title: Developing physical activity interventions for adults with spinal cord injury. Part 2: motivational counseling and peer-mediated interventions for people intending to be active.
abstract: 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").
  
  
  METHODS
  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
  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.
authors: School of Kinesiology and Health Studies, Queen's University.
authors: Amy E
authors: AE
authors: Latimer-Cheung
authors: Faculty of Kinesiology and Physical Education, University of Toronto.
authors: Kelly P
authors: KP
authors: Arbour-Nicitopoulos
authors: College of Kinesiology, University of Saskatchewan.
authors: Lawrence R
authors: LR
authors: Brawley
authors: Healthy Active Living and Obesity Research (HALO), CHEO Research Institute.
authors: Casey
authors: C
authors: Gray
authors: School of Kinesiology, University of British Columbia.
authors: A
authors: A
authors: Justine Wilson
authors: School of Kinesiology, Western University.
authors: Harry
authors: H
authors: Prapavessis
authors: Department of Kinesiology, McMaster University.
authors: Jennifer R
authors: JR
authors: Tomasone
authors: Aging, Rehabilitation and Geriatric Care Research Centre, Lawson Health Research Institute.
authors: Dalton L
authors: DL
authors: Wolfe
authors: Department of Kinesiology, McMaster University.
authors: Kathleen A
authors: 0000-0002-7076-3594
authors: KA
authors: Martin Ginis
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D033182:Intention; D007899:Leisure Activities; D008297:Male; D008875:Middle Aged; D009042:Motivation; D062405:Motivational Interviewing; D009043:Motor Activity; D010264:Paraplegia / Q000523:psychology / Q000534:rehabilitation; D010379:Peer Group; D011582:Psychological Theory; D011782:Quadriplegia / Q000523:psychology / Q000534:rehabilitation; D020377:Self Efficacy; D013119:Spinal Cord Injuries / Q000523:psychology / Q000534:rehabilitation*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014836:Volition