Department of Kinesiology, McMaster University, Hamilton, ON, Canada.
Arch Phys Med Rehabil. 2009 Dec;90(12):2003-11. doi: 10.1016/j.apmr.2009.06.019.
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.
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).
Ten-week, single-blind randomized controlled trial.
General community.
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.
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.
Measures of intentions, coping self-efficacy, and behavior were assessed at weeks 1, 5, and 10.
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.
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 KP、Martin Ginis KA、Latimer AE。脊髓损伤患者的计划、休闲时间体力活动和应对自我效能：一项随机对照试验。
研究行动和应对规划（ACP）对开始锻炼的脊髓损伤（SCI）患者休闲时间体力活动（LTPA）和应对自我效能的影响。
十周、单盲随机对照试验。
一般社区。
患有 SCI 的成年人（N=44，平均年龄 +/- SD，49.70+/-12.71y）被随机分配到仅行动规划（APO；n=22）或 ACP（n=22）条件。
APO 条件下的参与者在第 1 周和第 5 周制定 LTPA 的行动计划，并自我监测他们的 LTPA 行为。ACP 条件下的参与者制定应对计划来管理自我确定的活动障碍，除了制定行动计划和自我监测。
在第 1、5 和 10 周评估意图、应对自我效能和行为。
意向治疗分析表明，与 APO 条件相比，ACP 条件下的人在第 5 周和第 10 周报告了更多的 LTPA、计划和一般障碍自我效能。计划自我效能在干预对 LTPA 的影响中起中介作用，占干预对第 5 周 LTPA 的总效应的 38%。
这些发现表明，在行动计划中补充应对计划可以有效地提高开始锻炼的 SCI 患者的 LTPA 和应对自我效能信念。
