Abstract
Objective
To examine variables from social cognitive theory as correlates of physical activity
in black and white individuals with multiple sclerosis (MS).
Design
Cross-sectional.
Setting
National survey.
Participants
Black (n=151) and white (n=185) individuals with MS were recruited through the North
American Research Committee on Multiple Sclerosis Registry.
Intervention
Not applicable.
Main Outcome Measures
The battery of questionnaires included information on demographic and clinical characteristics,
physical activity, exercise self-efficacy, function, social support, exercise outcome
expectations, and exercise goal setting and planning.
Results
Black individuals with MS reported significantly lower levels of physical activity
compared with white individuals with MS. Physical activity levels were significantly
correlated with self-efficacy, outcome expectations, functional limitations as impediments,
and goal setting in black participants with MS. The pattern and magnitude of correlations
were comparable with those observed in white participants based on Fisher z tests.
Conclusions
Researchers should consider applying behavioral interventions that target social cognitive
theory variables for increasing physical activity levels among black individuals with
MS.
Keywords
List of abbreviations:
CI (confidence interval), GLTEQ (Godin Leisure-Time Exercise Questionnaire), IPAQ (International Physical Activity Questionnaire), MOESS (Multidimensional Outcomes Expectations for Exercise Scale), MS (multiple sclerosis), NARCOMS (North American Research Committee on Multiple Sclerosis), SCT (social cognitive theory)To read this article in full you will need to make a payment
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References
- Multiple sclerosis information sourcebook.Information Resource Center and Library of the National Multiple Sclerosis Society, New York2005
- Epidemiology of multiple sclerosis in U.S. veterans: V. Ancestry and the risk of multiple sclerosis.Ann Neurol. 1993; 33: 632-639
- Incidence of multiple sclerosis in multiple racial and ethnic groups.Neurology. 2013; 80: 1734-1739
- Response to disease modifying therapies in African Americans with multiple sclerosis.Ethn Dis. 2012; 22: 221-225
- Multiple sclerosis: severity and progression rate in African Americans compared with whites.Am J Phys Med Rehabil. 2003; 82: 582-590
- Comorbidity, socioeconomic status and multiple sclerosis.Mult Scler. 2008; 14: 1091-1098
- Development of evidence-informed physical activity guidelines for adults with multiple sclerosis.Arch Phys Med Rehabil. 2013; 94: 1829-1836.e7
- Physical activity and multiple sclerosis: a meta-analysis.Mult Scler. 2005; 11: 459-463
- Objectively quantified physical activity in persons with multiple sclerosis.Arch Phys Med Rehabil. 2013; 94: 2342-2348
- Examination of race disparities in physical inactivity among adults of similar social context.Ethn Dis. 2014; 24: 363-369
- Self-efficacy determinants and consequences of physical activity.Exerc Sport Sci Rev. 2000; 28: 85-88
- The anatomy of stages of change.Am J Health Promot. 1997; 12: 8-10
- Social cognitive variables as correlates of physical activity in persons with multiple sclerosis: findings from a longitudinal, observational study.Behav Med. 2011; 37: 87-94
- Lifestyle physical activity in persons with multiple sclerosis: the new kid on the MS block.Mult Scler. 2014; 20: 1025-1029
- A simple method to assess exercise behavior in the community.Can J Appl Sport Sci. 1985; 10: 141-146
- International physical activity questionnaire: 12-country reliability and validity.Med Sci Sports Exerc. 2003; 35: 1381-1395
- Physical activity and multiple sclerosis: validity of self-report and objective measures.Fam Community Health. 2007; 3: 144-150
- Validity of physical activity measures in ambulatory individuals with multiple sclerosis.Disabil Rehabil. 2006; 28: 1151-1156
- Self-efficacy and the maintenance of exercise participation in older adults.J Behav Med. 1993; 16: 103-113
- Validation of the Multidimensional Outcome Expectations for Exercise Scale in ambulatory, symptom-free persons with multiple sclerosis.Arch Phys Med Rehabil. 2009; 91: 100-105
- Assessing outcome expectations in older adults: the Multidimensional Outcome Expectations for Exercise Scale.J Gerontol B Psychol Sci Soc Sci. 2009; 64: 33-40
- The provisions of social relationships and adaptation to stress.in: Jones J.H. Perlman D. Advances in personal relationships. JAI Pr, Greenwich1987: 37-67
- Measuring disability and function in older women: psychometric properties of the Late Life Function and Disability Instrument.J Gerontol A Biol Sci Med Sci. 2005; 60: 901-909
- Social cognitive determinants of physical activity in young adults: a prospective structural equation analysis.Ann Behav Med. 2002; 24: 149-156
- On the “probable error” of a coefficient of correlation deduced from a small sample.Metron. 1921; 1: 3-32
- Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy.Lancet. 2012; 380: 219-229
- Randomized controlled trial of a behavioral intervention targeting symptoms and physical activity in multiple sclerosis.Mult Scler. 2014; 20: 594-601
Article info
Publication history
Published online: December 28, 2015
Footnotes
Disclosures: R.W.M. reports personal fees from Emmanuel Merck Darmstadt Serono, grants from Acorda Therapeutics, grants from Biogen Idec, and grants from Sun Health Technologies outside the submitted work. The other author has nothing to disclose.
Identification
Copyright
© 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.