Environmental correlates of health-promoting leisure physical activity in persons with multiple sclerosis using a social cognitive perspective embedded within social ecological model.

摘要: Abstract There is abundant evidence for the benefits of physical activity (PA) among persons with multiple sclerosis, however only 20% MS engage in sufficient PA. This cross-sectional study examined features built environment, social and individual as hierarchical correlates PA from a social-cognitive theory (SCT) perspective embedded within social-ecological model (SEM). Five hundred eighty eight completed an online survey between September 2018–January 2019 including: demographics, Patient Determined Disease Steps (PDDS), abbreviated Neighborhood Walkability Scale (NEWS-A), Social Provisions (SPS), Exercise Self-Efficacy (EXSE), Godin Leisure-Time Questionnaire (GLTEQ). Correlation analyses were used to examine associations NEWS-A subscales, SPS, EXSE, PDDS, Employment, Education GLTEQ. We then conducted hierarchical, linear regression analysis whereby we regressed GLTEQ Education, Employment (Step 1), subscales 2), SPS 3), EXSE 4) based on SEM. Land-use mix diversity, land-use access, aesthetics, crime, PDDS correlated was significant correlate Step 1 (β = −0.37;R2 = 0.15). Aesthetics (β = 0.08) (β = −0.33) 2 (R2 = 0.18). (β = 0.23) (β = −0.30) 3 (R2 = 0.23). The final 4 identified (β = −0.11), aesthetics (β = 0.07), (β = 0.09), (β = 0.54) (R2 = 0.43). Such results may inform design multi-level interventions that target environmental consistent SEM framework guided by SCT.