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• W2000963779 abstract "Adherence to physical activity (PA) recommendations for arthritis self-management (150+ minutes/week) is problematic. Those meeting recommendations have higher pain acceptance and self-regulatory efficacy to schedule/plan PA (SRE-SP). However, identifying intermediate processes linking these cognitions to behavior is infrequent. Secondary data analyses from a larger arthritis and PA study were undertaken to answer two questions: whether (1) pain acceptance and SRE-SP predicted reported frequency of use of PA coping strategies (maladaptive [e.g., stop PA], adaptive [e.g., change PA type], and maintenance), (2) use of each coping strategy predicted PA volume. Adults (N = 136, Mage = 49.75 ± 13.89 years) with self-reported, medically-diagnosed arthritis completed an online survey assessing pain acceptance, SRE-SP, and frequency of use of coping strategies. Two weeks later, planned weekly PA volume was assessed. Regarding question 1, three hierarchical multiple regressions were conducted to predict strategy use, with SRE-SP entered first and pain acceptance second (maladaptive: R2 adjusted = .42, adaptive: R2 adjusted = .17, and maintenance: R2 adjusted = .36; p’s < .001). SRE-SP and pain acceptance contributed to all models. However, for adaptive strategies, SRE-SP became non-significant after adding acceptance. Regarding question 2, a regression model predicting PA volume using all three coping strategies was conducted (R2 adjusted = .20, p < .001). Only maintenance contributed significantly (β = .35, p < 0.001). In summary, most relationships were as expected, with higher pain acceptance and SRE-SP predicting maintenance strategy use, and lower levels predicting maladaptive strategy use. Unexpectedly, cognitions were negatively related to adaptive strategy use. PA volume was predicted positively by maintenance strategy use and negatively by maladaptive strategy use. Findings suggest future tests of mediation relationships whereby cognitions predict strategy use that, in turn, predict PA volume. Funding: Canadian Institutes of Health Research and Saskatchewan Health Research Foundation. Adherence to physical activity (PA) recommendations for arthritis self-management (150+ minutes/week) is problematic. Those meeting recommendations have higher pain acceptance and self-regulatory efficacy to schedule/plan PA (SRE-SP). However, identifying intermediate processes linking these cognitions to behavior is infrequent. Secondary data analyses from a larger arthritis and PA study were undertaken to answer two questions: whether (1) pain acceptance and SRE-SP predicted reported frequency of use of PA coping strategies (maladaptive [e.g., stop PA], adaptive [e.g., change PA type], and maintenance), (2) use of each coping strategy predicted PA volume. Adults (N = 136, Mage = 49.75 ± 13.89 years) with self-reported, medically-diagnosed arthritis completed an online survey assessing pain acceptance, SRE-SP, and frequency of use of coping strategies. Two weeks later, planned weekly PA volume was assessed. Regarding question 1, three hierarchical multiple regressions were conducted to predict strategy use, with SRE-SP entered first and pain acceptance second (maladaptive: R2 adjusted = .42, adaptive: R2 adjusted = .17, and maintenance: R2 adjusted = .36; p’s < .001). SRE-SP and pain acceptance contributed to all models. However, for adaptive strategies, SRE-SP became non-significant after adding acceptance. Regarding question 2, a regression model predicting PA volume using all three coping strategies was conducted (R2 adjusted = .20, p < .001). Only maintenance contributed significantly (β = .35, p < 0.001). In summary, most relationships were as expected, with higher pain acceptance and SRE-SP predicting maintenance strategy use, and lower levels predicting maladaptive strategy use. Unexpectedly, cognitions were negatively related to adaptive strategy use. PA volume was predicted positively by maintenance strategy use and negatively by maladaptive strategy use. Findings suggest future tests of mediation relationships whereby cognitions predict strategy use that, in turn, predict PA volume. Funding: Canadian Institutes of Health Research and Saskatchewan Health Research Foundation." @default.
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• W2000963779 date "2015-04-01" @default.
• W2000963779 modified "2023-09-27" @default.
• W2000963779 title "(509) Coping strategies: mediators between pain acceptance, efficacy, and physical activity in arthritis?" @default.
• W2000963779 doi "https://doi.org/10.1016/j.jpain.2015.01.429" @default.
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