This study examined the relationships between self-determination theory (SDT) and theory of planned behavior (TpB) applied to physical activity and exercise behavior (PA&E) in people with chronic pain. Two hundred and eleven adults with chronic musculoskeletal pain (28 males and 183 females, age range 18 to 82 years, mean age 43 years) were recruited from online support groups and clinic networks in the United States. Participants completed SDT measures relevant to PA&E on perceived autonomy support, autonomy, competence, and relatedness, as well as TpB measures relevant to PA&E on intention, attitudes, subjective norms, and perceived behavioral control. Correlational techniques and canonical correlation analysis were performed to examine the relationships and variance within and between theoretical dimensions. Overall, the SDT set accounted for 37% of the TpB variance and the TpB set accounted for 32% of the SDT set variance. The results indicate there are statistical similarities and differences between concepts in SDT and TpB models for PA&E. Using both empirical guidance and clinical expertise, researchers and practitioners should attempt to select and integrate non-redundant and complementary components from SDT, TpB, and other related health behavior theories.
Existing research has indicated an association between resilience and psychosocial adjustment to disability. The purpose of this study was to validate the Brief Resilience Scale (BRS) in a sample of vocational rehabilitation (VR) consumers. Participants were 277 individuals with disabilities receiving state VR services. Findings support the identification of two factors in the BRS, labeled succumbing and resilience by the researchers. The succumbing factor was positively associated with reporting of depression while the resilience factor was associated with well-being. Implications for practice in state VR agencies are provided.
BACKGROUND: Transition from adolescence to young adulthood (ages 18-35 years) can be particularly difficult for people with epilepsy as they have to cope with stressors and challenges associated with independent living, postsecondary education, healthcare, social relationships, and employment. OBJECTIVES: To evaluate constructs based on Kumpfer's resilience framework model as predictors of life satisfaction in young adults with epilepsy. METHOD: 194 young adults with epilepsy participated in the present study. A hierarchical regression analysis (HRA) was conducted to answer the research questions. RESULTS: HRA results indicated that variables in Kumpfer's resilience framework model significantly predicted life satisfaction of young adults with epilepsy, R 2 = 0.71, f 2 = 2.45, which is a very large effect size. Family support, friends support, secure attachment, core self-evaluations, and trait resilience were found to contribute significantly to the variation in life satisfaction scores after controlling for the effect of other variables in the HRA model. CONCLUSION: Findings of the present study strongly support the validity of Kumpfer's (1999) resilience framework model, particularly the important roles of person-environment factors in predicting life satisfaction of young adults with epilepsy. This model approach to defining resilience can be used by rehabilitation counselors in case conceptualization, assessment, planning, and counseling.
Purpose: This article includes a study that sheds light on the implications of the Workforce Innovation and Opportunities Act (WIOA) mandated VR knowledge and skills requirements for VR counselors in the state VR program. It is also a commentary on current training, accreditation and intraprofessional challenges in the larger counseling field. Our study investigated VR directors’ perceptions of the importance and counselor preparedness in specific WIOA mandated knowledge areas. Findings revealed that VR directors consider WIOA mandated knowledge areas (e.g., employment-related and case management) to be very important, and they see room for improvement in the preparation of VR counselors to execute these functions. Our commentary provides readers with information related rehabilitation counseling history, intraprofessional practice, and guidelines for the future of rehabilitation counseling and the larger counseling profession.
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