The Mediating Role of Intention and Stages of Change in Physical Activity among Adults with Physical Disabilities: An Integrative Framework

in Journal of Sport and Exercise Psychology
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The study’s purpose was to identify the mediating role of intention and the stages of change (SOC) in physical activity (PA) over a 6-month period using two models (Theory of Planned Behavior [TPB] and TPB/SOC). Participants were 143 adults with physical disabilities (70.68% response rate; M age = 46.03). The TPB constructs, SOC (time 1), and PA (time 2) were assessed using standardized self-report questionnaires. Based on path analyses, attitude had the highest effect on intention and SOC followed by perceived behavioral control within both well-fit models. The variance in PA explained by the first (TPB) and second (TPB/SOC) models was 16% and 28% respectively. In the just identified model of TPB/SOC, the direct effect of SOC on physical activity remained strong (γsoc.pa = .45) and SOC approached full mediation through attitude. Health promotion interventions need to include both intention and behavior elements (SOC) reinforcing increased PA value and barrier elimination.

Kosma and Ellis are with the Department of Kinesiology, Louisiana State University, Baton Rouge, LA 70803; Cardinal, Bauer, and McCubbin are with the College of Health and Human Sciences, Department of Nutrition and Exercise Sciences, Oregon State University, Corvallis, OR 97331.