The Role of Symptoms and Self-Efficacy in Predicting Physical Activity Change Among Older Adults With Arthritis

Background:Physical and psychological symptoms limit physical activity for people with arthritis. This study examined if self-efficacy mediated a relationship between symptom and physical activity (PA) frequency change.Methods:This was a secondary analysis of older adults with arthritis and joint pain in a trial of a lifestyle PA program (n = 339). Measures were depressive symptoms, pain, fatigue, arthritis self-efficacy, PA self-efficacy, and PA frequency. A panel model was used to analyze relationships at baseline and changes at 20 weeks.Results:The mean age was 68.8 years. At baseline, depression and fatigue were associated with arthritis self-efficacy (β = –.34 and –.24) and, in turn, PA self-efficacy (β = .63); PA self-efficacy was associated with PA (β = .15). Pain and depression changes were associated with arthritis self-efficacy change (β = –.20 and –.21) and, in turn, PA self-efficacy (β = .32) change; PA self-efficacy change was associated with PA change (β = .36).Conclusion:Change in symptom severity affected change in PA frequency. These relationships appeared to operate through self-efficacy. Over time, pain appeared to have a stronger relationship than fatigue with self-efficacy and PA. These findings support strategies to help people with arthritis strengthen their confidence for symptom coping and PA participation.

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Self-Efficacy, Action Control, and Social Support Explain Physical Activity Changes Among Costa Rican Older Adults

Journal of Physical Activity and Health ◽

10.1123/jpah.2013-0175 ◽

2014 ◽

Vol 11 (8) ◽

pp. 1573-1578 ◽

Cited By ~ 14

Author(s):

Benjamin Reyes Fernández ◽

Esteban Montenegro Montenegro ◽

Nina Knoll ◽

Ralf Schwarzer

Keyword(s):

Physical Activity ◽

Social Support ◽

Older Adults ◽

Self Efficacy ◽

Action Control ◽

Costa Rican ◽

Activity Levels ◽

High Social Support ◽

Moderator Role

Background:Self-efficacy, action control, and social support are considered to influence changes in physical activity levels in older adults. This study examines the relationship among these variables and explores the putative mediating and moderating mechanisms that might account for activity changes.Methods:A longitudinal study with 54 older adults (≥ 50 years of age) was carried out in Costa Rica. In a moderated mediation analysis, action control was specified as a mediator between self-efficacy and physical activity, whereas social support was specified as a moderator between self-efficacy and action control. Baseline physical activity, age, and sex were specified as covariates.Results:Action control mediated between self-efficacy and physical activity. An interaction between social support and self-efficacy on action control pointed to a synergistic effect at the first stage of the mediating process.Conclusions:The effect of self-efficacy on physical activity was partly explained by action control, providing evidence of action control as a proximal mediator of physical activity. Moreover, the moderator role of social support was confirmed: high social support appeared to compensate for low levels of self-efficacy.

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Physical Activity and Fatigue in Breast Cancer Survivors: A Panel Model Examining the Role of Self-efficacy and Depression

Cancer Epidemiology Biomarkers & Prevention ◽

10.1158/1055-9965.epi-12-0983 ◽

2013 ◽

Vol 22 (5) ◽

pp. 773-781 ◽

Cited By ~ 32

Author(s):

Siobhan M. Phillips ◽

Edward McAuley

Keyword(s):

Breast Cancer ◽

Physical Activity ◽

Cancer Survivors ◽

Self Efficacy ◽

Breast Cancer Survivors ◽

Panel Model

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The role of self-efficacy in the adoption and maintenance of a home-based physical activity program in older adults with memory complaints

Journal of Science and Medicine in Sport ◽

10.1016/j.jsams.2009.10.395 ◽

2010 ◽

Vol 12 ◽

pp. e188-e189

Author(s):

K. Cox ◽

N. Lautenschlager ◽

L. Flicker ◽

K. Greenop ◽

J. Hendriks ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Self Efficacy ◽

Physical Activity Program ◽

Memory Complaints ◽

Activity Program ◽

Home Based ◽

With Memory

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The Role of Social Support and Self-Efficacy in Shaping the Leisure Time Physical Activity of Older Adults

Journal of Leisure Research ◽

10.1080/00222216.2007.11950129 ◽

2007 ◽

Vol 39 (4) ◽

pp. 705-727 ◽

Cited By ~ 60

Author(s):

Elizabeth M. Orsega-Smith ◽

Laura L. Payne ◽

Andrew J. Mowen ◽

Ching-Hua Ho ◽

Geoffrey C. Godbey

Keyword(s):

Physical Activity ◽

Social Support ◽

Older Adults ◽

Self Efficacy ◽

Leisure Time ◽

Leisure Time Physical Activity

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Older Adults’ Adherence to Technology-Based Intervention: The Role of Messaging and Individual Differences

Innovation in Aging ◽

10.1093/geroni/igaa057.1821 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 555-555

Author(s):

Walter Boot ◽

Nelson Roque ◽

Erin Harrell ◽

Neil Charness

Keyword(s):

Older Adults ◽

Individual Differences ◽

Health Behaviors ◽

Individual Difference ◽

Cognitive Training ◽

Self Efficacy ◽

Message Framing ◽

Training Intervention ◽

Home Technology

Abstract Adherence to health behaviors is often poor, including adherence to at-home technology-based interventions. This study (N=120) explored adherence to a cognitive training intervention delivered via computer tablet, assessed adherence over a 4.5 month period, explored how individual difference factors shaped adherence, and tested the efficacy of message framing manipulations (positive vs. negative framing) in boosting adherence. Individual difference factors predicted adherence, including variations in self-efficacy and belief in the efficacy of cognitive training. Overall message framing had little impact. However, during the final portion of the study in which participants were asked to play as much or as little as they wanted instead of following a schedule, participants who received positively framed messages engaged with the intervention more. Implications for predicting and boosting adherence to home delivered technology-based interventions will be discussed.

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The Role of Physical Activity and Sedentary Behavior in Predicting Daily Pain and Fatigue in Older Adults: a Diary Study

Annals of Behavioral Medicine ◽

10.1007/s12160-017-9921-1 ◽

2017 ◽

Vol 52 (1) ◽

pp. 19-28 ◽

Cited By ~ 7

Author(s):

Saengryeol Park ◽

Cecilie Thøgersen-Ntoumani ◽

Jet J C S Veldhuijzen van Zanten ◽

Nikos Ntoumanis

Keyword(s):

Physical Activity ◽

Older Adults ◽

Sedentary Behavior ◽

Diary Study ◽

Daily Pain

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Neighborhood walkability and health outcomes among older adults: The mediating role of physical activity

Health & Place ◽

10.1016/j.healthplace.2015.11.003 ◽

2016 ◽

Vol 37 ◽

pp. 16-25 ◽

Cited By ~ 29

Author(s):

Jelle Van Cauwenberg ◽

Veerle Van Holle ◽

Ilse De Bourdeaudhuij ◽

Delfien Van Dyck ◽

Benedicte Deforche

Keyword(s):

Physical Activity ◽

Older Adults ◽

Health Outcomes ◽

Neighborhood Walkability ◽

Mediating Role

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The relationship between psychosocial factors and reported disability: The role of pain self-efficacy

10.21203/rs.3.rs-736799/v1 ◽

2021 ◽

Author(s):

Antonio Varela

Keyword(s):

Physical Activity ◽

Chronic Pain ◽

Low Back Pain ◽

Psychosocial Factors ◽

Self Efficacy ◽

Pain Catastrophizing ◽

Low Back ◽

Mediating Role ◽

The Relationship

Abstract Background Chronic pain in all its forms and the accompanying level of disability is a healthcare crisis that reaches epidemic proportions and is considered a world level crisis. Chronic non-specific low back pain contributes a significant proportion of chronic pain. Specific psychosocial factors and their influence on reported disability in a chronic non-specific low back pain (CNLBP) population was researched. Methods Psychosocial factors examined include fear, catastrophizing, depression, and pain self-efficacy. This cross-sectional correlational study examined the mediating role between pain self-efficacy and the specific psychosocial factors with reported disability. The study included 90 participants with CNLBP between 20 and 60 years of age. Participants completed the Fear Avoidance Belief Questionnaire, The Pain Catastrophizing Scale, The Patient Health Questionnaire-9, The Pain Self-Efficacy Questionnaire, and The Lumbar Oswestry Disability Index to measure fear of physical activity, pain catastrophizing, depression, pain self-efficacy, and reported disability, respectively. The study used multivariate regression and mediation analyses. Results The principal finding of the study was a strong inverse relationship between pain self-efficacy and reported disability. Further, pain self-efficacy was considered a statistic mediator for all psychosocial factors investigated within this data set. Pain self-efficacy was strongly considered to have a mediating role between reported fear of physical activity and disability, reported pain catastrophizing and disability, and reported depression and disability. Additionally, adjusting for age and reported pain levels proved to be statistically significant, and it did not alter the role of pain self-efficacy. Conclusion The results identified that pain self-efficacy had a mediating role in the relationship between the specific psychosocial factors of fear, catastrophizing, and depression and reported disability. Pain self-efficacy plays a more significant role in the relationships between specific psychosocial factors and reported disability with CNLBP than previously considered.

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