Background
Methods
Design
Participants
Questionnaires
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Demographic information: age, gender, urban or rural location.
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The Connor-Davidson Resilience Scale (CD-RISC) [5]: a 25-item self-report five-point Likert scale, ranging from 0 (not true at all) to 4 (true nearly all the time) to items such as “I am able to adapt when changes occur”, designed to assess level of resilience with higher scores indicating higher resilience. The CD-RISC has a high level of internal consistency (Cronbach’s alpha = .89) and a high test-retest reliability (52.7–52.8).
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Symptom Checklist − 5 (SCL-5) [38]: a 5-item shortened version of the Hopkins Symptom Checklist, measuring anxiety, depression and their resulting adversity. The response options were measured on a four-point Likert scale from 1 (not at all) to 4 (very much) to statements such as, “In the last 14 days have you been bothered by feeling fearful?”, with the cut-off of 2 recommended as a valid predictor of mental distress. The SCL-5 has been shown to correlate well with the SCL-25 (r = 0.92). It is designed to screen for global psychiatric morbidity, namely anxiety and depression. The SCL-5 has good internal consistency (Cronbach’s alpha = .80).
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Mental Health Inventory (MHI) [39] consisting of 34 items designed to measure psychological well-being and distress on a 5-point Likert scale that ranges from 1 (all the time) to 5 (none of the time) to statements such as, “Did you feel depressed?”, quantified people’s mental health state during adversity. A higher score indicates better mental health. The MHI has a high level of internal consistency (Cronbach’s alpha = .93).
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Revised Life-Orientation Test – Revised (LOT-R) [40],is a 10 item life orientation test to assess people’s outlook on life measured on a 5-point Likert scale of 0 (strongly disagree) to 4 (strongly agree) to items such as, “I enjoy my friends a lot.”, with higher scores indicating a more pessimistic attitude. The correlation between the original and revised scale is .95. The LOT-R has an acceptable level of internal consistency (Cronbach’s alpha = .72)
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Physical activity was measured using the International Physical Activity Questionnaire short form (IPAQ-SF) [41‐43], assessing frequency, intensity and duration of physical activity in days and minutes; a higher self-reported score indicates a higher level of physical activity. The IPAQ has an acceptable level of internal consistency (Cronbach’s alpha = .73) and has been deemed suitable for national population-based prevalence studies of participation in physical activity.
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The Insomnia Severity Index (ISI) [44]. A 7-item measure in which participants respond to statements such as, ‘How satisfied/dissatisfied are you with your current sleep pattern?’. There are a variety of different scales of response, each raw score for the seven items is added to form a total score of sleep quality, the higher the total score, the higher the level of insomnia or lower the sleep quality. The ISI has an appropriate level of internal consistency (Cronbach’s alpha = .84) and a high test-retest reliability (0.84–1) and a strong positive correlation with the Pittsburgh sleep quality index.
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QOL was measured using the WHOQOL-BREF [45], a 26- question short version of the original WHOQOL-100 designed to assess QOL. The response options for each item are rated on a 5-point Likert scale from 1 to 5 to statements such as, “How satisfied are you with yourself?”. The questionnaire splits into four domains of QOL: physical health, psychological health, social relationships and environment, with two questions to reflect overall QOL and general health. Higher scores indicate higher QOL. The WHOQOL-BREF has a high level of internal consistency (Cronbach’s alpha = .89)
Procedure
Data analysis
Results
Variable descriptive statistics
Age | Exercise before lockdown | Exercise during lockdown | Exercise level change | Resilience | Quality of life | Mental health | Sleep | Life-orientation | |||||||
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Reducers | Maintainers | Progressors | Before lockdown | During lockdown | Before lockdown | During lockdown | Difference | Before lockdown | During lockdown | ||||||
Mean (SD) | 47.04 (± 18.98) | 2.45 (± .65) | 2.52 (± .65) | N/A | N/A | N/A | 70.2 (± 17.29) | 353.27 (± 46.83) | 339.15 (± 59.4) | 91.37 (± 18.08) | 86.81 (± 20.95) | 4.56 (± 16.1) | 5.91 (± 4.81) | 7.45 (± 6.72) | 25.34 (±6.26) |
Participant Number | N/A | N/A | N/A | 10 | 60 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Participant Percentage | N/A | N/A | N/A | 11.8 | 70.6 | 17.6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Resilience | Quality of life | Mental health | Sleep | Life-orientation | Exercise | |||||
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Before lockdown | During lockdown | Before lockdown | During lockdown | Before lockdown | During lockdown | Before lockdown | During lockdown | |||
Standard error of Kurtosis | .517 | .517 | .517 | .517 | .517 | .517 | .517 | .517 | .517 | .517 |
Kurtosis Statistic | 1.833 | .238 | −.244 | −.227 | −.068 | −.004 | .995 | .323 | −.445 | −.068 |
Standard error of skewness | .261 | .261 | .261 | .261 | .261 | .261 | .261 | .261 | .261 | .261 |
Skewness Statistic | −1.028 | −.679 | −.674 | −.685 | −2.49 | 0.726 | 0.261 | −.890 | −.75 | −1.01 |
Skewness Score | −3.94 | −2.6 | −2.58 | − 2.62 | −2.49 | 2.78 | 4.36 | −3.41 | −2.87 | −4.68 |