title: Using a theoretical approach to identify factors influencing adherence to an exercise programme for adults with venous leg ulcers.
abstract: This study assessed the relationships between self-efficacy, outcome expectations, fear-avoidance beliefs and adherence to an exercise for a home-based exercise programme for adults with venous leg ulcers. Patients ( n=63) were randomised to receive either an intervention or usual care group. Of those in the exercise intervention group, 59per cent adhered to the exercise protocol more than 75per cent of the time. There was a significant relationship between self-efficacy and outcome expectations, and both of these constructs were significantly related to adherence to the leg exercise programme. Adherence significantly correlated with wound healing indicating a possible pathway to healing.
authors.affiliation: 1 University of Tasmania, Australia.
authors.forename: Jane
authors.initials: J
authors.lastname: O'Brien
authors.affiliation: 2 Queensland University of Technology, Brisbane, Australia.|3 Wound Management Innovation Cooperative Research Centre, Australia.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Finlayson
authors.affiliation: 2 Queensland University of Technology, Brisbane, Australia.
authors.forename: Graham
authors.initials: G
authors.lastname: Kerr
authors.affiliation: 4 Pace University, USA.
authors.forename: Lillie
authors.initials: L
authors.lastname: Shortridge-Baggett
authors.affiliation: 2 Queensland University of Technology, Brisbane, Australia.|3 Wound Management Innovation Cooperative Research Centre, Australia.
authors.forename: Helen
authors.initials: H
authors.lastname: Edwards
mesh_terms: D000328:Adult; D003469:Culture; D005081:Exercise Therapy / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D010349:Patient Compliance / Q000523:psychology*; D011582:Psychological Theory; D012648:Self Care / Q000523:psychology; D020377:Self Efficacy; D014647:Varicose Ulcer / Q000523:psychology / Q000628:therapy*; D014945:Wound Healing
keywords: adherence; behavioural medicine; exercise; social cognitive theory; venous leg ulcers