Oxford Physical Activity Cognitions (OPAC) – blocking physical activity
A printable PDF version of Oxford Physical Activity Cognitions (OPAC) – blocking physical activity is available for download and use.
Diamond, R., Loe, B. S., Waite, F., Hudson, F., Lambe, S., & Freeman, D. (2025). Increasing physical activity and reducing sedentary behaviour in patients diagnosed with non-affective psychosis: a cross-sectional UK study identifying cognitions to target in treatment. EClinicalMedicine, 90.
Scoring
Factor 1: Negative social appraisals. Take the total of items 2, 7, and 12
Factor 2: Poor physical health. Take the total of items 13, 8, and 3
Factor 3: Voices. Take the total of items 15, 5, and 10.
Factor 4: Mind too preoccupied. Take the total of items 4, 9, and 14.
Factor 5: Negative feelings towards exercise. Take the total of items 11, 6, and 1.
A total score can be computed by adding the score from each item.
Name:
Date:
These questions are about the things that might stop us from being physically active. Please circle the answers that best fit for you.
1: I can’t change anything so there’s no point in exercising
0 Do not agree
1 Agree a little
2 Agree moderately
3 Agree a lot
4 Totally agree
2: I will look weird if I try to exercise
0 Do not agree
1 Agree a little
2 Agree moderately
3 Agree a lot
4 Totally agree
3: Being physically active will hurt
0 Do not agree
1 Agree a little
2 Agree moderately
3 Agree a lot
4 Totally agree
4: My mind is preoccupied which makes it too hard to focus on doing exercise
0 Do not agree
1 Agree a little
2 Agree moderately
3 Agree a lot
4 Totally agree
5: Voices stop me from doing the physical activity I want to do
0 Do not agree
1 Agree a little
2 Agree moderately
3 Agree a lot
4 Totally agree
6: It’s unsafe to exercise when you’re overweight
0 Do not agree
1 Agree a little
2 Agree moderately
3 Agree a lot
4 Totally agree
7: I’m worried about what other people will think of me so I avoid the activity I would like to do
0 Do not agree
1 Agree a little
2 Agree moderately
3 Agree a lot
4 Totally agree
8: If I exercise my body might not be able to cope
0 Do not agree
1 Agree a little
2 Agree moderately
3 Agree a lot
4 Totally agree
9: My mind is preoccupied so I don’t even think about exercise
0 Do not agree
1 Agree a little
2 Agree moderately
3 Agree a lot
4 Totally agree
10: My voices make me feel so bad exercise feels pointless
0 Do not agree
1 Agree a little
2 Agree moderately
3 Agree a lot
4 Totally agree
11: Exercising is not my thing
0 Do not agree
1 Agree a little
2 Agree moderately
3 Agree a lot
4 Totally agree
12: If I exercise with others I’ll look like the odd one out
0 Do not agree
1 Agree a little
2 Agree moderately
3 Agree a lot
4 Totally agree
13: I can’t exercise because of my health condition
0 Do not agree
1 Agree a little
2 Agree moderately
3 Agree a lot
4 Totally agree
14: I’m not physically active because I’m not myself at the moment
0 Do not agree
1 Agree a little
2 Agree moderately
3 Agree a lot
4 Totally agree
15: The voices make me feel frightened to do the exercise I want
0 Do not agree
1 Agree a little
2 Agree moderately
3 Agree a lot
4 Totally agree