Effect of a motivational group intervention upon exercise self efficacy and outcome expectations for exercise in Schizophrenia Spectrum Disorders (SSDs)

J Am Psychiatr Nurses Assoc. 2010 Apr;16(2):105-13. doi: 10.1177/1078390310364428.

Abstract

Background: Persons with SSDs contend with multiple barriers to exercise. Interventions are needed to enhance attitudes theoretically linked to exercise behavior.

Objective: Examine effect of Walk, Address Sensations, Learn About Exercise, Cue Exercise for SSDs (WALC-S) intervention upon exercise self efficacy (SEE) and outcome expectations (OEES) in 97 outpatients with SSDs.

Design: Experimental, pre test posttest. Randomization to experimental (WALC-S) or time-and-attention control (TAC) after baseline SEE and OEES measures. Measures repeated after WALC-S or TAC.

Results: N = 97, 46% female, 43% African American, average age 46.9 years (SD = 2.0). Mean SEE scores were significantly higher in WALC-S participants after intervention (F ((1,95)) = 5.92, p = 0.0168), however, mean OEES scores were significantly higher in control participants after intervention (F ((1,95)) = 5.76, p = 0.0183.

Conclusion: This is the first study to examine SEE and OEES in SSDs. Interventions to enhance exercise attitudes are a critical first step toward the ultimate goal of increasing exercise participation.

Keywords: Schizophrenia; exercise; motivation.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Aged
  • Ambulatory Care
  • Combined Modality Therapy
  • Culture*
  • Exercise / psychology*
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Internal-External Control
  • Interview, Psychological / methods*
  • Male
  • Middle Aged
  • Motivation*
  • Psychiatric Status Rating Scales
  • Psychotherapy, Group / methods*
  • Psychotic Disorders / nursing*
  • Psychotic Disorders / psychology
  • Schizophrenia / nursing*
  • Schizophrenic Psychology*
  • Self Efficacy*
  • Young Adult