Predictors of Leisure Time Physical Activity Among People with Spinal Cord Injury
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ORIGINAL ARTICLE
Predictors of Leisure Time Physical Activity Among People with Spinal Cord Injury Kathleen A. Martin Ginis, Ph.D. & Kelly P. Arbour-Nicitopoulos, Ph.D. & Amy E. Latimer-Cheung, Ph.D. & Andrea C. Buchholz, Ph.D. & Steven R. Bray, Ph.D. & B. Catharine Craven, M.D. & Keith C. Hayes, Ph.D. & Mary Ann McColl, Ph.D. & Patrick J. Potter, M.D. & Karen Smith, M.D. & Dalton L. Wolfe, Ph.D. & Richard Goy, M.A. & Julie Horrocks, Ph.D. Published online: 19 May 2012 # The Society of Behavioral Medicine 2012
Abstract Background Most studies of physical activity predictors in people with disability have lacked a guiding theoretical framework. Identifying theory-based predictors is important for developing activity-enhancing strategies. Purpose To use the World Health Organization’s International Classification of Functioning, Disability and Health (ICF) framework to identify predictors of leisure time physical activity among people with spinal cord injury (SCI). Methods Six hundred ninety-five persons with SCI (M age047; 76% male) completed measures of Body Functions and Structures, Activities and Participation, Personal Factors, and Environmental Factors at baseline and 6-months. Activity was measured at 6 and 18 months. Logistic and linear regression models were computed to prospectively examine predictors of activity status and activity minutes per day.
Results Models explained 19%–25% of variance in leisure time physical activity. Activities and Participation and Personal Factors were the strongest, most consistent predictors. Conclusions The ICF framework shows promise for identifying and conceptualizing predictors of leisure time physical activity in persons with disability.
K. A. M. Ginis (*) : K. P. Arbour-Nicitopoulos : S. R. Bray Department of Kinesiology, Centre for Health Promotion and Rehabilitation, McMaster University, Hamilton, ON, Canada L8S 4K1 e-mail: [email protected]
K. C. Hayes : P. J. Potter : D. L. Wolfe Department of Physical Medicine and Rehabilitation, University of Western Ontario, London, ON, Canada
Keywords Disability . Exercise . Paraplegia . Tetraplegia . Participation
Introduction Leisure time physical activity improves fitness and well-being among people with spinal cord injury (SCI; [1, 2]). However, because of challenges associated with physical activity participation, most people with SCI are insufficiently active to
A. E. Latimer-Cheung School of Kinesiology and Health Studies, Queen’s University, Kingston, ON, Canada
M. A. McColl Centre for Health Services and Policy Research, Queen’s University, Kingston, ON, Canada
A. C. Buchholz Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON, Canada
K. Smith Department of Physical Medicine and Rehabilitation, Providence Care, Queen’s University, Kingston, ON, Canada
B. C. Craven Department of Medicine, Toronto Rehabilitation Institute, University of Toronto, Toronto, ON, Canada
R. Goy : J. Horrocks Department of Mathematics and Statistics, University of Guelph, Guelph, ON, Canada
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