Enhancing physical activity adherence and well-being in multiple sclerosis: a randomised controlled trial.

E. McAuley, R.W. Motl, K.S. Morris, L. Hu, S.E. Doerksen, S. Elavsky, J.F. Konopack

Self-efficacy has been one of the most consistent determinants of physical activity across populations, including those with MS (multiple sclerosis). However, no studies exist that have attempted to influence self-efficacy in MS patients, in an effort to improve physical activity participation. The authors conducted a three-month randomised, controlled trial with 26 participants, contrasting the effects of an efficacy-enhancement exercise condition and a control exercise condition on exercise adherence, well-being, and affective responses to exercise. The results indicated that individuals in the efficacy enhancement condition attended more exercise sessions, reported greater levels of well-being and exertion, and felt better following exercise than individuals in the standard care condition. The authors concluded that regardless of treatment condition, individuals with a stronger sense of exercise self-efficacy, who reported more enjoyment following the exercise sessions, demonstrated significantly greater adherence with the exercise programme.

Multiple Sclerosis, 2007, 13(5), 652-659

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