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Why so unfit?: Assessing potential barriers to exercise adoption in middle-aged men
(The Author(s), 10/02/2005) Towers AJ; Flett RA; Seebeck RF; Towers, AJ; Flett, RA; Seebeck, RF
Compared to women, men:  have a higher mortality rate  consistently die younger  are more susceptible to sedentary-lifestyle related diseases (e.g., cardiovascular disease)  are more likely to engage in behaviours that increase risk of injury, disease, or death  are less likely to seek help with physical health. Despite these statistics, the amount of literature devoted to women’s health in the past two decades still greatly exceeds that devoted to men’s health. The result is that we actually know very little about what influences men’s health behaviours. Introduction We utilised the transtheoretical model of exercise behaviour change to determine the pattern of exercise adoption in middle-aged men. We also analysed whether this pattern was influenced by three potential barriers to exercise: poor self-rated health, low levels of internal health locus of control, and high perceived stress levels. Hypotheses Compared to participants in the last stage of change (maintenance), it was hypothesised that participants in the first stage of exercise change (precontemplation) would have:  lower self-efficacy  less concern over the pros of exercise  more concern over the cons of exercise  poorer self-rated health  higher levels of perceived stress  lower levels of internal health locus of control [From Introduction]
Cannabis use and disorder transitions among a mixed community sample of at-risk adolescents and adults: A prospective New Zealand study
(Bentham Open, 29/11/2013) Bashford J; Copeland J; Flett RA
Introduction and Aims: The trajectories of cannabis use disorder (CUD) require more comprehensive delineation to expedite recognition of incubating dependence among high-risk users. This study examined baseline cannabis use and CUD over 12 months using DSM-IV/ICD10 diagnoses to distinguish transition groups. Design and Methods: In a prospective naturalistic design, 194 heterogeneous cannabis users (128 adolescents, 66 adults) aged 13-61 years were voluntarily recruited and assessed at baseline, and then re-assessed 12-months later. Results: Most participants met criteria for a baseline CUD (70% dependence, 20% abuse), 12 adolescents were 'diagnostic orphans', and 5 symptom-free. At follow-up, 25% adolescents reported using less, 6% the same level, and 69% using more cannabis. Significantly increased symptoms and dependence severity were reported, with no adolescent/adult differences evident. Three diagnostic transition groups were identified. While 84% adolescents (n=108) remained stable, 5% (n=7) had improved, 10% (n=13) had deteriorated. ‘Deteriorators’ scored significantly higher than ‘improvers’ on cannabis use, symptoms, and dependence severity measures. A subjective loss of control over cannabis use was among the earliest DSM-IV features among younger users on a trajectory towards dependence. Most participants (79%) anticipated difficulty trying to reduce/quit their use. Discussion and Conclusions: Younger adolescents can rapidly develop cannabis dependence, reporting similar and equally severe symptoms as longer-term adult users. Impaired control over use occurs early in trajectories towards dependence. The seeming intractability of problematic cannabis use calls for concerted cannabis screening and early intervention (SEI) efforts at an earlier age to avert or reduce harmful consequences of cannabis use in the community.
Influential factors moderating academic enjoyment/motivation and psychological well-being for Maori university students at Massey University
(New Zealand Psychological Society, 2005) Gavala JR; Flett RA
Perceptions of stress and discomfort in the university environment and the relation between these perceptions and academic enjoyment/motivation and psychological well-being were examined in a sample of 122 Maori psychology students at Massey University. The moderating effects of perceived control and cultural identity were also considered. Major findings were that: (a) individuals reporting high stress, more feelings of discomfort at university, and a lower sense of academic control, were significantly more likely to be experiencing a lowered sense of well-being, and reduced feelings of academic enjoyment and motivation; (b) under conditions where there is a high sense of academic control, those with a high sense of comfort with university report significantly higher well-being that those with low comfort; (c) there were no moderating effects of cultural identity. Providing a comfortable academic environment that students' perceive as culturally-congruent increases perceived psychological well-being and academic enjoyment and motivation.
Stages of change for fruit and vegetable intake and dietary fat modification in Maori women: Some relationships with body attitudes and eating behaviours
(New Zealand Psychological Society, 2005) Tassell NA; Flett RA
We examined the influence of psychological factors (social physique anxiety, dietary self-efficacy), difficulties associated with making dietary changes and food security on stages of change for dietary fat reduction and increased fruit and vegetable intake in a non-probability convenience sample of New Zealand Maori women (N = 111) recruited through several acquaintanceship networks of the first author. We found that dietary fat intake, dietary self-efficacy and difficulties associated with changing fruit intake were significantly related to the stages of change for both dietary fat intake reduction and increased fruit and vegetable intake. In addition, difficulties associated with reducing dietary fat intake were significantly related to the stages of change for dietary fat intake reduction. As one moved along the change continuum, dietary fat intake and barriers associated with dietary change steadily reduced, whilst dietary self-efficacy increased. Sixty eight percent of the sample were categorised as either overweight or obese, and these participants reported significantly more anxiety and lower self-efficacy. Discussion focussed on the applicability of the study variables in the implementation of dietary related interventions for Maori women.
Predictors of health care utilisation in community dwelling New Zealand Māori
(University of Papua New Guinea and Massey University School of Psychology, 2004) Flett RA; Hirini PR; Long NR; Millar M
Frequency of traumatic events, physical and psychological health among Maori
(New Zealand Psychological Society, 2005) Hirini PR; Flett RA; Long NR; Millar M
We examined the lifetime prevalence of 12 traumatic experiences (combat, child sex abuse, sexual abuse as an adult, family violence, other physical assault, theft by force, vehicle accident, other accident, natural disaster, disaster precautions, traumatic death (secondary trauma) and the links between these experiences and physical and mental health, via a cross sectional survey of 502 community dwelling New Zealand Maori adults. We found that the overall frequency with which such events occur in this group to be relatively high. Males were significantly more likely than females to report experience of combat, physical assault, theft by force, vehicle accident and other forms of accident. Females were significantly more likely to report sexual abuse as a child or adult, violence at the hands of a family member, and a traumatic death of a loved one. Younger respondents and those living in urban areas also reported more traumatic experiences of various sorts. There were some significant linkages between traumatic experiences and mental health (specifically PTSD, and the well-being scale of the MHI) but the size of the effects were small. We argue, that despite methodological limitations, these data are instructive about the frequency and impact of traumatic events among this group.
Obsessive passion as an explanation for burnout: An alternative theoretical perspective applied to humanitarian work
(Australian Academic Press, 2007) Tassell NA; Flett RA
Burnout is an occupationally based syndrome that develops as a result of prolonged and cumulative stress. The experience of burnout has been documented in detail in a variety of human service professions. The purpose of this article is two-fold: to provide an alternative theoretical perspective on the development of burnout, which suggests it is not stressors per se that are responsible for burnout development; and, to use this alternative perspective as an explanation for burnout in the context of another human service profession — humanitarian work. Using the passion for activities notion conceptualised by Vallerand and colleagues (2003), it is explained how a lack of self-determination and autonomy leads to the development of an obsessive passion for an activity. Obsessive passion is linked to a variety of adverse cognitive and affective outcomes. This is then applied to the domain of humanitarian work, and it is suggested individuals with an obsessive passion are more likely to suffer adverse outcomes and consequently develop burnout when working in humanitarian crises. Some suggestions for future theoretical and empirical investigations regarding the relationship between obsessive passion and burnout are provided. © 2007, Cambridge University Press. All rights reserved.
Research ethics: A New Zealand perspective
(3/07/2013) Flett RA
Motivation in humanitarian health workers: A self-determination theory perspective
(Routledge, 2011) Tassell N; Flett RA
This paper emerged from the authors' interest in why humanitarian health workers initially engage and remain in humanitarian work, often in the face of threats to safety and personal well-being. Semi-structured qualitative interviews assessed the consciously available reasons why individuals engaged in humanitarian health work. Interview data was unpacked through a thematic analysis. Using self-determination theory as a guiding framework, data suggested introjected and identified motivations are applicable to this occupational domain. Introjected motivation is implicated in initial reasons to engage the work, while identified motivation is implicated in reasons to continue. Theoretical and practical implications of these findings are discussed.
The decision appraisal model of regret
(11/11/2005) Towers AJ; Flett RA; Hill SR

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