Exploring the facilitators and barriers to engagement in physical activity for people with multiple sclerosis

Kayes, Nicola M., McPherson, Kathryn M., Schluter, Philip, Taylor, Denise, Leete, Marta and Kolt, Gregory S. (2011) Exploring the facilitators and barriers to engagement in physical activity for people with multiple sclerosis. Disability & Rehabilitation, 33 12: 1043-1053. doi:10.3109/09638288.2010.520801

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Author Kayes, Nicola M.
McPherson, Kathryn M.
Schluter, Philip
Taylor, Denise
Leete, Marta
Kolt, Gregory S.
Title Exploring the facilitators and barriers to engagement in physical activity for people with multiple sclerosis
Journal name Disability & Rehabilitation   Check publisher's open access policy
ISSN 0963-8288
1464-5165
Publication date 2011-01
Year available 2010
Sub-type Article (original research)
DOI 10.3109/09638288.2010.520801
Volume 33
Issue 12
Start page 1043
End page 1053
Total pages 11
Place of publication London, England
Publisher Informa Healthcare
Collection year 2011
Language eng
Formatted abstract
Purpose.
To explore the relationship that cognitive behavioural and other previously identified variables have with physical activity engagement in people with multiple sclerosis (MS).

Methods.
This study adopted a cross-sectional questionnaire design. Participants were 282 individuals with MS. Outcome measures included the Physical Activity Disability Survey
Revised, Cognitive and Behavioural Responses to Symptoms Questionnaire, Barriers to Health Promoting Activities for Disabled Persons Scale, Multiple Sclerosis Self-efficacy Scale, Self-Efficacy for Chronic Diseases Scales and Chalder Fatigue Questionnaire.

Results.

Multivariable stepwise regression analyses found that greater self-efficacy, greater reported mental fatigue and lower number of perceived barriers to physical activity accounted for a significant proportion of variance in physical activity behaviour, over that accounted for by illness-related variables. Although fear-avoidance beliefs accounted for a significant proportion of variance in the initial analyses, its effect was explained by other factors in the final multivariable analyses.

Conclusions.

Self-efficacy, mental fatigue and perceived barriers to physical activity are potentially modifiable variables which could be incorporated into interventions designed to improve physical activity engagement. Future research should explore whether a measurement tool tailored to capture beliefs about physical activity identified by people with MS would better predict participation in physical activity.
Keyword Multiple sclerosis
Physical activity
Engagement
Barriers
Facilitators
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online 29 September, 2010.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Nursing, Midwifery and Social Work Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 21 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 29 times in Scopus Article | Citations
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Created: Tue, 30 Nov 2010, 11:14:51 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work