Health Demands Moderate the Link Between Willpower Beliefs and Physical Activity in Patients with Knee Osteoarthritis.

Background: Regular physical activity (PA) was found to alleviate pain and improve functioning among patients with osteoarthritis of the knee (OAK). Heightened health demands due to OAK severity, body mass index (BMI), and depressive symptoms may require self-regulatory strategies to engage in more...

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Publicado en:International Journal of Behavioral Medicine Vol. 27; no. 4; pp. 406 - 415
Autores principales: Di Maio, Sally, Keller, Jan, Job, Veronika, Felsenberg, Dieter, Ertel, Wolfgang, Schwarzer, Ralf, Knoll, Nina
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Springer Nature Aug2020
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s12529-020-09865-w
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        atl: Health Demands Moderate the Link Between Willpower Beliefs and Physical Activity in Patients with Knee Osteoarthritis.
      aug:
        au:
          Di Maio, Sally
          Keller, Jan
          Job, Veronika
          Felsenberg, Dieter
          Ertel, Wolfgang
          Schwarzer, Ralf
          Knoll, Nina
        affil: Department of Education and Psychology, Health Psychology, Freie Universität Berlin, Habelschwerdter Allee 45, D-14195, Berlin, Germany
      sug:
        subj:
          Osteoarthritis, Knee
          Health Services Needs and Demand
          Health Beliefs
          Physical Activity
          Human
          Severity of Illness
          Body Mass Index
          Depression
          Randomized Controlled Trials
          Descriptive Statistics
          Self Regulation
          Accelerometers
          Random Assignment
      ab: Background: Regular physical activity (PA) was found to alleviate pain and improve functioning among patients with osteoarthritis of the knee (OAK). Heightened health demands due to OAK severity, body mass index (BMI), and depressive symptoms may require self-regulatory strategies to engage in more PA. Research on willpower—the capacity to exert self-control—suggests that believing that willpower is a nonlimited rather than a limited resource predicts effective self-regulation specifically when demands are high. The present study examines the association of OAK patients' willpower beliefs with their daily PA as a function of health demands. Methods: To identify the moderating role of OAK severity (WOMAC), BMI, and depressive symptoms (CES-D) on the link between willpower beliefs and objectively assessed PA over a 7-day period, baseline data of a registered randomized controlled trial with 243 patients (Mage = 65.47 years, SD = 0.49) were examined in secondary analyses. Results: Moderation analyses revealed that overall positive associations of willpower beliefs with PA were further qualified by OAK severity, BMI, and depressive symptoms. When patients faced less health demands, believing that willpower is nonlimited was associated with more PA. When health demands were higher, willpower beliefs were not associated with PA. Conclusion: OAK patients' willpower beliefs were associated with PA. However, facing more health demands seemed to erase this beneficial link. Improving willpower beliefs by way of intervention may help to shed more light on predictive direction and ways to overcome barriers to regular physical activity.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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