Longitudinal changes in psychosocial constructs and physical activity among adults with physical disabilities
Abstract Background Given the importance of physical activity (PA) and the low activity levels among adults with physical disabilities, it is important to understand how temporal changes in psychosocial constructs affect PA changes over time. Objective/Hypothesis Examine if changes in the transtheor...
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description | Abstract Background Given the importance of physical activity (PA) and the low activity levels among adults with physical disabilities, it is important to understand how temporal changes in psychosocial constructs affect PA changes over time. Objective/Hypothesis Examine if changes in the transtheoretical model (TTM) constructs affected changes in PA levels over time. Methods One hundred thirty-two adults with physical disabilities, such as multiple sclerosis and spinal cord injuries, completed a web-based survey once every 4 months, for a total of 3 time points, to assess the TTM constructs and PA. Six latent growth curve analyses were conducted using Mplus5 to examine if longitudinal changes in the TTM constructs affected temporal changes in PA levels. Results All six hypothesized models fit the sample data well (e.g., χ2 = NS; RMSEA = |
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Objective/Hypothesis Examine if changes in the transtheoretical model (TTM) constructs affected changes in PA levels over time. Methods One hundred thirty-two adults with physical disabilities, such as multiple sclerosis and spinal cord injuries, completed a web-based survey once every 4 months, for a total of 3 time points, to assess the TTM constructs and PA. Six latent growth curve analyses were conducted using Mplus5 to examine if longitudinal changes in the TTM constructs affected temporal changes in PA levels. Results All six hypothesized models fit the sample data well (e.g., χ2 = NS; RMSEA = <.001-.06). In a descending order of significance, the best predictors of the initial levels of PA were the stages of change, the behavioral processes of change, the cognitive processes of change, self-efficacy, and perceived pros. The meaningful predictors of PA changes over time were the initial levels and the slopes of the cognitive processes of change, perceived pros, and the behavioral processes of change. Although the slopes of the stages of change and perceived cons did not have a statistically significant effect on PA changes, their effects approached a medium size (.33 and .38, respectively). Conclusions In order to reassure the maintenance of an exercise program, interventionists need to first emphasize cognitive, motivational strategies (cognitive processes of change), such as the importance of PA and positive thoughts about exercise participation as well as exercise benefits (pros) before they implement behavioral strategies (behavioral processes of change), such as social support, goal setting, and self-rewarding.</description><identifier>ISSN: 1936-6574</identifier><identifier>EISSN: 1876-7583</identifier><identifier>DOI: 10.1016/j.dhjo.2011.09.002</identifier><identifier>PMID: 22226292</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Cognition ; Data Collection ; Disabled Persons - psychology ; Exercise ; Female ; Health Behavior ; Health Promotion ; Humans ; Internal Medicine ; Latent growth curve analysis ; Longitudinal Studies ; Longitudinal study ; Male ; Middle Aged ; Models, Psychological ; Motivation ; Multiple Sclerosis ; Physical activity ; Physical disabilities ; Reward ; Self Efficacy ; Social Support ; Spinal Cord Injuries ; Transtheoretical model</subject><ispartof>Disability and health journal, 2012, Vol.5 (1), p.1-8</ispartof><rights>Elsevier Inc.</rights><rights>2012 Elsevier Inc.</rights><rights>Copyright © 2012 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c410t-ca47fbb3465ac338fd03c3a0750a52b3daad7dbae392cadb84e82c07d9c3ba1f3</citedby><cites>FETCH-LOGICAL-c410t-ca47fbb3465ac338fd03c3a0750a52b3daad7dbae392cadb84e82c07d9c3ba1f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.dhjo.2011.09.002$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,4010,27904,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22226292$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kosma, Maria, Ph.D</creatorcontrib><creatorcontrib>Ellis, Rebecca, Ph.D</creatorcontrib><creatorcontrib>Bauer, Jeremy J., Ph.D</creatorcontrib><title>Longitudinal changes in psychosocial constructs and physical activity among adults with physical disabilities</title><title>Disability and health journal</title><addtitle>Disabil Health J</addtitle><description>Abstract Background Given the importance of physical activity (PA) and the low activity levels among adults with physical disabilities, it is important to understand how temporal changes in psychosocial constructs affect PA changes over time. Objective/Hypothesis Examine if changes in the transtheoretical model (TTM) constructs affected changes in PA levels over time. Methods One hundred thirty-two adults with physical disabilities, such as multiple sclerosis and spinal cord injuries, completed a web-based survey once every 4 months, for a total of 3 time points, to assess the TTM constructs and PA. Six latent growth curve analyses were conducted using Mplus5 to examine if longitudinal changes in the TTM constructs affected temporal changes in PA levels. Results All six hypothesized models fit the sample data well (e.g., χ2 = NS; RMSEA = <.001-.06). In a descending order of significance, the best predictors of the initial levels of PA were the stages of change, the behavioral processes of change, the cognitive processes of change, self-efficacy, and perceived pros. The meaningful predictors of PA changes over time were the initial levels and the slopes of the cognitive processes of change, perceived pros, and the behavioral processes of change. Although the slopes of the stages of change and perceived cons did not have a statistically significant effect on PA changes, their effects approached a medium size (.33 and .38, respectively). Conclusions In order to reassure the maintenance of an exercise program, interventionists need to first emphasize cognitive, motivational strategies (cognitive processes of change), such as the importance of PA and positive thoughts about exercise participation as well as exercise benefits (pros) before they implement behavioral strategies (behavioral processes of change), such as social support, goal setting, and self-rewarding.</description><subject>Adult</subject><subject>Cognition</subject><subject>Data Collection</subject><subject>Disabled Persons - psychology</subject><subject>Exercise</subject><subject>Female</subject><subject>Health Behavior</subject><subject>Health Promotion</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Latent growth curve analysis</subject><subject>Longitudinal Studies</subject><subject>Longitudinal study</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Models, Psychological</subject><subject>Motivation</subject><subject>Multiple Sclerosis</subject><subject>Physical activity</subject><subject>Physical disabilities</subject><subject>Reward</subject><subject>Self Efficacy</subject><subject>Social Support</subject><subject>Spinal Cord Injuries</subject><subject>Transtheoretical model</subject><issn>1936-6574</issn><issn>1876-7583</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU2L1TAUhosozof-ARfSnavWk6SfIIIM6ggXXKjrcJqk01N7m2tPOtJ_b8odFVyYTcLhOS_keZPkhYBcgKhej7kdRp9LECKHNgeQj5JL0dRVVpeNehzfraqyqqyLi-SKeQSooG3E0-RCxlPJVl4mx4Of7yislmacUjPgfOc4pTk98WYGz97QPvczh2U1gVOcbXoaNiYT52gC3VPYUjzGmBTtOkXkJ4XhL2OJsaOJAjl-ljzpcWL3_OG-Tr59eP_15jY7fP746ebdITOFgJAZLOq-61RRlWiUanoLyiiEugQsZacsoq1th0610qDtmsI10kBtW6M6FL26Tl6dc0-L_7E6DvpIbNw04ez8yroVJaimhiaS8kyaxTMvrtenhY64bFqA3i3rUe-W9W5ZQ6uj5bj08iF-7Y7O_ln5rTUCb86Ai5-8J7doNuRm4ywtzgRtPf0__-0_62aiebf53W2OR78usS3WQrPUoL_sPe81CwEAtZLqF2rVpr4</recordid><startdate>2012</startdate><enddate>2012</enddate><creator>Kosma, Maria, Ph.D</creator><creator>Ellis, Rebecca, Ph.D</creator><creator>Bauer, Jeremy J., Ph.D</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2012</creationdate><title>Longitudinal changes in psychosocial constructs and physical activity among adults with physical disabilities</title><author>Kosma, Maria, Ph.D ; Ellis, Rebecca, Ph.D ; Bauer, Jeremy J., Ph.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c410t-ca47fbb3465ac338fd03c3a0750a52b3daad7dbae392cadb84e82c07d9c3ba1f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Cognition</topic><topic>Data Collection</topic><topic>Disabled Persons - psychology</topic><topic>Exercise</topic><topic>Female</topic><topic>Health Behavior</topic><topic>Health Promotion</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Latent growth curve analysis</topic><topic>Longitudinal Studies</topic><topic>Longitudinal study</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Models, Psychological</topic><topic>Motivation</topic><topic>Multiple Sclerosis</topic><topic>Physical activity</topic><topic>Physical disabilities</topic><topic>Reward</topic><topic>Self Efficacy</topic><topic>Social Support</topic><topic>Spinal Cord Injuries</topic><topic>Transtheoretical model</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kosma, Maria, Ph.D</creatorcontrib><creatorcontrib>Ellis, Rebecca, Ph.D</creatorcontrib><creatorcontrib>Bauer, Jeremy J., Ph.D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Disability and health journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kosma, Maria, Ph.D</au><au>Ellis, Rebecca, Ph.D</au><au>Bauer, Jeremy J., Ph.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Longitudinal changes in psychosocial constructs and physical activity among adults with physical disabilities</atitle><jtitle>Disability and health journal</jtitle><addtitle>Disabil Health J</addtitle><date>2012</date><risdate>2012</risdate><volume>5</volume><issue>1</issue><spage>1</spage><epage>8</epage><pages>1-8</pages><issn>1936-6574</issn><eissn>1876-7583</eissn><abstract>Abstract Background Given the importance of physical activity (PA) and the low activity levels among adults with physical disabilities, it is important to understand how temporal changes in psychosocial constructs affect PA changes over time. Objective/Hypothesis Examine if changes in the transtheoretical model (TTM) constructs affected changes in PA levels over time. Methods One hundred thirty-two adults with physical disabilities, such as multiple sclerosis and spinal cord injuries, completed a web-based survey once every 4 months, for a total of 3 time points, to assess the TTM constructs and PA. Six latent growth curve analyses were conducted using Mplus5 to examine if longitudinal changes in the TTM constructs affected temporal changes in PA levels. Results All six hypothesized models fit the sample data well (e.g., χ2 = NS; RMSEA = <.001-.06). In a descending order of significance, the best predictors of the initial levels of PA were the stages of change, the behavioral processes of change, the cognitive processes of change, self-efficacy, and perceived pros. The meaningful predictors of PA changes over time were the initial levels and the slopes of the cognitive processes of change, perceived pros, and the behavioral processes of change. Although the slopes of the stages of change and perceived cons did not have a statistically significant effect on PA changes, their effects approached a medium size (.33 and .38, respectively). Conclusions In order to reassure the maintenance of an exercise program, interventionists need to first emphasize cognitive, motivational strategies (cognitive processes of change), such as the importance of PA and positive thoughts about exercise participation as well as exercise benefits (pros) before they implement behavioral strategies (behavioral processes of change), such as social support, goal setting, and self-rewarding.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>22226292</pmid><doi>10.1016/j.dhjo.2011.09.002</doi><tpages>8</tpages></addata></record> |
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subjects | Adult Cognition Data Collection Disabled Persons - psychology Exercise Female Health Behavior Health Promotion Humans Internal Medicine Latent growth curve analysis Longitudinal Studies Longitudinal study Male Middle Aged Models, Psychological Motivation Multiple Sclerosis Physical activity Physical disabilities Reward Self Efficacy Social Support Spinal Cord Injuries Transtheoretical model |
title | Longitudinal changes in psychosocial constructs and physical activity among adults with physical disabilities |
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