Planning, leisure-time physical activity, and coping self-efficacy in persons with spinal cord injury: a randomized controlled trial.
Arbour-Nicitopoulos KP, Martin Ginis KA, Latimer AE. Planning, leisure-time physical activity, and coping self-efficacy in persons with spinal cord injury: a randomized controlled trial.


OBJECTIVE
To examine the effects of action and coping planning (ACP) on leisure-time physical activity (LTPA) and coping self-efficacy in exercise initiates living with spinal cord injury (SCI).


METHODS
Ten-week, single-blind randomized controlled trial.


METHODS
General community.


METHODS
Adults (N=44) with SCI (mean age +/- SD, 49.70+/-12.71y) were randomly assigned to either an action planning only (APO; n=22) or an ACP (n=22) condition.


METHODS
Participants in the APO condition formed action plans for LTPA at weeks 1 and 5, and self-monitored their LTPA behavior. Those in the ACP condition formed coping plans for managing self-identified activity barriers, in addition to forming action plans and self-monitoring.


METHODS
Measures of intentions, coping self-efficacy, and behavior were assessed at weeks 1, 5, and 10.


RESULTS
Intention-to-treat analyses indicated that persons in the ACP condition reported significantly greater LTPA, scheduling, and general barriers self-efficacy at weeks 5 and 10, in comparison with those in the APO condition. Scheduling self-efficacy mediated the effects of the intervention on LTPA, accounting for 38% of the total effect of the intervention on week 5 LTPA.


CONCLUSIONS
These findings illustrate the effectiveness of supplementing action plans with coping plans for enhancing LTPA and coping self-efficacy beliefs among exercise initiates living with SCI.
Arbour-Nicitopoulos
Kelly P
KP
Department of Kinesiology, McMaster University, Hamilton, ON, Canada.
Ginis
Kathleen A Martin
KA
Latimer
A E
AE
D000222:Adaptation, Physiological; D000223:Adaptation, Psychological; D001107:Architectural Accessibility; D005260:Female; D020446:Fitness Centers; D015438:Health Behavior; D006801:Humans; D007899:Leisure Activities; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D012044:Regression Analysis; D020377:Self Efficacy; D016037:Single-Blind Method; D013119:Spinal Cord Injuries / Q000523:psychology / Q000534:rehabilitation*