Behavioral Intentions and Action Plans Promote Physical Exercise: A Longitudinal Study with Orthopedic Rehabilitation Patients

Patients in rehabilitation settings often face difficulties in complying with physical exercise regimens. To examine social-cognitive determinants in the adoption and maintenance of exercise, a study with four points in time was launched, scrutinizing beliefs and behaviors of 509 orthopedic patients. Although exercise levels increased over time, a sizable number of patients remained inactive. Perceived self-efficacy and outcome expectancies predicted levels of intention and action plans. The latter two in turn were proximal predictors of subsequent exercise. In light of the findings, it is argued that planning helps to bridge the intention-behavior gap. Planning is an alterable variable and is therefore suitable for effective intervention.

[1]  P. Gollwitzer Implementation intentions: Strong effects of simple plans. , 1999 .

[2]  A. Bandura Self-Efficacy: The Exercise of Control , 1997, Journal of Cognitive Psychotherapy.

[3]  Adrienne R. Sinden,et al.  Who Will Stay and Who Will Go? A Review of Older Adults’ Adherence to Randomized Controlled Trials of Exercise , 2001 .

[4]  Ralf Schwarzer,et al.  Planning and Self-Efficacy in the Adoption and Maintenance of Breast Self-Examination: A Longitudinal Study on Self-Regulatory Cognitions , 2003 .

[5]  R Schwarzer,et al.  Social-cognitive predictors of health behavior: action self-efficacy and coping self-efficacy. , 2000, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[6]  Charles Abraham,et al.  Scary warnings and rational precautions: A review of the psychology of fear appeals , 2001 .

[7]  P. Sheeran,et al.  Combining motivational and volitional interventions to promote exercise participation: protection motivation theory and implementation intentions. , 2002, British journal of health psychology.

[8]  K. Courneya Perceived Severity of the Consequences of Physical Inactivity across the Stages of Change in Older Adults , 1995 .

[9]  H. Leventhal,et al.  EFFECTS OF FEAR AND SPECIFICITY OF RECOMMENDATION UPON ATTITUDES AND BEHAVIOR. , 1965, Journal of personality and social psychology.

[10]  Ralf Schwarzer,et al.  Self-efficacy in the adoption and maintenance of health behaviors: Theoretical approaches and a new model. , 1992 .

[11]  M. Clark,et al.  Predictors of exercise adherence following participation in a cardiac rehabilitation program , 1997, International journal of behavioral medicine.

[12]  P. Sheeran Intention—Behavior Relations: A Conceptual and Empirical Review , 2002 .

[13]  Alexander J. Rothman,et al.  Use of correlational data to examine the effects of risk perceptions on precautionary behavior , 1998 .

[14]  Barbara G. Tabachnick,et al.  Preparatory Data Analysis , 2003 .

[15]  Jerry Suls,et al.  Social psychological foundations of health and illness , 2003 .

[16]  Reinhard Fuchs,et al.  Self-efficacy in Changing Societies: Changing risk behaviors and adopting health behaviors: The role of self-efficacy beliefs , 1995 .

[17]  I. Holm,et al.  Intensive group training versus cognitive intervention in sub-acute low back pain: short-term results of a single-blind randomized controlled trial. , 2003, Journal of rehabilitation medicine.

[18]  Traci Mann,et al.  From ‘I Wish’ to ‘I Will’: Social-Cognitive Predictors of Behavioral Intentions , 2003, Journal of health psychology.

[19]  D J Madden,et al.  Cardiovascular and behavioral effects of aerobic exercise training in healthy older men and women. , 1989, Journal of gerontology.

[20]  Ryan E Rhodes,et al.  Relationships between personality, an extended theory of planned behaviour model and exercise behaviour. , 2003, British journal of health psychology.