TY - JOUR
T1 - Are walking treatment beliefs and illness perceptions associated with walking intention and 6-min walk distance in people with intermittent claudication? A cross-sectional study
AU - Galea Holmes, Melissa N.
AU - Weinman, John
AU - Bearne, Lindsay M.
PY - 2019
Y1 - 2019
N2 - Intermittent claudication (IC) is debilitating leg pain affecting older people with peripheral arterial disease, which is improved by regular walking. This study evaluated associations between psychosocial variables and 6-Minute Walk Distance (6MWD) to identify factors that motivate walking. 142 Individuals with IC (116 males, mean 66.9y [SD=10.2]) completed cross-sectional assessments of sociodemographics, walking treatment beliefs and intention (Theory of Planned Behaviour [TPB]), illness perceptions (Revised Illness Perceptions Questionnaire), and 6MWD. Multiple linear regression evaluated relationships between treatment beliefs (block 1) and illness perceptions (block 2) with intention and 6MWD. TPB constructs were associated with intention (R=.72, p<.001) and 6MWD (R=.08, p<.001). Illness perceptions were associated with 6MWD only (R=.27, p<.001). Intention (β=.26), treatment control (β=-.27), personal control (β=.32), coherence (β=.18), and risk factor attributions (β=.22; all p<0.05) were independently associated with 6MWD. Treatment beliefs and illness perceptions associated with intention and 6MWD in people with IC are potential intervention targets.
AB - Intermittent claudication (IC) is debilitating leg pain affecting older people with peripheral arterial disease, which is improved by regular walking. This study evaluated associations between psychosocial variables and 6-Minute Walk Distance (6MWD) to identify factors that motivate walking. 142 Individuals with IC (116 males, mean 66.9y [SD=10.2]) completed cross-sectional assessments of sociodemographics, walking treatment beliefs and intention (Theory of Planned Behaviour [TPB]), illness perceptions (Revised Illness Perceptions Questionnaire), and 6MWD. Multiple linear regression evaluated relationships between treatment beliefs (block 1) and illness perceptions (block 2) with intention and 6MWD. TPB constructs were associated with intention (R=.72, p<.001) and 6MWD (R=.08, p<.001). Illness perceptions were associated with 6MWD only (R=.27, p<.001). Intention (β=.26), treatment control (β=-.27), personal control (β=.32), coherence (β=.18), and risk factor attributions (β=.22; all p<0.05) were independently associated with 6MWD. Treatment beliefs and illness perceptions associated with intention and 6MWD in people with IC are potential intervention targets.
KW - Behavior change
KW - Illness representations
KW - Walking capacity
UR - http://www.scopus.com/inward/record.url?scp=85066351613&partnerID=8YFLogxK
U2 - 10.1123/japa.2018-0245
DO - 10.1123/japa.2018-0245
M3 - Article
SN - 1063-8652
VL - 27
SP - 473
EP - 481
JO - JOURNAL OF AGING AND PHYSICAL ACTIVITY
JF - JOURNAL OF AGING AND PHYSICAL ACTIVITY
IS - 4
ER -