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The role of symptoms and self-efficacy in predicting physical activity change among older adults with arthritis.

Publication ,  Journal Article
Sperber, N; Hall, KS; Allen, K; DeVellis, BM; Lewis, M; Callahan, LF
Published in: J Phys Act Health
March 2014

BACKGROUND: Physical and psychological symptoms limit physical activity for people with arthritis. This study examined if self-efficacy mediated a relationship between symptom and physical activity (PA) frequency change. METHODS: This was a secondary analysis of older adults with arthritis and joint pain in a trial of a lifestyle PA program (n = 339). Measures were depressive symptoms, pain, fatigue, arthritis self-efficacy, PA self-efficacy, and PA frequency. A panel model was used to analyze relationships at baseline and changes at 20 weeks. RESULTS: The mean age was 68.8 years. At baseline, depression and fatigue were associated with arthritis self-efficacy (β = -.34 and -.24) and, in turn, PA self-efficacy (β = .63); PA self-efficacy was associated with PA (β = .15). Pain and depression changes were associated with arthritis self-efficacy change (β = -.20 and -.21) and, in turn, PA self-efficacy (β = .32) change; PA self-efficacy change was associated with PA change (β = .36). CONCLUSION: Change in symptom severity affected change in PA frequency. These relationships appeared to operate through self-efficacy. Over time, pain appeared to have a stronger relationship than fatigue with self-efficacy and PA. These findings support strategies to help people with arthritis strengthen their confidence for symptom coping and PA participation.

Duke Scholars

Published In

J Phys Act Health

DOI

EISSN

1543-5474

Publication Date

March 2014

Volume

11

Issue

3

Start / End Page

528 / 535

Location

United States

Related Subject Headings

  • Self Efficacy
  • Self Concept
  • Public Health
  • Predictive Value of Tests
  • Pain
  • Motor Activity
  • Middle Aged
  • Male
  • Life Style
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Sperber, N., Hall, K. S., Allen, K., DeVellis, B. M., Lewis, M., & Callahan, L. F. (2014). The role of symptoms and self-efficacy in predicting physical activity change among older adults with arthritis. J Phys Act Health, 11(3), 528–535. https://doi.org/10.1123/jpah.2012-0030
Sperber, Nina, Katherine S. Hall, Kelli Allen, Brenda M. DeVellis, Megan Lewis, and Leigh F. Callahan. “The role of symptoms and self-efficacy in predicting physical activity change among older adults with arthritis.J Phys Act Health 11, no. 3 (March 2014): 528–35. https://doi.org/10.1123/jpah.2012-0030.
Sperber N, Hall KS, Allen K, DeVellis BM, Lewis M, Callahan LF. The role of symptoms and self-efficacy in predicting physical activity change among older adults with arthritis. J Phys Act Health. 2014 Mar;11(3):528–35.
Sperber, Nina, et al. “The role of symptoms and self-efficacy in predicting physical activity change among older adults with arthritis.J Phys Act Health, vol. 11, no. 3, Mar. 2014, pp. 528–35. Pubmed, doi:10.1123/jpah.2012-0030.
Sperber N, Hall KS, Allen K, DeVellis BM, Lewis M, Callahan LF. The role of symptoms and self-efficacy in predicting physical activity change among older adults with arthritis. J Phys Act Health. 2014 Mar;11(3):528–535.

Published In

J Phys Act Health

DOI

EISSN

1543-5474

Publication Date

March 2014

Volume

11

Issue

3

Start / End Page

528 / 535

Location

United States

Related Subject Headings

  • Self Efficacy
  • Self Concept
  • Public Health
  • Predictive Value of Tests
  • Pain
  • Motor Activity
  • Middle Aged
  • Male
  • Life Style
  • Humans