International Journal of Behavioral Medicine

, Volume 5, Issue 3, pp 245–258

Social cognitive and physical health determinants of exercise adherence for HIV-1 seropositive, early symptomatic men and women


  • Regina M Pavone
    • Miami Veterans Administration Medical Center
  • Kent F Burnett
    • Department of Educational and Psychological StudiesUniversity of Miami
  • Arthur LaPerriere
    • Department of Psychiatry and Behavioral Sciences School of MedicineUniversity of Miami
  • Frank M Perna
    • School of Physical EducationWest Virginia University

DOI: 10.1207/s15327558ijbm0503_5

Cite this article as:
Pavone, R.M., Burnett, K.F., LaPerriere, A. et al. Int. J. Behav. Med. (1998) 5: 245. doi:10.1207/s15327558ijbm0503_5


This study examined social cognitive and physical health factors that might explain variations in exercise adherence in a 3-month supervised exercise intervention for a group of mildly symptomatic, HIV-1 seropositive men and women. The social cognitive predictor variables were outcome expectations and self-efficacy. The physical health predictor variables included CD4 cell counts, self-report inventories of physical symptoms, and physicians’ examinations. Self-report inventories of physical symptoms were associated with physicians’ examinations and combined into a composite measure of physical health. Criterion variables included exercise adherence rates, VO2 max change, and status as a “remainer” versus “drop-out.” The composite measure of physical health emerged as a significant predictor of adherence rate and gave perfect prediction of remainers and a moderate prediction of dropouts. No significant associations were observed between the social cognitive predictors and adherence. Results suggest that for this population physical health status is a better predictor of exercise adherence than either perceived self-efficacy or outcome expectancy.

Key words

HIVexerciseadherencesocial cognitiveself-efficacyphysical health
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© International Society of Behavioral Medicine 1998