Developing physical activity interventions for adults with spinal cord injury. Part 2: motivational counseling and peer-mediated interventions for people intending to be active
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Authors
Latimer-Cheung, Amy E.
Arbour-Nicitopoulos, Kelly P.
Brawley, Lawrence R
Gray, Casey
Wilson, Justine
Prapavessis, Harry
Tomasone, Jennifer R.
Wolfe, Dalton L.
Martin Ginis, Kathleen A.
Date
2013-08
Type
journal article
Language
en
Keyword
Exercise , Social cognition , Motivational interviewing , Strength training , Health Action Process Approach
Alternative Title
Abstract
Objective: The majority of people with spinal cord injury (SCI) do not engage in sufficient leisure-time physical activity (LTPA) to attain fitness benefits; however, many have good intentions to be active. This paper describes two pilot interventions targeting people with SCI who are insufficiently active but intend to be active (i.e., "intenders").
Method: Study 1 examined the effects of a single, telephone-based counseling session on self-regulatory efficacy, intentions, and action plans for LTPA among seven men and women with paraplegia or tetraplegia. Study 2 examined the effects of a home-based strength-training session, delivered by a peer and a fitness trainer, on strength-training task self-efficacy, intentions, action plans, and behavior. Participants were 11 men and women with paraplegia.
Results: The counseling session (Study 1) yielded medium- to large-sized increases in participants' confidence to set LTPA goals and intentions to be active. The home visit (Study 2) produced medium- to large-sized increases in task self-efficacy, barrier self-efficacy, intentions, action planning, and strength-training behavior from baseline to 4 weeks after the visit.
Conclusions/implications: Study 1 findings provide preliminary evidence that a single counseling session can impact key determinants of LTPA among intenders with SCI. Study 2 findings demonstrate the potential utility of a peer-mediated, home-based strength training session for positively influencing social cognitions and strength-training behavior. Together, these studies provide evidence and resources for intervention strategies to promote LTPA among intenders with SCI, a population for whom LTPA interventions and resources are scarcely available.
Description
© of American Psychological Association, published version available at: https://doi.org/10.1037/a0032816
Citation
Latimer-Cheung, A. E., Arbour-Nicitopoulos, K. P., Brawley, L. R., Gray, C., Justine Wilson, A., Prapavessis, H., Tomasone, J. R., Wolfe, D. L., & Martin Ginis, K. A. (2013). Developing physical activity interventions for adults with spinal cord injury. Part 2: motivational counseling and peer-mediated interventions for people intending to be active. Rehabilitation psychology, 58(3), 307–315. https://doi.org/10.1037/a0032816
Publisher
American Psychological Association