A test of the impact of pain on automatic motivational processes in people with knee osteoarthritis |
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| Affiliation: | 1. Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, The University of Melbourne, Level 7, Alan Gilbert Building, Building 104, 161 Barry St, The University of Melbourne, Victoria, 3010, Australia;2. Motivation of Health Behaviours Lab, School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, Queensland, Australia;1. Nantes Université, Movement – Interactions -Performance, MIP, UR 4334, F, 44000, Nantes, France;2. University of Lyon, University of Claude Bernard Lyon 1, Laboratory of Vulnerabilities and Innovation in Sport (EA 7428), Confederation Interdisciplinary Research in Sport (FED 4272), F-69622, Lyon, France;1. University of Cordoba, Cordoba, Spain;2. Marbella International University Centre, Marbella, Spain;3. Claremont Graduate University, Claremont, USA;4. Unió de Federacions Esportives de Catalunya, Barcelona, Spain;5. University of Granada, Granada, Spain;1. School of Health Sciences, Liverpool Hope University, Taggart Avenue, Liverpool, L16 9JD, UK;2. Research Centre for Musculoskeletal Science and Sports Medicine, Department of Sport and Exercise Science, Manchester Metropolitan University, UK;1. Faculty of Sport and Health Sciences, University of Jyväskylä, P.O. Box 35, Jyväskylä, 40014, Finland;2. College of Education, Physical Education Department, United Arab Emirates University, P.O. Box 15551, Al Ain, United Arab Emirates;1. Faculty of Kinesiology, Sport, and Recreation, 3-100 University Hall, Van Vliet Complex, University of Alberta, Edmonton, Alberta, Canada, T6G 2H9;2. School of Human Kinetics, Faculty of Health Sciences, Montpetit Hall, 125 University Street, University of Ottawa, Ottawa, Ontario, K1N 6N5, Canada;3. Faculty of Human and Health Sciences, University of Northern British Columbia, 3333 University Way, Prince George, British Columbia, V2N 4Z9, Canada |
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| Abstract: | ObjectivePeople with osteoarthritis are likely to be physically inactive and current socio-cognitive approaches to changing physical activity in this patient population are generally ineffective. We assessed prospective associations between physical activity and the automatic processes of habit automaticity, automatic evaluations, and automatic self-schema in people with knee osteoarthritis.DesignOne-week prospective.Method253 adults (aged 46–82 years, 72% female, 28% male) with knee osteoarthritis self-reported their physical activity behaviour of the past week, habit automaticity for physical activity and completed two implicit association tests to assess automatic evaluations of physical activity (relative to sedentary behaviour) and automatic self-schema for physical activity. One week later, participants self-reported physical activity and pain while walking over the prior week. Linear regression models assessed associations of each automatic process with subsequent physical activity and the moderation effect of pain and each automatic process on subsequent physical activity, controlling for covariates.ResultsWe did not find evidence of a statistical relationship between physical activity with automatic evaluations, automatic self-schema, or habit automaticity. The inclusion of pain while walking did not moderate the relationship between any automatic process and physical activity.ConclusionAlthough previous research on healthy, young adults suggests that automatic processes affect physical activity behaviour, we did not find evidence to confirm whether a similar relationship exists for older adults with knee osteoarthritis. Replication and extension work testing these research questions is needed to ensure the findings are not a result of measurement and design features of the study. |
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| Keywords: | Exercise Dual process automaticity Habit Physical activity Knee Osteoarthritis Pain Motivation |
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