Article

OBJECTIVE: To examine the effects of action and
coping planning (ACP) on leisure-time physical activity (LTPA) and coping
self-efficacy in exercise initiates living with spinal cord injury (SCI). DESIGN:
Ten-week, single-blind randomized controlled trial. SETTING: General community.
PARTICIPANTS: Adults (N=44) with SCI (mean age +/- SD, 49.70+/-12.71y) were
randomly assigned to either an action planning only (APO; n=22) or an ACP (n=22)
condition. INTERVENTION: Participants in the APO condition formed action plans
for LTPA at weeks 1 and 5, and self-monitored their LTPA behavior. Those in the
ACP condition formed coping plans for managing self-identified activity barriers,
in addition to forming action plans and self-monitoring. MAIN OUTCOME MEASURES:
Measures of intentions, coping self-efficacy, and behavior were assessed at weeks
1, 5, and 10. RESULTS: Intention-to-treat analyses indicated that persons in the
ACP condition reported significantly greater LTPA, scheduling, and general
barriers self-efficacy at weeks 5 and 10, in comparison with those in the APO
condition. Scheduling self-efficacy mediated the effects of the intervention on
LTPA, accounting for 38% of the total effect of the intervention on week 5 LTPA.
CONCLUSIONS: These findings illustrate the effectiveness of supplementing action
plans with coping plans for enhancing LTPA and coping self-efficacy beliefs among
exercise initiates living with SCI.

Langue : ANGLAIS