Walking as physical exercise in Fibromyalgia: An elicitation study from the Theory of Planned Behavior
Supporting Agencies
- This study is supported by a grant from the Spanish Ministry of Economy and Competitiveness (PSI 2011-25132).The authors are grateful to the fibromyalgia associations of Alicante (ADEFA)
- Elche (AFEFE)
- Madrid (AFIBROM) and Talavera de la Reina (AFIBROTAR
Abstract
This study is the first phase of the formative research recommended in the Theory of Planned Behavior for the development of an intervention. Our aims are to identify modal beliefs about the performance of an exercise pattern in people with fibromyalgia, to test the items designed for direct evaluation of the predictive constructs and to explore their relationships with the behavior. We assessed 46 women with fibromyalgia. Content analysis showed more positive than negative consequences related to the performance of exercise guidelines (behavioral beliefs). Families and friends are the important referents (normative beliefs) and we identified facilitating and inhibiting factors in the performance of exercise behavior related to aspects of fibromyalgia (control beliefs) such as pain, fatigue and emotional state. The subjective norm scale showed the lowest internal consistency (α= .78). The results confirmed the sedentary lifestyle of the participants (previous behavior: Mean=3.67; rank=1-7) although they also suggested that participants intended to perform the behavior (Mean=5.67). The relationships between constructs are coherent with the theory, and support the relevance of applying it to the selected behavior and population.Downloads
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References
Ajzen, I. (1985). From intentions to actions: A theory of planned behavior. En J. Kuhl & J. Beckman (Eds.), Action control: From cognitions to behavior. Berlin: Springer.
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179-211.
Ajzen, I. (2006). Constructing a theory of planned behavior questionnaire. Retrieved from http://people.umass.edu/~aizen/pdf/tpb.measurement.pdf
Ajzen, I. (2011). The theory of planned behavior: Reactions and reflections. Psychology & Health, 26, 1113-1127.
Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Englewood Cliffs, NJ: Prentice-Hall.
Ajzen, I., & Madden, T. J. (1986). Prediction of goal directed behavior: Attitudes, intentions, and perceived behavioral control. Journal of Experimental Social Psychology, 22, 453-474.
Bisquerra, R. (1987). Introducción a la estadística aplicada a la investigación educativa. Barcelona: PPU.
Branco, J. C., Bannwarth, B., Failde, I., Abello, J., Blotman, F., Spaeth, M., … Matucci-Cerinic, M. (2010). Prevalence of Fibromyalgia: A Survey in Five European Countries. Seminars in Arthritis and Rheumatism, 39, 448-453.
Busch, A., Schachter, C., Overend, T., Peloso, P., & Barber, K. (2008). Exercise for fibromyalgia: a systematic review. Journal of Rheumatology, 35, 1130-44.
Carmona, L., Ballina, F. J., Gabriel, R., Laffon, A., & EPISER study group (2001). The burden of musculoskeletal diseases in the general population of Spain: results from a national survey. Annals of Rheumatic Diseases, 60, 1040-1045.
Darker, C., French, D., Eves, F., & Sniehotta, F. (2009). An intervention to promote walking amongst the general population based on an ‘extended’ Theory of Planned Behaviour: A waiting list randomized controlled trial. Psychology & Health, 25, 71-88.
Darker, C., French, D., Longdon, S., Morris, K., & Eves, F. (2007). Are beliefs elicited biased by question order? A Theory of Planned Behaviour belief elicitation study about walking in the UK general population. British Journal of Health Psychology, 12, 93-110.
Darker, C., Larkin, M., & French, D. (2007). An exploration of walking behavior. An interpretative phenomenological approach. Social Science & Medicine, 65, 2172-2183.
De Bruijn, G. J., & Rhodes, R. E. (2011). Exploring exercise behavior, intention and habit strength relationships. Scandinavian Journal of Medicine and Sciences in Sports, 21, 482-491.
Dobkin, P., Abrahamovicz, M., Fitzcharles, M., Dritsa, M., & Da Costa, D. (2005). Maintenance of exercise in women with Fibromyalgia. Arthritis Care & Research, 53, 724-731.
Dobkin, P., Da Costa, D., Abrahamovicz, M., Dritsa, M., Berger, R. Fitzcharles, M., & Lowensteyn, L. (2006). Adherence during an Individualized Home Based 12-Week Exercise Program in Women with Fibromyalgia. Journal of Rheumatology, 33, 333-41.
Dobkin, P., Sita, A., & Sewitch, M. (2006). Predictors of adherence to treatment in women with Fibromyalgia. Clinical Journal of Pain, 22, 286-294.
Fishbein, M. (2008). A Reasoned Action Approach to health promotion. Medical Decision Making, 28: 834. Doi: 10.1177/0272989X08326092.
Fishbein, M., & Ajzen, I. (2010). Predicting and changing behavior. The Reasoned Action Approach. New York: Taylor & Francis.
Francis, J., Eccles, M., Johnston, M., Walker, A., Grimshaw, J., Foy, R., … Bonetti, D. (2004). Constructing questionnaires based on the theory of planned behavior. A manual for health services researchers. Centre for Health Services Research. University of Newcastle. Recuperado de http://openaccess.city.ac.uk/1735/
French, D., Darker, C., Eves, F., & Sniehotta, F. (2013). The systematic development of a brief intervention to increase walking in the general public using an "extended" theory of Planned Behavior. Journal of Physical Activity & Health, 10, 940-948. Retrieved from http://journals.humankinetics.com/journal-authors/journal-authors/david-paul-french.
Galea, M. N., & Bray, S. R. (2006). Predicting walking intentions and exercise in individuals with intermittent claudication: An application of the Theory of Planned Behavior. Rehabilitation Psychology, 51, 299-305.
Godin, G., & Kok, G. (1996). The Theory of Planned Behavior: a review of its applications to health-related behaviours. American Journal of Health Promotion, 11, 87-98.
Gusi, N., Parraca, J., Adsuar , J. & Olivares, P. (2009). Ejercicio físico y Fibromialgia. En A. Penacho, J. Rivera, M. Pastor & N. Gusi (Eds.), Guía de ejercicios físicos para personas con Fibromialgia (pp. 39-56). Vitoria: Asociación Divulgación Fibromialgia.
Hagger, M. (2010). Current issues and new directions in Psychology and Health: Physical activity research showcasing theory into practice. Psychology & Health, 25, 1-6.
Hagger, M., Chatzisarantis, N., & Biddle, S (2002). A meta-analytic review of the theories of Reasoned Action and Planned Behavior in Physical Activity: Predictive validity and the contribution of additional variables. Journal of Sport & Exercise Psychology, 24, 3-32.
Häuser, W., Klose, P., Langhorst, J., Moradi, B., Steinbach, M., Schilten-wolf, M., & Busch, A. (2010). Efficacy of different types of aerobic exercise in fibromyalgia syndrome: a systematic review and meta-analysis of randomised controlled trials. Arthritis Research & Therapy, 10:R79.
Häuser, W., Thieme, K., & Turk, D. (2010). Guidelines on the management of fibromyalgia syndrome. A systematic review. European Journal of Pain, 14, 5-10.
Jones, K. D., & Liptan, G. L. (2009). Exercise Interventions in Fibromyalgia: Clinical applications from the Evidence. Rheumatic Disease Clinics of North America 35, 373–391. Doi:10.1016/j.rdc.2009.05.004
Lledó, A., Pastor, M.A., Pons, N., López-Roig, S., Rodríguez-Marín, J., & Bruehl, S. (2010). Control beliefs, coping and emotions: Exploring relationships to explain fibromyalgia health outcomes. International Journal of Clinical and Health Psychology, 10, 459-476.
Mannerkorpi, K., & Iversen M. D. (2003). Physical exercise in fibromyalgia and related syndromes. Best Practice Research in Clinical Rheumatoly, 17, 629-647.
Martín-Aragón, M., Pastor, M. A., Rodríguez-Marín, J., March, M. J., Lledó, A., López-Roig, S. & Terol, M. C. (1999). Percepción de autoeficacia en dolor crónico: adaptación y validación de la Chronic Pain Self-Efficacy Scale. Revista de Psicología de la Salud, 11, 53–75.
Meyer, B. B., & Lemley, K. J. (2000). Utilizing exercise to affect the symptomatology of fibromyalgia: a pilot study. Medical Sciences & Sports Exercise, 32, 1691-1697.
Ramírez, C., Esteve, R. & López, A. (2001). Neuroticismo, afrontamiento y dolor crónico. Anales de Psicología, 17, 129-137.
Rhodes, R. E., Brown, S. G., & McIntyre, C. A. (2006). Integrating the perceived neighbourhood environment and the theory of planned behaviour when predicting walking in a Canadian adult sample. American Journal of Health Promotion, 21, 110–118.
Richards, S., & Scott, D. (2002). Prescribed exercise in people with fibromyalgia: parallel group randomised controlled trial. British Medical Journal, 27, 7357-185.
Rivera, J., Alegre, C., Nishishinyac, M. B. & Heredad, C.A. (2006). Evidencias terapéuticas en fibromialgia. Reumatología Clínica, 2, 34-37.
Rivera, J., Rejas, J., Esteve-Vives, J., Vallejo, M. A., & Grupo ICAF (2009). Resource utilisation and health care costs in patients diagnosed with fibromialgia in Spain. Clinical and Experimental Rheumatology, 27, S39-S45.
Rooks, D., Gautam, S., Romeling, M., Cross, M., Stratigakis, D., Evans, B., …Katz, J. (2007). Group exercise, education, and combination self-management in women with fibromyalgia: a randomized trial. Archives of Internal Medicine, 167, 2192-2200.
Schachter, C., Busch, A., Peloso, P., & Sheppard, M. (2003). Effects of short versus long bouts of aerobic exercise in sedentary women with Fibromyalgia: A Randomized Controlled Trial. Physical Therapy, 83, 340-358.
Sicras-Mainar, A., Rejas, J., Navarro, R., Blanca, M., Morcillo, A., Larios, R., … Villarroya, C. (2009). Treating patients with Fibromyalgia in primary care settings under routine medical practice: a claim database cost and burden of illness study. Arthritis Research & Therapy, 11(R54). Doi:10.1186/ar2673.
Symons- Downs, D., & Hausenblas, H. (2005). Elicitation studies and the Theory of Planned Behavior: a systematic review of exercise beliefs. Psychology of Sports & Exercise, 6, 1-31.
Van Koulil, S. V., Effting, M., Kraaimaat, F. W., van Lankveld, W., van Helmond, T., Cats, H., … Evers, A. (2007). A review of cognitive behaviour therapies and exercise programmes for Fibromyalgia patients: state of the art and future directions. Annals of Rheumatic Diseases, 66, 571-581.
White, K. P., Harth, M., Speechley, M., & Østbye, T. (1999). Testing an instrument to screen for Fibromyalgia Syndrome in general population studies: The London Fibromyalgia Epidemiology Study Screening Questionnaire. Journal of Rheumatology, 26, 880-884.
Wolfe, F., Smythe, H., Yunus, M., Bennett, R. M., Bombardier, C., Goldenberg, D. L., ... Sheon, R.P. (1990) . The American College of Rheumatology 1990 criteria for the classification of Fibromyalgia: Report of the multicenter criteria commitee. Arthritis & Rheumatism, 33, 160-172.
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