Discussion Podcast: Multiple Sclerosis, Physical Activity, and Self-Efficacy
Participants: Robert Motl, PhD, Associate Professor, Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Urbana, Illinois; and Anne McCarthy Jacobson, PT, DPT, MS, Clinical Assistant Professor, Graduate Programs in Physical Therapy, MGH Institute of Health Professions, and Clinical Expert Physical Therapist, Spaulding Rehabilitation Hospital, Boston, Massachusetts. Moderator: Kathleen Gill-Body, PT, PhD, Adjunct Clinical Associate Professor, MGH Institute of Health Professions, Boston, Massachusetts; Senior Physical Therapist, Newton Wellesley Hospital, Newton, Massachusetts; and Editorial Board member, PTJ.
Files in this Data Supplement:
- Discussion Podcast
According to the literature, people with multiple sclerosis (MS), as a group, are sedentary and inactive compared with the
general population. What variables explain this inactivity? In their longitudinal study, "Longitudinal Change in Physical
Activity and Its Correlates in Relapsing-Remitting Multiple Sclerosis" (August 2013), Robert Motl and colleagues found that,
in people with relapsing-remitting MS, the primary predictor of change in long-term patterns of physical activity was change
in self-efficacy (confidence in ability to be physically active) rather than commonly cited factors such as fatigue, depression,
or pain. In this podcast, lead author Robert Motl, clinical expert Anne McCarthy Jacobson, and moderator Kathleen Gill-Body
discuss the clinical implications of these findings and the challenges and the feasibility of teaching self-efficacy in this
patient population. They also cover new ways to deliver self-efficacy interventions outside of a structured office visit.
Running time: 25:54 (38 MB).
Discussion Podcast: Multiple Sclerosis,
Physical Activity, and Self-Efficacy
Download the mp3 | Length: 25:54
Quick GrabsMotl: "Neurologists and lots of other clinicians really don?t know what to tell patients with MS to do relative to exercise and physical activity."
Jacobson: "I surveyed 4 neurologists in the Boston area, all from MS clinics, and it was interesting that only 2 of them said that they regularly suggest exercise."
Motl: "You just can't ignore the data any longer relative to the benefits of exercise in persons with MS."
Jacobson: "Tomorrow I can go in and start applying these principles of how to teach self-efficacy."
ReferencesBandura A. Self-Efficacy: The Exercise of Control. New York, NY: Freeman; 1997.
Latimer-Cheung AE, Pilutti LA, Hicks AL, et al. Effects of exercise training on fitness, mobility, fatigue, and health-related quality of life among adults with multiple sclerosis: a systematic review to inform guideline development. Arch Phys Med Rehabil. 2013;94:1800–1828.
Latimer-Cheung AE, Martin Ginis KA, Hicks AL, et al. Development of evidence-informed physical activity guidelines for adults with multiple sclerosis. Arch Phys Med Rehabil. 2013;94:1829–1836.
Motl RW, Dlugonski D, Wójcicki TR, et al. Internet intervention for increasing physical activity in persons with multiple sclerosis. Mult Scler. 2011;17:116–128.
Motl RW, Dlugonski D. Increasing physical activity in multiple sclerosis using a behavioral intervention. Behav Med. 2011;37:125–131.
Dlugonski D, Motl RW, McAuley E. Increasing physical activity in multiple sclerosis: replicating Internet intervention effects using objective and self-report outcomes. J Rehabil Res Dev. 2011;48:1129–1136.
Dlugonski D, Motl RW, Mohr DC, Sandroff BM. Internet-delivered behavioral intervention to increase physical activity in persons with multiple sclerosis: sustainability and secondary outcomes. Psychol Health Med. 2012;17:636–651.
Pilutti LA, Greenlee TA, Motl RW, et al. Effects of exercise training on fatigue in multiple sclerosis: a meta-analysis. Psychosom Med. 2013;75:575–580.
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