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Self-Regulatory Strategies as Correlates of Physical Activity Behavior in Persons With Multiple Sclerosis

Published:February 08, 2018DOI:https://doi.org/10.1016/j.apmr.2017.12.037

      Highlights

      • Self-regulatory strategies are important correlates of physical activity in multiple sclerosis (MS).
      • Relapse prevention was a unique predictor of physical activity behavior.
      • Self-efficacy was an important determinant of physical activity behavior in MS.
      • Relapse prevention presumably works via self-efficacy in persons with MS.

      Abstract

      Objective

      To examine self-regulation strategies as correlates of physical activity in persons with multiple sclerosis (MS).

      Design

      Cross-sectional, or survey, study.

      Setting

      University-based research laboratory.

      Participants

      Convenience sample of persons with MS (N=68).

      Interventions

      Not applicable.

      Main Outcome Measures

      Exercise Self-Efficacy Scale (EXSE), 12-item Physical Activity Self-Regulation Scale (PASR-12), and Godin Leisure-Time Exercise Questionnaire (GLTEQ).

      Results

      Correlation analyses indicated that GLTEQ scores were positively and significantly associated with overall self-regulation (r=.43), self-monitoring (r=.45), goal-setting (r=.27), reinforcement (r=.30), time management (r=.41), and relapse prevention (r=.53) PASR-12 scores. Regression analyses indicated that relapse prevention (B=5.01; SE B=1.74; β=.51) and self-monitoring (B=3.65; SE B=1.71; β=.33) were unique predictors of physical activity behavior, and relapse prevention demonstrated a significant association with physical activity behavior that was accounted for by EXSE.

      Conclusions

      Our results indicate that self-regulatory strategies, particularly relapse prevention, may be important correlates of physical activity behavior that can inform the design of future behavioral interventions in MS.

      Keywords

      List of abbreviations:

      BMI (body mass index), EDSS (Expanded Disability Status Scale), EXSE (Exercise Self-Efficacy Scale), GLTEQ (Godin Leisure-Time Exercise Questionnaire), HCS (health contribution score), MS (multiple sclerosis), PASR-12 (12-item Physical Activity Self-Regulation Scale), SCT (Social Cognitive Theory)
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