Correlates of stages of change for physical activity in adults with multiple sclerosis

Abstract

The Transtheoretical Model (TTM) is commonly used to understand physical activity (PA) behavior in the general population; however, few researchers have explored its relevance for persons with multiple sclerosis (MS). We examined the relative importance of health (symptoms and mobility impairments) and TTM constructs (behavioral and cognitive processes of change) in influencing stages of change placement for PA in a sample of 303 persons with MS using discriminant function analysis. The overall accuracy of predicting stages of change was 58.75%. Behavioral (r(2) = .35) and cognitive processes (r(2) = .17) accounted for the most variance, followed by mobility (r(2) = .11) and self-efficacy (r(2) = .05). Results provide support for evaluating whether TTM-based interventions can promote PA in adults with MS.

Barriers to and facilitators of sports participation for people with physical disabilities: A systematic review

“…Fifteen studies (29%) used a theory or framework in their study. Social cognitive theory (SCT) (Martin, , ; Dlugonski et al., ; Suh et al., ) and the transtheoretical model (TTM) (Kinne et al., ; Kosma et al., , ; Plow et al., ) were used in four studies (8%), and the theory of planned behavior (Latimer et al., ; Ellis et al., ; Kosma et al., ) was used in three studies (6%). Other theories and frameworks that were used only once or twice included self‐determination theory (Perreault & Vallarand, ; Saebu & Sorensen, ), the ecological model (Spivock et al., ), and the ICF (Saebu & Sorensen, ).…”

“…Few studies included in this review used a theory or framework to structure their results. Studies that did use theories chose different theories, namely SCT (Martin, , ; Dlugonski et al., ; Suh et al., ) and the TTM (Kinne et al., ; Kosma et al., , ; Plow et al., ). However, in these studies, the TTM was generally used to determine the activity level of the participants according to the stages of change and not necessarily to structure results.…”

Randomized controlled pilot study of customized pamphlets to promote physical activity and symptom self-management in women with multiple sclerosis

“…Conducting a fully powered randomized controlled trial is warranted to confirm the preliminary results of this pilot study. Given the positive results of this pilot study and the pervasive levels of inactivity in the multiple sclerosis population, there is a need to understand how best to customize physical activity interventions to address diverse health barriers and wavering ♦Excluded from analysis (n= 0) Allocated to immediate group (n= 14) Allocated to delayed group (n= 16) motivation. The possible synergy in supporting patients to self-manage symptoms and engage in physical activity needs to be explored.…”

Aquatic training in MS : neurotherapeutic impact upon quality of life

“…There are innumerable exercise programs capable of promoting a wide variety of benefits in our MS patients, which range from routines focused upon stretching and range of motion, cardiovascular regimens aimed at enhancing exercise tolerance and endurance, efficient oxygen consumption (a dividend of cardio‐pulmonary training which has ramifications on the utilization of energy stores, and more efficient energy consumption), resistance training to promote muscle strength (associated with the intended or unintended effect of augmenting muscle bulk) …”