Social Cognitive Theory as a Guide for Exercise Engagement in Persons with Multiple Sclerosis Who Use Wheelchairs for Mobility

Autor/inn/en	Silveira, Stephanie L.; Richardson, Emma V.; Motl, Robert W.
Titel	Social Cognitive Theory as a Guide for Exercise Engagement in Persons with Multiple Sclerosis Who Use Wheelchairs for Mobility
Quelle	In: Health Education Research, 35 (2020) 4, S.270-282 (13 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Silveira, Stephanie L.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0268-1153
DOI	10.1093/her/cyaa013
Schlagwörter	Neurological Impairments; Exercise; Physical Therapy; Social Cognition; Social Theories; Assistive Technology; Mobility; Self Efficacy; Barriers; Outcomes of Treatment; Educational Strategies + Suchen Sie Ihr Suchwort? Neurodegenerative Erkrankung; Übung; Physiotherapie; Soziale Kognition; Gesellschaftstheorie; Mobilität; Mobilitätsförderung; Self-efficacy; Selbstwirksamkeit; Lehrstrategie
Abstract	Multiple sclerosis (MS) is an immune-mediated neurodegenerative disease of the brain, optic nerves and spinal cord. Among persons with MS, 30% experience significant mobility impairment that requires use of a wheelchair for mobility. Exercise is an evidence-based second-line therapy that can improve mobility; however, little research has focused on individuals that use wheelchairs for mobility. Framed by social cognitive theory (SCT), we conducted a formative qualitative study examining exercise status and perceptions among 20 persons with MS who use wheelchairs for mobility. Using deductive, semantic thematic analysis, we coded for SCT variables (i.e. self-efficacy, knowledge, outcome expectations, barriers and facilitators) and identified participants as regular or inconsistent exercisers. In total, 12 participants were classified as regular exercisers and 8 inconsistent exercisers. Regular exercisers more frequently reported high self-efficacy, consistent exercise knowledge and numerous facilitators. All participants reported some positive outcome expectations and several barriers and facilitators. These findings can inform future intervention studies supporting exercise behavior change through SCT. Strategies such as increasing self-efficacy, imparting instructional materials, shaping realistic outcome expectations and providing tools directed toward overcoming barriers and identifying facilitators may work to support the exercise endeavor of persons with MS who use wheelchairs for mobility. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01