Influence of self-efficacy on compliance to workplace exercise

Mette Merete Pedersen, Mette Kreutzfeldt Zebis, Henning Langberg, Otto Melchior Poulsen, Ole Steen Mortensen, Jette Nygaard Jensen, Gisela Sjøgaard, Thomas Bredahl, Lars Louis Andersen, Mette Merete Pedersen, Mette Kreutzfeldt Zebis, Henning Langberg, Otto Melchior Poulsen, Ole Steen Mortensen, Jette Nygaard Jensen, Gisela Sjøgaard, Thomas Bredahl, Lars Louis Andersen

Abstract

Background: Continuous neck and shoulder pain is a common musculoskeletal complaint. Physical exercise can reduce pain symptoms, but compliance to exercise is a challenge. Exercise-specific self-efficacy has been found to be a predictor of participation in preplanned exercise. Little is known about the influence of exercise-specific self-efficacy on compliance to workplace physical exercise.

Purpose: To determine the influence of exercise-specific self-efficacy on compliance to specific strength exercises during working hours for laboratory technicians.

Methods: We performed a cluster-randomized controlled trial, including laboratory technicians from two industrial production units in Copenhagen, Denmark. The participants were randomized to supervised specific strength exercises for the neck and shoulder muscles for 20 minutes three times a week (n = 282) or to a reference group (n = 255). The participants answered baseline and follow-up questions regarding self-efficacy and registered all exercises in a diary.

Results: Overall compliance to exercises was 45 %. Compliance in company A (private sector) differed significantly between the three self-efficacy groups after 20 weeks. The odds ratio of compliance was 2.37 for moderate versus low self-efficacy, and 2.93 for high versus low self-efficacy. No significant difference was found in company B (public sector) or in the intervention group as a whole.

Conclusion: We did not find self-efficacy to be a general statistically significant predictor of compliance to exercises during 20 weeks, but found self-efficacy to be a predictor of compliance in a private sector setting. Workplace-specific differences might be present and should be taken into account.

Trial registration: ClinicalTrials.gov NCT01071980.

Figures

Fig. 1
Fig. 1
Compliance to training in the intervention group as a whole and in companies A and B separately
Fig. 2
Fig. 2
Odds of compliance for the three self-efficacy groups in company A. Low self-efficacy was set as reference group (odds = 1)

References

    1. Larsson B, Sogaard K, Rosendal L. Work related neck-shoulder pain: a review on magnitude, risk factors, biochemical characteristics, clinical picture and preventive interventions. Best Pract Res Clin Rheumatol. 2007;21:447–463. doi: 10.1016/j.berh.2007.02.015.
    1. Bot SDM, van der Waal JM, Terwee CB, et al. Incidence and prevalence of complaints of the neck and upper extremity in general practice. Ann Rheum Dis. 2005;64:118–123. doi: 10.1136/ard.2003.019349.
    1. Ekholm O, Kjøller M, Davidsen M, et al. Sundhed og sygelighed i Danmark & udviklingen siden 1987. København: Statens Institut for Folkesundhed; 2006.
    1. Nikander R, Malkia E, Parkkari J, Heinonen A, Starck H, Ylinen J. Dose-response relationship of specific training to reduce chronic neck pain and disability. Med Sci Sports Exerc. 2006;38:2068–2074. doi: 10.1249/01.mss.0000229105.16274.4b.
    1. Blangsted AK, Sogaard K, Hansen EA, Hannerz H, Sjogaard G. One-year randomized controlled trial with different physical-activity programs to reduce musculoskeletal symptoms in the neck and shoulders among office workers. Scand J Work Environ Health. 2008;34:55–65. doi: 10.5271/sjweh.1192.
    1. Andersen LL, Kjaer M, Sogaard K, Hansen L, Kryger AI, Sjogaard G. Effect of two contrasting types of physical exercise on chronic neck muscle pain. Arthritis Rheum. 2008;59:84–91. doi: 10.1002/art.23256.
    1. Ylinen J, Takala EP, Nykanen M, et al. Active neck muscle training in the treatment of chronic neck pain in women: a randomized controlled trial. JAMA. 2003;289:2509–2516. doi: 10.1001/jama.289.19.2509.
    1. Viljanen M, Malmivaara A, Uitti J, Rinne M, Palmroos P, Laippala P. Effectiveness of dynamic muscle training, relaxation training, or ordinary activity for chronic neck pain: randomised controlled trial. BMJ. 2003;327:475. doi: 10.1136/bmj.327.7413.475.
    1. Andersen LL, Jorgensen MB, Blangsted AK, Pedersen MT, Hansen EA, Sjogaard G. A randomized controlled intervention trial to relieve and prevent neck/shoulder pain. Med Sci Sports Exerc. 2008;40:983–990. doi: 10.1249/MSS.0b013e3181676640.
    1. Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84:191–215. doi: 10.1037/0033-295X.84.2.191.
    1. Bandura A. Self-efficacy. The exercise of control. New York: W.H. Freeman and Company; 1997.
    1. Dishman RK, Motl RW, Saunders R, et al. Self-efficacy partially mediates the effect of a school-based physical-activity intervention among adolescent girls. Prev Med. 2004;38:628–636. doi: 10.1016/j.ypmed.2003.12.007.
    1. Luszczynska A, Schwarzer R. Social cognitive theory. In: Conner M, editor. Predicting health behaviour. Berkshire: McGraw-Hill Education; 2005. pp. 127–169.
    1. Bandura A. Social foundations of thought and action: a social cognitive theory. Englewood Cliffs: Prentice Hall; 1986.
    1. Bandura A. Health promotion by social cognitive means. Health Educ Behav. 2004;31:143–164. doi: 10.1177/1090198104263660.
    1. Bandura A. Self-efficacy in changing societies. New York: Cambridge University; 1995.
    1. Sallis JF, Haskell WL, Fortmann SP, Vranizan KM, Taylor CB, Solomon DS. Predictors of adoption and maintenance of physical activity in a community sample. Prev Med. 1986;15:331–341. doi: 10.1016/0091-7435(86)90001-0.
    1. Sallis JF, Hovell MF, Hofstetter CR, Barrington E. Explanation of vigorous physical activity during two years using social learning variables. Soc Sci Med. 1992;34:25–32. doi: 10.1016/0277-9536(92)90063-V.
    1. Motl RW, Dishman RK, Ward DS, et al. Examining social-cognitive determinants of intention and physical activity among black and white adolescent girls using structural equation modeling. Health Psychol. 2002;21:459–467. doi: 10.1037/0278-6133.21.5.459.
    1. McAuley E. Self-efficacy and the maintenance of exercise participation in older adults. J Behav Med. 1993;16:103–113. doi: 10.1007/BF00844757.
    1. McAuley E. The role of efficacy cognitions in the prediction of exercise behavior in middle-aged adults. J Behav Med. 1992;15:65–88. doi: 10.1007/BF00848378.
    1. Dzewaltowski DA. Toward a model of exercise motivation. J Sport Exerc Psychol. 1989;11:251–269.
    1. Brassington GS, Atienza AA, Perczek RE, DiLorenzo TM, King AC. Intervention-related cognitive versus social mediators of exercise adherence in the elderly. Am J Prev Med. 2002;23:80–86. doi: 10.1016/S0749-3797(02)00477-4.
    1. McAuley E, Courneya KS, Rudolph DL, Lox CL. Enhancing exercise adherence in middle-aged males and females. Prev Med. 1994;23:498–506. doi: 10.1006/pmed.1994.1068.
    1. Rovniak LS, Anderson ES, Winett RA, Stephens RS. Social cognitive determinants of physical activity in young adults: a prospective structural equation analysis. Ann Behav Med. 2002;24:149–156. doi: 10.1207/S15324796ABM2402_12.
    1. Biddle SJ, Mutrie N. Psychology of physical activity. Determinants, well-being and interventions. London: Routledge; 2007.
    1. Zebis M, Andersen LL, Theisen M, et al. Implementation of neck/shoulder exercises for pain relief among industrial workers: a randomized controlled trial. BMC Musculoskelet Disord. 2011;12:205. doi: 10.1186/1471-2474-12-205.
    1. Marcus BH, Selby VC, Niaura RS, Rossi JS. Self-efficacy and the stages of exercise behavior change. Res Q Exerc Sport. 1992;63:60–66. doi: 10.1080/02701367.1992.10607557.
    1. Norman GJ, Velicer WF. Developing an empirical typology for regular exercise. Prev Med. 2003;37:635–645. doi: 10.1016/j.ypmed.2003.09.011.
    1. Benisovich SV, Rossi JS, Norman GJ, Nigg CR. A multidimensional approach to exercise self-efficacy: relationship with exercise behaviour and attitudes towards exercise. Annual Meeting of the New England Psychological Association. 1998.
    1. Benisovich SV, Rossi JS, Norman GJ, Nigg CR. Development of a multidimensional measure of exercise self-efficacy. The Society of Behavioral Medicine (SBM). 1998.
    1. Perloff RM. The dynamics of persuasion. Communication and attitude in the 21st century. New York: Taylor & Francis Group; 2008.
    1. Schwetschenau HM, O'Brien WH, Cunningham CJ, Jex SM. Barriers to physical activity in an on-site corporate fitness center. J Occup Health Psychol. 2008;13:371–380. doi: 10.1037/1076-8998.13.4.371.
    1. Fletcher GM, Behrens TK, Domina L. Barriers and enabling factors for work-site physical activity programs: a qualitative examination. J Phys Act Health. 2008;5:418–429.
    1. Phipps E, Madison N, Pomerantz SC, Klein MG. Identifying and assessing interests and concerns of priority populations for work-site programs to promote physical activity. Health Promot Pract. 2010;11:71–78. doi: 10.1177/1524839908318165.

Source: PubMed

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