Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Working mechanisms of a behavioural intervention promoting physical activity in persons with subacute spinal cord injury
Department of Rehabilitation Medicine, Erasmus MC University Medical Center, Rotterdam.ORCID iD: 0000-0003-0146-9292
Show others and affiliations
2016 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 48, no 7, 583-8 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: In order to unravel the working mechanisms that underlie the effectiveness of a behavioural intervention promoting physical activity in persons with subacute spinal cord injury, the aim of this study was to assess the mediating effects of physical and psychosocial factors on the intervention effect on physical activity. DESIGN: Randomized controlled trial. SETTING: Four rehabilitation centres in the Netherlands. SUBJECTS: Thirty-nine persons with subacute spinal cord injury. INTERVENTION: Behavioural intervention promoting an active lifestyle, based on motivational interviewing. The intervention involved a total of 13 individual sessions beginning 2 months before and ending 6 months after discharge from initial inpatient rehabilitation. MAIN MEASURES: The potential mediating effects of fatigue, pain, depression, illness cognition, exercise self-efficacy, coping and social support on the effect of the behavioural intervention on objectively measured physical activity (B = 0.35 h, p < 0.01) were studied. Measurements were performed at baseline, discharge, 6 months and 1 year after discharge. RESULTS: No single factor was found that strongly mediated the effect of the behavioural intervention on physical activity; however, multiple factors could partly explain the effect. Mediating effects greater than 10% were found for proactive coping (17.6%), exercise self-efficacy (15.9%), pain disability (15.3%) and helplessness (12.5%). DISCUSSION: Proactive coping (the ability to anticipate and deal with potential threats before they occur), exercise self-efficacy (self-confidence with respect to performing exercise and daily physical activities), pain disability (interference by pain of daily activities) and helplessness (emphasizing the aversive meaning of the disease) are important concepts in interventions promoting physical activity in persons with subacute spinal cord injury.

Place, publisher, year, edition, pages
2016. Vol. 48, no 7, 583-8 p.
Keyword [en]
Adaptation, Psychological, Adult, Behavior Therapy/*methods, Exercise/*psychology, Fatigue/psychology, Female, Humans, Inpatients, Life Style, Male, Motivational Interviewing/*methods, Netherlands, Pain/etiology/psychology, Rehabilitation Centers, Self Efficacy, Social Support, Spinal Cord Injuries/complications/*psychology/rehabilitation
National Category
Other Health Sciences
Identifiers
URN: urn:nbn:se:gih:diva-5085DOI: 10.2340/16501977-2110PubMedID: 27346837ISBN: 1651-2081 (Electronic) 1650-1977 (Linking) OAI: oai:DiVA.org:gih-5085DiVA: diva2:1158621
Note

Nooijen, Carla F J Stam, Henk J Schoenmakers, Imte Sluis, Tebbe A R Post, Marcel W M Twisk, Jos W R Group, Act-Active Research van den Berg-Emons, Rita J G eng Multicenter Study Randomized Controlled Trial Sweden 2016/06/28 06:00 J Rehabil Med. 2016 Jul 18;48(7):583-8. doi: 10.2340/16501977-2110.

Available from: 2017-11-20 Created: 2017-11-20 Last updated: 2017-11-29Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMedPubMed

Search in DiVA

By author/editor
Nooijen, C. F.
In the same journal
Journal of Rehabilitation Medicine
Other Health Sciences

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
isbn
urn-nbn

Altmetric score

doi
pubmed
isbn
urn-nbn
Total: 1 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf