A survey of exercise beliefs and exercise habits among people with arthritis

Gecht, Maureen R.; Connell, Karen J.; Sinacore, James; Prohaska, Thomas R.

doi:10.1002/1529-0131(199604)9:2<82::aid-anr1790090203>3.0.co;2-t

Cited by 112 publications

(87 citation statements)

References 17 publications

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“…Supporting the findings from this study, Gecht et al (14) explored the exercise beliefs among people with arthritis and found that individuals were most likely to exercise if they believed in the benefits of exercise (14). In addition, in a longitudinal interview study nested within a randomized controlled trial of exercise for older adults with knee pain, Hurley et al (16) found that older adults with knee problems commonly attributed their pain to wear and tear or arthritis, believed that no cure was available, and expressed concerns over the safety of exercise.…”

Section: Discussionmentioning

confidence: 99%

“…The central role that attitudes and beliefs play in determining health-related behavior, including exercise, is highlighted in many social cognitive models (summarized by Horne and Weinman [13]), and existing evidence supports the link between the attitudes and beliefs of older adults with knee pain and their exercise and physical activity behavior (14,15). Some qualitative studies have already suggested that individuals may hold unhelpful attitudes and beliefs about their knee problems and about the role of exercise in managing their pain, which could be a barrier to exercise and physical activity behavior (16,17).…”

Section: Introductionmentioning

confidence: 99%

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Role of exercise for knee pain: What do older adults in the community think?

Holden¹,

Young²,

Hay³

et al. 2012

Arthritis Care & Research

114

108

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Objective. Older adults with knee pain report low levels of exercise and physical activity. One explanation for this might be that they believe exercise is unhelpful or even harmful for knee pain. We therefore explored the attitudes and beliefs of older adults in the community about the role of exercise for knee pain using mixed methods. Methods. A survey was mailed to 2,234 older adults registered with 1 general practice within the UK. The survey included 23 attitude statements derived from published exercise recommendations. Semistructured interviews were completed in a purposeful sample of questionnaire responders (n ‫؍‬ 22) and were recorded and analyzed thematically. Results. The questionnaire response rate was 59% (n ‫؍‬ 1,276), and 611 respondents reported knee pain in the past 12 months. There was considerable uncertainty about the benefits of exercise; <50% largely or totally agreed on any attitude statement relating to the benefit of exercise for knee pain. The interviews revealed that attitudes and beliefs about exercise for knee pain are linked to the individuals' perceptions about their knee problems, and that many different barriers and facilitators to exercise and physical activity exist. These barriers and facilitators could be grouped as those relating to the person, the knee problem itself, and social or environmental factors. Barriers and facilitators varied between different individuals and over time. Conclusion. The overall uncertainty within the community about the role of exercise for knee pain highlights the challenges faced by those living with knee pain in completing physical activity, and for health care professionals prescribing exercise for this patient group.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Role of exercise for knee pain: What do older adults in the community think?

Holden¹,

Young²,

Hay³

et al. 2012

Arthritis Care & Research

114

108

View full text Add to dashboard Cite

show abstract

“…The Exercise Beliefs Questionnaire, an instrument developed by Gecht et al (38) for patients with arthritis (replaced herein with FM), includes 20 items that address self efficacy for exercise, barriers to exercise, benefits of exercise, and impact of exercise on FM. This measure was administered to all 726 Dobkin et al subjects at baseline, posttreatment, and 3 months posttreatment.…”

Section: Exercise In Women With Fibromyalgiamentioning

confidence: 99%

Maintenance of exercise in women with fibromyalgia

Dobkin¹,

Abrahamowicz²,

Fitzcharles³

et al. 2005

Arthritis & Rheumatism

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Objective. To identify predictors of maintenance of exercise for women with fibromyalgia (FM).Methods. Women with FM who had been randomized to the exercise arm of a clinical trial were studied prospectively during and 3 months following treatment. Subjects completed exercise logs weekly and returned the data via postal mail. Outcome variables were duration of aerobic and stretching exercises. Two separate multivariate models for longitudinal data were built with adjustment for in-treatment adherence and time. Pretreatment characteristics (self efficacy, pain, disability, stress, exercise barriers and benefits, and age) and changes during treatment (pain, disability, stress, and exercise barriers and benefits) were considered potential predictors of exercise maintenance. Results. Stretching significantly decreased in the 3 months following treatment. High stress at baseline and increases in stress during treatment were associated with poor maintenance of stretching. Disability at baseline (measured with the Fibromyalgia Impact Questionnaire), an increase in barriers to exercise during treatment, and increases in upper-body pain during treatment were associated with worse maintenance of aerobic exercise in the 3 months following treatment. Conclusion. The maintenance of an exercise program in women with FM appears to be contingent on being able to deal with stress, pain, barriers to exercise, and disability.

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“…In comparison, adherence rates to medical regimens range from 16% to 84% (11). Reported determinants of adherence to short-term exercise regimens in patients with RA are self efficacy, previous exercise habits, attitude towards the exercise program, and (perceived) severity of the disease (12)(13)(14)(15)(16). Data regarding adherence or determinants of adherence to long-term exercise programs in RA are sparse.…”

Section: Introductionmentioning

confidence: 99%