Study design and participants
This experiment was conducted utilizing a within-subject, counter-balanced design. See Figure 1 for a schematic of the study procedures. The study was comprised of 8 experimental visits to the laboratory, over a four-week period. Each participant came to the laboratory bi-weekly, with at least 24 hours between visits. We recruited 22 participants via a convenience-based sampling approach. Two individuals were excluded at baseline after meeting exclusionary criteria; thus, 20 participants comprised the analytic sample, which included 160 total visits to the laboratory (20 participants x 8 experimental visits). The sample size for this within-subject experimental design is similar to other related studies.19-22 The specific exclusionary questions are detailed below.
“Are you a smoker? Are you currently taking medication for epilepsy, depression, or anxiety? What is your average alcohol consumption? (“1 drink is defined as a 12-oz. beer, 4 oz. glass of wine, or 1 oz. of liquor.”) Have you used marijuana or other illegal drugs within the past 30 days?
Please rate your like/dislike for exercising on a treadmill, based on your agreement with this statement, “I dislike exercising on a treadmill” (1 to 10 Likert-scale) 1 = strongly disagree; 10 = strongly agree.”
An individual was excluded if he or she answered “Yes” to current smoker status, medication known to alter mood or mental state, drinking an excess of 7 alcoholic beverages per week for females or more than 14 per week for males. If an individual rated their subjective treadmill dislike as greater than 7, they were excluded from participation. This was considered because baseline aversion to treadmill exercise may have moderated participants’ global affect, irrespective of experimental condition. All subjects meeting inclusionary criteria agreed to participate for the remainder of the study. Thus, we lost no participants to attrition.
Experimental conditions
There were 8 counterbalanced, experimental conditions, which included (1) Exercise Only, (2) Texting Only, (3) Preferred Phone Call, (4) Imposed Phone Call, (5) Preferred Music Playlist, (6) Imposed Music Playlist, (7) Preferred Video and (8) Imposed Video. Details of these experimental conditions are described in the narrative that follows. As stated above, the experimental conditions occurred in a randomized order. However, for all participants, the first visit to the laboratory was the Exercise Only (Condition 1) condition. During this visit, participants completed a 10-minute bout of walking on the treadmill at a self-selected pace (described below). For each of the subsequent visits, they walked on the treadmill for 10 minutes at the pace they self-selected during Condition 1; thus, walking speed was identical for all experimental conditions. The conditions (e.g., texting only, phone call, music, video, etc.) for Visit 2 through Visit 8 occurred in a randomized order across the participants.
Condition 1- Exercise Only
Each participant arrived at our lab for their baseline orientation visit. Upon signed authorization of the informed consent document, the lead investigator read the Physical Activity Readiness Questionnaire (PAR-Q) to the participant. If no emergent contraindications presented, every participant was asked to self-report their age, gender, and race-ethnicity as baseline demographic information. Participants were also asked questions to ensure they met predetermined inclusionary criteria. After meeting inclusionary criteria, current physical activity habits were assessed using the Physical Activity Vital Sign assessment (PAVS). The PAVS is a brief survey tool, composed of 2 questions. (1) “How many days per week, on average do you engage in moderate to vigorous intensity physical activity (including a brisk walk),” and (2) “How many minutes, on average do you engage in this physical activity?” This simple questionnaire has been shown to exhibit adequate reliability,23 and is correlated with accelerometer-assessed number of days ⩾30 bout-min MVPA (r = 0.52, P < 0.001).24
General protocol for all experimental conditions
Heart rate was monitored continuously throughout each visit using a chest-mounted Polar HR monitor. After first putting on the heart-rate monitor, participants were given several surveys to complete. Participants completed surveys in a quiet laboratory space, free from distraction. The surveys, in this order, included the Affective Circumplex Scale, the Feeling Scale (FS), and the Felt Arousal Scale (FAS), which are detailed as follows. These affect assessments were chosen because of their straightforward assessment, evidence of construct validity, and ability to differentiate basic and distinct affect.25,26
The Affective Circumplex (8 items)
This scale is based off of the orthogonal Affective Circumplex Model describing valence and emotional status. The researcher asked the participant to make a tic mark along an 11 mm (0-100) 2-dimensional scale of present emotional state. Marks closer to 0 indicated disagreement with the survey item, while marks closer to 100 indicated agreement with the item, as a representation of their affect in the present moment. Sample items include ‘Happy, Content, Sad, and Fatigued.’
Feeling Measure Scale
The FS was administered to the participants to assess how they felt in the present moment. As feelings are principally transient emotions, that are subject to change numerous times throughout the day. The FS was an appropriate measure to use as an index of valence for the present experiment. The participant was asked to circle the number with which they agreed with the most at this moment in time. The scale ranges from -5 to +5, and every other integer is described as follows: ‘+5 = very good, +3 = good, + 1 = fairly good, 0 = neutral, - 1 = fairly bad, -3 = bad, and -5 = very bad.’ Original validation of the FS for use during exercise has been shown by Hardy and Rejeski.25
Felt Arousal Scale
The FAS was administered to the participants to assess their perceived arousal in the present moment.26 The FAS assesses arousal level, which is readily modulated by stimuli in the external and internal environment. The participants were asked to circle the number with which they most agreed with in the present moment. The scale ranges from 1 to 6, with verbal anchors denoting 1 as corresponding with low arousal and 6 with high arousal. Per the FAS, high arousal is defined as parameters such as excitement, anxiety, or anger. Low arousal is characterized as parameters such as relaxation, boredom, or calmness.
The scales used in this study to assess affect and arousal have demonstrated evidence of convergent validity and sensitivity to change in numerous investigations.27,28 Thus, the measures selected were appropriate to assess our identified outcomes pertaining to hedonic theory and emotional reactivity during exercise.
After the participants were finished completing these scales, a resting heart rate was recorded and the participant was instructed to, “Please walk on the treadmill at a pace you would be comfortable talking on the phone, listening to music, or watching video content. Your breathing should not be labored. This is going to be a leisurely pace you could enjoy for 10 minutes. You will be asked to walk at this same speed for each visit throughout the study.” Participants were asked to adjust the treadmill to a stable, comfortable speed within the first minute. Participants were also assured that the researcher would leave the laboratory during the exercise bout, and only enter briefly at the midpoint (5 minutes) of the 10-minute walking session, and during the final minute, to record heart rate and rating of perceived exertion, which ranges from a minimal rating of 6, or no exertion, to 20, or maximal exertion (Borg Rating of Perceived Exertion). The participant was also informed that they would be asked to complete 2 brief scales (FS and FAS), secured to a clipboard, at the midpoint. After participants responded, they would present the clipboard to the researcher facing down, so the researcher would be blinded to the participants’ response.
Immediately after a final heart rate and RPE were recorded, and participants had walked for 10 minutes, the same three scales (Affective Circumplex, FS, and FAS) were administered to participants, and the researcher again stepped out of the laboratory space to give participants adequate time and privacy to respond honestly on all items. After participants were finished, the researcher entered the lab to record an end-of-visit heart rate, and explained that participants were to email or text the researcher three songs, one YouTube video (at least 10 minutes in length), and identify a friend or family member who would be available to talk on the phone for 10 minutes during the participants’ next visit. Visits were scheduled with the participant to occur bi-weekly for four weeks, and both the researcher and participant were blinded to the randomization condition the participant would be exposed to during the subsequent visits. Each visit followed the general protocol described for Condition 1, with only the exercise bout manipulated for differential media exposure.
Before leaving the laboratory, height (cm) and weight (kg) were recorded. Height was measured at baseline only, while weight was measured once per week.
Condition 2- Texting Only
Participants arrived at the lab with music, video, or an available phone contact prepared per intervention instructions. A resting heart rate was recorded, and participants were asked to “Please sit quietly for 10 minutes while texting on your phones. Please try to avoid checking social media, and just text. I will not ask you who you are texting, or to view any of your texts.” Participants were also asked how many people they texted during their 10-minute session, and this value was recorded.
Condition 3- Preferred Call
Participants arrived at the lab with music, video, or an available phone contact prepared per intervention instructions. Participants were told they had been randomized into the preferred call condition. Participants were asked to “Please walk on the treadmill at the exact same speed you selected during your first visit. Please start walking when the person you call picks up the phone. At that point, I will leave the laboratory for you to enjoy your conversation. However, I will still enter at the midpoint, and during the final minute of your walk.” The researcher told participants to stop the treadmill at 10-minutes, but allowed two minutes for the participants to end their phone calls respectfully. After participants were finished, the researcher entered the lab to record an end-of-visit heart rate, and ask the relationship the participant had to the chosen caller (i.e. friend or family).
Condition 4- Imposed Call
Participants arrived at the lab with music, video, or an available phone contact prepared per intervention instructions. Participants were told they had been randomized into the preferred call condition. Participants were given the following instructions: “I am going to leave the laboratory to find a quiet place to call you. Please start walking when the you answer my phone call. Make sure your phone is placed in one of the cup-holders, and that you can hear me clearly through the headphones. Also, please walk on the treadmill at the exact same speed you selected during your first visit. I will not enter at the midpoint, or during the final minute of your walk. The scales are on a clipboard on a stool I have placed next to the treadmill. I will tell you to straddle the treadmill belt, and fill them both out at the five-minute mark of our phone call.” After the phone call began, the researcher used the following preliminary script to initiate conversation: “I have heard that, in life, it is important to focus your energy on three main things. The first is your livelihood, or your professional ambitions; the second is your health. This could be physical health, mental health, spiritual health, or some combination; and the third area is your personal creativity. I’m going to share a bit about myself with respect to each of these, and ask you to share your thoughts as well.” The conversation was permitted to flow naturally after this point, as the prompt was chosen to facilitate enjoyable conversation, despite speaking with a stranger. If the topics were exhausted, and there was still time remaining, the researcher would ask “Who has been the most influential person in getting you to where you are today and why? The researcher asked participants to verbalize their heart rate and RPE at the midpoint of the imposed phone conversation. Researchers asked participants to verbalize their heart rate and RPE during the last minute of exercise. The researcher told participants to stop the treadmill at 10-minutes, ended the call, and entered the lab shortly thereafter.
Condition 5- Preferred Music
Participants arrived at the lab with music, video, or an available phone contact prepared per intervention instructions. Participants were told they had been randomized into their preferred music condition. Bluetooth headphones were paired with a Lenovo Yoga iPAD, on which the participant’s three chosen songs had been added to an individualized playlist the researcher created using the free music application Hypster. Participants were asked to “Please walk on the treadmill at the exact same speed you selected during their first visit. Please start walking when you can hear the music playing through the headphones. Let me know if I need to adjust the volume.” The researcher placed the iPad on the treadmill facing down, so the participant would not see any videos or images associated with the songs, ensuring exclusive exposure to audio. The 6-item Brunel Music Rating Inventory Form-B12 was administered along with the previously utilized post-exercise scales. This survey assesses the importance of distinct motivational qualities of music on a 7-point Likert-scale, with higher numeric ratings corresponding to higher motivational quality.
Condition 6: Imposed Music
Participants arrived at the lab with music, video, or an available phone contact prepared per intervention instructions. Participants were told they had been randomized into the imposed music condition. Bluetooth headphones were paired with a Lenovo Yoga iPAD, on which the researcher’s three chosen songs from the US Billboard Hot 100 Songs of 2016, and screened for no negative emotions (Linguistic Inquiry and Word Count analysis) had been added to a playlist the researcher created using the free music application Hypster. Participants were asked to “Please walk on the treadmill at the exact same speed you selected during their first visit. Please start walking when you can hear the music playing through the headphones. Let me know if I need to adjust the volume.” The researcher placed the iPad on the treadmill facing down, so the participant would not see any videos or images associated with the songs, ensuring exclusive exposure to audio. The 13-item Brunel Music Rating Inventory Form-A,12 was administered along with the previously utilized post-exercise scales. This survey assesses the importance of distinct motivational qualities of music on a 10-point Likert-scale, with higher numeric ratings corresponding to higher motivational quality.
Condition 7- Preferred Video
Participants arrived at the lab with music, video, or an available phone contact prepared per intervention instructions. Participants were told they had been randomized into their preferred video condition. Bluetooth headphones were paired with a Lenovo Yoga iPAD, on which the participant’s video was loaded on YouTube. Participants were asked to “Please walk on the treadmill at the exact same speed you selected during their first visit. Please start walking when you can hear the video playing through the headphones. Let me know if I need to adjust the volume.” The researcher placed the iPad on the treadmill facing up, so the participant could clearly see the video content or images associated with the songs.
Condition 8- Imposed Video
Participants arrived at the lab with music, video, or an available phone contact prepared per intervention instructions. Participants were told they had been randomized into the imposed video condition. Bluetooth headphones were paired with a Lenovo Yoga iPAD, on which the researcher’s video (Lip Sync Battle with Will Ferrell, Kevin Hart and Jimmy Fallon, length-13:12) was loaded on YouTube. Participants were asked to “Please walk on the treadmill at the exact same speed you selected during their first visit. Please start walking when you can hear the video playing through the headphones. Let me know if I need to adjust the volume.” The researcher placed the iPad on the treadmill facing up, so the participant could clearly see the video content or images associated with the songs.
Statistical Analysis
Stata SE Version 12 (College Station, Texas, USA) was used to calculate univariate results shown in Table 1. We also generated change scores for the Affective Circumplex, FS, and FAS measures. For these measures, change scores were calculated for pre-to-mid, mid-to-post, and pre-post. We used these change scores to conduct paired-samples t-tests to examine the differences in change scores for the Affective Circumplex (Figure 1), FS (Table 2), and FAS (Table 3) across the 8 conditions. The same procedure was used to compute heart rate (Figure 2) and RPE (Figure 3) change scores using paired-samples t tests to examine the differences in heart rate and RPE from the midpoint to the end of the exercise bout.
Table 1. Univariate demographic characteristics of the analyzed sample (n = 20)
|
Variable
|
Point Estimate
|
Standard Deviation
|
Range
|
Age, mean years |
23.55 |
3.91 |
19-34 |
BMI, mean kg/m2 |
23.84 |
2.63 |
19.95-28.68 |
MPH |
2.62 |
0.55 |
1.6-3.5 |
MVPA, min/wk |
344 |
350.52 |
60-1470 |
Treadmill attitude (possible range = 1-7) |
3.34 |
1.10 |
1-5 |
Gender, % female |
55 |
|
|
Race-ethnicity, % |
|
|
|
Black or African American |
15 |
- |
- |
Hispanic |
5 |
- |
- |
Asian |
15 |
- |
- |
White or Caucasian |
65 |
- |
- |
Positive emotions for preferred playlist |
2.15 |
1.53 |
0.337-7.34 |
Negative emotions for preferred music playlist |
2.56 |
1.80 |
0.773-8.99 |
Positive emotions for imposed music playlist |
2.61 |
0 |
2.61-2.61 |
Average motivation score for preferred music playlist (possible range = 7-42) |
36.95 |
5.97 |
22-42 |
Average motivation score for imposed music playlist (possible range = 13-130) |
78.95 |
20.06 |
32-119 |
Abbreviations: BMI, body mass index; MPH, miles per hour; MVPA, moderate-to-vigorous physical activity.
|
Figure 1. Schematic of the study procedures.
Table 2. Comparison of mean change scores for the Feeling Scale during each visit (n = 20)
|
Visit
|
Mean Score
|
Mean Change Score
|
|
Pre
|
Mid
|
Post
|
Pre-to-Mid
|
Mid-to-Post
|
Pre-to-Post
P
value
|
Pre-to-Post % Change
|
1 |
3.20 |
3.55 |
3.55 |
0.35* |
0 |
0.35* |
10.94 |
2 |
3.10 |
3.35 |
3.40 |
0.25 |
0.05 |
0.30* |
9.68 |
3 |
2.85 |
3.40 |
3.65 |
0.55* |
0.25 |
0.80* |
28.07 |
4 |
3.10 |
3.65 |
3.95 |
0.55* |
0.30 |
0.85* |
27.42 |
5 |
3.00 |
3.80 |
3.75 |
0.80* |
0.05 |
0.75* |
25.00 |
6 |
2.75 |
3.40 |
3.35 |
0.75* |
0.05 |
0.60* |
21.82 |
7 |
2.65 |
3.65 |
3.75 |
1.00* |
0.10 |
1.10* |
41.51 |
8 |
2.40 |
3.25 |
3.35 |
0.85* |
0.10 |
0.95* |
39.58 |
One-way repeated measures ANOVA for mean change scores between each visit pre-to-mid Feeling Scale was statistically significant along a linear trend (P = 0.002). That is, the trend from 0.35 (visit 1) to 0.85 (visit 8) was statistically significant (P = 0.002).
One-way repeated measures ANOVA for mean change scores between each visit pre-to-post Feeling Scale was statistically significant along a linear trend (P = 0.008). That is, the trend from -0.35 (visit 1) to 0.95 (visit 8) was statistically significant (P = 0.002).
* Statistical significance (P < 0.05) when comparing the pre-vs.-post score for each visit in isolation.
|
Table 3. Comparison of mean change scores for the Arousal Scale during each visit (n = 20)
|
Visit
|
Mean Score
|
Mean Change Score
|
|
Pre
|
Mid
|
Post
|
Pre-to-Mid
|
Mid-to-Post
|
Pre-to-Post
P
value
|
Pre-to-Post % Change
|
1 |
2.60 |
2.95 |
2.70 |
0.35 |
0.25 |
*0.10 |
3.85 |
2 |
2.60 |
2.65 |
2.60 |
0.05 |
0.05 |
0 |
0 |
3 |
2.70 |
2.90 |
3.05 |
0.20 |
0.15 |
0.35 |
12.96 |
4 |
2.40 |
3.25 |
3.25 |
*0.85 |
0 |
*0.85 |
35.42 |
5 |
2.50 |
3.10 |
3.15 |
*0.60 |
0.05 |
*0.65 |
26.00 |
6 |
2.50 |
3.05 |
3.00 |
*0.50 |
0.05 |
*0.45 |
20.00 |
7 |
2.60 |
3.25 |
3.40 |
*0.65 |
0.15 |
*0.8 |
30.77 |
8 |
2.20 |
3.00 |
2.95 |
*0.80 |
0.05 |
*0.75 |
34.09 |
One-Way Repeated Measures ANOVA for mean change scores between each visit pre-to-mid Arousal Scale was statistically significant along a linear trend (P = 0.009) and within-subjects (sphericity assumed-P = 0.02). That is, the trend from 0.35 (visit 1) to 0.8 (visit 8) was statistically significant (P = 0.009).
One-Way Repeated Measures ANOVA for mean change scores between each visit pre-to-post Arousal Scale was statistically significant along a linear trend (P = 0.05). That is, the trend from 0.1 (visit 1) to 0.75 (visit 8) was statistically significant (P = 0.05).
* Statistical significance (P < 0.05).
|
Figure 2. Mean affective circumplex change scores across the 8 visits. Each individual change score represents the post-exercise minus pre-exercise affect change score for each distinct affect parameter across each respective visit. With regard to the significant pre-post change scores for the individual visits, statistical significance was observed for happy (visit 4: P = 0.05; visit 5: P = 0.02; visit 8: P = 0.03), excited (visit 1: P = 0.001; visit 7: P = 0.01; visit 8 P = 0.03), sad (visit 5: P = 0.05), anxious (visit 1: P=0.05; visit 7: P = 0.01), and fatigued (visit 1: P = 0.03; visit 8: P = 0.002). Condition description: visit 1-Exercise Only; visit 2-Texting Only; visit 3-Preferred Call; visit 4- Imposed Call; visit 5-Preferred Music; visit 6-Imposed Music; visit 7-Preferred Video; visit 8-Imposed Video.
Figure 3. Values for heart rate were recorded during exercise across the 8 visits. Each individual data point represents the mean recorded heart rate for the midpoint of the treadmill walk (dark gray line) and endpoint of the treadmill walk (light gray line). Condition description: visit 1-Exercise Only; visit 2-Texting Only; visit 3-Preferred Call; visit 4- Imposed Call; visit 5-Preferred Music; visit 6-Imposed Music; visit 7-Preferred Video; visit 8-Imposed Video.
We employed a 2 (time; pre/post) x 8 (conditions) repeated measures analysis of variance (ANOVA) to identify whether a group x time interaction effect was observed (using SPSS v.23). Following this, we computed a one-way repeated measures ANOVA for mean change scores between each visit regarding pre-to-mid and pre-to-post FS, FAS, and Affective Circumplex (pre-post only). For all analyses, statistical significance was established as a nominal alpha of 0.05. The multiple analytic assessments increase the likelihood of committing a type I research error. However, we decided not to correct for multiple comparisons, as the number of type I errors cannot decrease without increasing the risk of making a type II error.29,30 Further, the theoretical assumption behind correction for multiple testing is that all null hypotheses are true simultaneously,29 which was not of interest in our study.