OBJECTIVE: To examine the effects of action and coping planning (ACP) on leisure-time physical activity (LTPA) and coping self-efficacy in exercise initiates living with spinal cord injury (SCI). DESIGN: Ten-week, single-blind randomized controlled trial. SETTING: General community. PARTICIPANTS: Adults (N = 44) with SCI (mean age +/- SD 49.70 +/- 12.71y) were randomly assigned to either an action planning only (APO; n = 22) or an ACP (n = 22) condition. INTERVENTION: Participants in the APO condition formed action plans for LTPA at weeks 1 and 5, and self-monitored their LTPA behavior. Those in the ACP condition formed coping plans for managing self-identified activity barriers, in addition to forming action plans and self-monitoring. MAIN OUTCOME MEASURES: Measures of intentions, coping self-efficacy, and behavior were assessed at weeks 1, 5, and 10. RESULTS: Intention-to-treat analyses indicated that persons in the ACP condition reported significantly greater LTPA, scheduling, and general barriers self-efficacy at weeks 5 and 10, in comparison with those in the APO condition. Scheduling self-efficacy mediated the effects of the intervention on LTPA, accounting for 38% of the total effect of the intervention on week 5 LTPA. CONCLUSIONS: These findings illustrate the effectiveness of supplementing action plans with coping plans for enhancing LTPA and coping self-efficacy beliefs among exercise initiates living with SCI.

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