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Fear-avoidance beliefs about physical activity in adults with rheumatoid arthritis
Sophiahemmet Högskola, Sweden.ORCID iD: 0000-0002-7018-2706
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2015 (English)In: Scandinavian Journal of Rheumatology, ISSN 0300-9742, E-ISSN 1502-7732, Vol. 44, no 2, 93-99 p.Article in journal (Refereed) Published
Abstract [en]

Objectives: The aim of this study was to describe fear-avoidance beliefs about physical activity and explore how these beliefs correlate with sociodemographic, disease-specific, and psychosocial factors in adults with rheumatoid arthritis (RA). Method: This cross-sectional study is part of the Physical Activity in Rheumatoid Arthritis (PARA) 2010 study. The study participants (n = 2351) were identified through the Swedish Rheumatology Quality (SRQ) registries from six rheumatology clinics in Sweden. Univariate and backwards stepwise logistic regressions were performed. Results: Stepwise logistic regressions showed that male gender [odds ratio (OR) 1.55, 95% confidence interval (CI) 1.26-1.91] and having a below average income (OR 1.35, 95% CI 1.12-1.63) were associated with an increased risk of high scores on the modified Fear Avoidance-Belief Questionnaire (mFABQ). The two disease-specific factors most indicative of high mFABQ scores were high level of pain (OR 1.99, 95% CI 1.40-2.84) and poor health (OR 1.59, 95% CI 1.10-2.29). With regard to psychosocial factors, low health-related quality of life (HRQoL; OR 0.44, 95% CI 0.35-0.55) and a low score on the Exercise Self-Efficacy Scale (ESES; OR 0.66, 95% CI 0.52-0.82) were significantly associated with a high mFABQ score. The model fit was 0.27 (Nagelkerke's R(2)). Conclusions: High fear-avoidance beliefs about physical activity in patients with RA were found to be associated with being male and having a below average income, a high level of pain, poor health, a low HRQoL, and low ESES score. Additional research is warranted for adults with RA to capture the multiple potential correlates to fear-avoidance beliefs about physical activity.

Place, publisher, year, edition, pages
2015. Vol. 44, no 2, 93-99 p.
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Nursing
Identifiers
URN: urn:nbn:se:mdh:diva-36378DOI: 10.3109/03009742.2014.932432PubMedID: 25222440OAI: oai:DiVA.org:mdh-36378DiVA: diva2:1139462
Available from: 2017-09-07 Created: 2017-09-07 Last updated: 2017-09-07

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Lööf, HelenaJohansson, Unn-Britt
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CiteExportLink to record
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Citation style
  • apa
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