Pilot Trial of a Social Cognitive Theory-Based Physical Activity Intervention Delivered by Nonsupervised Technology in Persons With Multiple Sclerosis

2015 ◽  
Vol 12 (7) ◽  
pp. 924-930 ◽  
Author(s):  
Yoojin Suh ◽  
Robert W. Motl ◽  
Connor Olsen ◽  
Ina Joshi
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Social Cognitive Theory ◽  
Behavioral Intervention ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Pilot Trial ◽  
Intervention Group ◽  
Self Report ◽  
Phone Calls

Background:Physical inactivity is prevalent in people with multiple sclerosis (MS) and this highlights the importance of developing behavioral interventions for increasing physical activity (PA) in MS. This pilot trial examined the efficacy of a 6-week, behavioral intervention based on social cognitive theory (SCT) delivered by newsletters and phone calls for increasing PA in persons with MS who were physically inactive and had middle levels of self-efficacy.Methods:The sample included 68 persons with relapsing-remitting MS who were randomly assigned into intervention and control groups. The intervention group received SCT-based information by newsletters and phone calls, whereas the controls received information regarding topics such as stress management over 6 weeks. Participants completed self-report of PA and social cognitive variables.Results:The intervention group had a significant increase in self-reported PA (d = 0.56, P = .02) over the 6 weeks, but the controls had a nonsignificant change (d = –0.13, P = .45). Goal setting was changed in the intervention group (d = 0.68, P ≤ .01) and identified as a significant mediator of change in self-reported PA.Conclusions:This study provides initial evidence for the benefit of a theory-based behavioral intervention for increasing PA in MS.

Social Cognitive Theory variables as correlates of physical activity in fatigued persons with multiple sclerosis

2021 ◽  
pp. 103312
Author(s):  
Brenda Jeng ◽  
Katie L.J. Cederberg ◽  
Trinh L. Huynh ◽  
Petra Silic ◽  
Catherine D. Jones ◽  
...  
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Social Cognitive Theory ◽  
Social Cognitive ◽  
Cognitive Theory

scholarly journals Social Cognitive Theory and Physical Activity in Older Adults with Multiple Sclerosis

2020 ◽  
pp. 0000-0000
Author(s):  
Jessica F. Baird ◽  
Stephanie L. Silveira ◽  
Robert W. Motl
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Older Adults ◽  
Social Cognitive Theory ◽  
Goal Setting ◽  
Self Efficacy ◽  
Behavioral Interventions ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Bivariate Correlation

Abstract Background: The expanding population of older adults with multiple sclerosis (MS) likely experience many of the same benefits of physical activity as younger and middle-aged adults with MS. However, participation in physical activity is exceedingly low in this particular segment of the MS population. This study examined variables from social cognitive theory (SCT) as correlates of physical activity in older adults with MS, as this might inform the subsequent development of behavioral interventions. Methods: Older adults with MS (≥60 years, N = 180) completed an online survey including demographics and clinical characteristics, SCT variables (exercise self-efficacy, exercise goal setting, social support, and outcome expectations), and physical activity (total physical activity (PA) and moderate-to-vigorous physical activity (MVPA)). Results: Bivariate correlation analyses indicated that all SCT variables were significantly associated with both PA and MVPA (all P values ≤ .001). Hierarchical linear regression analyses indicated that disability status was a significant correlate of PA (β = −0.48; R2 = 0.23) and MVPA (β = −0.44; R2 = 0.19) in Step 1; disability and self-efficacy were significant correlates of PA (disability β = −0.20; self-efficacy β = 0.59; R2 = 0.50) and MVPA (disability β = −0.16; self-efficacy β = 0.60; R2 = 0.47) in Step 2; and disability, self-efficacy, and exercise goal setting were significant correlates of PA (disability β = −0.21; self-efficacy β = 0.50; exercise goal setting β = 0.14; R2 = 0.55) and MVPA (disability β = −0.17; self-efficacy β = 0.51; exercise goal setting β = 0.15; R2 = 0.51) in Step 3. Conclusions: Our results suggest that behavioral interventions targeting self-efficacy and exercise goal setting as targets from SCT may be appropriate for increasing physical activity in older adults with MS.

Do physical activity and social cognitive theory variable scores differ across symptom cluster severity groups in multiple sclerosis?

2021 ◽  
pp. 101163
Author(s):  
Stephanie L. Silveira ◽  
Katie L.J. Cederberg ◽  
Brenda Jeng ◽  
E. Morghen Sikes ◽  
Brian M. Sandroff ◽  
...  
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Social Cognitive Theory ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Symptom Cluster

scholarly journals Examining Multilevel Environmental Correlates of Physical Activity Among Older Adults With Multiple Sclerosis

2020 ◽  
pp. 1-8
Author(s):  
Stephanie L. Silveira ◽  
Jessica F. Baird ◽  
Robert W. Motl
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Older Adults ◽  
Built Environment ◽  
Social Cognitive Theory ◽  
Self Efficacy ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Outcome Expectations ◽  
Health Behavior Change

Three hundred and sixty-three older adults with multiple sclerosis completed a cross-sectional study examining hierarchical correlates of physical activity using a social cognitive theory perspective within a social ecological model (i.e., built environment, social environment, and individual social cognitive theory variables). Hierarchical linear regression analyses were conducted, wherein significant associations were noted for built environment (i.e., land-use mix diversity and aesthetics) and physical activity in Step 1 (R2 = .09). Social and built environment were significant correlates in Step 2 (R2 = .15). Finally in Step 3, individual social cognitive theory variables (i.e., self-efficacy and outcome expectations) were the only significant correlates of total physical activity (R2 = .38). Results were comparable for health-promoting physical activity; however, self-efficacy was the only significant correlate in Step 3 (R2 = .36). This study provides guidance for researchers and practitioners on relevant targets for tailoring interventions for older adults with multiple sclerosis and supports an emphasis on self-efficacy as a primary predictor of health behavior change.

scholarly journals Social Cognitive Theory Correlates of Physical Activity in Inactive Adults with Multiple Sclerosis

2018 ◽  
Vol 20 (3) ◽  
pp. 129-135 ◽  
Author(s):  
Marcin Kacper Uszynski ◽  
Blathin Casey ◽  
Sara Hayes ◽  
Stephen Gallagher ◽  
Helen Purtill ◽  
...  
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Social Cognitive Theory ◽  
Self Efficacy ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Controlled Trial ◽  
Linear Regression Analysis ◽  
Significant Variable ◽  
Bivariate Correlation

Background: There is a growing body of evidence that physical activity (PA) improves symptoms of multiple sclerosis (MS). Despite the benefits of PA, people with MS are relatively inactive compared with their healthy counterparts. This study investigated associations between social cognitive theory (SCT) constructs and energy expenditure (EE) as an objective measure of PA in a sample of inactive people with MS. Methods: Participants (n = 65) completed several questionnaires and were assessed using standardized outcome measures as part of a cross-sectional analysis of baseline data from a randomized controlled trial (Step it Up). Results: The bivariate correlation analysis indicated that of all SCT constructs, only exercise self-efficacy was significantly correlated with EE (r = 0.297, P = .022). Multiple linear regression analysis found that exercise self-efficacy independently explained 9% of the variance in EE (R2 = 0.088). A model including exercise self-efficacy, exercise goal setting, exercise planning, and exercise benefits explained 17% of the variance in EE (F4,54 = 2.741, P = .038, R2 = 0.169). In this model, only exercise self-efficacy was significantly associated with EE scores (Exercise Self-Efficacy Scale β = .320, P = .016). Conclusions: The constructs of SCT explained little of the variance of objectively measured PA in a sample of inactive people with MS who volunteered for an exercise trial. The only significant variable was exercise self-efficacy, which confirms the importance of enhancing it through PA interventions.

Using social cognitive theory to explain physical activity in Iranian women preparing for pregnancy

2020 ◽  
Vol 60 (9) ◽  
pp. 1024-1031
Author(s):  
Ashraf Kazemi ◽  
Zahra Toghiyani ◽  
Nafisehsadat Nekoei-Zahraei
Keyword(s):  
Physical Activity ◽  
Social Cognitive Theory ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Iranian Women

Development and Evaluation of Social Cognitive Measures Related to Adolescent Physical Activity

2013 ◽  
Vol 10 (4) ◽  
pp. 544-555 ◽  
Author(s):  
Deborah L. Dewar ◽  
David Revalds Lubans ◽  
Philip James Morgan ◽  
Ronald C. Plotnikoff
Keyword(s):  
Physical Activity ◽  
Social Cognitive Theory ◽  
Goodness Of Fit ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Rank Order ◽  
Behavioral Strategies ◽  
Validity And Reliability ◽  
Cognitive Measures ◽  
Fit Index

Background:This study aimed to develop and evaluate the construct validity and reliability of modernized social cognitive measures relating to physical activity behaviors in adolescents.Methods:An instrument was developed based on constructs from Bandura’s Social Cognitive Theory and included the following scales: self-efficacy, situation (perceived physical environment), social support, behavioral strategies, and outcome expectations and expectancies. The questionnaire was administered in a sample of 171 adolescents (age = 13.6 ± 1.2 years, females = 61%). Confirmatory factor analysis was employed to examine model-fit for each scale using multiple indices, including chi-square index, comparative-fit index (CFI), goodness-of-fit index (GFI), and the root mean square error of approximation (RMSEA). Reliability properties were also examined (ICC and Cronbach’s alpha).Results:Each scale represented a statistically sound measure: fit indices indicated each model to be an adequate-to-exact fit to the data; internal consistency was acceptable to good (α = 0.63−0.79); rank order repeatability was strong (ICC = 0.82−0.91).Conclusions:Results support the validity and reliability of social cognitive scales relating to physical activity among adolescents. As such, the developed scales have utility for the identification of potential social cognitive correlates of youth physical activity, mediators of physical activity behavior changes and the testing of theoretical models based on Social Cognitive Theory.

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