WORKING MECHANISMS OF A BEHAVIOURAL INTERVENTION PROMOTING PHYSICAL ACTIVITY IN PERSONS WITH SUBACUTE SPINAL CORD INJURY

Autor: C Nooijen, H Stam, I Schoenmakers, T Sluis, M Post, J Twisk, A group, R Berg-Emons
Přispěvatelé: Extremities Pain and Disability (EXPAND), Epidemiology and Data Science, EMGO - Lifestyle, overweight and diabetes, Rehabilitation Medicine
Rok vydání: 2016
Předmět:
Male
030506 rehabilitation
Coping (psychology)
Activities of daily living
medicine.medical_treatment
Psychological intervention
Motivational interviewing
physical activity
FATIGUE
law.invention
0302 clinical medicine
Randomized controlled trial
INPATIENT REHABILITATION
law
Behavior Therapy
Adaptation
Psychological
Spinal cord injury
HEALTH CONDITIONS
Netherlands
Rehabilitation
General Medicine
MULTIPLE-SCLEROSIS
RANDOMIZED CONTROLLED-TRIAL
Self Efficacy
Multicenter Study
COPING COMPETENCE SCALE
Randomized Controlled Trial
Female
spinal cord injuries
0305 other medical science
Psychology
Psychosocial
Adult
medicine.medical_specialty
working mechanisms
Pain
Physical Therapy
Sports Therapy and Rehabilitation
Motivational Interviewing
Rehabilitation Centers
03 medical and health sciences
Physical medicine and rehabilitation
EXERCISE SELF-EFFICACY
behavioural intervention
medicine
Journal Article
Humans
Exercise
Life Style
Inpatients
Social Support
medicine.disease
AFTER-DISCHARGE
INDIVIDUALS
PSYCHOMETRIC PROPERTIES
Physical therapy
030217 neurology & neurosurgery
Zdroj: Journal of Rehabilitation Medicine, 48(7), 583-588. FOUNDATION REHABILITATION INFORMATION
Journal of Rehabilitation Medicine, 48(7), 583-588. Foundation for Rehabilitation Information
Journal of Rehabilitation Medicine, 48(7), 583. Foundation for Rehabilitation Information
Nooijen, C F J, Stam, H J, Schoenmakers, I, Sluis, T, Post, M, Twisk, J & Van Den Berg-Emons, R J G 2016, ' Working mechanisms of a behavioural intervention promoting physical activity in persons with subacute spinal cord injury ', Journal of Rehabilitation Medicine, vol. 48, no. 7, pp. 583-588 . https://doi.org/10.2340/16501977-2110
ISSN: 1651-2081
1650-1977
Popis: OBJECTIVE: In order to unravel the working mechanisms that underlie the effectiveness of a behavioural intervention promoting physical activity in persons with subacute spinal cord injury, the aim of this study was to assess the mediating effects of physical and psychosocial factors on the intervention effect on physical activity.DESIGN: Randomized controlled trial.SETTING: Four rehabilitation centres in the Netherlands.SUBJECTS: Thirty-nine persons with subacute spinal cord injury.INTERVENTION: Behavioural intervention promoting an active lifestyle, based on motivational interviewing. The intervention involved a total of 13 individual sessions beginning 2 months before and ending 6 months after discharge from initial inpatient rehabilitation.MAIN MEASURES: The potential mediating effects of fatigue, pain, depression, illness cognition, exercise self-efficacy, coping and social support on the effect of the behavioural intervention on objectively measured physical activity (B = 0.35 h, p RESULTS: No single factor was found that strongly mediated the effect of the behavioural intervention on physical activity; however, multiple factors could partly explain the effect. Mediating effects greater than 10% were found for proactive coping (17.6%), exercise self-efficacy (15.9%), pain disability (15.3%) and helplessness (12.5%).DISCUSSION: Proactive coping (the ability to anticipate and deal with potential threats before they occur), exercise self-efficacy (self-confidence with respect to performing exercise and daily physical activities), pain disability (interference by pain of daily activities) and helplessness (emphasizing the aversive meaning of the disease) are important concepts in interventions promoting physical activity in persons with subacute spinal cord injury.
Databáze: OpenAIRE
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