Walking as physical exercise in Fibromyalgiaan elicitation study from the Theory of Planned Behavior

  1. Pastor-Mira, María Ángeles
  2. López Roig, Sofía
  3. Sanz López, Yolanda
  4. Peñacoba Puente, Cecilia
  5. Cigarán, Margarita
  6. Lledó Boyer, Ana
  7. Velasco Furlong, Lilian
  8. Almécija Rodríguez, M. Carmen
Journal:
Anales de psicología

ISSN: 0212-9728,  1695-2294

Year of publication: 2015

Volume: 31

Issue: 2

Pages: 433-446

Type: Article

DOI: 10.6018/ANALESPS.31.2.172151 DIALNET GOOGLE SCHOLAR

More publications in: Anales de psicología

Sustainable development goals

Abstract

This study is the first phase of the formative research recom-mended in the Theory of Planned Behavior for the development of an in-tervention. Our aims are to identify modal beliefs about the performance of an exercise pattern in people with fibromyalgia, to test the items de-signed for direct evaluation of the predictive constructs and to explore their relationships with the behavior. We assessed 46 women with fibrom-yalgia. Content analysis showed more positive than negative consequences related to the performance of exercise guidelines (behavioral beliefs). Fami-lies 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 (á= .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

Bibliographic 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 be-havior. Englewood Cliffs, NJ: Prentice-Hall.
  • Ajzen, I., & Madden, T. J. (1986). Prediction of goal directed behavior: Atti-tudes, intentions, and perceived behavioral control. Journal of Experimen-tal Social Psychology, 22, 453-474.
  • Bisquerra, R. (1987). Introducción a la estadística aplicada a la investigación educati-va. 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). Ex-ercise 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 popula-tion 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 „extend-ed‟ 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 be-liefs elicited biased by question order? A Theory of Planned Behaviour belief elicitation study about walking in the UK general population. Brit-ish Journal of Health Psychology, 12, 93-110.
  • Darker, C., Larkin, M., & French, D. (2007). An exploration of walking be-havior. An interpretative phenomenological approach. Social Science & Medicine, 65, 2172-2183.
  • De Bruijn, G. J., & Rhodes, R. E. (2011). Exploring exercise behavior, in-tention 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 Indi-vidualized 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 de-velopment of a brief intervention to increase walking in the general public using an "extended" theory of Planned Behavior. Journal of Physi-cal 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 exer-cise 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 Fi-bromialgia. En A. Penacho, J. Rivera, M. Pastor & N. Gusi (Eds.), Guía de ejercicios físicos para personas con Fibromialgia (pp. 39-56). Vitoria: Aso-ciación Divulgación Fibromialgia.
  • Hagger, M. (2010). Current issues and new directions in Psychology and Health: Physical activity research showcasing theory into practice. Psy-chology & 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 ex-ercise 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 Fibromyal-gia: 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 rela-tionships 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 symp-tomatology of fibromyalgia: a pilot study. Medical Sciences & Sports Exer-cise, 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 per-ceived neighbourhood environment and the theory of planned behav-iour when predicting walking in a Canadian adult sample. American Jour-nal of Health Promotion, 21, 110–118.
  • Richards, S., & Scott, D. (2002). Prescribed exercise in people with fibrom-yalgia: parallel group randomised controlled trial. British Medical Journal, 27, 7357-185.
  • Rivera, J., Alegre, C., Nishishinyac, M. B. & Heredad, C.A. (2006). Eviden-cias 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 fi-bromialgia 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 be-haviour 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 in-strument 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., Golden-berg, D. L.,… Sheon, R.P. (1990). The American College of Rheuma-tology 1990 criteria for the classification of Fibromyalgia: Report of the multicenter criteria commitee. Arthritis & Rheumatism, 33, 160-172.
Data source: Dialnet