblay MS.
Dose-dependent and joint associations between screen time,
physical activity, and mental wellbeing in adolescents: an
international observational study. Lancet Child Adolesc Heal.
2021;5(10):729-738. doi:10.1016/S2352-4642(21)00200-5
14. Tremblay MS, Carson V, Chaput J-P, et al. Canadian 24-Hour
movement guidelines for children and youth: an integration of
physical activity, sedentary behaviour, and sleep. Appl Physiol
Nutr Metab. 2016;41(6 Suppl 3):S311-S327. doi:10.1139/
apnm-2016-0151
15. World Health Organization. WHO Guidelines on Physical
Activity and Sedentary Behaviour. World Health Organization;
2020.
16. Hall G, Laddu DR, Phillips SA, Lavie CJ, Arena R. A tale
of two pandemics: how will COVID-19 and global trends in
physical inactivity and sedentary behavior affect one another?
Prog Cardiovasc Dis. 2021;64:108-110. doi:10.1016/j.
pcad.2020.04.005
17. Pandey A, Salahuddin U, Garg S, et al. Continuous dose-
response association between sedentary time and risk for
cardiovascular disease: a meta-analysis. JAMA Cardiol.
2016;1(5):575-583. doi:10.1001/jamacardio.2016.1567
18. Biswas A, Oh PI, Faulkner GE, et al. Sedentary time and
its association with risk for disease incidence, mortality,
and hospitalization in adults: a systematic review and meta-
analysis. Ann Intern Med. 2015;162(2):123-132. doi:10.7326/
M14-1651
19. Biller VS, Leitzmann MF, Sedlmeier AM, et al. Sedentary
behaviour in relation to ovarian cancer risk: a systematic
review and meta-analysis. Eur J Epidemiol. 2021;36(8):769-
780. doi:10.1007/s10654-020-00712-6
20. Schmid D, Leitzmann MF. Television viewing and time spent
sedentary in relation to cancer risk: a meta-analysis. J Natl
Cancer Inst. 2014;106(7):dju098. doi:10.1093/jnci/dju098
21. Allen MS, Walter EE, Swann C. Sedentary behaviour and risk
of anxiety: a systematic review and meta-analysis. J Affect
Disord. 2019;242:5-13. doi:10.1016/j.jad.2018.08.081
22. Zhou Q, Guo C, Yang X, He N. Dose-response association
of total sedentary behaviour and television watching with
risk of depression in adults: a systematic review and meta-
analysis. J Affect Disord. 2023;324:652-659. doi:10.1016/j.
jad.2022.12.098
23. Hoare E, Stavreski B, Jennings GL, Kingwell BA. Exploring
motivation and barriers to physical activity among active and
inactive Australian adults. Sports. 2017;5(3):47. doi:10.3390/
sports5030047
24. Tiraboschi GA, Garon-Carrier G, Smith J, Fitzpatrick C.
Adolescent internet use predicts higher levels of generalized
and social anxiety symptoms for girls but not boys. Prev Med
Rep. 2023;36:102471. doi:10.1016/j.pmedr.2023.102471
25. Fitzpatrick C, Lemieux A, Smith J, et al. Is adolescent internet
use a risk factor for the development of depression symptoms
or vice-versa? Psychol Med. 2023;53(14):1-7. doi:10.1017/
S0033291723000284
26. Barkley EF, Major CH, et al. (eds.). Student Engagement
Techniques: A Handbook for College Faculty, 2nd ed. Wiley
Jossey-Bass; 2020.
27. Cabot I, Bradette A. Processus d’élaboration et de validation de
l’échelle de la motivation en éducation physique et à la santé
(ÉMÉPS) auprès d’étudiants du postsecondaire. Mes et Eval
Meded Educ. 2023;45(1):103-131. doi:10.7202/1097154ar
28. Fredricks JA, Blumenfeld PC, Paris AH. School engagement:
potential of the concept, state of the evidence. Rev Educ Res.
2004;74(1):59-109. doi:10.3102/00346543074001059
29. Cabot I. Interdisciplinarité et intérêt pour le français. Research
report. Cégep Saint-Jean-sur-Richelieu; 2010.
30. Viau R. La motivation à apprendre en milieu scolaire. Éditions
du renouveau pédagogique inc; 2009.
31. Schunk DH, Pintrich PR, Meece JL. Motivation in Education:
Theory, Research, and Applications. Pearson; 2014.
32. Deci EL, Ryan RM. Handbook of Self-Determination Research.
The University of Rochester Press; 2002.
33. Eccles JS, Wigfield A. From expectancy-value theory to
situated expectancy-value theory: a developmental, social
cognitive, and sociocultural perspective on motivation.
Contemp Educ Psychol. 2020;61:101859. doi:10.1016/j.ced-
psych.2020.101859
34. Hulleman CS, Harackiewicz JM, et al. The utility-value inter-
vention. In: Walton GM, Crum AJ (eds) Handbook of Wise
Interventions: How Social Psychology Can Help People
Change. The Guilford Press; 2020;100-125.
35. Renninger KA, Hidi S. The Power of Interest for Motivation
and Engagement. Routledge; 2017.
36. Renninger KA, Hidi S, et al. Interest development and learn-
ing. In: Renninger KA, Hidi S (eds) The Cambridge Handbook
of Motivation and Learning. Cambridge University Press;
2019;265-290.
37. Hidi S, Renninger KA. The four-phase model of interest devel-
opment. Educ Psychol. 2006;41(2):111-127.
38. Yue Y, Lu J. International students’ motivation to study abroad:
an empirical study based on expectancy-value theory and self-
determination theory. Front Psychol. 2022;13:841122.
8 INQUIRY
39. Wigfield A, Eccles JS. Expectancy-value theory of achieve-
ment motivation. Contemp Educ Psychol. 2000;25(1):68-81.
doi:10.1006/ceps.1999.1015
40. Cabot I. Le Cours Collégial de Mise à Niveau En Français:
L'incidence D'un Dispositif Pédagogique D'interdisciplinarité.
Doctoral dissertation, Université de Montréal; 2012.
41. Deci EL, Ryan RM. Motivation, personality, and development
within embedded social contexts: an overview of self-deter-
mination theory. In: Ryan RM (ed.) The Oxford Handbook of
Human Motivation. Oxford University Press; 2012;85-107.
42. Ajzen I, Schmidt P. Changing behaviour using the theory of
planned behavior. In: Hagger MS, Cameron LD, Hamilton
K, Hankonens N, Lintunen T (eds) Handbook of Behavior
Change. Cambridge University Press; 2020;17-31.
43. Ajzen I, Kruglanski AW. Reasoned action in the service of
goal pursuit. Psychol Rev. 2019;126(5):774-786. doi:10.1037/
rev0000155
44. Cabot I, Surprenant R. Passer de la motivation à l’engagement:
réflexion sur la notion de contrôle comportemental et démarche
initiale du développement de l’Échelle de la tendance à
s’activer (ÉTA). Revue Recherches en éducation. 2024;56.
45. Hofer M, Schmid S, Fries S, et al. Individual values, moti-
vational conflicts, and learning for school. Learn Instr.
2007;17(1):17-28.
46. Riediger M, Freund AM. Me against myself: motivational con-
flicts and emotional development in adulthood. Psychol Aging.
2008;23(3):479-494. doi:10.1037/a0013302
47. Chu P, Patel A, Helgeson V, et al. Perception and awareness
of diabetes risk and reported risk-reducing behaviors in ado-
lescents. JAMA Netw Open. 2023;6:e2311466. doi:10.1001/
jamanetworkopen.2023.11466
48. Fitzpatrick C, Burkhalter R, Asbridge M. Adolescent media
use and its association to wellbeing in a Canadian national
sample. Prev Med Rep. 2019;14:100867. doi:10.1016/j.
pmedr.2019.100867
49. Nagata JM, Smith N, Alsamman S, et al. Association of physi-
cal activity and screen time with body mass index among
US adolescents. JAMA Netw Open. 2023;6(2):e2255466.
doi:10.1001/jamanetworkopen.2022.55466
50. Demetriou Y, Reimers AK, Alesi M, et al. Effects of school-
based interventions on motivation towards physical activity in
children and adolescents: protocol for a systematic review. Syst
Rev. 2019;8(1):113. doi:10.1186/s13643-019-1029-1
51. Mayorga-Vega D, Fajkowska M, Guijarro-Romero S, Viciana
J. High school students’ accelerometer-measured physical
activity and sedentary behavior by motivational profiles toward
physical activity. Res Q Exerc Sport. 2022;93(4):869-879. doi:
10.1080/02701367.2021.1935432
52. Cabot I, Facchin S. Élaboration et validation de l’Échelle de
perception d’un centre d’aide en français du postsecondaire
(ÉPCAFP). Can J Educ. 2021;44(2):466-495. doi:10.53967/
cje-rce.v44i2.4761
53. Surprenant R, Cabot I. Susciter l’intérêt de l’étudiant pour
les bienfaits découlant de sa pratique de l’activité physique
afin de l’amener vers une prise en charge de sa pratique à
l’extérieur de la classe. Research Report, Cégep de Saint-
Hyacinthe; 2023.
54. Bradette A, Cabot I. Évaluation de l’impact d’une épreuve
terminale visant à solliciter des choix d’intérêt en matière
d’activité physique, sur la motivation, l’engagement et la
prise en charge de la pratique d’activité physique hors cours.
Research report, Cégep Édouard-Montpetit; 2020.
55. Cabot I, Surprenant R. Identification des raisons d’inactivité
physique chez les étudiantes et étudiants du postsecondaire au
Québec. PhénEPS/PHEnex. 2022;13(1):13-22.
56. World Health Organization. Global Status Report on Physical
Activity 2022. World Health Organization; 2022.
57. Tabachnick BG, Fidell LS (eds.). Using Multivariate Statistics,
7th ed. Pearson; 2019:62-63.
58. Field A (ed.). Discovering Statistics Using IBM SPSS Statistics,
5th ed. Sage Publications Limited; 2018.
59. Kalajas-Tilga H, Koka A, Hein V, Tilga H, Raudsepp L.
Motivational processes in physical education and objectively
measured physical activity among adolescents. J Sport Health
Sci. 2020;9(5):462-471. doi:10.1016/j.jshs.2019.06.001
60. Pulido JJ, Tapia-Serrano MÁ, Díaz-García J, Ponce-Bordón
JC, López-Gajardo MÁ. The relationship between students’
physical self-concept and their physical activity levels and
sedentary behavior: the role of students’ motivation. Int J
Environ Res Public Health. 2021;18(15):7775. doi:10.3390/
ijerph18157775
61. Marentes-Castillo M, Castillo I, Tomás I, Alvarez O. Physical
activity, healthy behavior and its motivational correlates:
exploring the spillover effect through stages of change. Int J
Environ Res Public Health. 2022;19(10):6161.
62. James P, Weissman J, Wolf J, et al. Comparing GPS, log, survey,
and accelerometry to measure physical activity. Am J Health
Behav. 2016;40(1):123-131. doi:10.5993/AJHB.40.1.14
63. Fitzpatrick C, Burkhalter R, Asbridge M. Characteristics of
Canadian youth adhering to physical activity and screen time
recommendations. J Sch Nurs. 2021;37(6):421-430.
64. Patois L, Fafournoux B, Pasco D, Roure C. 2023). Connecter
les leçons d’éducation physique et sportive aux intérêts
individuels des élèves: La personnalisation du contexte.
L’Education Physique En Mouvement. doi:10.26034/vd.
epm.2023.4102
65. Surprenant R, Cabot I. A pedagogical strategy applied in physi-
cal education to encourage sustainable physical activity. J Educ
Learn. 2023;12(5):13. doi:10.5539/jel.v12n5p13.
66. González-Hernández J, Gómez-López M, Pérez-Turpin
JA, Muñoz-Villena AJ, Andreu-Cabrera E. Perfectly active
teenagers. When does physical exercise help psychological
well-being in adolescents? Int J Environ Res Public Health.
2019;16(22):4525.
67. Ahmadi A, Noetel M, Parker P, et al. A classification sys-
tem for teachers’ motivational behaviors recommended in
self-determination theory interventions. J Educ Psychol.
2023;115(8):1158-1176.
... Interest in physical activity was high among the students in this sample, serving as a protective factor. Motivation, particularly the dimensions of "being interested" and "feeling competent" in physical activity, is a strong predictor of engagement among young adults (Surprenant et al., 2024). ...
Article
Purpose To evaluate the accuracy of clinical indicators and etiological factors associated with the nursing diagnosis of excessive sedentary behavior among university students. Method This study employed a cross‐sectional diagnostic accuracy design. The sample comprised 108 students from a Brazilian public university. Fisher's exact and chi‐square tests were utilized to determine associations. A latent class analysis model was applied to assess the sensitivity and specificity of clinical indicators and the prevalence of the diagnosis. The odds ratio for etiological factors was calculated using univariate logistic regression. The research ethics committee of the responsible institution approved the study. Results The prevalence of the nursing diagnosis excessive sedentary behavior among university students was 16.3%. The sensitive clinical indicators identified were ‘inadequate sleep quality’ (0.9999), while the specific indicators included ‘lack of physical fitness’ (0.9998) and ‘cardiovascular alterations’ (0.9557). The etiological factor ‘physical activity in frequency, intensity and duration lower than recommended’ was associated with the diagnosis. Additionally, statistical associations were found between the diagnosis and the following variables: body composition, muscle capacity, flexibility, scores from the International Physical Activity Questionnaire (with emphasis on the days of the week of vigorous physical activity), minutes per week of vigorous activity, days of the week of walking, hours of sleep per night, and average sleep quality. Conclusion There is evidence of construct validity for the nursing diagnosis excessive sedentary behavior in university students, supported by one sensitive clinical indicator and two specific indicators. Implications for nursing practice Increased knowledge of the nursing diagnosis Excessive sedentary behavior in university students can enhance clinical reasoning among nurses and contribute to the elevation of evidence levels and the continuous improvement of the NANDA‐I taxonomy.
Article
Full-text available
Une myriade de résultats de recherche identifie la motivation comme étant un très fort prédicteur du comportement. Toutefois, la motivation ne suffit pas à engager l’individu dans le comportement souhaité. Dans le but de mieux comprendre par quel processus un individu maintient le contrôle sur un comportement motivé jusqu’à sa mise en action, la littérature portant sur le concept de contrôle comportemental a été consultée, révélant deux principales conceptualisations : celle du lieu de contrôle et celle de la perception du contrôle comportemental. Celles-ci ne concordent pas avec celle suspectée pas les autrices de la présente étude, à savoir la tendance à faire ce qu’on a prévu de faire. Dans cette optique, une courte échelle de type Likert a été élaborée pour confronter cette idéation à des items des deux conceptualisations repérées dans la littérature auprès d’étudiants francophones du postsecondaire. Les résultats de cette exploration initiale indiquent de bonnes qualités psychométriques aux quatre items de l’échelle de la tendance à s’activer (ETA). En découlent des propositions de démarches de validation supplémentaires pour affirmer la fiabilité de l’ETA. L’échelle est discutée en fonction des besoins qui ont justifié son élaboration et de son potentiel en termes de développement d’interventions pédagogiques.
Article
Full-text available
Past research suggests that internet use can increase the risks of internalizing symptoms in adolescents. However, bidirectional relationships between adolescent internet use and anxiety symptoms have received very little attention. Furthermore, few studies have examined these links according to sex. The present study attempts to fill this gap by investigating longitudinal associations between Canadian boys’ and girls’ internet use and symptoms of generalized anxiety and social anxiety using data from the Quebec longitudinal Study of Child Development. A sample of 1324 adolescents (698 girls, 626 boys) self-reported the number of hours per week they spent on the internet and their symptoms of generalized and social anxiety at ages 15 and 17. We estimated two cross-lagged panel models with social or generalized anxiety symptoms and internet use at age 15 predicting those same variables at age 17. Sex was used as a grouping variable and socioeconomic status was included as a control variable. Internet use at 15 predicted generalized and social anxiety symptoms at age 17 in girls, but not boys. Social and generalized anxiety symptoms at age 15 did not predict internet use at age 17 for both boys and girls. These results suggest that internet use can be a significant risk factor for the development of anxiety symptoms in adolescent girls. Girls may be more vulnerable to the negative effects of internet use due to increased sensitivity to social comparisons. Thus, helping girls develop healthier internet use habits should be a target for promoting their mental health.
Article
Full-text available
Biographies des autrices Isabelle Cabot enseigne la psychologie au collégial depuis 2004 et dirige les travaux de recherche d'étudiants inscrits à la maitrise en pédagogie de l'enseignement au collégial à l'Université de Sherbrooke depuis 2017. Son principal intérêt de recherche est la stimulation de la motivation d'individus en contextes de désengagement ou de sous-performance. Son expertise touche aux processus de développement de l'intérêt. Rachel Surprenant enseigne l'éducation physique au collégial depuis 2012. Elle s'intéresse particulièrement à la motivation des étudiants à l'égard de leur pratique d'activité physique dans une perspective de santé. Ses préférences méthodologiques la mènent à choisir des méthodes de recherche appliquée en contexte réel. Résumé Malgré les 13 années d'éducation physique et à la santé (ÉPS) obligatoires du cheminement scolaire québécois, ainsi que l'important bassin de littérature liée à l'inactivité physique (IP), la majorité des jeunes adultes ne suivent pas les recommandations en matière de pratique d'activité physique (AP). L'objectif de la présente étude est d'identifier les raisons d'IP chez les collégiens inscrits au dernier cours d'ÉPS, à partir d'une méthode inductive. L'échantillon est composé de 1230 répondants (639 actifs et 591 inactifs) provenant de 17 établissements postsecondaires. Les résultats pointent le manque de motivation et de temps comme principales raisons d'IP. Comme les actifs identifient les bienfaits qu'ils retirent de l'AP comme principale raison d'être actifs, il est intéressant de constater l'absence de ces bienfaits du discours des inactifs. Bien qu'ils les aient étudiés tout au long de leur parcours d'ÉPS, les jeunes adultes inactifs ne perçoivent peut-être pas les bienfaits qu'ils pourraient personnellement retirer de l'AP. Des idées d'interventions pédagogiques sont discutées en ce sens. Mots-clés: Inactivité physique; postsecondaire; bienfaits de l'activité physique. Abstract Despite the 13 years of compulsory physical and health education (PHE) in the schools in Quebec, and the significant pool of knowledge related to physical inactivity, most young adults are insufficiently active. The objective of this study is to identify the reasons for physical inactivity of post-secondary students enrolled in the last PHE course, using an inductive method. The sample includes 1,230 respondents (639 active and 591 inactive) from 17 post-secondary institutions. The results point to lack of motivation and time as the main reasons for physical inactivity. Since active people identify the benefits they derive from physical activity as the main reason for being active, it is interesting to note the absence of these benefits from the discourse of inactive people. Although they have studied them throughout their PHE curriculum, inactive young adults may not see the benefits they could personally derive from them. Possible pedagogical interventions are discussed in this regard.
Article
Full-text available
L’attrait constant pour la nouveauté et les nouvelles technologies dans la société actuelle engendre souvent de la part des élèves des comportements de zapping en éducation physique, et plus largement, dans le cadre scolaire. S’inscrivant alors dans un rôle de consommateur, l’élève éprouve rapidement lassitude et ennui, ce qui le place en décalage avec les demandes scolaires comme faire preuve de persistance dans l’effort physique pour apprendre. En créant des liens concrets entre les leçons d’éducation physique et les intérêts extra-scolaires des élèves, la personnalisation du contexte a pour objectif de réduire ce décalage. L’enjeu de cette étude est de mettre en lumière le concept de personnalisation du contexte en éducation physique en s’appuyant sur une illustration, prochainement testée en course d’orientation. Nous montrerons que la mise en place d’un enseignement tenant compte du capital culturel, des préférences et aspirations des élèves peut être la source d’un engagement durable dans les apprentissages.
Article
Full-text available
Teachers’ behavior is a key factor that influences students’ motivation. Many theoretical models have tried to explain this influence, with one of the most thoroughly researched being self-determination theory (SDT). We used a Delphi method to create a classification of teacher behaviors consistent with SDT. This is useful because SDT-based interventions have been widely used to improve educational outcomes. However, these interventions contain many components. Reliably classifying and labeling those components is essential for implementation, reproducibility, and evidence synthesis. We used an international expert panel (N = 34) to develop this classification system. We started by identifying behaviors from existing literature, then refined labels, descriptions, and examples using the Delphi panel’s input. Next, the panel of experts iteratively rated the relevance of each behavior to SDT, the psychological need that each behavior influenced, and its likely effect on motivation. To create a mutually exclusive and collectively exhaustive list of behaviors, experts nominated overlapping behaviors that were redundant, and suggested new ones missing from the classification. After three rounds, the expert panel agreed upon 57 teacher motivational behaviors (TMBs) that were consistent with SDT. For most behaviors (77%), experts reached consensus on both the most relevant psychological need and influence on motivation. Our classification system provides a comprehensive list of TMBs and consistent terminology in how those behaviors are labeled. Researchers and practitioners designing interventions could use these behaviors to design interventions, to reproduce interventions, to assess whether these behaviors moderate intervention effects, and could focus new research on areas where experts disagreed.
Article
Full-text available
Importance: Lifestyle change is central to diabetes risk reduction in youth with overweight or obesity. Feeling susceptible to a health threat can be motivational in adults. Objective: To evaluate associations between diabetes risk perception and/or awareness and health behaviors in youth. Design, setting, and participants: This cross-sectional study analyzed data from the US National Health and Nutrition Examination Survey 2011 to 2018. Participants included youths aged 12 to 17 years with body mass index (BMI) in the 85th percentile or higher without known diabetes. Analyses were conducted from February 2022 to February 2023. Main outcomes and measures: Outcomes included physical activity, screen time, and attempted weight loss. Confounders included age, sex, race and ethnicity, and objective diabetes risk (BMI, hemoglobin A1c [HbA1c]). Exposures: Independent variables included diabetes risk perception (feeling at risk) and awareness (told by clinician), as well as potential barriers (eg, food insecurity, household size, insurance). Results: The sample included 1341 individuals representing 8 716 794 US youths aged 12 to 17 years with BMI in the 85th percentile or higher for age and sex. The mean age was 15.0 years (95% CI, 14.9-15.2 years) and mean BMI z score was 1.76 (95% CI 1.73-1.79). Elevated HbA1c was present in 8.6% (HbA1c 5.7%-6.4%: 8.3% [95% CI, 6.5%-10.5%]; HbA1c ≥6.5%: 0.3% [95% CI, 0.1%-0.7%]). Nearly one-third of youth with elevated HbA1c reported risk perception (30.1% [95% CI, 23.1%-38.1%), while one-quarter (26.5% [95% CI, 20.0%-34.2%]) had risk awareness. Risk perception was associated with increased TV watching (β = 0.3 hours per day [95% CI, 0.2-0.5 hours per day]) and approximately 1 less day per week with at least 60 minutes of physical activity (β = -1.2 [95% CI, -2.0 to -0.4) but not with nutrition or weight loss attempts. Awareness was not associated with health behaviors. Potential barriers had mixed associations: larger households (≥5 members vs 1-2) reported lower consumption of non-home-prepared meals (OR 0.4 [95% CI, 0.2-0.7]) and lower screen time (β = -1.1 hours per day [95% CI, -2.0 to -0.3 hours per day), while public insurance (vs private) was associated with approximately 20 fewer minutes per day of physical activity (β = -20.7 minutes per day [95% CI, 35.5 to -5.8 minutes per day]). Conclusions and relevance: In this cross-sectional study including a US-representative sample of adolescents with overweight or obesity, diabetes risk perception and awareness were not associated with greater engagement in risk-reducing behaviors in youth. These findings suggest the need to address barriers to engagement in lifestyle change, including economic disadvantage.
Article
Full-text available
La littérature compte de nombreux instruments permettant de mesurer la motivation à l’égard des activités physiques et des sports pratiqués dans le cadre des cours d’éducation physique et à la santé (ÉPS). Toutefois, rares sont ceux qui visent la motivation à l’égard des cours d’ÉPS. Pour lutter contre les effets indésirables de l’inactivité physique, des enseignants d’ÉPS mettent sur pied diverses stratégies d’enseignement et d’évaluation. Dans ce contexte, un instrument mesurant la motivation en ÉPS pourrait contribuer à évaluer l’efficacité des stratégies mises en place. La présente étude rapporte le processus d’élaboration et de validation d’un tel instrument auprès d’étudiants francophones du postsecondaire, incluant une version préintervention et une version postintervention. Les résultats indiquent de bonnes qualités psychométriques pour l’instrument élaboré. Ils sont analysés en fonction des prospectives de l’instrument et des besoins qui ont justifié sa conduite.
Article
Full-text available
Background: The extent to which digital media use by adolescents contributes to poor mental health, or vice-versa, remains unclear. The purpose of the present study is to clarify the strength and direction of associations between adolescent internet use and the development of depression symptoms using a longitudinal modeling approach. We also examine whether associations differ for boys and girls. Methods: Data are drawn from (N = 1547) participants followed for the Quebec longitudinal Study of Child Development (QLSCD 1998-2020). Youth self-reported internet use in terms of the average hours of use per week at the ages of 13, 15, and 17. Youth also self-reported depression symptoms at the same ages. Results: After testing sex-invariance, random intercepts cross-lagged panel models stratified by sex, revealed that internet use by girls was associated with significant within-person (time-varying) change in depression symptoms. Girl's internet use at age 13 was associated with increased depression symptoms at age 15 (ß = 0.12) and internet use at age 15 increased depression at age 17 (ß = 0.10). For boys, internet use was not associated with significant time varying change in depression symptoms. Conclusions: The present findings support the hypothesis that internet use by adolescents can represent a significant risk factor for the development of depressive symptoms, particularly in girls.