Determinants of physical activity among people with spinal cord injury: a test of social cognitive theory

Ann Behav Med. 2011 Aug;42(1):127-33. doi: 10.1007/s12160-011-9278-9.

Abstract

Background: Little theory-based research has focused on understanding and increasing physical activity among people with physical disabilities. Testing a social cognitive theory-based model of determinants is important for identifying variables to target in physical activity-enhancing interventions.

Purpose: The aim of this study is to examine Social Cognitive Theory variables as predictors of physical activity among people living with spinal cord injury.

Methods: Structural equation modeling was used to test a model of Social Cognitive Theory predictors of physical activity (n=160).

Results: The model explained 39% of the variance in physical activity. Self-regulation was the only significant, direct predictor. Self-regulatory efficacy and outcome expectations had indirect effects, mediated by self-regulation.

Conclusion: Social Cognitive Theory is useful for predicting physical activity in people with spinal cord injury. Self-regulation is the most potent Social Cognitive Theory predictor of physical activity in people with spinal cord injury. Self-regulation and its determinants should be targeted in physical activity-enhancing interventions.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Attitude to Health
  • Exercise / psychology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Models, Statistical*
  • Psychological Theory*
  • Self Efficacy
  • Social Control, Informal
  • Spinal Cord Injuries / psychology*
  • Spinal Cord Injuries / rehabilitation