Testing integrated behavioural and biomedical models of activity and activity limitations in a population-based sample

Diane Dixon, Marie Johnston, Alison Elliott, Phil Hannaford

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

PURPOSE: The predictive utility of an integrated model of disability is tested. The integrated model incorporates an impairment based model (International Classification of Functioning, Disability and Health (ICF)) and the behavioural models.

METHODS: Community dwelling adults (n = 628) completed a postal questionnaire measuring the integrated model. The ability of the model to predict disability in the form of activity limitations (ALs) and walking, in the full community sample and in respondents reporting chronic pain was tested.

RESULTS: In both the community and chronic pain samples each version of the integrated model explained a majority (55%-67%) of the variance in ALs but only 11%-29% of the variance in walking behaviour (WB). Impairment directly predicted ALs but did not directly predict WB. Control related cognitions were direct predictors, and mediators, of the relationship between bodily impairment and both ALs and WB. In addition, intentions and outcome expectancies predicted WB. Self-efficacy (SE) was the most consistent predictor of both ALs and WB.

CONCLUSIONS: An integrated model which combines psychological constructs and impairment is required for an adequate understanding of ALs. By contrast, behavioural models, but not degree of impairment, are necessary to explain activity levels.

Original languageEnglish
Pages (from-to)1157-66
Number of pages10
JournalDisability and Rehabilitation
Volume34
Issue number14
DOIs
Publication statusPublished - 2012
Externally publishedYes

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Walking
Population
Chronic Pain
International Classification of Functioning, Disability and Health
Independent Living
Aptitude
Self Efficacy
Cognition
Psychology
Surveys and Questionnaires

Cite this

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abstract = "PURPOSE: The predictive utility of an integrated model of disability is tested. The integrated model incorporates an impairment based model (International Classification of Functioning, Disability and Health (ICF)) and the behavioural models.METHODS: Community dwelling adults (n = 628) completed a postal questionnaire measuring the integrated model. The ability of the model to predict disability in the form of activity limitations (ALs) and walking, in the full community sample and in respondents reporting chronic pain was tested.RESULTS: In both the community and chronic pain samples each version of the integrated model explained a majority (55{\%}-67{\%}) of the variance in ALs but only 11{\%}-29{\%} of the variance in walking behaviour (WB). Impairment directly predicted ALs but did not directly predict WB. Control related cognitions were direct predictors, and mediators, of the relationship between bodily impairment and both ALs and WB. In addition, intentions and outcome expectancies predicted WB. Self-efficacy (SE) was the most consistent predictor of both ALs and WB.CONCLUSIONS: An integrated model which combines psychological constructs and impairment is required for an adequate understanding of ALs. By contrast, behavioural models, but not degree of impairment, are necessary to explain activity levels.",
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Testing integrated behavioural and biomedical models of activity and activity limitations in a population-based sample. / Dixon, Diane; Johnston, Marie; Elliott, Alison; Hannaford, Phil.

In: Disability and Rehabilitation, Vol. 34, No. 14, 2012, p. 1157-66.

Research output: Contribution to journalArticle

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AB - PURPOSE: The predictive utility of an integrated model of disability is tested. The integrated model incorporates an impairment based model (International Classification of Functioning, Disability and Health (ICF)) and the behavioural models.METHODS: Community dwelling adults (n = 628) completed a postal questionnaire measuring the integrated model. The ability of the model to predict disability in the form of activity limitations (ALs) and walking, in the full community sample and in respondents reporting chronic pain was tested.RESULTS: In both the community and chronic pain samples each version of the integrated model explained a majority (55%-67%) of the variance in ALs but only 11%-29% of the variance in walking behaviour (WB). Impairment directly predicted ALs but did not directly predict WB. Control related cognitions were direct predictors, and mediators, of the relationship between bodily impairment and both ALs and WB. In addition, intentions and outcome expectancies predicted WB. Self-efficacy (SE) was the most consistent predictor of both ALs and WB.CONCLUSIONS: An integrated model which combines psychological constructs and impairment is required for an adequate understanding of ALs. By contrast, behavioural models, but not degree of impairment, are necessary to explain activity levels.

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