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.

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.

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.

Training teachers to implement physical activity: Applying social cognitive theory

2019 ◽  
Vol 78 (4) ◽  
pp. 464-475 ◽  
Author(s):  
Elizabeth A Hivner ◽  
Alicia M Hoke ◽  
Erica B Francis ◽  
Erik B Lehman ◽  
Grace W Hwang ◽  
...  
Keyword(s):  
Physical Activity ◽  
Elementary School ◽  
Teacher Training ◽  
Social Cognitive Theory ◽  
Self Efficacy ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
School Classroom ◽  
Teacher Self Efficacy ◽  
The Impact

Objective: To evaluate the impact of three types of social cognitive theory (SCT)-based elementary school classroom physical activity (PA) training on teachers’ implementation rates, attitudes, knowledge and behaviour. Design: Key stakeholder focus groups informed development of phase II which took the form of a randomised controlled trial of three different intensities of teacher training to conduct classroom-based PA sessions. Setting: The study was conducted over one school year (2016–2017), across four elementary schools in the USA. Methods: Researchers delivered professional development to teachers, focusing on effective methods for PA use in the classroom through three formats: webinar, in-person training and in-person with personalised assistance. Training content was built on SCT constructs. This study examined the impact of the PA training on SCT construct outcomes among elementary school classroom teachers ( n = 41). Study outcome measures included reciprocal determinism, behavioural capability, outcome expectations and self-efficacy. Over the 12-week period following the training, teachers completed surveys to measure SCT construct outcomes. Results: Results of the intervention demonstrated an increase in teacher self-efficacy and knowledge ( p < .01 and p < .01). There was a significant increase of teachers who started using PA in the classroom who indicated no use at baseline (from 21% to 6% not using). Conclusion: The use of SCT to provide a teacher training is an effective method to increase classroom PA, while improving teacher self-efficacy and knowledge concerning PA implementation.

Social cognitive theory as a guide for exercise engagement in persons with multiple sclerosis who use wheelchairs for mobility

2020 ◽  
Vol 35 (4) ◽  
pp. 270-282
Author(s):  
Stephanie L Silveira ◽  
Emma V Richardson ◽  
Robert W Motl
Keyword(s):  
Multiple Sclerosis ◽  
Social Cognitive Theory ◽  
Self Efficacy ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Outcome Expectations ◽  
Positive Outcome ◽  
Barriers And Facilitators ◽  
Instructional Materials ◽  
Mobility Impairment

Abstract Multiple sclerosis (MS) is an immune-mediated neurodegenerative disease of the brain, optic nerves and spinal cord. Among persons with MS, 30% experience significant mobility impairment that requires use of a wheelchair for mobility. Exercise is an evidence-based second-line therapy that can improve mobility; however, little research has focused on individuals that use wheelchairs for mobility. Framed by social cognitive theory (SCT), we conducted a formative qualitative study examining exercise status and perceptions among 20 persons with MS who use wheelchairs for mobility. Using deductive, semantic thematic analysis, we coded for SCT variables (i.e. self-efficacy, knowledge, outcome expectations, barriers and facilitators) and identified participants as regular or inconsistent exercisers. In total, 12 participants were classified as regular exercisers and 8 inconsistent exercisers. Regular exercisers more frequently reported high self-efficacy, consistent exercise knowledge and numerous facilitators. All participants reported some positive outcome expectations and several barriers and facilitators. These findings can inform future intervention studies supporting exercise behavior change through SCT. Strategies such as increasing self-efficacy, imparting instructional materials, shaping realistic outcome expectations and providing tools directed toward overcoming barriers and identifying facilitators may work to support the exercise endeavor of persons with MS who use wheelchairs for mobility.

scholarly journals Social Cognitive Theory and Physical Activity Among Korean Male High-School Students

2018 ◽  
Vol 12 (4) ◽  
pp. 973-980 ◽  
Author(s):  
Chung Gun Lee ◽  
Seiyeong Park ◽  
Seung Hwan Lee ◽  
Hyunwoo Kim ◽  
Ji-Won Park
Keyword(s):  
Physical Activity ◽  
High School ◽  
High School Students ◽  
Social Cognitive Theory ◽  
Self Efficacy ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
School Students ◽  
Physical Activity Interventions ◽  
Male High School

The most critical step in developing and implementing effective physical activity interventions is to understand the determinants and correlates of physical activity, and it is strongly suggested that such effort should be based on theories. The purpose of this study is to test the direct, indirect, and total effect of social cognitive theory constructs on physical activity among Korean male high-school students. Three-hundred and forty-one 10th-grade male students were recruited from a private single-sex high school located in Seoul, South Korea. Structural equation modeling was used to test the expected relationships among the latent variables. The proposed model accounted for 42% of the variance in physical activity. Self-efficacy had the strongest total effect on physical activity. Self-efficacy for being physically active was positively associated with physical activity ( p < .01). Self-efficacy also had positive indirect effects on physical activity through perceived benefits ( p < .05) and goal setting ( p < .01). The results of this study indicated that the social cognitive theory is a useful framework to understand physical activity among Korean male adolescents. Physical activity interventions targeting Korean male high-school students should focus on the major sources of efficacy.

scholarly journals Perceived somatic and affective barriers for self-efficacy and physical activity

2017 ◽  
Vol 24 (13) ◽  
pp. 1850-1862 ◽  
Author(s):  
Lisa M Warner ◽  
Julia K Wolff ◽  
Svenja M Spuling ◽  
Susanne Wurm
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Longitudinal Study ◽  
Self Efficacy ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Community Dwelling ◽  
Activity Levels ◽  
Objective Health ◽  
Physical Activity Levels

According to Bandura’s social-cognitive theory, perceptions of somatic and affective barriers are sources of self-efficacy. This longitudinal study compares general indicators of health barriers with measures of perceived somatic and affective barriers to predict self-efficacy and accelerometer-assessed physical activity in a subsample of n = 153 (selected at random from N = 310) community-dwelling German older adults. Perceived somatic and affective barriers longitudinally predicted physical activity mediated by self-efficacy, whereas general health barriers did not. Perceived health barriers to physical activity might be more important than more objective health barriers for older adults’ physical activity levels.

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

Older Adults’ Exercise Behavior: Roles of Selected Constructs of Social-Cognitive Theory

2007 ◽  
Vol 15 (2) ◽  
pp. 206-218 ◽  
Author(s):  
M. Renée Umstattd ◽  
Jeffrey Hallam
Keyword(s):  
Older Adults ◽  
Social Cognitive Theory ◽  
Self Efficacy ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Self Regulation ◽  
Exercise Behavior ◽  
Outcome Expectancy ◽  
Regular Exercise ◽  
Exercise Interventions

Exercise is consistently related to physical and psychological health benefits in older adults. Bandura’s social-cognitive theory (SCT) is one theoretical perspective on understanding and predicting exercise behavior. Thus, the authors examined whether three SCT variables—self-efficacy, self-regulation, and outcome-expectancy value—predicted older adults’ (N= 98) exercise behavior. Bivariate analyses revealed that regular exercise was associated with being male, White, and married; having higher income, education, and self-efficacy; using self-regulation skills; and having favorable outcome-expectancy values (p< .05). In a simultaneous multivariate model, however, self-regulation (p= .0097) was the only variable independently associated with regular exercise. Thus, exercise interventions targeting older adults should include components aimed at increasing the use of self-regulation strategies.

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