Article

OBJECTIVE: To explore the associations between impairments, self-management
self-efficacy, self-management behaviors, and environmental factors and their
role in predicting participation in meaningful activities among people with
multiple sclerosis. DESIGN: Online cross-sectional survey. SUBJECTS/PATIENTS:
Randomly selected individuals (n = 335) from a large multiple sclerosis patient
registry. METHODS: Participation in activities that are meaningful to the
individual was measured with Community Participation Indicators (CPI), the
dependent variable. Independent variables included symptom severity, activities
of daily living limitations, cognitive problems, stages of change for physical
activity, nutritional behaviors, self-efficacy, and environmental barriers. A
backwards selection regression analysis was used to compare the relative
contributions of independent variables in predicting the CPI. A path analysis was
conducted to explore the associations between independent variables and their
direct and indirect effects on the CPI. RESULTS: The final regression model
included self-management self-efficacy (beta = 0.12), environmental barriers
(beta = -0.16), cognitive problems (beta = -0.22), and stages of change for
physical activity (beta = 0.12). Path analysis indicated that impairments and
environmental barriers might negatively influence self-management self-efficacy.
Self-management self-efficacy might have indirect effects on the CPI via
engagement in self-management behaviors. CONCLUSION: Future research should
explore whether interventions that promote self-management self-efficacy can
facilitate participation in meaningful activities.

Langue : ANGLAIS