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Two alternative models of health behaviour and recovery from activity limitations due to acute injury: A prospective study
Authors:Gerard J Molloy  Falko Sniehotta  Marie Johnston
Institution:1. Department of Epidemiology?&2. Public Health , University College London , London, UK g.molloy@ucl.ac.uk;4. School of Psychology, University of Aberdeen , Aberdeen, UK
Abstract:Cognitions influence recovery from activity limitations. In this study we aimed to independently test, compare and combine the common sense self-regulation model (CS-SRM) and social cognitive theory (SCT) in predicting recovery from activity limitations due to acute injury. Measures were gathered at two time points 5–6 weeks apart. The sample consisted of 146 university students (Mean age: 21.86, SD: 4.83, 62% female) with a heterogeneous range of injuries that limited their participation in physical activity. The dependent variable was recovery from activity limitations (Physical Functioning?–?Short Form-36). The predictor variables were measured using the Brief Illness Perception Questionnaire and SCT items designed according to theoretical recommendations. Time-line (TL) and self-efficacy (SE) were significant predictors of recovery in a multivariate analysis, controlling for reported pain at Time 1. A combined model including the best predictors from both models, TL (β = ?0.25, p < 0.05, R 2 change = 0.17, p < 0.01) and SE (β =0.31, p < 0.05, R 2 change = 0.05, p < 0.05), accounted for a significant amount of the variance in recovery from activity limitations. A combination of key variables from both models may be particularly useful for understanding the cognitive factors that influence recovery from activity limitations.
Keywords:illness perceptions  social cognitive theory  rehabilitation  recovery
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