Testing integrated behavioural and biomedical models of activity and activity limitations in a population-based sample
| Autor: | Diane Dixon, Phil Hannaford, Marie Johnston, Alison M Elliott |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Emotions Sample (statistics) Intention Walking Interviews as Topic Disability Evaluation Cognition International Classification of Functioning Disability and Health Predictive Value of Tests Surveys and Questionnaires Activities of Daily Living medicine Humans Disabled Persons Mobility Limitation Aged Pain Measurement Rehabilitation Theory of planned behavior Chronic pain Reproducibility of Results Population based sample Variance (accounting) Middle Aged Models Theoretical medicine.disease Self Efficacy Cross-Sectional Studies Scotland Population Surveillance Physical therapy Female Chronic Pain Psychology Attitude to Health Social cognitive theory Clinical psychology |
| Zdroj: | Disability and rehabilitation. 34(14) |
| ISSN: | 1464-5165 |
| Popis: | The predictive utility of an integrated model of disability is tested. The integrated model incorporates an impairment based model (International Classification of Functioning, Disability and Health (ICF)) and the behavioural models.Community dwelling adults (n = 628) completed a postal questionnaire measuring the integrated model. The ability of the model to predict disability in the form of activity limitations (ALs) and walking, in the full community sample and in respondents reporting chronic pain was tested.In both the community and chronic pain samples each version of the integrated model explained a majority (55%-67%) of the variance in ALs but only 11%-29% of the variance in walking behaviour (WB). Impairment directly predicted ALs but did not directly predict WB. Control related cognitions were direct predictors, and mediators, of the relationship between bodily impairment and both ALs and WB. In addition, intentions and outcome expectancies predicted WB. Self-efficacy (SE) was the most consistent predictor of both ALs and WB.An integrated model which combines psychological constructs and impairment is required for an adequate understanding of ALs. By contrast, behavioural models, but not degree of impairment, are necessary to explain activity levels. |
| Databáze: | OpenAIRE |
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