Predicting Walking Intentions and Behaviour among Individuals with Intermittent Claudication: The Role of Pain within the Theory of Planned Behaviour

Abstract

This study aimed to improve understanding of walking exercise among individuals with intermittent claudication. Using a prospective design, Ajzen's (1985, 1991) theory of planned behaviour was applied to examine psychosocial determinants of walking exercise. In addition, measures of barrier self-efficacy were explored as determinants of behaviour and perceived pain intensity was examined as a moderator of the intention-behaviour relationship. Ninety-four participants (n = 33 female) completed baseline measures of attitudes, subjective norms, perceived behavioural control, and intentions to engage in walking exercise. Additional measures of pain-related barrier self-efficacy and barrier self-efficacy regarding walking exercise were obtained and the Borg CR1 0 Pain Scale (Borg, 1998) was used to assess perceived pain intensity during walking. Participants were contacted weekly by telephone over four consecutive weeks and asked to recall their walking exercise and associated perceived pain intensity for the preceding seven-day period. Attitudes, subjective norms and perceived behavioural control contributed significantly to a multiple regression model predicting 67% of the variance in walking intentions. Intentions and perceived behavioural control explained 34% of the variance in walking exercise; however, pain-related barrier self-efficacy and barrier self-efficacy did not explain additional variance in behaviour and perceived pain intensity failed to moderate the intention-behaviour relationship. Findings support the theory of planned behaviour for predicting walking intentions and exercise among individuals with intermittent claudication, and suggest that pain cognitions as measured in this study do not play a role in determining walking.