Influence of Self-Efficacy on Compliance to Workplace Exercise
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.
To determine the influence of exercise-specific self-efficacy on compliance to specific strength exercises during working hours for laboratory technicians.
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.
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.
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.
- Larsson, B, Sogaard, K, Rosendal, L (2007) Work related neck-shoulder pain: a review on magnitude, risk factors, biochemical characteristics, clinical picture and preventive interventions. Best Pract Res Clin Rheumatol 21: pp. 447-463 CrossRef
- Bot, SDM, Waal, JM, Terwee, CB (2005) Incidence and prevalence of complaints of the neck and upper extremity in general practice. Ann Rheum Dis 64: pp. 118-123 CrossRef
- Ekholm, O, Kjøller, M, Davidsen, M (2006) Sundhed og sygelighed i Danmark & udviklingen siden 1987. Statens Institut for Folkesundhed, København
- Nikander, R, Malkia, E, Parkkari, J, Heinonen, A, Starck, H, Ylinen, J (2006) Dose-response relationship of specific training to reduce chronic neck pain and disability. Med Sci Sports Exerc 38: pp. 2068-2074 CrossRef
- Blangsted, AK, Sogaard, K, Hansen, EA, Hannerz, H, Sjogaard, G (2008) 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 34: pp. 55-65 CrossRef
- Andersen, LL, Kjaer, M, Sogaard, K, Hansen, L, Kryger, AI, Sjogaard, G (2008) Effect of two contrasting types of physical exercise on chronic neck muscle pain. Arthritis Rheum 59: pp. 84-91 CrossRef
- Ylinen, J, Takala, EP, Nykanen, M (2003) Active neck muscle training in the treatment of chronic neck pain in women: a randomized controlled trial. JAMA 289: pp. 2509-2516 CrossRef
- Viljanen, M, Malmivaara, A, Uitti, J, Rinne, M, Palmroos, P, Laippala, P (2003) Effectiveness of dynamic muscle training, relaxation training, or ordinary activity for chronic neck pain: randomised controlled trial. BMJ 327: pp. 475 CrossRef
- Andersen, LL, Jorgensen, MB, Blangsted, AK, Pedersen, MT, Hansen, EA, Sjogaard, G (2008) A randomized controlled intervention trial to relieve and prevent neck/shoulder pain. Med Sci Sports Exerc 40: pp. 983-990 CrossRef
- Bandura, A (1977) Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev 84: pp. 191-215 CrossRef
- Bandura, A (1997) Self-efficacy. The exercise of control. W.H. Freeman and Company, New York
- Dishman, RK, Motl, RW, Saunders, R (2004) Self-efficacy partially mediates the effect of a school-based physical-activity intervention among adolescent girls. Prev Med 38: pp. 628-636 CrossRef
- Luszczynska, A, Schwarzer, R Social cognitive theory. In: Conner, M eds. (2005) Predicting health behaviour. McGraw-Hill Education, Berkshire, pp. 127-169
- Bandura, A (1986) Social foundations of thought and action: a social cognitive theory. Prentice Hall, Englewood Cliffs
- Bandura, A (2004) Health promotion by social cognitive means. Health Educ Behav 31: pp. 143-164 CrossRef
- Bandura, A (1995) Self-efficacy in changing societies. Cambridge University, New York CrossRef
- Sallis, JF, Haskell, WL, Fortmann, SP, Vranizan, KM, Taylor, CB, Solomon, DS (1986) Predictors of adoption and maintenance of physical activity in a community sample. Prev Med 15: pp. 331-341 CrossRef
- Sallis, JF, Hovell, MF, Hofstetter, CR, Barrington, E (1992) Explanation of vigorous physical activity during two years using social learning variables. Soc Sci Med 34: pp. 25-32 CrossRef
- Motl, RW, Dishman, RK, Ward, DS (2002) Examining social-cognitive determinants of intention and physical activity among black and white adolescent girls using structural equation modeling. Health Psychol 21: pp. 459-467 CrossRef
- McAuley, E (1993) Self-efficacy and the maintenance of exercise participation in older adults. J Behav Med 16: pp. 103-113 CrossRef
- McAuley, E (1992) The role of efficacy cognitions in the prediction of exercise behavior in middle-aged adults. J Behav Med 15: pp. 65-88 CrossRef
- Dzewaltowski, DA (1989) Toward a model of exercise motivation. J Sport Exerc Psychol 11: pp. 251-269
- Brassington, GS, Atienza, AA, Perczek, RE, DiLorenzo, TM, King, AC (2002) Intervention-related cognitive versus social mediators of exercise adherence in the elderly. Am J Prev Med 23: pp. 80-86 CrossRef
- McAuley, E, Courneya, KS, Rudolph, DL, Lox, CL (1994) Enhancing exercise adherence in middle-aged males and females. Prev Med 23: pp. 498-506 CrossRef
- Rovniak, LS, Anderson, ES, Winett, RA, Stephens, RS (2002) Social cognitive determinants of physical activity in young adults: a prospective structural equation analysis. Ann Behav Med 24: pp. 149-156 CrossRef
- Biddle, SJ, Mutrie, N (2007) Psychology of physical activity. Determinants, well-being and interventions. Routledge, London
- Zebis, M, Andersen, LL, Theisen, M (2011) Implementation of neck/shoulder exercises for pain relief among industrial workers: a randomized controlled trial. BMC Musculoskelet Disord 12: pp. 205 CrossRef
- Marcus, BH, Selby, VC, Niaura, RS, Rossi, JS (1992) Self-efficacy and the stages of exercise behavior change. Res Q Exerc Sport 63: pp. 60-66 CrossRef
- Norman, GJ, Velicer, WF (2003) Developing an empirical typology for regular exercise. Prev Med 37: pp. 635-645 CrossRef
- 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.
- Benisovich SV, Rossi JS, Norman GJ, Nigg CR. Development of a multidimensional measure of exercise self-efficacy. The Society of Behavioral Medicine (SBM). 1998.
- Perloff, RM (2008) The dynamics of persuasion. Communication and attitude in the 21st century. Taylor & Francis Group, New York
- Schwetschenau, HM, O'Brien, WH, Cunningham, CJ, Jex, SM (2008) Barriers to physical activity in an on-site corporate fitness center. J Occup Health Psychol 13: pp. 371-380 CrossRef
- Fletcher, GM, Behrens, TK, Domina, L (2008) Barriers and enabling factors for work-site physical activity programs: a qualitative examination. J Phys Act Health 5: pp. 418-429
- Phipps, E, Madison, N, Pomerantz, SC, Klein, MG (2010) Identifying and assessing interests and concerns of priority populations for work-site programs to promote physical activity. Health Promot Pract 11: pp. 71-78 CrossRef
- Influence of Self-Efficacy on Compliance to Workplace Exercise
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International Journal of Behavioral Medicine
Volume 20, Issue 3 , pp 365-370
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- Author Affiliations
- 1. National Research Centre for the Working Environment, Lersø Parkallè 105, 2100, Copenhagen, Denmark
- 3. Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, 5320, Odense, Denmark
- 2. Institute of Sports Medicine Copenhagen, Copenhagen University Hospital, Bispebjerg, 2400, Copenhagen, Denmark
- 4. Department of Occupational and Environmental Medicine, Copenhagen University Hospital, Bispebjerg, 2400, Copenhagen, Denmark