Theory of planned behavior-based predictors of playing-related musculoskeletal disorders prevention practices

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University of Alabama Libraries

Playing-related musculoskeletal disorders inhibit musicians from playing at a level to which they are accustomed. Music performance occurs at submaximal physical activity levels, but musculoskeletal injury can happen at any age or experience level. Physical conditioning as a measure to prevent injuries is unstandardized. College marching band members are a subgroup of performing artists that lack attention, despite the high prevalence of musculoskeletal injury. Prevention-programs musicians have not included marching musicians and did not seek to predict the use of predictive exercise, only symptoms were tracked studied. Therefore, the purpose of this study was to develop and validate a theory of planned behavior-based questionnaire to predict the use of preventive exercises to prevent playing-related musculoskeletal disorders. The Playing-Related Musculoskeletal Disorder Care Questionnaire, a 34-item questionnaire was constructed following an elicitation study of former marching band members (N = 12). An expert panel (N = 4) determined the face and content validity of the questionnaire and its reliability determined by test-retest (N = 22). Only the perceived behavioral control construct (rs = 0.828, p < .01) was found to be reliable. However, the internal consistency, assessed using Cronbach’s alpha, was shown to be moderately-adequate high11. Lastly, structural equation modeling via confirmatory factor analysis maximum likelihood method specified the interplay between the measurement model and the structural model. Thus, the relationship between the TPB constructs (attitude toward the behavior, subjective norms, and perceived behavioral control) and behavioral intention was non-significant despite adequate model fit (χ2 = 134.175, df = 74, p = .000; KA = 1.8; GFI = .891; NFI = .915; RMSEA = .073). Findings from the present research showed the Playing-Related Musculoskeletal Disorder Care Questionnaire to be reliable, but not valid. However, the rigorous methodological approach emphasized (1) the uniqueness of the population, (2) highlights the critical elements that drive individual beliefs, and (3) provide strategies for improving health outcomes.

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Health education, Behavioral sciences