Monday, April 9, 2012

Behavior Modification: Exercising for Technology

In this photo you can see 7 people, and 4 of them are on the telephone.  This rise in technology has also led to a rise in obesity levels among adolescents.  Photo Courtesy of flickr.com - U.S. National Archives



A study published in the Handbook of Children and Media reported that the average child watches over 40,000 commercials per year, and a majority of these commercials are food-based advertisements (Larwin).  The growing trend of obesity among adolescents has been an increasingly prominent issue in the American public domain over the past decade.  Obesity has recently become directly associated with overindulgence in technology, including cell phones and the Internet, and one study, Decreasing Excessive Media Usage While Increasing Physical Activity, attempted to quantify that stereotype’s validity by requiring participants to exercise to earn media usage.  The Decreasing Excessive Media Usage While Increasing Physical Activity study concluded that increased exercise was an effective alternative that helped decrease excessive media usage and could eventually lower obesity rates in adolescents, and forcing adolescents to exercise to earn media usage was an effective tool to test this theory.

In the past, many different studies attempted to create a link between rates of obesity and technology use, specifically television viewing, but none have yet to account for the rise of cell phone and the Internet use.  The Decreasing Excessive Media Usage While Increasing Physical Activity study attempted to combine techniques found in several studies conducted by Jason & Johnson in the 1990s which attempted to lower media exposure through participating in alternate activities, and also the 1999 study conducted by Jason & Brackshaw that tried to specifically focus exercise as the target activity to replace media use (Larwin).  The end result was a single-subject experiment where the subject was required to earn cell phone and Internet usage through specific physical exercise activities.

A fourteen year old adolescent female who was advised by both her physician and counselor to exercise more often to replace excessive media usage and eventually lower her obesity level was the subject of the study.  A seven week behavior change program was created for the subject so that the weight level changes were solely dependent on exercise amounts rather than dietary practices. Rather than allowing any form of physical activity as an alternative, the study specified the Bowflex TreadClimber as the target behavior that would be measured in miles walked (Larwin).  The procedure of the experiment also required one of the parents to serve as a coach and another research assistant to assist in implementing the program and recording data. 

A three phase treatment procedure was used for the seven week experiment to help determine the separate effects of cell phone versus Internet reinforcement.  Since the participant was working to earn her usage, the first two weeks were used as a baseline stage to monitor physical activity data without motivation.  The next third and fourth weeks were known as the Phase 1 treatment stage, where the subject’s exercise amounts were rewarded with Internet usage, and not cell phone use.  The final three weeks fell under the Phase 2 treatment stage, where the subject exercised solely for the gain of time for cell phone usage.  For each mile exercised on the Bowflex TreadClimber, the subject earned an exact amount of time she could then spend on using whatever treatment technology was being measured.  In addition, an increasing required distance of walking was added to maintain the motivation of the subject as well as an increased difficulty to the target behavior.

Results of the experiment were found by comparing the number of miles walked, speed of walking (mph), and the subject’s BMC between the baseline and two phases of treatment.  During the 14-day baseline period, the subject never willingly used the TreadClimber, not even once.  However, the Phase 1 data found that the subject used the TreadClimber all fourteen days and that the subject walked around .98 miles per day.  The Phase 2 data showed an even greater in exercise increase than Phase 1, with the participant walking an average of 1.81 miles per day over the 21-day period.  Each Phase had a target exercise goal per day, with Phase 1 at a 1 mile goal and Phase 2 at a 1.5 mile goal.  The subject hit the Phase 1 goal 11 of the 14 days, and the participant even exceeded the goal twice and fell short once.  In regards to Phase 2, the subject actually hit the 1.5 mile per day goal 9 days, was above the criterion 10 days, and fell below only 2 times. 

The speed of walking was one of the other data points being compared for the experiment, and a consistently constant speed was found.  During the Phase 1 treatment, the subject began walking around 3.0 miles per hour, and eventually the subject hit 3.5 mph on average over the rest of Phase 1.  The Phase 2 results followed an increasing swing, with an average of 3.67 mph over the three week period, around the same average speed yet slightly higher due to a larger sample time period.  The final physical piece of data compared was the BMC, which decreased 3.2 lbs/in over the 7 week period.

The final, and arguably most important, statistic of note for the experiment was the mean daily usage of non-homework-related Internet and cell phone in minutes.  The baseline figures for the experiment were 38.64 minutes for Internet use and 63.21 minutes for cell phone use.  During the Phase 1 stage, the minutes dropped to 25.07 minutes for Internet and 41.71 minutes for the cell phone.  Finally, in the Phase 2 stage, the Internet use dropped down to 10.95 minutes and the cell phone dropped to 31.56 minutes.  The significance of these numbers is that the overall usage decrease over the 7 week experiment for both cell phone and Internet time.  Note that while each Phase focused on a specific activity to be reinforced, the other activity was freely available for use.  With this in mind, an overall decreased use in both of the media forms exemplifies a lowering in excessive technology usage while also adding physical activity levels, as well as lowering the BMC in the individual, showing a lowered obesity level.

The Decreasing Excessive Media Usage While Increasing Physical Activity study clearly exhibits the idea that increased exercise is an effective alternative to excessive technology usage, and that obesity levels can effectively be lowered in the process.  Using a single-subject design to the study, the researchers were able to generate a very structured and reliable experiment that was effective in both recording data and enabling this same data to lead to a reasonable conclusion.  The three phase study helped show that substituting physical activity for media usage is a possible solution for the childhood obesity issue, and that it is an available option in the search for healthy lifestyles for adolescents.

Work Cited


Larwin, Karen H., and David A. Larwin. "Decreasing Excessive Media Usage While Increasing Physical Activity : A Single-Subject Research Study." Behavior Modification. Behavior Modication, 10 June 2008. Thurs. 29 Mar 2012. <http://bmo.sagepub.com/content/32/6/938>.

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