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
  • Kent F Burnett
  • Arthur LaPerriere
  • Frank M Perna


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

HIV exercise adherence social cognitive self-efficacy physical health 


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Copyright information

© International Society of Behavioral Medicine 1998

Authors and Affiliations

  • Regina M Pavone
    • 1
  • Kent F Burnett
    • 2
  • Arthur LaPerriere
    • 3
  • Frank M Perna
    • 4
  1. 1.Miami Veterans Administration Medical CenterMiamiUSA
  2. 2.Department of Educational and Psychological StudiesUniversity of MiamiCoral GablesUSA
  3. 3.Department of Psychiatry and Behavioral Sciences School of MedicineUniversity of MiamiMiamiUSA
  4. 4.School of Physical EducationWest Virginia UniversityMorgantownUSA

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