Developing Physical Activity Interventions for Adults With Spinal Cord Injury. Part 2: Motivational Counseling and Peer-Mediated Interventions for People Intending to Be Active
Developing Physical Activity Interventions for Adults With Spinal Cord Injury. Part 2: Motivational Counseling and Peer-Mediated Interventions for People Intending to Be Active
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DOI：
10.1037/a0032816
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发表时间：
2013-08-01
影响因子：
2.7
通讯作者：
Ginis, Kathleen A. Martin
中科院分区：
文献类型：
--
作者：
Latimer-Cheung, Amy E.;Arbour-Nicitopoulos, Kelly P.;Ginis, Kathleen A. Martin
目的：大多数脊髓损伤（SCI）患者没有参加足够的休闲时间体育活动（LTPA）来获得健身益处;然而，许多人都有积极的意愿。本文描述了两种针对SCI患者的试点干预措施，这些患者活动不足，但打算活动（即，“intenders”）。方法：研究1探讨了一个单一的，基于电话的咨询会议的自我调节效能，意图和LTPA的行动计划之间的7名男性和女性截瘫或四肢瘫痪。研究2探讨了由同伴和健身教练提供的家庭力量训练课程对力量训练任务自我效能、意图、行动计划和行为的影响。参与者是11名男性和女性截瘫。结果如下：咨询会议（研究1）产生了中等至大规模的增加，参与者的信心，设置LTPA的目标和意图是积极的。家庭访视（研究2）从基线到访视后4周，任务自我效能感、障碍自我效能感、意图、行动计划和力量训练行为出现了中等至大幅度的增加。结论/影响：研究1的结果提供了初步证据，表明一次咨询会议可以影响SCI意向者LTPA的关键决定因素。研究2的结果表明，潜在的实用性，以同伴为中介，以家庭为基础的力量训练课程，积极影响社会认知和力量训练行为。总之，这些研究提供了证据和资源的干预策略，以促进LTPA与SCI，一个人口LTPA的干预措施和资源几乎不可用的意向者。
Objective: The majority of people with spinal cord injury (SCI) do not engage in sufficient leisure-time physical activity (LTPA) to attain fitness benefits; however, many have good intentions to be active. This paper describes two pilot interventions targeting people with SCI who are insufficiently active but intend to be active (i.e., "intenders"). Method: Study 1 examined the effects of a single, telephone-based counseling session on self-regulatory efficacy, intentions, and action plans for LTPA among seven men and women with paraplegia or tetraplegia. Study 2 examined the effects of a home-based strength-training session, delivered by a peer and a fitness trainer, on strength-training task self-efficacy, intentions, action plans, and behavior. Participants were 11 men and women with paraplegia. Results: The counseling session (Study 1) yielded medium- to large-sized increases in participants' confidence to set LTPA goals and intentions to be active. The home visit (Study 2) produced medium- to large-sized increases in task self-efficacy, barrier self-efficacy, intentions, action planning, and strength-training behavior from baseline to 4 weeks after the visit. Conclusions/Implications: Study 1 findings provide preliminary evidence that a single counseling session can impact key determinants of LTPA among intenders with SCI. Study 2 findings demonstrate the potential utility of a peer-mediated, home-based strength training session for positively influencing social cognitions and strength-training behavior. Together, these studies provide evidence and resources for intervention strategies to promote LTPA among intenders with SCI, a population for whom LTPA interventions and resources are scarcely available.