scholarly journals Self-Efficacy to Engage in Physical Exercise and Walking Ability Best Predicted Exercise Adherence after Stroke

2020 ◽  
Vol 2020 ◽  
pp. 1-6 ◽  
Author(s):  
Lívia C. G. Caetano ◽  
Bruna D. Pacheco ◽  
Giane A. R. Samora ◽  
Luci F. Teixeira-Salmela ◽  
Aline A. Scianni
Keyword(s):  
Physical Activity ◽  
Physical Exercise ◽  
Self Efficacy ◽  
Walking Speed ◽  
Exercise Adherence ◽  
Chronic Stroke ◽  
Walking Ability ◽  
Independent Variables ◽  
Exercise Preference ◽  
Mean Time

Aim. To describe exercise preferences and to investigate the contribution of exercise preferences, walking ability, and current levels of physical activity in predicting exercise adherence in individuals with chronic stroke. Methods. For this exploratory study, exercise adherence was measured using the first question of the first section of the Exercise Preference Questionnaire (stroke)-Brazil (EPQ (stroke)-Brazil). Nine independent variables were included as potential predictors of exercise adherence: the seven factors of the EPQ (stroke)-Brazil, walking speed, and level of physical activity. Results. Participated 93 individuals with stroke, who had a mean age of 62 (SD 12) years and a mean time since the onset of the stroke of 58 (SD 67) months. The most preferable exercise was walking. Logistic regression analysis revealed that self-efficacy to engage in physical exercise and walking ability predicted and explained 80% of the variance in exercise adherence. Conclusion. The findings showed that feeling able to perform physical exercise and having higher walking ability predicted higher exercise adherences in individuals with chronic stroke. The knowledge of potential contributors to exercise adherence may help in designing exercise programs for individuals with stroke.

scholarly journals Physical Activity Behavior in Individuals With Secondary Progressive Multiple Sclerosis

2007 ◽  
Vol 9 (4) ◽  
pp. 139-142 ◽  
Author(s):  
Robert W. Motl ◽  
Erin M. Snook ◽  
Daniel Wynn
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Self Efficacy ◽  
Physical Activity Behavior ◽  
Progressive Multiple Sclerosis ◽  
Secondary Progressive Multiple Sclerosis ◽  
Walking Ability ◽  
Activity Levels ◽  
Secondary Progressive ◽  
The Difference

This study compared the physical activity levels of individuals with secondary progressive multiple sclerosis (SPMS) with those of people with relapsing-remitting multiple sclerosis (RRMS). Symptoms, walking ability, and self-efficacy were examined as explanations for the possible difference in physical activity, after controlling for age and time since MS onset. The sample included 41 individuals with SPMS and 82 with RRMS who completed a demographics scale and self-reported measures of physical activity, self-efficacy, symptoms, and walking ability. Individuals with SPMS were older, had a longer time since MS onset, and reported less physical activity and self-efficacy and more frequent symptoms and problems with walking than those with RRMS. Self-efficacy and walking ability accounted for the difference in physical activity between the groups, and self-efficacy was the strongest correlate of physical activity in the SPMS sample. Future researchers should consider developing and testing interventions that target self-efficacy as a modifiable factor within the exercise environment to increase physical activity in people with SPMS.

scholarly journals The Role of Perceived Energy and Self-Beliefs for Physical Activity and Sports Activity of Patients With Multiple Sclerosis and Chronic Stroke

2021 ◽  
Vol 11 ◽  
Author(s):  
Julia Schüler ◽  
Wanja Wolff ◽  
Julian Pfeifer ◽  
Romina Rihm ◽  
Jessica Reichel ◽  
...  
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Self Efficacy ◽  
Neurological Diseases ◽  
Chronic Stroke ◽  
Self Control ◽  
World Health ◽  
Negative Consequences ◽  
Sports Activity ◽  
Health Organization

Physical activity counteracts some of the negative consequences associated with chronic neurological diseases. Here, we describe the levels of physical activity (PA) and sports activity (Sport) in patients with multiple sclerosis (pMS, n = 59) and chronic stroke (pStroke, n = 67) and test compliance with the recommendation for health-promoting physical activity of the World-Health Organization (WHO). Secondly, we tested for differences between the groups of patients, and thirdly, we examined relationships between PA and Sport with psychological indicators of perceived energy (fatigue and vitality) and self-beliefs (self-efficacy and self-control). Psychological constructs were assessed with validated measures from different disciplines in Psychology. A statistical aim was to describe interpretations gained by (non-) parametric Bayesian and Null-Hypothesis-Significance Testing statistics (NHST) on the example of the conducted tests for differences and relationships. Descriptive analyses revealed that pMS and pStroke complied with recommendations of the WHO, but with large variance indicating that patient groups are not homogenous. Tests for differences showed that the PA difference between pMS and pStroke can be attributed to the higher proportion of women in the pMS sample as they engage more in household chores (important part of PA). Tests for relationships showed that for pStroke, vitality, self-control, and self-efficacy were positively related to the level of sports activity. Furthermore, pStroke who were sport active had lower fatigue and higher self-control and self-efficacy scores than sport inactive people. Although they address slightly different questions, the Bayesian and the NHST approach led to similar general conclusions.

Enhancing physical activity adherence and well-being in multiple sclerosis: a randomised controlled trial

2007 ◽  
Vol 13 (5) ◽  
pp. 652-659 ◽  
Author(s):  
E. McAuley ◽  
R.W. Motl ◽  
K.S. Morris ◽  
L. Hu ◽  
S.E. Doerksen ◽  
...  
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Randomised Controlled Trial ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Exercise Adherence ◽  
Well Being ◽  
Exercise Condition ◽  
Physical Activity Adherence ◽  
Randomised Controlled

Individuals with multiple sclerosis (MS) are more sedentary than the general population, increasing their propensity for reduced functional ability, mobility, and activities of daily living. Self-efficacy has been one of the most consistent determinants of physical activity across populations, including those with MS. However, no studies exist that have attempted to influence self-efficacy in MS patients, in an effort to improve physical activity participation. We conducted a three-month randomised, controlled trial (n = 26), contrasting the effects of an efficacy-enhancement exercise condition and a control exercise condition on exercise adherence, well-being, and affective responses to exercise. Analyses indicated that individuals in the efficacy enhancement condition attended more exercise sessions, reported greater levels of well-being and exertion, and felt better following exercise than individuals in the standard care condition. Regardless of treatment condition, individuals with a stronger sense of exercise self-efficacy, who reported more enjoyment following the exercise sessions, demonstrated significantly greater adherence with the exercise program. We believe this to be the first empirical attempt to change physical activity behavior in persons with MS using a well-established theoretical framework to drive the intervention. Continued examination of self-efficacy as a determinant of behavior change in individuals with MS is needed. Multiple Sclerosis 2007; 13: 652-659. http://msj.sagepub.com

scholarly journals The Influential factors of Adherence to Physical Activity and Exercise among Community-Dwelling Stroke Survivors: A Path Analysis

2020 ◽  
Author(s):  
Beilei Lin ◽  
Zhenxiang Zhang ◽  
Yongxia Mei ◽  
Wenna Wang ◽  
Lamei Liu ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Support ◽  
Path Analysis ◽  
Health Care Professionals ◽  
Self Efficacy ◽  
Exercise Adherence ◽  
Influential Factors ◽  
Community Dwelling ◽  
Stroke Survivors ◽  
Physical Activity And Exercise

Abstract Background: Regular physical activity and exercise (PAE) after stroke is essential, but the adherence to PAE and its influential factors is rarely studied and unclear in developed countries. The aim of this study was to investigate the status of PAE adherence, and to identify its influential factors among Chinese community-dwelling stroke survivors.Methods: A cross-sectional study was conducted, 208 stroke survivors were randomly selected from three communities (60.10% men, mean age 70.25 ± 9.08 years). Physical Activity and Exercise Adherence Scale (PAEAS) was used as a measure of compliance, knowledge, attitude, self-efficacy and social support were measured using relevant scales. Influential factors of PAE adherence and associations between those variables were explored using multiple linear regression and path analysis.Results: The mean adherence rate was moderate (62.0%), stroke survivors tended to be more adherent to do PAE than monitoring and seeking advices (70.30% > 53.50% > 48.30%). Regression results revealed that seven factors significantly associated with PAE adherence, including knowledge, attitude, self-efficacy, social support, self-care ability, community rehabilitation experience, and times since stroke (R2 = 75.10%, F = 45.593, p < 0.05). Furthermore, path analysis showed that knowledge had a significant indirect positive influence with self-efficacy as a mediator on adherence (β= 0.16, p < 0.05); while attitude and social support impacted both directly and indirectly on adherence with self-efficacy as the mediator; what’s more, self-efficacy was an important predictor that performed the strongest direct effect on community-dwelling stroke survivors’ PAE adherence (β= 0.44, p < 0.01 ). These four variables accounted for a total of 67.00% of the variance of PAE adherence among community-dwelling stroke survivors.Conclusions: Physical activity and exercise adherence of community stroke survivors is needed to be improved. Attitude and social support presented both direct and indirect impacts on PAE adherence through self-efficacy, while knowledge only exhibited an indirect influencing effect on adherence. Health care professionals should administer a more comprehensive and systematic assessment to seek to improve self-efficacy through the development of effective interventions for promoting adherence to PAE in this population.

Sign in / Sign up

Export Citation Format

Share Document