The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.
Internet intervention for increasing physical activity in persons with multiple sclerosis
Abstract
Background:Physical activity has been associated with improvements in walking mobility and quality of life in persons with multiple sclerosis (MS), and yet this population is largely sedentary and inactive compared with the general population. Objectives:We conducted a pilot, randomized controlled trial (RCT) for examining the effect of an Internet intervention based on social cognitive theory (SCT) for favorably increasing physical activity among persons with MS. We further examined variables from SCT as possible mediators of the Internet intervention. Methods:We randomly allocated 54 persons with MS into either an Internet intervention condition or a waitlist control condition. The participants completed measures of physical activity, self-efficacy, outcome expectations, functional limitations, and goal setting before and after the 12-week period. Results:The intervention group reported a statistically significant ( p = 0.01) and large increase in physical activity over time ( d = 0.72), whereas the control group had a small ( d = 0.04) and non-significant change in physical activity ( p = 0.71). The intervention group further reported a statistically significant ( p = 0.001) and large increase in goal setting over time ( d = 0.97), whereas the control group had a small ( d = −0.13) and non-significant change ( p = 0.17). The change in goal setting over time mediated the effect of the Internet intervention on physical activity behavior. Conclusions:This pilot study sets the stage for a subsequent RCT that includes a larger sample of persons with MS, longer intervention period along with a follow-up, objective measure of physical activity, and secondary outcomes of walking mobility and QOL.
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“Social cognitive theory interventions that focus on self-efficacy, outcome expectations, barriers, and goal setting are also similar to PP [107, 108].”
From Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development (2015) · cites this paper as [107]
Citations
Cites
Health Promotion by Social Cognitive Means
Bandura, A. (2004) · Health Education & Behavior · doi:10.1177/1090198104263660 · Cited by 7,238
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Natural history of multiple sclerosis: a unifying concept
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Defining Internet-Supported Therapeutic Interventions
Barak, A., Klein, B., & Proudfoot, J. G. (2009) · Annals of Behavioral Medicine · doi:10.1007/s12160-009-9130-7 · Cited by 731 · cited 2×
“In addition, Internet interventions are often based on effective and empirically validated face-to-face interventions; provide content based on theory that is educational and promotes behavioral change; can include text as well as graphics, animations, audio, or video to disseminate the content; afford interactive too…”
BackgroundPhysical Activity, Fitness, and Health
Bouchard, C., Shephard, R. J., & Brubaker, P. H. (1994) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-199401000-00024 · Cited by 703
Physical activity, fitness and health : the model and key concepts
Bouchard, C., & Shephard, R. J. (1994) · Cited by 595
A Behavior Change Model for Internet Interventions
Ritterband, L. M., Thorndike, F. P., Cox, D. J., Kovatchev, B. P., & Gonder-Frederick, L. A. (2009) · Annals of Behavioral Medicine · doi:10.1007/s12160-009-9133-4 · Cited by 591 · cited 3×
“Such interventions are typically behavioral approaches or treatments that have been operationalized and transformed for delivery over the Internet.16 In addition, Internet interventions are often based on effective and empirically validated face-to-face interventions; provide content based on theory that is educationa…”
BackgroundRovniak, L. S., Anderson, E. S., Winett, R. A., & Stephens, R. S. (2002) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm2402_12 · Cited by 569
The role of efficacy cognitions in the prediction of exercise behavior in middle-aged adults
McAuley, E. (1992) · Journal of Behavioral Medicine · doi:10.1007/bf00848378 · Cited by 522
Self-citationPhysical activity and multiple sclerosis: a meta-analysis
Motl, R. W., McAuley, E., & Snook, E. M. (2005) · Multiple Sclerosis Journal · doi:10.1191/1352458505ms1188oa · Cited by 517
Self-citation
Research works printed but not linked: 6
- Motl RW, 2008, Minerva Medica, 99, 157
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Cited by
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Meta-analysis of internet-delivered interventions to increase physical activity levels
Davies, C. A., Spence, J. C., Vandelanotte, C., Caperchione, C. M., & Mummery, W. (2012) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-9-52 · Cited by 488
“After assessing the full text articles, the final set of articles for inclusion in this meta-analysis resulted in 34 primary articles (Figure 1) representing 34 unique interventions [15-48].”
MethodObjectively Quantified Physical Activity in Persons With Multiple Sclerosis
Klaren, R. E., Motl, R. W., Dlugonski, D., Sandroff, B. M., & Pilutti, L. A. (2013) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2013.07.011 · Cited by 251
Self-citationPilutti, L., Dlugonski, D., Sandroff, B. M., Klaren, R. E., & Motl, R. (2013) · Multiple Sclerosis Journal · doi:10.1177/1352458513503391 · Cited by 196
Self-citationMönninghoff, A., Kramer, J.-N., Hess, A. J., Ismailova, K., Teepe, G. W., Car, L. T., Müller‐Riemenschneider, F., & Kowatsch, T. (2021) · Journal of Medical Internet Research · doi:10.2196/26699 · Cited by 206
“Table 1 summarizes all results, and Multimedia Appendices 7 [41-154], 8 [41-154], and 9 [41-154] provide detailed forest plots for each analysis.”
BackgroundPhysical activity and multiple sclerosis: new insights regarding inactivity
Sandroff, B. M., Dlugonski, D., Weikert, M., Suh, Y.-T., Balantrapu, S., & Motl, R. W. (2012) · Acta Neurologica Scandinavica · doi:10.1111/j.1600-0404.2011.01634.x · Cited by 163
“72 (28) standard deviations in minimally disabled persons with MS.”
BackgroundSelf-citation
Metadata
- Authors
- Motl, R. W., Dlugonski, D., Wójcicki, T. R., McAuley, E., & Mohr, D. C.
- Affiliations
- University of Illinois Urbana-Champaign (US)
- Northwestern University (US)
- Venue
- Multiple Sclerosis Journal
- Publisher
- SAGE Publications
- Published
- 2010-10-04
- Volume
- 17
- Issue
- 1
- Pages
- 116-128
- ISSN
- 1352-4585 (ISSN-L)
- 1477-0970
- OpenAlex
- W2088969218
- Cited by
- 186
- References
- 34
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 3 · 2023: 6 · 2022: 5 · 2021: 12 · 2020: 11 · 2019: 12 · 2018: 19 · 2017: 17 · 2016: 20 · 2015: 17 · 2014: 16 · 2013: 17 · 2012: 13
- FWCI
- 8.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Multiple Sclerosis Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Clinical Neurology › Multiple Sclerosis Research Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- multiple sclerosis, physical activity, online intervention, social cognitive theory, goal setting, self-efficacy, outcome expectations, sedentary behavior, quality of life
- MeSH terms
- Adult, Choice Behavior, Disability Evaluation, Female, Goals, Humans, Illinois, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Motor Activity, Patient Dropouts, Patient Education as Topic, Pilot Projects, Psychological Theory, Surveys and Questionnaires, Severity of Illness Index, Time Factors, Health Behavior, Exercise, Walking, Treatment Outcome, Self Efficacy, Internet, Multiple Sclerosis, Relapsing-Remitting
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