Attributions and self-efficacy for physical activity in multiple sclerosis

Abstract

Self-efficacy is an important predictor of health-related physical activity in multiple sclerosis (MS). While past experiences are believed to influence efficacy beliefs, the explanations individuals provide for these experiences also may be critical. Our objective was to test the hypothesis that perceived success or failure to accumulate 150 min of physical activity in the previous week would moderate the relationship between the attributional dimension of stability and self-efficacy to exercise in the future. Forty-two adults with MS participated in this cross-sectional descriptive study. Participants completed questions assessing physical activity, perceived outcome for meeting the recommended level of endurance activity, attributions for the outcome, and exercise self-efficacy. Results from hierarchical multiple regression revealed a significant main effect for perceived outcome predicting self-efficacy that was qualified by a significant interaction. The final model, which included perceived outcome, stability, and the interaction term, predicted 37% of the variance in exercise self-efficacy, F (3, 38) = 7.27, p = .001. Our findings suggest that the best prediction of self-efficacy in the MS population may include the interaction of specific attributional dimensions with success/failure at meeting the recommended physical activity dose. Attributions may be another target for interventions aimed at increasing the physical activity in MS.

Adherence to Physiotherapy-Guided Web-Based Exercise for Persons with Moderate-to-Severe Multiple Sclerosis

“…We did not collect pre-randomization exercise baseline behavior through diaries or other data potentially predictive of future exercise behaviour that could be used to better characterize our study sample (i.e., cognitive function, MS course, attributions and self-efficacy for exercise 27 and, caregiver support 28 ). Larger scale, powered studies are required to improve our understanding of the potential benefits of web-based exercise interventions and the predictors for adherence with web-based platforms.…”

High Self-efficacy Predicts Adherence to Surveillance Colonoscopy in Inflammatory Bowel Disease

“…In other non-IBD studies, perceived SE has been shown to affect physical, psychological, and social functioning in patients with cancer, multiple sclerosis, and diabetes. [20][21][22] High SE has been linked to success in health screening for breast cancer, 23 decreasing fear of childbirth and decreasing preference for cesarean section, 24 smoking cessation, 25 and prevention of eating disorders in adolescents. 26 Because the first study to develop an SE scale specifically targeted towards patients with IBD who require surveillance colonoscopies, the strengths of our study are the high number of patients enrolled, the high response rates to the questionnaires, and the extensive analysis of all the interrelated questions and responses.…”

Predictors of exercise participation in ambulatory and non-ambulatory older people with multiple sclerosis

“…Other studies have shown that self-efficacy ( Kasser & Kosma, 2012 ; Kosma & Kasser, 2012 ; Nickel et al, 2014 ; Schmitt et al, 2014 ), perceived exercise benefits ( Kosma & Kasser, 2012 ; Suh et al, 2014 ) and positive exercise intentions ( Ginis et al, 2012 ) are associated with exercise participation in people with MS and SCI-related mobility disability. Self-efficacy, resilience and perseverance are overlapping constructs that impact health behaviors ( Pilutti et al, 2014 ; Sinnakaruppan et al, 2010 ).…”