A Theory-Based Multifactorial Intervention to Increase Lower Limb Exercise and Progress in Healing For Adults with Venous Leg Ulcers

Introduction: To provide an overview of Social Cognitive Theory (SCT) in relation to exercise and older adults as a theoretical framework for this study.

Method: An extensive literature review has been undertaken on theoretical underpinnings of interventions related to exercise in older adults. The literature was reviewed in 3 areas: 1) exploration of theories relating to chronic disease management and exercise 2) a review of the types and methods of theory based interventions relating to exercise and adults with chronic disease; 3) an analysis of the effectiveness of theory based interventions relating to exercise and adults with chronic disease with regard to disease outcomes.

Results: Findings from the review are that a number of theories have been used in chronic disease management and exercise with older adults. A review of the effectiveness of interventions in older adults with chronic disease has found evidence to support the use of SCT. The primary intervention strategy for this study is to enhance self-efficacy which is the main construct of SCT and is known to be an important predictor of exercise. Facets of SCT will be integrated into this intervention such as; goal setting, self-monitoring, reinforcement and cognitive reframing, which are accepted as effective means of promoting physical activity.

Conclusion: It is expected that a strong theoretical framework for this study will increase the likelihood of a successful intervention promoting lower limb exercises in this patient population.