Piloting the efficacy of a home-based telehealth movement-to-music program for increasing physical activity participation among adolescents with cerebral palsy: protocol for a randomized controlled trial (Preprint)

2020 ◽  
Author(s):  
Byron Lai ◽  
Laura Vogtle ◽  
Yumi Kim ◽  
Huacong Wen ◽  
Marissa Gowey ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Cognitive Theory ◽  
Social Cognitive ◽  
Mixed Model ◽  
Cognitive Theory ◽  
Controlled Trial ◽  
Physical Activity Participation ◽  
Activity Participation ◽  
Mobility Limitations ◽  
Home Based

BACKGROUND For adolescents with cerebral palsy (CP) who have mobility limitations, particularly wheelchair users, there are no accessible, inexpensive, and enjoyable home-based programs that can be disseminated on a large-scale to help them independently manage their health through participation in physical activity. OBJECTIVE The primary aim will be to efficacy of a 4-week movement-to-music (M2M) program for increasing physical activity participation compared with a waitlist control group in adolescents with CP. The secondary aim will explore Social Cognitive Theory constructs as potential predictors of change in physical activity levels among participants, to understand the mechanisms through which physical activity changes. The tertiary aim will explore the potential effects of M2M on self-reported levels of two common secondary conditions: pain and fatigue. METHODS This randomized controlled trial will pilot a home-based procedure for implementing a M2M program with behavioral coaching among 68 adolescents with CP who walk or use wheelchairs. Participants will be randomized into one of two groups: a) M2M or b) waitlist control. Waitlist participants will be instructed to maintain their daily activities and will receive the M2M program after completing the 4-week non-intervention period. The M2M program will be packaged into a compilation of video playlists that will be performed by participants three times each week at the home. Outcomes will be measured via questionnaires that will be sent to the participant’s home at baseline and post-intervention. Changes in physical activity participation will be measured via the Children’s Assessment of Participation and Enjoyment. Measured constructs within Social Cognitive Theory will include self-efficacy, goal-setting, self-control, and outcome expectations. Perceived pain, fatigue, and strength will be measured via National Institutes of Health Neuro-QoL and PROMIS pediatric short forms. RESULTS A 2x2 mixed model analysis of variance will be used to examine changes in physical activity. Appropriate regression analyses will be used to associate changes in physical activity scores on Social Cognitive Theory variables. Changes in pain and fatigue levels will be examined using 2x2 mixed model analysis of variance. CONCLUSIONS To date, there is no program that can be easily disseminated by health professionals across multiple sites and settings to promote physical activity among adolescents with CP who have mobility limitations. A low-cost M2M video program that is supplemented with behavioral change strategies has the potential to address this need. This project will determine the efficacy of M2M for increasing physical activity behavior among adolescents with CP, which will determine whether M2M requires further CP-specific modifications before it can be implemented in a larger effectiveness trial. CLINICALTRIAL ClinicalTrials.gov NCT04264390

Physical Activity Participation: Social Cognitive Theory versus the Theories of Reasoned Action and Planned Behavior

1990 ◽  
Vol 12 (4) ◽  
pp. 388-405 ◽  
Author(s):  
David A. Dzewaltowski ◽  
John M. Noble ◽  
Jeff M. Shaw
Keyword(s):  
Physical Activity ◽  
Social Cognitive Theory ◽  
Planned Behavior ◽  
Perceived Control ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Reasoned Action ◽  
Physical Activity Participation ◽  
Activity Participation ◽  
The Social

Social cognitive theory and the theories of reasoned action and planned behavior were examined in the prediction of 4 weeks of physical activity participation. The theories of reasoned action and planned behavior were supported. Attitude and perceived control predicted intention, and intention predicted physical activity participation. The social cognitive theory variables significantly predicted physical activity participation, with self-efficacy and self-evaluation of the behavior significantly contributing to the prediction. The greater the confidence in participating in physical activity and the greater the satisfaction with present physical activity, the more physical activity performed. Hierarchical regression analyses indicated that perceived control and intentions did not account for any unique variation in physical activity participation over self-efficacy. Therefore the social cognitive theory constructs were better predictors of physical activity than those from the theories of reasoned action and planned behavior.

scholarly journals Role of Suppressor Variables in Primary Prevention Obesity Research: Examples from Two Predictive Models

ISRN Obesity ◽  
2014 ◽  
Vol 2014 ◽  
pp. 1-9
Author(s):  
Adam P. Knowlden
Keyword(s):  
Physical Activity ◽  
Social Cognitive Theory ◽  
Screen Time ◽  
Pediatric Obesity ◽  
Structural Equation ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Equation Modeling ◽  
Measurement Tool ◽  
Home Based

Pediatric obesity is a pertinent public health challenge. Child physical activity and screen time behaviors enacted within the context of the family and home environment are important determinants of pediatric obesity. The purpose of this study was to operationalize five, maternal-facilitated, social cognitive theory constructs for predicting physical activity and screen time behaviors in children. A secondary purpose was to elucidate the function of suppressor variables in the design and implementation of family- and home-based interventions seeking to prevent pediatric obesity. Instrumentation included face and content validity of the measurement tool by a panel of experts, test-retest reliability of the theoretical constructs, and predictive validity of the constructs through structural equation modeling. Physical activity and screen time were modeled separately according to the five selected social cognitive theory constructs. Data were collected from 224 mothers with children between four and six years of age. Specification indices indicated satisfactory fit for the final physical activity and screen time models. Through a series of four procedures, the structural models identified emotional coping and expectations as suppressor variables for self-efficacy. Suppressor variables can complement program design recommendations by providing a suggested ordering to construct integration within an intervention.

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.

Development and evaluation of a social cognitive theory-based instrument to assess correlations for physical activity among people with spinal cord injury

2018 ◽  
Vol 11 (1) ◽  
pp. 62-69 ◽  
Author(s):  
Jereme Wilroy ◽  
Lori Turner ◽  
David Birch ◽  
Deidre Leaver-Dunn ◽  
Elizabeth Hibberd ◽  
...  
Keyword(s):  
Physical Activity ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Social Cognitive Theory ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Cord Injury
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