1
|
de Almeida JAB, Florêncio RB, Leite JC, Monteiro KS, Gualdi LP. Self-efficacy measurement instruments for individuals with coronary artery disease: A systematic review. PLoS One 2024; 19:e0299041. [PMID: 38437222 PMCID: PMC10911622 DOI: 10.1371/journal.pone.0299041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2023] [Accepted: 02/02/2024] [Indexed: 03/06/2024] Open
Abstract
INTRODUCTION Over the past decade, there has been a heightened interest in evaluating self-efficacy among patients with coronary artery disease (CAD). A significant number of instruments have been developed and validated, yet the need remains to assess the quality of their studies and their properties. OBJECTIVES To evaluate the measurement properties and link the content extracted from self-efficacy instrument items for individuals with CAD to the International Classification of Functioning, Disability, and Health (ICF). METHODOLOGY The study was conducted following the Cochrane systematic review guidelines and COnsensus norms for Selection of health Measuring INstruments (COSMIN), registered under CRD42021262613. The search was carried out on MEDLINE (Ovid), Web of Science, EMBASE, and PsycINFO, including studies involving the development and validation of self-efficacy instruments for individuals with CAD, without language or date restrictions. Data extraction was performed in May 2022 and updated in January 2023 and all the steps of this review were carried out by two different collaborators and reviewed by a third when there were divergences. Modified Grading of Recommendations, Assessment, Development and Evaluation (GRADE) recommended by COSMIN was used to determine the quality of evidence as high, moderate, low, or very low. Instrument categorization was carried out per COSMIN recommendations, according to the construct of interest and study population into three categories (A, B, or C). RESULTS A total of 21 studies from 12 instruments were identified. The best-rated instruments received a recommendation of B, which means, additional validation studies are needed. Barnason Efficacy Expectation Scale (BEES) showed high-quality evidence for structural, construct, criterion, and internal consistency validity; Cardiac Self-Efficacy Scale (CSES) demonstrated high quality for content, structural, cross-cultural validity, and internal consistency; Self-efficacy for Appropriate Medication Use (SEAMS) achieved a high level for structural, criterion, and internal consistency validity; Cardiovascular Management Self-Efficacy Scale exhibited high-level validity for structural, criterion, construct, and internal consistency. The CSES showed content linkage with all domains of the ICF, as well as the highest number of linkages with the categories. CONCLUSIONS Instruments with a B-level recommendation hold potential for use. More studies assessing measurement properties are needed to reinforce or improve these recommendations. The CSES stands out as the most comprehensive instrument concerning the ICF.
Collapse
Affiliation(s)
| | - Rêncio Bento Florêncio
- Professor of department of Physical Therapy Graduate, Centro Universitário Natalense, Natal, RN, Brazil
| | - Jéssica Costa Leite
- Professor of department of Physical Therapy Graduate, Centro Universitário UNIFACISA, Campina Grande, PB, Brazil
| | - Karolinne Souza Monteiro
- Professor of department of Physical Therapy and Rehabilitation Sciences Graduate Program, Federal University of Rio Grande do Norte, Santa Cruz, RN, Brazil
| | - Lucien Peroni Gualdi
- Professor of department of Physical Therapy and Rehabilitation Sciences Graduate Program, Federal University of Rio Grande do Norte, Santa Cruz, RN, Brazil
| |
Collapse
|
2
|
Yao L, Zhou K, Zhou Y, Kueh YC, Liu H, Liu Z, Pan M, Kuan G. Psychometric properties of the Chinese version of the Exercise Self-Efficacy Scale for the Transtheoretical Model: a confirmatory analysis among Chinese children and adolescents. BMC Public Health 2024; 24:151. [PMID: 38200518 PMCID: PMC10782543 DOI: 10.1186/s12889-023-17596-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2023] [Accepted: 12/27/2023] [Indexed: 01/12/2024] Open
Abstract
BACKGROUND Self-efficacy has been recognized as a critical component in people's participation and maintenance of physical activity. This study aims to validate the Chinese version of the Exercise Self-Efficacy Scale (ESE) among Chinese children and adolescents using confirmatory factor analysis (CFA). METHODS A cross-sectional study was conducted on two primary and two secondary schools in central China. The ESE scale was translated into Chinese (ESE-C) using the standard forward-backward translation method. Data were analyzed using Mplus 8 for the CFA. RESULTS The final model showed a satisfactory level of goodness-of-fit (CFI = 0.918; TLI = 0.905; SRMR = 0.043; RMSEA = 0.066), indicating a good construct validity of the ESE-C for children and adolescents in mainland China. Furthermore, the final ESE-C model achieved composite reliability values of 0.963 and average variance extraction values of 0.597, indicating sufficient convergent and discriminant validity. Besides, the Cronbach's alpha value was 0.964, demonstrating excellent internal consistency of the ESE-C scale. CONCLUSION The ESE-C scale is a valid instrument for assessing exercise self-efficacy among children and adolescents in mainland China.
Collapse
Affiliation(s)
- Liying Yao
- School of Physical Education, Shangrao Normal University, Shangrao, Jiangxi, 334000, China
- Exercise and Sports Science Programme, School of Health Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, 16150, Malaysia
| | - Ke Zhou
- Sports Reform and Development Research Center of Henan University, School of Physical Education, Henan University, Kaifeng, China.
| | - Yanli Zhou
- Sports Reform and Development Research Center of Henan University, School of Physical Education, Henan University, Kaifeng, China
| | - Yee Cheng Kueh
- Biostatistics and Research Methodology Unit, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| | - Hongyou Liu
- School of Physical Education & Sports Science, South China Normal University, Guangzhou, China
| | - Zhongbiao Liu
- School of Physical Education & Sports Science, South China Normal University, Guangzhou, China
| | - Mingzhu Pan
- School of Physical Education, Shangrao Normal University, Shangrao, Jiangxi, 334000, China
- Exercise and Sports Science Programme, School of Health Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, 16150, Malaysia
| | - Garry Kuan
- Exercise and Sports Science Programme, School of Health Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, 16150, Malaysia.
| |
Collapse
|
3
|
Kim JY, Tak SH, Lee J, Choi H. Effects of Physical Exercise Program for Older Family Caregivers of Persons With Dementia. Am J Alzheimers Dis Other Demen 2023; 38:15333175231178384. [PMID: 37217300 PMCID: PMC10624045 DOI: 10.1177/15333175231178384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
Self-efficacy plays a major role in improving health behaviors. The purpose of this study was to examine the effects of a physical activity program that utilized four self-efficacy resources in older family caregivers of persons with dementia. Quasi-experimental pretest-posttest design with control group was used. Study participants were 64 family caregivers aged 60 years or older. The intervention included a 60-minute group session per week for 8 weeks along with individual counseling and text messages. The experimental group showed significantly higher self-efficacy than the control group. In addition, physical function, quality of life related to health, caregiving burden, and depressive symptoms were significantly improved in the experimental group in comparison with those of control group. These findings suggest that a physical activity program with a focus on the resources of self-efficacy may be not only feasible but also effective for older family caregivers of persons with dementia.
Collapse
Affiliation(s)
- Ji-yeon Kim
- College of Nursing, Eulji University, Uijeongbu, South Korea
| | - Sunghee H Tak
- Research Institute of Nursing Science, College of Nursing, Seoul National University, Seoul, South Korea
| | - Jaegyeong Lee
- College of Nursing, Seoul National University, Seoul, South Korea
| | - Hyein Choi
- College of Nursing, Seoul National University, Seoul, South Korea
| |
Collapse
|
4
|
Lin B, Teo EW, Yan T. The Impact of Smartphone Addiction on Chinese University Students' Physical Activity: Exploring the Role of Motivation and Self-Efficacy. Psychol Res Behav Manag 2022; 15:2273-2290. [PMID: 36039111 PMCID: PMC9419891 DOI: 10.2147/prbm.s375395] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2022] [Accepted: 08/12/2022] [Indexed: 12/02/2022] Open
Abstract
Background Previous studies showed that smartphone addiction (SA) can lead to reduced physical activity (PA), but only a few studies have explored the impact of SA from psychological perspective closely related to PA. This study aimed to examine the extrinsic and partial psychological factors leading to decrease in PA using structural equation modelling analysis. Methods We conducted an online survey on 628 males and 1159 female students from 10 universities in Henan Province, China, through a questionnaire survey application “Questionnaire Star”. This study used three models to test the mediating effects of three types of motives (intrinsic motives, body-related motives, and social motives) and self-efficacy, respectively, in the relationship between smartphone addiction and physical activities. Results Our result confirmed that smartphone addiction leads to lower physical activities. Secondly, self-efficacy mediates smartphone addiction and physical activities, but the mediating effect of all three types of motivation is not significant. Thirdly, smartphone addiction did not affect intrinsic motivation and body-related motivation, but positively affects social motivation. Finally, as the motivation type changes from internal to external, the mediating effect of self-efficacy becomes stronger. Conclusion This study showed that smartphone addiction lead to increase social motivation and decreased self-efficacy, and is a potential barrier to personal participation in physical activities. Our findings provide a new perspective for future design physical activities interventions in China and worldwide especially among university students where smartphone addiction is a problem.
Collapse
Affiliation(s)
- Bo Lin
- Centre for Sport and Exercise Sciences, University of Malaya, Kuala Lumpur, Malaysia.,School of Physical Education, Henan Institute of Science and Technology, Xinxiang, People's Republic of China
| | - Eng Wah Teo
- Centre for Sport and Exercise Sciences, University of Malaya, Kuala Lumpur, Malaysia
| | - Tingting Yan
- Centre for Sport and Exercise Sciences, University of Malaya, Kuala Lumpur, Malaysia.,School of Physical Education, Henan Institute of Science and Technology, Xinxiang, People's Republic of China
| |
Collapse
|
5
|
Hidrus A, Kueh YC, Norsa'adah B, Chang YK, Kuan G. Effects of technology-supported brain breaks videos on exercise self-efficacy among type 2 diabetes mellitus Malaysians. Sci Rep 2022; 12:11651. [PMID: 35803945 PMCID: PMC9264750 DOI: 10.1038/s41598-022-15142-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2021] [Accepted: 06/20/2022] [Indexed: 11/11/2022] Open
Abstract
The technology supported Brain Breaks (BB) videos are a series of structured, web-based physical activity (PA) videos designed to promote learning and health. The purpose of this study was to investigate the effect of BB videos on exercise self-efficacy (ESE) among type 2 diabetes mellitus (T2DM) patients using the Malay-versioned exercise self-efficacy scale (ESE-M). The study used a double-blind research design and was randomised into two groups: (1) The Technology Supported BB intervention group, and (2) the control group. 70 T2DM patients with a mean age of 57.6 years (SD = 8.5) were recruited from Hospital Universiti Sains Malaysia. For 4 months, participants in the intervention group were required to undertake PA every day using the BB videos (approximately 10 min). Both groups completed the ESE-M at pre-intervention, the end of the first month, the second month, the third month, and post-intervention. For the data analysis, a mixed factorial analysis of variance was used. The results showed that at the end of the intervention, the two groups’ ESE was significantly different (p < 0.001). From pre- to post-intervention, the intervention group’s ESE-M mean scores improved significantly. Technology-supported BB videos may be an effective strategy for improving ESE in T2DM patients.
Collapse
Affiliation(s)
- Aizuddin Hidrus
- Biostatistics and Research Methodology Unit, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia.,Public Health Medicine Department, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia
| | - Yee Cheng Kueh
- Biostatistics and Research Methodology Unit, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia
| | - Bachok Norsa'adah
- Biostatistics and Research Methodology Unit, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia
| | - Yu-Kai Chang
- Department of Physical Education and Sport Sciences, National Taiwan Normal University, Taipei, Taiwan.,DepartInstitute of Research Excellence in Learning Science, National Taiwan Normal University, Taipei, Taiwan
| | - Garry Kuan
- Exercise and Sports Science Programme, School of Health Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia. .,Department of Life Sciences, Brunel University, London, UK.
| |
Collapse
|
6
|
Hidrus A, Kueh YC, Norsa’adah B, Kim Y, Chang YK, Kuan G. Structural equation model of psychological constructs of transtheoretical model, motives for physical activity, and amount of physical activity among people with type 2 diabetes mellitus in Malaysia. PLoS One 2022; 17:e0266104. [PMID: 35358248 PMCID: PMC8970478 DOI: 10.1371/journal.pone.0266104] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2021] [Accepted: 03/15/2022] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND This study aimed determine the structural relationship between psychological constructs of the transtheoretical model (TTM; processes of change, decisional balance, and exercise self-efficacy), motives for physical activity (PA), and amount of PA among Malaysians with type 2 diabetes mellitus (T2DM). METHOD All participants were recruited from the Hospital Universiti Sains Malaysia using a cross-sectional study design with purposive) sampling method. A total of 331 participants were recruited for the present study. Before participation in the study, they were informed that participation in the study was totally voluntary. Those who agreed to participate voluntarily were required to complete the self-administered questionnaire set, which included the processes of change, decisional balance, exercise self-efficacy, physical activity and leisure motivation, and international physical activity questionnaires. Data analysis of structural equation modeling was performed using Mplus 8. RESULTS From the 331 participants, most of whom were male (52%) and Malay (89.4%), with a mean age of 62.6 years (standard deviation = 10.29). The final structural equation model fit the data well based on several fit indices [Root Mean Square Error of Approximation (RMSEA) = 0.059, Comparative Fit Index (CFI) = 0.953, Tucker-Lewis Index (TLI) = 0.925, Standardized Root Mean Square Residual (SRMR) = 0.031]. A total of 16 significant path relationships linked between the TTM, motives for PA, and amount of PA. CONCLUSION The pros of decisional balance, others' expectations, and psychological condition were constructs that directly affected PA, whereas the other constructs had a significant indirect relationship with the amount of PA. A positive mindset is crucial in deciding a behavioral change toward an active lifestyle in people with T2DM.
Collapse
Affiliation(s)
- Aizuddin Hidrus
- Biostatistics and Research Methodology Unit, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
- Public Health Medicine Department, Faculty of Medicine and Health Science, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
| | - Yee Cheng Kueh
- Biostatistics and Research Methodology Unit, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
- Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| | - Bachok Norsa’adah
- Biostatistics and Research Methodology Unit, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| | - YoungHo Kim
- Department of Sport Sciences, Seoul National University of Science and Technology, Nowon-gu, Seoul, Korea
| | - Yu-Kai Chang
- Department of Physical Education and Sport Sciences, National Taiwan Normal University, Taipei, Taiwan
- Institute for Research Excellence in Learning Science, National Taiwan Normal University, Taipei, Taiwan
| | - Garry Kuan
- Exercise and Sports Science, School of Health Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
- Department of Life Sciences, Brunel University London, London, United Kingdom
| |
Collapse
|
7
|
Ruiz VMT, Lima RBDS, Hernández JRS, Zúñiga EAJ, Barbosa LP. NURSING STUDENTS’ LIFESTYLE AND RELATED FACTORS. TEXTO & CONTEXTO ENFERMAGEM 2022. [DOI: 10.1590/1980-265x-tce-2022-0070en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
ABSTRACT Objective: to determine nursing students’ lifestyle at a university in Mexico, according to personal factors and previous behaviors of Nola J. Pender’s Health Promotion Model. Method: this is a cross-sectional study developed at a public university of Minatitlán, Veracruz, Mexico, in 2019, with nursing students enrolled in the curricular internship course, totaling 130. Data were collected that include sociodemographic, clinical and lifestyle and behavior characteristics through the Health-Promoting Lifestyle Profile I. We used Student’s t-tests, ANOVA and Pearson’s correlation for the analyses. Results: of the 130 participants, 92 (70.8%) were classified as healthy lifestyle and 38 (29.2%) had a moderately healthy lifestyle. Among the scale domains, the physical activity domain was the one with the lowest score. Negative correlations were found between the self-actualization domain and clinical variables, such as blood pressure, Body Mass Index and waist circumference, and also between this domain and the time of cell phone and television use. Conclusion: the lifestyle general classification of most participants was healthy, but the analyzes of the individual domains demonstrate the need for political and clinical interventions that influence nursing students’ health-promoting behaviors.
Collapse
|
8
|
Ruiz VMT, Lima RBDS, Hernández JRS, Zúñiga EAJ, Barbosa LP. ESTILO DE VIDA DE ESTUDANTES DE ENFERMAGEM E FATORES RELACIONADOS. TEXTO & CONTEXTO ENFERMAGEM 2022. [DOI: 10.1590/1980-265x-tce-2022-0070pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
RESUMO Objetivo: determinar o estilo de vida de estudantes de enfermagem de uma Universidade no México, segundo fatores pessoais e comportamentos anteriores do Modelo de Promoção da Saúde de Nola J. Pender. Método: estudo transversal desenvolvido em uma Universidade Pública de Minatitlán, Veracruz, México, no ano 2019, com os estudantes de enfermagem matriculados na disciplina de estágio curricular, totalizando 130. Coletaram-se dados que incluem características sociodemográficas, clínicas e de estilo de vida e comportamento por meio da Health-Promoting Lifestyle Profile I. Utilizaram-se os testes T de Student, Anova e correlação de Pearson para as análises. Resultados: dos 130 participantes, 92 (70,8%) foram classificados com estilo de vida saudável e 38 (29,2%) obtiveram estilo de vida moderadamente saudável. Entre os domínios da escala, o de exercício foi o de menor pontuação. Constataram-se correlações negativas entre o domínio autorrealização e variáveis clínicas, tais como pressão arterial, índice de massa corpórea e circunferência abdominal, e também entre esse domínio e o tempo de uso de celular e televisão. Conclusão: a classificação geral do estilo de vida da maioria dos participantes foi saudável, todavia as análises dos domínios individuais demonstram a necessidade de intervenções políticas e clínicas que influenciem os comportamentos promotores de saúde dos estudantes de enfermagem.
Collapse
|
9
|
Wang Y, Collins WB. Systematic evaluation of mobile fitness apps: Apps as the Tutor, Recorder, Game Companion, and Cheerleader. TELEMATICS AND INFORMATICS 2021. [DOI: 10.1016/j.tele.2020.101552] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
|
10
|
Al-Ghafri TS, Al-Harthi S, Al-Farsi Y, Craigie AM, Bannerman E, Anderson AS. Changes in Self-Efficacy and Social Support after an Intervention to Increase Physical Activity Among Adults with Type 2 Diabetes in Oman: A 12-month follow-up of the MOVEdiabetes trial. Sultan Qaboos Univ Med J 2021; 21:e42-e49. [PMID: 33777422 PMCID: PMC7968896 DOI: 10.18295/squmj.2021.21.01.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2020] [Revised: 05/21/2020] [Accepted: 06/10/2020] [Indexed: 12/05/2022] Open
Abstract
Objectives This study aimed to describe changes in self-efficacy (SE) and social support (SS) 12 months after the MOVEdiabetes trial, an intervention designed to increase physical activity (PA) among adults with type 2 diabetes mellitus in Oman. Methods The original MOVEdiabetes trial was conducted between April 2016 and June 2017 in Muscat, Oman. The intervention group (IG) received personalised PA consultations, pedometers and monthly messages using a web-based application, while the comparison group received usual care. Self-reported SE and SS from family and friends were assessed using validated psychosocial scales. Results Of the 232 original participants in the trial, a total of 174 completed the 12 months follow-up study period (response rate: 75%). However, based on intention-to-treat analysis with several imputation procedures for missing data at 3 and/or 12 months, there was a significant increase in SE scores in the IG (+10.3, 95% confidence interval [CI]: 7.1–13.5; P <0.001); however, the correlation with PA levels was weak (+4.2, 95% CI: 2.7–5.7; P <0.001). Higher SE scores were noted in those without comorbidities (+12.2, 95% CI: 6.8–17.6; P <0.001) and with high income levels (+9.7, 95% CI: 5.2–14.2; P <0.001). Additionally, SS scores increased significantly among those in the IG who received support from friends (+2.3, 95% CI: 1.1–3.7; P <0.001), but not family (+1.2, 95% CI: −0.4–2.8; P = 0.110). The reliability of the scales was acceptable for SE and SS from family, but poor for SS from friends (Cronbach’s alpha coefficients = 0.82, 0.82 and 0.40, respectively). Conclusion The PA intervention was associated with positive changes in SE and SS from friends. However, further tools for assessing psychosocial influences on PA are needed in Arab countries.
Collapse
Affiliation(s)
- Thamra S Al-Ghafri
- Department of Planning, Directorate General of Planning & Studies, Ministry of Health, Muscat, Oman
| | - Saud Al-Harthi
- Department of Medicine, Al Nahdha Hospital, Muscat, Oman
| | - Yahya Al-Farsi
- Department of Family Medicine & Public Health, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman
| | - Angela M Craigie
- Centre for Public Health Nutrition Research, University of Dundee, Dundee, UK
| | - Elaine Bannerman
- Global Academy of Agriculture & Food Security, Royal (Dick) School of Veterinary Studies, University of Edinburgh, Edinburgh, UK
| | - Annie S Anderson
- Centre for Public Health Nutrition Research, University of Dundee, Dundee, UK
| |
Collapse
|
11
|
Ghisi GLDM, Alavinia M, Aultman C, Rouleau F, Ross MK, Dufour-Doiron M, Belliveau SL, Brideau JR, Oh P. Predictors of Exercise Maintenance 6 Months After Comprehensive Cardiac Rehabilitation. J Cardiopulm Rehabil Prev 2021; 41:100-108. [PMID: 33186197 DOI: 10.1097/hcr.0000000000000552] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
PURPOSE The objectives of this study were (1) to assess the effects of a comprehensive education intervention on maintenance of knowledge, exercise behavior, heart-healthy food intake, self-efficacy, and health literacy 6 mo after comprehensive cardiac rehabilitation (CR), and (2) to identify predictors of exercise maintenance 6 mo after comprehensive CR. METHODS A prospective longitudinal study was conducted to test the effects of a structured educational curriculum in three CR programs in Canada. Participants completed surveys pre-, post-CR and 6 mo post-discharge to assess knowledge, heart-healthy food intake, self-efficacy, and health literacy. Exercise behavior was measured by number of steps/d using a pedometer. RESULTS One hundred twenty participants completed the final survey. Increases in disease-related knowledge and self-efficacy, as well as behavior changes (increases in exercise and heart-healthy food intake), were achieved in comprehensive CR and sustained 6 mo post-program. Exercise maintenance was predicted by changes in heart-healthy food intake, self-efficacy, health literacy, and exercise-related knowledge. CONCLUSIONS In this three-site study focusing on patient education for CR patients in Canada, the benefits of an education intervention in maintaining knowledge, exercise, healthy food intake, and self-efficacy were supported.
Collapse
Affiliation(s)
- Gabriela Lima de Melo Ghisi
- Cardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute, University Health Network, Toronto, Canada (Drs Ghisi, Alavinia, and Oh and Ms Aultman); Programme PREV Prévention Secondaire et Réadaptation Cardiovasculaire, Lévis, Canada (Ms Rouleau and Dr Ross); Réseau de santé Vitalité Health Network, Programme Cœur en santé/Cardiac Wellness Program, Moncton, Canada (Mss Dufour-Doiron and Belliveau and Dr Brideau)
| | | | | | | | | | | | | | | | | |
Collapse
|
12
|
Machado CCDS, Malaguti C, Trevizan PF, Ezequiel DGA, Seixas MB, da Silva LP. Psychometric validation of the Brazilian Portuguese version of Bandura's exercise self-efficacy scale in diabetes patients. J Diabetes Metab Disord 2021; 19:925-932. [PMID: 33520812 DOI: 10.1007/s40200-020-00581-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/09/2020] [Accepted: 07/01/2020] [Indexed: 12/12/2022]
Abstract
Purpose The management of diabetes comprises diet, pharmacological therapy, lifestyle counseling, patient education, and physical exercising, to achieve change in health behavior and control of the disease. However, a large proportion of diabetes patients does not adhere to treatment recommendations, mainly in the lifestyle aspect, which remains sedentary. Considering that self-efficacy is an essential determinant of health behaviors such as exercise practicing, the objective of the study was to investigate the psychometric properties of the Brazilian Portuguese version of Bandura's Exercise Self-Efficacy Scale (BESES) to be used in diabetes patients. Methods The BESES was initially completed by thirty diabetes patients to confirm the feasibility of the answers be provided by themselves. The psychometric properties (i.e., internal consistency, test-retest reproducibility, convergent validity, and ceiling and floor effects) were tested in other two-hundred diabetes patients (≥18 years old). Results The BESES achieved significant internal consistency (Cronbach's alpha coefficient = 0.92), substantial test-retest reproducibility (intraclass correlation coefficient = 0.83). The convergent validity was confirmed by negative correlations between BESES total scores and barriers to exercise total scores (ρ = -0.333; P = 0.018) and rate of perception exercise corrected by distance covered in the incremental shuttle walking test (ρ = -0.426; P = 0.002). Ceiling and floor effects were not found. In addition, physically active patients had BESES total scores higher compared to sedentary (56.8 ± 21.4 vs. 47.9 ± 20.0; P = 0.003). Conclusion The Brazilian Portuguese version of the BESES showed adequate psychometric properties and proved to be valid for assessing the exercise self-efficacy in diabetes patients in Brazil.
Collapse
Affiliation(s)
- Carla Cristina da Silva Machado
- Faculty of Physiotherapy, Universidade Federal de Juiz de Fora (UFJF), Eugênio do Nascimento, s/n - Dom Bosco, Juiz de Fora, MG CEP: 36038-330 Brazil.,Cardiovascular Research Unit and Exercise Physiology of the University Hospital of the UFJF, Eugênio do Nascimento, s/n - Dom Bosco, Juiz de Fora, MG CEP: 36038-330 Brazil
| | - Carla Malaguti
- Faculty of Physiotherapy, Universidade Federal de Juiz de Fora (UFJF), Eugênio do Nascimento, s/n - Dom Bosco, Juiz de Fora, MG CEP: 36038-330 Brazil
| | - Patrícia Fernandes Trevizan
- Cardiovascular Research Unit and Exercise Physiology of the University Hospital of the UFJF, Eugênio do Nascimento, s/n - Dom Bosco, Juiz de Fora, MG CEP: 36038-330 Brazil
| | - Danielle Guedes Andrade Ezequiel
- Faculty of Medicine, Universidade Federal de Juiz de Fora (UFJF), Eugênio do Nascimento, s/n - Dom Bosco, Juiz de Fora, MG CEP: 36038-330 Brazil
| | - Mariana Balbi Seixas
- Faculty of Physiotherapy, Universidade Federal de Juiz de Fora (UFJF), Eugênio do Nascimento, s/n - Dom Bosco, Juiz de Fora, MG CEP: 36038-330 Brazil.,Cardiovascular Research Unit and Exercise Physiology of the University Hospital of the UFJF, Eugênio do Nascimento, s/n - Dom Bosco, Juiz de Fora, MG CEP: 36038-330 Brazil
| | - Lilian Pinto da Silva
- Faculty of Physiotherapy, Universidade Federal de Juiz de Fora (UFJF), Eugênio do Nascimento, s/n - Dom Bosco, Juiz de Fora, MG CEP: 36038-330 Brazil.,Cardiovascular Research Unit and Exercise Physiology of the University Hospital of the UFJF, Eugênio do Nascimento, s/n - Dom Bosco, Juiz de Fora, MG CEP: 36038-330 Brazil
| |
Collapse
|
13
|
Papás Activos: Associations between Physical Activity, Sedentary Behavior and Personal Networks among Fathers Living in Texas Colonias. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17249243. [PMID: 33321902 PMCID: PMC7763635 DOI: 10.3390/ijerph17249243] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/23/2020] [Revised: 12/04/2020] [Accepted: 12/09/2020] [Indexed: 12/24/2022]
Abstract
Despite growing health disparities in Latino populations related to lack of physical activity (PA), little is known regarding the impact of social networks on PA and sedentary behavior among a sample of Latino fathers residing in functionally rural colonias. Fathers wore accelerometers and responded to questions regarding their self-efficacy and characteristics of who they were active with most often. Fathers (n = 47) attained a mean of 73.3 min of moderate-to-vigorous PA (SD = 23.8) per day and were sedentary for a mean of 364.0 min (SD = 74.4) per day. In total, fathers reported 205 alters and significantly more family members (M = 3.60, SD = 1.64) than friends (M = 0.77, SD = 1.37). Sedentary time was positively associated with number of peers and inversely related to the number of children reported. Minutes of moderate-to-vigorous PA was significantly associated with greater self-efficacy and number of family members reported. This study contributes to the evidence by further examining PA correlates of Latino fathers from functionally rural colonia communities. Additionally, this study supported both family systems theory and the socio–ecological model as it details the interpersonal and familial influences of PA behavior. Thus, supports for family activity promotion and programs which impact familial norms and activity at the family level may be particularly useful.
Collapse
|
14
|
Hakim AR, Wang ST, Widiantoro FX, Hannan M, Wang CJ, Fetzer SJ. The Indonesian Version of the Exercise Self-Efficacy Scale: Cross-cultural Adaptation and Psychometric Testing. Asian Nurs Res (Korean Soc Nurs Sci) 2020; 14:300-305. [PMID: 32896667 DOI: 10.1016/j.anr.2020.08.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2019] [Revised: 08/22/2020] [Accepted: 08/26/2020] [Indexed: 11/30/2022] Open
Abstract
PURPOSES The study aimed to translate the Exercise Self-Efficacy Scale (ESES) into Indonesian and test the cultural equivalence, reliability, and validity of the new version for university students. METHODS The cross-sectional study recruited 379 Indonesian university students using convenience sampling. Phase 1, a culturally appropriate version of the ESES was developed in the Indonesian language. Phase 2, the psychometric properties were determined through exploratory factor analysis, bootstrap factor analysis, and confirmatory factor analysis. The internal consistency reliability was tested using Cronbach's α, whereas the stability using intraclass correlation coefficient to assess. RESULTS The students' ages ranged from 17 to 39 years, and 65.0% were women. For translation equivalence, the mean item content validity indexes ranged from 3.5 to 4, and all items were understandable. The 16-item scale exhibited cross-cultural appropriateness and readability, with a three-factor model explaining 62.3% of the variance in exercise self-efficacy. A bootstrap analysis using 100 resamples further confirmed the three-factor model. The indices of the good-fit model that used the three-factor by two-stage least squares method were satisfactory, with χ2/df = 3.3, goodness of fit index = .88, and root mean-square error of approximation = .05 (p < .001). The Cronbach's α was .78, .80, and .92 for factors 1, 2, and 3, respectively. The test--retest reliability was demonstrated with an intraclass correlation coefficient of .91, indicating adequate measurement stability. CONCLUSION The 16-item ESES-I has acceptable validity and reliability; however, a broader application of the scale requires further testing in different populations to confirm its external validity.
Collapse
Affiliation(s)
- Arif R Hakim
- Department of Nursing, University of Wiraraja, Sumenep, Indonesia
| | - Shan-Tair Wang
- Ditmanson Medical Foundation, Chia-Yi Christian Hospital, Chiayi, Taiwan; Institute of Gerontology, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | | | - Mujib Hannan
- Department of Nursing, University of Wiraraja, Sumenep, Indonesia
| | - Chi-Jane Wang
- Department of Nursing, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
| | - Suzan J Fetzer
- Department of Nursing, University of New Hampshire, Durham, United States
| |
Collapse
|
15
|
Ghisi GLDM, Aultman C, Konidis R, Foster E, Tahsinul A, Sandison N, Sarin M, Oh P. Effectiveness of an education intervention associated with an exercise program in improving disease-related knowledge and health behaviours among diabetes patients. PATIENT EDUCATION AND COUNSELING 2020; 103:1790-1797. [PMID: 32362522 DOI: 10.1016/j.pec.2020.04.007] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/09/2019] [Revised: 03/17/2020] [Accepted: 04/08/2020] [Indexed: 06/11/2023]
Abstract
OBJECTIVE to assess the effectiveness of an education intervention associated with an exercise program in improving knowledge and health behaviours among diabetes patients. METHODS Diabetes and prediabetes patients were exposed to an evidence- and theoretically-based comprehensive education intervention over 24 weeks. Patients completed surveys assessing knowledge, physical activity, food intake, self-efficacy, and health literacy. Functional capacity was measured by oxygen uptake. All outcomes were assessed pre- and post-CR. Satisfaction about the education provided was assessed at post-CR. Paired t-tests, Pearson correlation coefficients, and linear regression models were computed to investigate the effectiveness of this intervention. RESULTS 84 patients consented to participate, of which 47(56.0%) completed post-CR assessments. There was a significant improvement in patients' overall knowledge pre- to post-CR, as well as in physical activity, food intake, self-efficacy, and health literacy (p < 0.05). Peak VO2 has clinically significant improved. Results showed a low significant positive correlation was between post-CR knowledge and food intake(r = 0.297;p = 0.04). Linear regression analysis revealed that age(B=-0.051; p = 0.01) was influential in changing post-CR knowledge. CONCLUSION The benefits of an education intervention designed for diabetes and prediabetes patients associated with an exercise program have been supported. PRACTICE IMPLICATIONS This work shows one effective education strategy taken in place that can be replicated in different settings.
Collapse
Affiliation(s)
- Gabriela Lima de Melo Ghisi
- Cardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute (TRI), University Health Network (UHN), Toronto, Canada.
| | - Crystal Aultman
- Cardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute (TRI), University Health Network (UHN), Toronto, Canada
| | - Renee Konidis
- Cardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute (TRI), University Health Network (UHN), Toronto, Canada
| | - Evelyn Foster
- Cardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute (TRI), University Health Network (UHN), Toronto, Canada
| | - Anam Tahsinul
- Cardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute (TRI), University Health Network (UHN), Toronto, Canada
| | - Nicole Sandison
- Cardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute (TRI), University Health Network (UHN), Toronto, Canada
| | - Michael Sarin
- Cardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute (TRI), University Health Network (UHN), Toronto, Canada
| | - Paul Oh
- Cardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute (TRI), University Health Network (UHN), Toronto, Canada
| |
Collapse
|
16
|
Almutary H, Tayyib N. Factors associated with exercise self-efficacy among people with chronic diseases. Appl Nurs Res 2020; 54:151275. [PMID: 32650891 DOI: 10.1016/j.apnr.2020.151275] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2019] [Revised: 04/07/2020] [Accepted: 04/29/2020] [Indexed: 11/18/2022]
Abstract
AIM The aim of this study is to assess the level of exercise self-efficacy in a population with chronic diseases and identify the factors that could influence exercise self-efficacy. BACKGROUND Performing physical exercise is an important part of self-care in chronic diseases. It is highly influenced by individual's self- efficacy. However, little attention has been given to the identification of the factors that could affect the exercise self-efficacy among people with chronic diseases. METHODS This cross-sectional study was conducted to assess the exercise self-efficacy among people with chronic diseases using the Exercise Self-Efficacy Scale (ESE). Demographic and exercise profiles were also collected. RESULTS A total of eighty-five people with chronic diseases from outpatients' clinics participated in this study. The mean age of the participants was 52 ± 13.92 and more than half of them were females (58.8%). The mean score of exercise self-efficacy was 39 ± 21.55. Education level was the main factor that correlated with lower levels of exercise self-efficacy. CONCLUSIONS This study is first to provide preliminary evidence about levels of exercise self-efficacy and its associated factors among people with chronic diseases in Saudi Arabia. The level of exercise self-efficacy is low in people with chronic diseases and this mainly associated with educational factor. Nurses have an important role to promoting exercise self-efficacy through implementing a comprehensive plan that is patient's centered approach. However, further research is needed to assess perception, detect barriers and conduct intervention that aims to improve exercise Self-efficacy.
Collapse
Affiliation(s)
- Hayfa Almutary
- Faculty of Nursing, Medical/Surgical Department, King Abdulaziz University, Jeddah, Saudi Arabia.
| | - Nahla Tayyib
- Medical Surgical Nursing Department, Faculty of Nursing, Umm Al-Qura University, Makkah, Saudi Arabia.
| |
Collapse
|
17
|
Ghisi GLDM, Rouleau F, Ross MK, Dufour-Doiron M, Belliveau SL, Brideau JR, Aultman C, Thomas S, Colella T, Oh P. Effectiveness of an Education Intervention Among Cardiac Rehabilitation Patients in Canada: A Multi-Site Study. CJC Open 2020; 2:214-221. [PMID: 32695971 PMCID: PMC7365818 DOI: 10.1016/j.cjco.2020.02.008] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2020] [Accepted: 02/24/2020] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND Although patient education is considered a core component of cardiac rehabilitation (CR) programs, to our knowledge, no educational program designed for CR has been standardized in Canada. This absence of standardization may be due to a lack of reliable resources to educate these patients. The objective of this study was to assess the effectiveness of an education intervention in improving knowledge and health behaviours among CR patients in 3 sites in Canada. METHODS CR patients were exposed to an evidence- and theoretically based comprehensive education intervention. Patients completed surveys assessing knowledge, physical activity, food intake, self-efficacy, and health literacy. All outcomes were assessed pre- and post-CR. Paired t tests were used to investigate variable changes between pre- and post-CR, Pearson correlation coefficients were used to determine the association between knowledge and behaviours, and linear regression models were computed to investigate differences in overall post-CR knowledge based on participant characteristics. RESULTS A total of 252 patients consented to participate, of whom 158 (63.0%) completed post-CR assessments. There was a significant improvement in patients' overall knowledge pre- to post-CR, as well as in exercise, food intake, and self-efficacy (P < 0.05). Results showed a significant positive correlation between post-CR knowledge and food intake (r = 0.203; P = 0.01), self-efficacy (r = 0.201; P = 0.01), and health literacy (r = 0.241; P = 0.002). Education level (unstandardized beta = -2.511; P = 0.04) and pre-CR knowledge (unstandardized beta = 0.433; P < 0.001) were influential in changing post-CR knowledge. CONCLUSION In this first-ever multi-site study focusing on patient education for CR patients in Canada, the benefits of an education intervention have been supported.
Collapse
Affiliation(s)
- Gabriela Lima de Melo Ghisi
- Cardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada
| | - Fanny Rouleau
- Programme PREV Prévention Secondaire et Réadaptation Cardiovasculaire, Lévis, Quebec, Canada
| | - Marie-Kristelle Ross
- Programme PREV Prévention Secondaire et Réadaptation Cardiovasculaire, Lévis, Quebec, Canada
| | - Monique Dufour-Doiron
- Réseau de santé Vitalité Health Network, Programme Cœur en santé/Cardiac Wellness Program, Moncton, New Brunswick, Canada
| | - Sylvie L Belliveau
- Réseau de santé Vitalité Health Network, Programme Cœur en santé/Cardiac Wellness Program, Moncton, New Brunswick, Canada
| | - Jean-René Brideau
- Réseau de santé Vitalité Health Network, Programme Cœur en santé/Cardiac Wellness Program, Moncton, New Brunswick, Canada
| | - Crystal Aultman
- Cardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada
| | - Scott Thomas
- Exercise Sciences Department, Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, Canada
| | - Tracey Colella
- Cardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada
| | - Paul Oh
- Cardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada
| |
Collapse
|
18
|
Choi YH, Chae MJ. [Development and Effects of Smartphone App-Based Walking Exercise Program for Taxi Drivers: Based on Bandura's Self Efficacy Theory]. J Korean Acad Nurs 2020; 50:242-254. [PMID: 32376812 DOI: 10.4040/jkan.2020.50.2.242] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2019] [Revised: 12/05/2019] [Accepted: 01/30/2020] [Indexed: 11/09/2022]
Abstract
PURPOSE The purpose of this study was to examine the effects of smart-phone app-based walking exercise programs for taxi drivers on self-efficacy and outcome expectations for exercise, health-related quality of life, walking as an exercise, and physiological indexes. METHODS A nonequivalent control group with a pre-post-test design was used. The subjects were recruited in G metropolitan city. Subjects were assigned to the experimental (n=31) or control groups (n=30). The smart phone app-based walking exercise program consisted of educations via the app, twelve short message services, and one individual telephone counseling session, which was spread over 12 weeks. RESULTS Self-efficacy, outcome expectations, and health-related quality of life had significantly higher pre-post test differences in scores in the experimental group. Additionally, blood pressure, body mass index, and waist circumference had significantly decreased pre-post-test difference levels in the experimental group. Walking as an exercise (which consisted of days walked, number of steps walked, and amount of time walked) had significantly increased in the experimental group after 7~12 weeks in the period following the intervention program rather than 1~6 weeks after the program. CONCLUSION The smart phone app-based walking exercise program based on the self-efficacy theory demonstrates a significant effect on improving self-efficacy, outcome expectations physical activities, and health-related quality of life for taxi drivers. Therefore, it is recommended to actively use the program as a tool to promote self-efficacy, physical activities, and health behaviors in taxi drivers.
Collapse
Affiliation(s)
- Yun Ha Choi
- Department of Nursing, Honam University, Gwangju, Korea
| | - Min Jeong Chae
- Department of Nursing, Chosun Nursing College, Gwangju, Korea.
| |
Collapse
|
19
|
Westland H, Schuurmans MJ, Bos-Touwen ID, de Bruin-van Leersum MA, Monninkhof EM, Schröder CD, de Vette DA, Trappenburg JC. Effectiveness of the nurse-led Activate intervention in patients at risk of cardiovascular disease in primary care: a cluster-randomised controlled trial. Eur J Cardiovasc Nurs 2020; 19:721-731. [PMID: 32375491 PMCID: PMC7817988 DOI: 10.1177/1474515120919547] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Background To understand better the success of self-management interventions and to
enable tailoring of such interventions at specific subgroups of patients,
the nurse-led Activate intervention is developed targeting one component of
self-management (physical activity) in a heterogeneous subgroup (patients at
risk of cardiovascular disease) in Dutch primary care. Aim The aim of this study was to evaluate the effectiveness of the Activate
intervention and identifying which patient-related characteristics modify
the effect. Methods A two-armed cluster-randomised controlled trial was conducted comparing the
intervention with care as usual. The intervention consisted of four
nurse-led behaviour change consultations within a 3-month period. Data were
collected at baseline, 3 months and 6 months. Primary outcome was the daily
amount of moderate to vigorous physical activity at 6 months. Secondary
outcomes included sedentary behaviour, self-efficacy for physical activity,
patient activation for self-management and health status. Prespecified
effect modifiers were age, body mass index, level of education, social
support, depression, patient provider relationship and baseline physical
activity. Results Thirty-one general practices (n = 195 patients) were
included (intervention group n = 93; control group
n = 102). No significant between-group difference was
found for physical activity (mean difference 2.49 minutes; 95% confidence
interval -2.1; 7.1; P = 0.28) and secondary outcomes.
Patients with low perceived social support (P = 0.01) and
patients with a low baseline activity level (P = 0.02)
benefitted more from the intervention. Conclusion The Activate intervention did not improve patients’ physical activity and
secondary outcomes in primary care patients at risk of cardiovascular
disease. To understand the results, the intervention fidelity and active
components for effective self-management require further investigation. Trial registration: ClinicalTrials.gov NCT02725203.
Collapse
Affiliation(s)
- Heleen Westland
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, The Netherlands
| | | | - Irene D Bos-Touwen
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, The Netherlands
| | | | - Evelyn M Monninkhof
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, The Netherlands
| | - Carin D Schröder
- Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht, The Netherlands
| | - Daphne A de Vette
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, The Netherlands
| | - Jaap Ca Trappenburg
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, The Netherlands
| |
Collapse
|
20
|
Ki EJ, So HS. [Development and Effects of Smartphone App-Based Exercise Program for Hemodialysis Patients]. J Korean Acad Nurs 2020; 50:52-65. [PMID: 32131073 DOI: 10.4040/jkan.2020.50.1.52] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2019] [Revised: 12/04/2019] [Accepted: 01/19/2020] [Indexed: 11/09/2022]
Abstract
PURPOSE To examine the effects of a smartphone application-based exercise program on self-efficacy expectations (SEE) and outcome expectations regarding exercise (OEE), physical fitness, activity level, physiological indices, and health-related quality of life in a sample of hemodialysis patients. METHODS A quasi-experimental control group pre-test post-test design was used. Subjects were recruited from two university hospitals in G city. The subjects were assigned randomly by coin toss: 33 participants to the experimental group and 30 to the control group. A literature review and the self-efficacy theory were used to develop the smartphone program. Experts designed and verified the program to be userfriendly and in consideration of user interaction. Data were collected through a self-report pre-test post-test questionnaire and online medical records. RESULTS In the experimental group, the levels of physical fitness and physical activity were significantly improved post-test, but the scores on health-related quality of life and the physical indices did not improve. In the experimental group, the SEE and OEE post-test scores were also significantly higher than the pre-test scores, but the control group's scores did not change. CONCLUSION The smartphone application-based exercise program based on self-efficacy theory significantly improved the level of physical fitness and activity, SEE, and OEE for hemodialysis patients. The use of this application-based exercise program for hemodialysis patients might be an effective nursing intervention tool for improving SEE, OEE, level of physical fitness, and physical activity.
Collapse
Affiliation(s)
- Eun Jeong Ki
- Department of Nursing, Seoyoung University, Gwangju, Korea
| | - Hyang Sook So
- College of Nursing, Chonnam National University, Gwangju, Korea.
| |
Collapse
|
21
|
Malay Version of Exercise Self-Efficacy: A Confirmatory Analysis among Malaysians with Type 2 Diabetes Mellitus. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17030922. [PMID: 32024257 PMCID: PMC7037020 DOI: 10.3390/ijerph17030922] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/31/2019] [Revised: 01/23/2020] [Accepted: 01/25/2020] [Indexed: 11/24/2022]
Abstract
Exercise self-efficacy (ESE) is one of the psychological constructs in the Transtheoretical Model (TTM). The objective of the present study is to assess the validity and reliability of the Malay version of Exercise self-efficacy scale (ESE-M) among Malaysians with type 2 diabetes mellitus (T2DM). A cross-sectional study design with convenience sampling method using a self-administered questionnaire was carried out. Participants were invited to complete the ESE-M with 18 items. Confirmatory factor analysis (CFA) was conducted and composite reliability (CR) was computed using Mplus 8. A total of 331 Malaysians with T2DM with a mean age of 63 years old (Standard Deviation = 0.57) completed the questionnaire. Most of the participants were male (52%) and Malay (89.4%). Two initial CFA models (single factor and three factors) of ESE-M scale were tested and they did not fit to the data well. Several re-specifications of the models were conducted. The final model for the ESE-M showed improvement on the value of model fit indices for the single factor model (comparative fit index (CFI) = 0.952, Tucker and Lewis index (TLI) = 0.938, standardised root mean square (SRMR) = 0.044, root mean square error of approximation (RMSEA) = 0.054) and three factors model (CFI = 0.891, TLI = 0.863, SRMR = 0.049, RMSEA = 0.081). The CR for the self-efficacy factor was 0.921 (single factor), while CR for internal feelings, competing demands and situational (three factors) were 0.762, 0.818 and 0.864, respectively. The final model of single factor ESE-M showed better fit to the data compared to the three factors ESE-M. This indicated that the single factor ESE-M is more suitable to be adopted for future study among Malaysians with T2DM.
Collapse
|
22
|
Linking technological functions of fitness mobile apps with continuance usage among Chinese users: Moderating role of exercise self-efficacy. COMPUTERS IN HUMAN BEHAVIOR 2020. [DOI: 10.1016/j.chb.2019.09.013] [Citation(s) in RCA: 61] [Impact Index Per Article: 15.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
|
23
|
Adaptation and Initial Psychometric Evaluation of an Informed Prostate Cancer Screening Decision Self-Efficacy Scale for African-American Men. J Racial Ethn Health Disparities 2020; 7:746-759. [PMID: 31997285 DOI: 10.1007/s40615-020-00702-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2019] [Revised: 12/20/2019] [Accepted: 01/09/2020] [Indexed: 10/25/2022]
Abstract
OBJECTIVE To evaluate whether computer-based prostate cancer screening decision aids enhance decision self-efficacy for African-American men, culturally relevant and reliable measures are needed. However, limited psychometric evidence exists on the health-related decision self-efficacy of African-American men. This study describes the development and psychometric evaluation of the 11-item Informed Prostate Cancer Screening Decision Self-Efficacy Scale among 354 African-American men. METHODS Exploratory factor analysis was conducted with maximum-likelihood estimation and polychoric correlations followed by Promax and Varimax rotations. RESULTS Exploratory factor analysis yielded a one-factor, 11-item model of the modified scale with excellent internal consistency reliability at 0.95 and factor loadings ranging from 0.70 to 0.90. Both parallel analysis and a scree plot confirmed the retention of one factor, and the standardized root mean square residual (0.06) indicated that the factor structure explained most of the correlations. CONCLUSIONS Findings suggest the one-factor, 11-item Informed Prostate Cancer Screening Decision Self-Efficacy Scale has excellent psychometric properties and utility in reliably measuring health-related decision self-efficacy in African-American men. Future research is needed to confirm this factor structure among socio-demographically diverse African Americans.
Collapse
|
24
|
Karvinen KH, Brunet J, Carr LJ. Family history of cancer as a cue to action for physical activity behaviour and beliefs. Psychol Health 2019; 35:933-945. [DOI: 10.1080/08870446.2019.1693570] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Kristina H. Karvinen
- School of Physical and Health Education, Nipissing University, North Bay, ON, Canada
| | - Jennifer Brunet
- Faculty of Health Sciences, School of Human Kinetics, University of Ottawa, Ottawa, ON, Canada
- Institut du Savoir de L’Hôpital Montfort (IRHM), Ottawa, ON, Canada
- Centre for Cancer Therapeutics, Ottawa Hospital Research Institute (OHRI), Ottawa, ON, Canada
| | - Lucas J. Carr
- Department of Health and Human Physiology, University of Iowa, Iowa City, IA, USA
| |
Collapse
|
25
|
The Effect of Brain Breaks on Physical Activity Behaviour among Primary School Children: A Transtheoretical Perspective. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16214283. [PMID: 31690004 PMCID: PMC6862123 DOI: 10.3390/ijerph16214283] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/27/2019] [Revised: 10/18/2019] [Accepted: 10/21/2019] [Indexed: 11/17/2022]
Abstract
Brain Breaks Physical Activity Solutions (BBPAS) is a web-based structured physical activity (PA) video that is specifically designed for school settings and can stimulate a student’s health and learning. The purpose of this study is to measure the effect of BBPAS on the stages of change, decisional balance, processes of change, self-efficacy and leisure-time exercise among Malay ethnic primary school children. A validated Malay version of three of the five constructs was derived with sound validity and was used in the present study. A total of 159 male and 163 female children aged 10 to 11 years old, mean (SD) = 10.53 (0.50), were recruited from two schools in Kelantan, Malaysia. Purposive sampling was used to divide the children into intervention (n = 177) and control (n = 145) groups. Children in the intervention group underwent BBPAS activity for an accumulated 30 min per week, while children in the control group were not involved in the BBPAS intervention. Mixed factorial analysis of variance (ANOVA) was used to examine the effect of BBPAS on the study variables. A mixed ANOVA showed significant changes (time effect) on cognitive process, F(1, 320) = 5.768, p-value = 0.017; behavioural process, F(1, 313) = 5.736, p-value = 0.017; and internal feeling, F(1, 312) = 6.050, p-value = 0.014. There was also a significant difference between groups on cons, F(1, 316) = 7.504, p-value = 0.007. A significant interaction effect was observed for stages of change, F(1, 319) = 7.861, p-value = 0.005; pros, F(1, 316) = 31.311, p-value = 0.001; internal feeling, F(1, 312) = 4.692, p-value = 0.031; and behavioural process, F(1, 313) = 7.312, p-value = 0.007. In conclusion, BBPAS was successful in improving four of the five constructs, and thus, should be recommended to be used in schools throughout Malaysia.
Collapse
|
26
|
Ting LK, Kuan G, Arifin WN, Cheng KY. Psychometric Properties of the Self-Efficacy Scale among Undergraduate Students in Malaysia. Malays J Med Sci 2019; 26:119-128. [PMID: 31303856 PMCID: PMC6613467 DOI: 10.21315/mjms2019.26.3.10] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2019] [Accepted: 05/06/2019] [Indexed: 10/26/2022] Open
Abstract
Background Self-efficacy (SE) is a person's belief in his or her own capability to perform and accomplish a task that could produce a favourable outcome, despite facing obstacles. This study aimed to confirm the validity and reliability of an SE scale among undergraduate students at the Health Campus of the Universiti Sains Malaysia. Methods A cross-sectional study was conducted among the undergraduate students using a self-administered questionnaire. After using a purposive sampling method, 562 students completed the questionnaire. Mplus 8 was employed to conduct the confirmatory factor analysis on the psychometric properties of Bandura's 18-item SE scale with three factors (internal feeling, competing demands and situational). Then, the composite reliability was calculated for each factor. Results Most of the students were Malay (73.3%) females (79.0%) who exercised 2.62 times a week for an average of 43.37 min per session. The final measurement model was obtained after removing six problematic items, and the model was deemed fit based on several indices [Root Mean Square Error of Approximation (RMSEA) = 0.067, Standardised Root Mean Square Residual (SRMR) = 0.004, Comparative Fit Index (CFI) = 0.924]. The composite reliability values of the three factors were acceptable (0.65 to 0.84). Conclusion The simplified 12-item SE scale with three factors displayed good fit indices with regard to the data, and they were considered to be acceptable for the current sample.
Collapse
Affiliation(s)
- Liu Kien Ting
- Unit of Biostatistics and Research Methodology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| | - Garry Kuan
- Exercise and Sports Science Programme, School of Health Science, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| | - Wan Nor Arifin
- Unit of Biostatistics and Research Methodology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| | - Kueh Yee Cheng
- Unit of Biostatistics and Research Methodology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| |
Collapse
|
27
|
Kim KA, Hwang SY. [Effects of a Daily Life-Based Physical Activity Enhancement Program for Middle-Aged Women at Risk for Cardiovascular Disease]. J Korean Acad Nurs 2019; 49:113-125. [PMID: 31064965 DOI: 10.4040/jkan.2019.49.2.113] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2018] [Revised: 11/22/2018] [Accepted: 11/29/2018] [Indexed: 11/09/2022]
Abstract
PURPOSE The purpose of this study was to examine the effects of a daily life-based physical activity enhancement program performed by middle-aged women at risk for cardiovascular disease. METHODS This study used a randomized control group pretest-posttest design. Middle-aged women aged 45 to 64 were recruited from two outpatient cardiology departments, and randomly assigned to an experimental group (n=28) and a control group (n=30). For the experimental group, after providing one-on-one counseling and education, we provided customized text messages to motivate them in daily life. To monitor the practice of physical activity, they also used an exercise diary and mobile pedometer for 12 weeks. Subjects' physical activities (MET-min/week) were measured using the International Physical Activity Questionnaire (IPAQ). Their physiological data were obtained by blood tests using a portable analyzer, and the data were analyzed using the SPSS 21.0/WIN program. RESULTS There were significant differences in exercise self-efficacy, health behavior, IPAQ score, body fat, body muscle, and fasting blood sugar between the two groups. However, there were no significant differences in total cholesterol, hemoglobin A1c, high-density lipoprotein cholesterol, and waist-to-hip ratio. CONCLUSION Strengthening physical activity in daily life without being limited by cost burden and time and space constraints. Therefore, it is essential to motivate middle-aged women at risk for cardiovascular disease to practice activities that are easily performed in their daily lives.
Collapse
Affiliation(s)
- Kyung Ae Kim
- College of Nursing, Gyeongdong University, Wonju, Korea
| | | |
Collapse
|
28
|
Sabo A, Kueh YC, Kuan G. Psychometric properties of the Malay version of the self-efficacy for exercise scale. PLoS One 2019; 14:e0215698. [PMID: 31050664 PMCID: PMC6499426 DOI: 10.1371/journal.pone.0215698] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2019] [Accepted: 04/05/2019] [Indexed: 02/03/2023] Open
Abstract
Background The present study was aimed at validating the Malay-language version of the Self-Efficacy for Exercise Scale (SEE-M) using confirmatory factor analysis (CFA). Methods Data were collected from undergraduate students at all campuses of the Universiti Sains Malaysia. A total of 1,605 students completed the SEE-M (female: 71.5%, male: 28.5%), with the mean age of 20.3 years (SD = 1.5). Perceived self-efficacy was assessed with the 18-item SEE-M. Standard forward–backward translation was performed to translate the English version of the Efficacy for Exercise Scale (SEE) into the Malay version (SEE-M). Results The 2 initial measurement models tested (1-factor and 3-factor models) did not result in a good fit to the data. Subsequent investigation of the CFA results recommended some modifications, including adding correlations between the item residuals within the same latent variable. These modifications resulted in good fit indices for the 1-factor model (RMSEA = .059, CFI = .939, TLI = .922, SRMR = .049) and the 3-factor model (RMSEA = .066, CFI = .924, TLI = .903, SRMR = .051). The final measurement models comprised all 18 SEE-M items, which had significant factor loadings of more than .40. The test-retest results indicated that the SEE-M was stable, with an intra-class correlation of .99. The composite reliability was .886 for the 1-factor model and .670–.854 for the 3-factor model. Conclusions The translated version of the SEE-M was valid and reliable for assessing the level of self-efficacy for exercise among university students in Malaysia. Perspective This study examining the psychometric properties of the SEE scale based on CFA was the first to assess 2 proposed models (1-factor and 3-factor models) simultaneously and to translate the original, English-language SEE into Malay.
Collapse
Affiliation(s)
- Abdulwali Sabo
- Unit of Biostatistics and Research Methodology, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia
| | - Yee Cheng Kueh
- Unit of Biostatistics and Research Methodology, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia
- * E-mail:
| | - Garry Kuan
- Exercise and Sports Science, School of Health Sciences, Universiti Sains Malaysia, Kelantan, Malaysia
| |
Collapse
|
29
|
Liu KT, Kueh YC, Arifin WN, Kim Y, Kuan G. Application of Transtheoretical Model on Behavioral Changes, and Amount of Physical Activity Among University's Students. Front Psychol 2018; 9:2402. [PMID: 30618907 PMCID: PMC6304387 DOI: 10.3389/fpsyg.2018.02402] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2018] [Accepted: 11/14/2018] [Indexed: 11/13/2022] Open
Abstract
This study's purpose was to examine the structural relationship of the transtheoretical model (TTM) and the amount of physical activity (PA) among undergraduate students in health and medicine at Universiti Sains Malaysia. A cross-sectional study was carried out among students who took part in the co-curricular program. Co-curricular program includes activities that take place outside of the regular lectures or tutorials in the University. Students recruited through purposive sampling were informed that their participation was entirely voluntarily. Those interested completed the self-administered questionnaire, which consisted of the decisional balance, processes of change, self-efficacy, stages of change scales, and Godin leisure-time exercise questionnaire. Data were analyzed using Mplus version 8 for descriptive statistics and structural equation modeling analysis for inferential statistics. A total of 562 students participated in the study. The majority of the students was female (79.0%) and Malay (73.3%) and average of exercise sessions per week was 2.62, with a mean of 43.37 min per exercise session. The final structural model fit the data well based on several fit indices (SRMR = 0.046, RMSEA (CI: 90%) = 0.061 (0.045, 0.078), RMSEA p = 0.130). The model showed that stages of change significantly affected self-efficacy (p < 0.001), pros (benefits of exercise; p < 0.001), cons (barriers to exercise; p = 0.022), and processes of change (p < 0.001). The model also showed significant inter-relationships among the TTM constructs and supported seven hypotheses. Among all the variables examined, only processes of change significantly affected PA (p < 0.001). However, stages of change (p < 0.001) and pros (p =< 0.001) had significant indirect effects on PA via processes of change. The findings support that individuals' stages of change affect their self-efficacy level, or the ability to make positive and negative decisions and perform behavior accordingly. The study confirms that making correct decisions and taking action accordingly can increase PA levels.
Collapse
Affiliation(s)
- Kien Ting Liu
- Unit of Biostatistics and Research Methodology, School of Medical Sciences, Universiti Sains Malaysia, Malaysia, Kelantan, Malaysia
| | - Yee Cheng Kueh
- Unit of Biostatistics and Research Methodology, School of Medical Sciences, Universiti Sains Malaysia, Malaysia, Kelantan, Malaysia
| | - Wan Nor Arifin
- Unit of Biostatistics and Research Methodology, School of Medical Sciences, Universiti Sains Malaysia, Malaysia, Kelantan, Malaysia
| | - Youngho Kim
- Department of Sports and Health Science, Seoul National University of Science and Technology, Seoul, South Korea
| | - Garry Kuan
- Exercise and Sports Science, School of Health Sciences, Universiti Sains Malaysia, Malaysia, Kelantan, Malaysia
| |
Collapse
|
30
|
Brooks JM, Kaya C, Chan F, Thompson K, Cotton BP, Sánchez J, Fortuna K. Validation of the Behavioural Regulation in Exercise Questionnaire-2 for adults with chronic musculoskeletal pain. INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION 2018; 25:395-404. [PMID: 32133037 PMCID: PMC7055823 DOI: 10.12968/ijtr.2018.25.8.395] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND/AIMS The Behavioural Regulation in Exercise Questionnaire-2 (BREQ-2) has demonstrated reliability and validity in the general population; yet the psychometric properties have not been tested among rehabilitation populations, such as persons experiencing chronic musculoskeletal pain. The objective of the current study was to examine the factorial structure and psychometric properties of the BREQ-2 in a sample of adults with chronic musculoskeletal pain. METHODS Adults with chronic musculoskeletal pain (n=211) were recruited from clinical and community networks in the United States. Data were collected using a cross-sectional online survey and analysed using confirmatory factor analysis, multiple indicators multiple causes analysis, and correlational techniques. Participants completed the BREQ-2 and other measures relevant to self-determination theory, including outcome expectancies, self-efficacy and family and friend support for physical activity and exercise. FINDINGS Results indicated the intercorrelated model fit the data well. The five factors of amotivation, external regulation, introjected regulation, identified regulation and intrinsic regulation toward physical activity and exercise demonstrated good reliability and construct validity. CONCLUSIONS This study provides evidence of factorial and construct validity for the BREQ-2 among people with chronic musculoskeletal pain. Implications for rehabilitation practitioners and researchers are discussed.
Collapse
Affiliation(s)
- Jessica M Brooks
- Department of Rehabilitation & Health Services, University of North Texas, Denton, Texas, USA
| | - Cahit Kaya
- Department of Educational Sciences, Giresun University, Giresun, Turkey
| | - Fong Chan
- Department of Rehabilitation Psychology and Special Education, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | | | | | - Jennifer Sánchez
- Rehabilitation and Counsellor Education, University of Iowa, Iowa City, Iowa, USA
| | - Karen Fortuna
- Department of Psychiatry, Dartmouth College, Lebanon, New Hampshire, USA
| |
Collapse
|
31
|
Westland H, Bos-Touwen ID, Trappenburg JCA, Schröder CD, de Wit NJ, Schuurmans MJ. Unravelling effectiveness of a nurse-led behaviour change intervention to enhance physical activity in patients at risk for cardiovascular disease in primary care: study protocol for a cluster randomised controlled trial. Trials 2017; 18:79. [PMID: 28228151 PMCID: PMC5322635 DOI: 10.1186/s13063-017-1823-9] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2016] [Accepted: 02/06/2017] [Indexed: 11/24/2022] Open
Abstract
Background Self-management interventions are considered effective in patients with chronic disease, but trials have shown inconsistent results, and it is unknown which patients benefit most. Adequate self-management requires behaviour change in both patients and health care providers. Therefore, the Activate intervention was developed with a focus on behaviour change in both patients and nurses. The intervention aims for change in a single self-management behaviour, namely physical activity, in primary care patients at risk for cardiovascular disease. The aim of this study is to evaluate the effectiveness of the Activate intervention. Methods/design A two-arm cluster randomised controlled trial will be conducted to compare the Activate intervention with care as usual at 31 general practices in the Netherlands. Approximately 279 patients at risk for cardiovascular disease will participate. The Activate intervention is developed using the Behaviour Change Wheel and consists of 4 nurse-led consultations in a 3-month period, integrating 17 behaviour change techniques. The Behaviour Change Wheel was also applied to analyse what behaviour change is needed in nurses to deliver the intervention adequately. This resulted in 1-day training and coaching sessions (including 21 behaviour change techniques). The primary outcome is physical activity, measured as the number of minutes of moderate to vigorous physical activity using an accelerometer. Potential effect modifiers are age, body mass index, level of education, social support, depression, patient-provider relationship and baseline number of minutes of physical activity. Data will be collected at baseline and at 3 months and 6 months of follow-up. A process evaluation will be conducted to evaluate the training of nurses, treatment fidelity, and to identify barriers to and facilitators of implementation as well as to assess participants’ satisfaction. Discussion To increase physical activity in patients and to support nurses in delivering the intervention, behaviour change techniques are applied to change behaviours of the patients and nurses. Evaluation of the effectiveness of the intervention, exploration of which patients benefit most, and evaluation of our theory-based training for primary care nurses will enhance understanding of what works and for whom, which is essential for further implementation of self-management in clinical practice. Trial registration ClinicalTrials.gov identifier: NCT02725203. Registered on 25 March 2016. Electronic supplementary material The online version of this article (doi:10.1186/s13063-017-1823-9) contains supplementary material, which is available to authorized users.
Collapse
Affiliation(s)
- Heleen Westland
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Huispost STR 6.131, PO Box 85500, Utrecht, GA, 3508, The Netherlands.
| | - Irene D Bos-Touwen
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Huispost STR 6.131, PO Box 85500, Utrecht, GA, 3508, The Netherlands
| | - Jaap C A Trappenburg
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Huispost STR 6.131, PO Box 85500, Utrecht, GA, 3508, The Netherlands
| | - Carin D Schröder
- Department of Rehabilitation, Nursing Science & Sports, University Medical Center Utrecht, Utrecht, The Netherlands
| | - Niek J de Wit
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Huispost STR 6.131, PO Box 85500, Utrecht, GA, 3508, The Netherlands
| | - Marieke J Schuurmans
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Huispost STR 6.131, PO Box 85500, Utrecht, GA, 3508, The Netherlands
| |
Collapse
|
32
|
Brooks JM, Iwanaga K, Chiu CY, Cotton BP, Deiches J, Morrison B, Moser E, Chan F. Relationships between self-determination theory and theory of planned behavior applied to physical activity and exercise behavior in chronic pain. PSYCHOL HEALTH MED 2017; 22:814-822. [PMID: 28111983 DOI: 10.1080/13548506.2017.1282161] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
This study examined the relationships between self-determination theory (SDT) and theory of planned behavior (TpB) applied to physical activity and exercise behavior (PA&E) in people with chronic pain. Two hundred and eleven adults with chronic musculoskeletal pain (28 males and 183 females, age range 18 to 82 years, mean age 43 years) were recruited from online support groups and clinic networks in the United States. Participants completed SDT measures relevant to PA&E on perceived autonomy support, autonomy, competence, and relatedness, as well as TpB measures relevant to PA&E on intention, attitudes, subjective norms, and perceived behavioral control. Correlational techniques and canonical correlation analysis were performed to examine the relationships and variance within and between theoretical dimensions. Overall, the SDT set accounted for 37% of the TpB variance and the TpB set accounted for 32% of the SDT set variance. The results indicate there are statistical similarities and differences between concepts in SDT and TpB models for PA&E. Using both empirical guidance and clinical expertise, researchers and practitioners should attempt to select and integrate non-redundant and complementary components from SDT, TpB, and other related health behavior theories.
Collapse
Affiliation(s)
- Jessica M Brooks
- a Department of Psychiatry , Geisel School of Medicine, Dartmouth College , Lebanon , NH , USA.,b University of North Texas
| | | | | | - Brandi Parker Cotton
- a Department of Psychiatry , Geisel School of Medicine, Dartmouth College , Lebanon , NH , USA
| | | | | | | | | |
Collapse
|
33
|
Darawad MW, Hamdan-Mansour AM, Khalil AA, Arabiat D, Samarkandi OA, Alhussami M. Exercise Self-Efficacy Scale: Validation of the Arabic Version Among Jordanians With Chronic Diseases. Clin Nurs Res 2016; 27:890-906. [DOI: 10.1177/1054773816683504] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This study assessed the psychometric properties of the Arabic version of Exercise Self-Efficacy scale (ESE-A) among Jordanian outpatients with a variety of chronic diseases using descriptive cross-sectional design. Participants’ scores of ESE-A significantly correlated with their reported weekly exercise frequency ( r = .23, p< .001), duration ( r = .31, p< .001), and evaluation of their physical exercise ( r = .39, p< .001). The construct validity was tested using exploratory factor analysis, which retained all items, and the scree plot showed one meaningful factor with an eigenvalue of 10.38 and an explained variance of 57.7%. Furthermore, Cronbach’s alpha was .89 and split-half coefficient was .83 indicating that the ESE-A is a reliable scale. The ESE-A was found to be a robust measure to evaluate exercise self-efficacy among Arabic patients with chronic diseases. Arabic researchers interested in exercise self-efficacy are invited to utilize the ESE-A in their studies to confirm its psychometric properties.
Collapse
Affiliation(s)
| | | | | | - Diana Arabiat
- The University of Jordan, Amman, Jordan
- Edith Cowan University, Joondalup, Australia
| | | | - Mahmoud Alhussami
- The University of Jordan, Amman, Jordan
- University of Dammam, Saudi Arabia
| |
Collapse
|
34
|
Contribution of Psychosocial Factors to Physical Activity in Women of Color in the Saving Lives Staying Active (SALSA) Study. J Aging Phys Act 2016; 25:351-359. [PMID: 27834574 DOI: 10.1123/japa.2015-0239] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Culturally appropriate, innovative strategies to increase physical activity (PA) in women of color are needed. This study examined whether participation in SALSA, an 8-week randomized, crossover pilot study to promote PA, led to improved psychosocial outcomes and whether these changes were associated with changes in PA over time. Women of color (N = 50) completed Internet-based questionnaires on PA, exercise self-efficacy, motivational readiness, stress, and social support at three time points. Women reported high socioeconomic status, decreases in exercise self-efficacy, and increases in motivational readiness for exercise and a number of stressful events (p < .05); changes in motivational readiness for exercise varied by group (p = .043). Changes in psychosocial factors were associated with increases in PA. Latin dance improved motivational readiness for PA. Future studies are needed to determine whether Latin dance improves other psychological measures and quality of life in women of color in an effort to increase PA and reduce health disparities.
Collapse
|
35
|
Taylor SJC, Carnes D, Homer K, Pincus T, Kahan BC, Hounsome N, Eldridge S, Spencer A, Diaz-Ordaz K, Rahman A, Mars TS, Foell J, Griffiths CJ, Underwood MR. Improving the self-management of chronic pain: COping with persistent Pain, Effectiveness Research in Self-management (COPERS). PROGRAMME GRANTS FOR APPLIED RESEARCH 2016. [DOI: 10.3310/pgfar04140] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
BackgroundChronic musculoskeletal pain is a common problem that is difficult to treat. Self-management support interventions may help people to manage this condition better; however, there is limited evidence showing that they improve clinical outcomes. Our overarching research question was ‘Does a self-management support programme improve outcomes for people living with chronic musculoskeletal pain?’.AimTo develop, evaluate and test the clinical effectiveness and cost-effectiveness of a theoretically grounded self-management support intervention for people living with chronic musculoskeletal pain.MethodsIn phase 1 we carried out two systematic reviews to synthesise the evidence base for self-management course content and delivery styles likely to help those with chronic pain. We also considered the psychological theories that might underpin behaviour change and pain management principles. Informed by these data we developed the Coping with persistent Pain, Evaluation Research in Self-management (COPERS) intervention, a group intervention delivered over 3 days with a top-up session after 2 weeks. It was led by two trained facilitators: a health-care professional and a layperson with experience of chronic pain. To ensure that we measured the most appropriate outcomes we reviewed the literature on potential outcome domains and measures and consulted widely with patients, tutors and experts. In a feasibility study we demonstrated that we could deliver the COPERS intervention in English and, to increase the generalisability of our findings, also in Sylheti for the Bangladeshi community. In phase 2 we ran a randomised controlled trial to test the clinical effectiveness and cost-effectiveness of adding the COPERS intervention to a best usual care package (usual care plus a relaxation CD and a pain toolkit leaflet). We recruited adults with chronic musculoskeletal pain largely from primary care and musculoskeletal physiotherapy services in two localities: east London and Coventry/Warwickshire. We collected follow-up data at 12 weeks (self-efficacy only) and 6 and 12 months. Our primary outcome was pain-related disability (Chronic Pain Grade disability subscale) at 12 months. We also measured costs, health utility (European Quality of Life-5 Dimensions), anxiety, depression [Hospital Anxiety and Depression Scale (HADS)], coping, pain acceptance and social integration. Data on the use of NHS services by participants were extracted from NHS electronic records.ResultsWe recruited 703 participants with a mean age of 60 years (range 19–94 years); 81% were white and 67% were female. Depression and anxiety symptoms were common, with mean HADS depression and anxiety scores of 7.4 [standard deviation (SD) 4.1] and 9.2 (SD 4.6), respectively. Intervention participants received 85% of the course content. At 12 months there was no difference between treatment groups in our primary outcome of pain-related disability [difference –1.0 intervention vs. control, 95% confidence interval (CI) –4.9 to 3.0]. However, self-efficacy, anxiety, depression, pain acceptance and social integration all improved more in the intervention group at 6 months. At 1 year these differences remained for depression (–0.7, 95% CI –1.2 to –0.2) and social integration (0.8, 95% CI, 0.4 to 1.2). The COPERS intervention had a high probability (87%) of being cost-effective compared with usual care at a threshold of £30,000 per quality-adjusted life-year.ConclusionsAlthough the COPERS intervention did not affect our primary outcome of pain-related disability, it improved psychological well-being and is likely to be cost-effective according to current National Institute for Health and Care Excellence criteria. The COPERS intervention could be used as a substitute for less well-evidenced (and more expensive) pain self-management programmes. Effective interventions to improve hard outcomes in chronic pain patients, such as disability, are still needed.Trial registrationCurrent Controlled Trials ISRCTN22714229.FundingThe project was funded by the National Institute for Health Research Programme Grants for Applied Research programme and will be published in full inProgramme Grants for Applied Research; Vol. 4, No. 14. See the NIHR Journals Library website for further project information.
Collapse
Affiliation(s)
- Stephanie JC Taylor
- Centre for Primary Care and Public Health, Blizard Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Dawn Carnes
- Centre for Primary Care and Public Health, Blizard Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Kate Homer
- Centre for Primary Care and Public Health, Blizard Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Tamar Pincus
- Department of Psychology, Royal Holloway University of London, Egham, UK
| | - Brennan C Kahan
- Centre for Primary Care and Public Health, Blizard Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Natalia Hounsome
- Centre for Primary Care and Public Health, Blizard Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Sandra Eldridge
- Centre for Primary Care and Public Health, Blizard Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Anne Spencer
- Exeter Medical School, University of Exeter, Exeter, UK
| | - Karla Diaz-Ordaz
- Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, UK
| | - Anisur Rahman
- Department of Rheumatology, University College Hospital, University College London, London, UK
| | - Tom S Mars
- Centre for Primary Care and Public Health, Blizard Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Jens Foell
- Centre for Primary Care and Public Health, Blizard Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Chris J Griffiths
- Centre for Primary Care and Public Health, Blizard Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Martin R Underwood
- Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK
| |
Collapse
|
36
|
Pei L, Wang Y, Sun CY, Zhang Q. Individual, social and environmental predictors of regular exercise among adults with type 2 diabetes and peripheral neuropathy in China. Int J Nurs Pract 2016; 22:451-460. [DOI: 10.1111/ijn.12474] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2015] [Revised: 06/06/2016] [Accepted: 06/21/2016] [Indexed: 12/11/2022]
Affiliation(s)
- Li Pei
- School of Nursing; Tianjin Medical University; Tianjin China
| | - Yan Wang
- Nursing Department; The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine; Tianjin China
| | - Chunyan Y Sun
- School of Nursing; Tianjin Medical University; Tianjin China
| | - Qing Zhang
- Nursing Department, School of Nursing; Tianjin Medical University; Tianjin China
| |
Collapse
|
37
|
Keegan JP, Chan F, Ditchman N, Chiu CY. Predictive Ability of Pender’s Health Promotion Model for Physical Activity and Exercise in People With Spinal Cord Injuries. REHABILITATION COUNSELING BULLETIN 2016. [DOI: 10.1177/0034355212440732] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The main objective of this study was to validate Pender’s Health Promotion Model (HPM) as a motivational model for exercise/physical activity self-management for people with spinal cord injuries (SCIs). Quantitative descriptive research design using hierarchical regression analysis (HRA) was used. A total of 126 individuals with SCI were recruited through the National Spinal Cord Injury Association, other SCI support groups, and professors in rehabilitation counseling across the United States. Outcome measures used were the International Physical Activity Questionnaire and the Physical Activity Stages of Change Instrument. The HRA results indicated that preinjury physical activity/exercise level, severity of SCI, and commitment to a plan for exercise and physical activity were predictive of postinjury exercise and physical activity level. In addition, friend/family support, perceived self-efficacy, and perceived benefits were the strongest predictors of commitment to a plan of action for exercise and physical activity. The research findings support the applicability of Pender’s HPM as a motivational model for exercise/physical activity for people with SCI. The information can be used to design health promotion behavioral interventions for people with SCI living in the community.
Collapse
Affiliation(s)
| | - Fong Chan
- University of Wisconsin–Madison, USA
| | | | - Chung-Yi Chiu
- University of Texas Southwestern Medical Center at Dallas, USA
| |
Collapse
|
38
|
van der Weegen S, Verwey R, Spreeuwenberg M, Tange H, van der Weijden T, de Witte L. It's LiFe! Mobile and Web-Based Monitoring and Feedback Tool Embedded in Primary Care Increases Physical Activity: A Cluster Randomized Controlled Trial. J Med Internet Res 2015. [PMID: 26209025 PMCID: PMC4529491 DOI: 10.2196/jmir.4579] [Citation(s) in RCA: 81] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background Physical inactivity is a major public health problem. The It’s LiFe! monitoring and feedback tool embedded in the Self-Management Support Program (SSP) is an attempt to stimulate physical activity in people with chronic obstructive pulmonary disease or type 2 diabetes treated in primary care. Objective Our aim was to evaluate whether the SSP combined with the use of the monitoring and feedback tool leads to more physical activity compared to usual care and to evaluate the additional effect of using this tool on top of the SSP. Methods This was a three-armed cluster randomised controlled trial. Twenty four family practices were randomly assigned to one of three groups in which participants received the tool + SSP (group 1), the SSP (group 2), or care as usual (group 3). The primary outcome measure was minutes of physical activity per day. The secondary outcomes were general and exercise self-efficacy and quality of life. Outcomes were measured at baseline after the intervention (4-6 months), and 3 months thereafter. Results The group that received the entire intervention (tool + SSP) showed more physical activity directly after the intervention than Group 3 (mean difference 11.73, 95% CI 6.21-17.25; P<.001), and Group 2 (mean difference 7.86, 95% CI 2.18-13.54; P=.003). Three months after the intervention, this effect was still present and significant (compared to Group 3: mean difference 10.59, 95% CI 4.94-16.25; P<.001; compared to Group 2: mean difference 9.41, 95% CI 3.70-15.11; P<.001). There was no significant difference in effect between Groups 2 and 3 on both time points. There was no interaction effect for disease type. Conclusions The combination of counseling with the tool proved an effective way to stimulate physical activity. Counseling without the tool was not effective. Future research about the cost-effectiveness and application under more tailored conditions and in other target groups is recommended. Trial Registration ClinicalTrials.gov: NCT01867970, https://clinicaltrials.gov/ct2/show/NCT01867970 (archived by WebCite at http://www.webcitation.org/6a2qR5BSr).
Collapse
Affiliation(s)
- Sanne van der Weegen
- CAPHRI School for Public Health and Primary Care, Department Health Services Research, Maastricht University, Maastricht, Netherlands.
| | | | | | | | | | | |
Collapse
|
39
|
Chae D, Kim S, Park Y, Hwang Y. The Effects of an Academic--Workplace Partnership Intervention to Promote Physical Activity in Sedentary Office Workers. Workplace Health Saf 2015; 63:259-66. [PMID: 26012515 DOI: 10.1177/2165079915579576] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study was designed to determine the effect of an academic-workplace partnership intervention, "3,000 more steps," on improving physical activity (PA) and body composition of workers, and compare the characteristics of those workers who completed and did not complete the program. Participants were 70 sedentary office workers from an airline company. Pedometers determined their daily steps, and body composition was compared before and after the 8-week intervention; 39 of 70 (55.7%) participants completed the program. Daily steps increased from 5,811 to 9,240, and fat mass, waist-hip ratio, and body mass index (BMI) decreased for the completers. Non-completers had lower average PA and higher average fat mass at baseline than did completers. Overall, a workplace PA program could be successfully undertaken by occupational health nurses and a research team in partnership. However, to implement a cost-effective intervention program for inactive workers, further research is needed to ascertain why some workers do not complete the program.
Collapse
|
40
|
Abstract
This exploratory qualitative study provides insight into the role that exergames can play for seniors. Fifteen participants (aged 53-78) engaged in playing Your Shape Fitness Evolved 2 on the Xbox 360 Kinect. We conducted semi-structured interviews with each participant and we found that in all cases, their innate psychological needs of autonomy and competence (Self Determination Theory) were met. Playing the exergame not only served as a serious therapeutic instrument with positive effects on the subjective physical and social wellbeing, but it also brought entertainment, providing excitement and fun.
Collapse
Affiliation(s)
- Annemiek Zonneveld
- Departement Bestuurs- en Organisatiewetenschap, Universiteit Utrecht, Bijlhouwerstraat 6, 3511 ZC, Utrecht, Nederland
| | | |
Collapse
|
41
|
Choo J, Kang H. Predictors of initial weight loss among women with abdominal obesity: a path model using self-efficacy and health-promoting behaviour. J Adv Nurs 2015; 71:1087-97. [PMID: 25560742 DOI: 10.1111/jan.12604] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/17/2014] [Indexed: 11/30/2022]
Abstract
AIM To identify predictors of initial weight loss among women with abdominal obesity by using a path model. BACKGROUND Successful weight loss in the initial stages of long-term weight management may promote weight loss maintenance. DESIGN A longitudinal study design. METHODS Study participants were 75 women with abdominal obesity, who were enrolled in a 12-month Community-based Heart and Weight Management Trial and followed until a 6-month assessment. The Weight Efficacy Lifestyle, Exercise Self-Efficacy and Health Promoting Lifestyle Profile-II measured diet self-efficacy, exercise self-efficacy and health-promoting behaviour respectively. All endogenous and exogenous variables used in our path model were change variables from baseline to 6 months. Data were collected between May 2011-May 2012. FINDINGS Based on the path model, increases in both diet and exercise self-efficacy had significant effects on increases in health-promoting behaviour. Increases in diet self-efficacy had a significant indirect effect on initial weight loss via increases in health-promoting behaviour. Increases in health-promoting behaviour had a significant effect on initial weight loss. CONCLUSION Among women with abdominal obesity, increased diet self-efficacy and health-promoting behaviour were predictors of initial weight loss. A mechanism by which increased diet self-efficacy predicts initial weight loss may be partially attributable to health-promoting behavioural change. However, more work is still needed to verify causality. Based on the current findings, intensive nursing strategies for increasing self-efficacy for weight control and health-promoting behaviour may be essential components for better weight loss in the initial stage of a weight management intervention.
Collapse
Affiliation(s)
- Jina Choo
- Department of Community Health Nursing, College of Nursing, Korea University, Seoul, South Korea
| | | |
Collapse
|
42
|
Park C, Park YH. Validity and reliability of Korean version of health empowerment scale (K-HES) for older adults. Asian Nurs Res (Korean Soc Nurs Sci) 2014; 7:142-8. [PMID: 25030252 DOI: 10.1016/j.anr.2013.07.004] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2012] [Revised: 04/22/2013] [Accepted: 06/14/2013] [Indexed: 11/27/2022] Open
Abstract
PURPOSE The purpose of this study was to assess the validity and reliability of the Korean version of the Health Empowerment Scale (K-HES). METHODS This was a methodological study, which included translation, pilot study, main study and expert verification. The K-HES was translated and modified based on the Diabetes Empowerment Scale-Short Form. Where diabetes was mentioned in the original tool, the K-HES expanded the items to cover all kinds of health conditions that affected health empowerment. Expert-verification, pilot-test and main study were conducted among 175 Korean elderly. RESULTS The K-HES had an acceptable internal consistency with a Cronbach's alpha of .80. Construct validity was tested using item analysis and convergent validity. Item analysis demonstrated that all of the corrected item to total correlation coefficients possessed good internal consistency (alpha > .60) except for item 1 (.32) and item 6 (.19). Convergent validity was supported by significant correlations between the total scores of the K-HES and the Exercise Self-Efficacy Scale (Pearson's coefficient = .60). Content validity was supported by scale content validity index of .96 and item content validity index ranging from .96 to 1.0. CONCLUSION The K-HES had acceptable validity and reliability. The brevity and ease of administration of the K-HES makes it a suitable tool for evaluating empowerment-based education programs targeted towards older populations.
Collapse
Affiliation(s)
- Chorong Park
- School of Nursing, Yale University, New Haven, USA
| | - Yeon-Hwan Park
- College of Nursing and the Research Institute of Nursing Science, Seoul National University, Seoul, South Korea.
| |
Collapse
|
43
|
Psychometric properties of the Exercise Self-efficacy Scale in Dutch Primary care patients with type 2 diabetes mellitus. Int J Behav Med 2014; 21:394-401. [PMID: 23550033 DOI: 10.1007/s12529-013-9308-z] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
BACKGROUND Excercise self-efficacy is believed to influence physical activity bahavior. PURPOSE The purpose of this study is to assess the psychometric aspects of the Exercise Self-efficacy Scale (ESS) in a type 2 diabetes Dutch Primary care sample. METHOD Type 2 diabetes patients (n = 322; <80 years old) filled in the ESS and the short questionnaire to assess health enhancing physical activity (SQUASH). The structural validity of the ESS was assessed by means of principal axis factor analyses and confirmatory factor analysis. In addition, reliability and concurrent validity with the SQUASH outcomes "total" and "leisure time minutes/week of moderate to vigorous intensity physical activity" were evaluated. T tests and ANOVAs were used to examine ESS scores in subgroups. In addition, a 13-item version of the ESS was developed. RESULTS Analyses were performed on complete cases (n = 255). Exploratory factor analysis suggested one underlying factor (total explained variance 54 %), with good internal consistency (α = 0.95). Confirmatory factor analysis showed a poor fit, as did a three-factor model suggested in an earlier research. Therefore, a 13-item ESS was developed with one underlying factor (total explained variance 59 %) and good internal consistency (α = 0.95). Both the 18-item and 13-item ESS correlated significantly with total and leisure time physical activity. ESS scores differed significantly between categories of education level and physical activity level. CONCLUSION The 13-item ESS had sound psychometric properties in a large sample of primary care type 2 diabetes patients. The 13-item ESS could be useful in (intervention) research on physical activity in type 2 diabetes patients.
Collapse
|
44
|
Verwey R, van der Weegen S, Spreeuwenberg M, Tange H, van der Weijden T, de Witte L. A monitoring and feedback tool embedded in a counselling protocol to increase physical activity of patients with COPD or type 2 diabetes in primary care: study protocol of a three-arm cluster randomised controlled trial. BMC FAMILY PRACTICE 2014; 15:93. [PMID: 24885096 PMCID: PMC4030038 DOI: 10.1186/1471-2296-15-93] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/21/2014] [Accepted: 04/25/2014] [Indexed: 08/24/2023]
Abstract
Background Physical activity is important for a healthy lifestyle. Although physical activity can delay complications and decrease the burden of the disease, the level of activity of patients with chronic obstructive pulmonary disease (COPD) or type 2 Diabetes Mellitus (DM2) is often far from optimal. To stimulate physical activity, a monitoring and feedback tool, consisting of an accelerometer linked to a smart phone and webserver (It’s LiFe! tool), and a counselling protocol for practice nurses in primary care was developed (the Self-management Support Program). The main objective of this study is to measure the longitudinal effects of this counselling protocol and the added value of using the tool. Methods/Design This three-armed cluster randomised controlled trial with 120 participants with COPD and 120 participants with DM2 (aged 40–70), compares the counselling protocol with and without the use of the tool (group 1 and 2) with usual care (group 3). Recruitment takes place at GP practices in the southern regions of the Netherlands. Randomisation takes place at the practice level. The intended sample (three arms of 8 practices) powers the study to detect a 10-minute difference of moderate and intense physical activity per day between groups 1 and 3. Participants in the intervention groups have to visit the practice nurse 3–4 times for physical activity counselling, in a 4-6-month period. Specific activity goals tailored to the individual patient's preferences and needs will be set. In addition, participants in group 1 will be instructed to use the tool in daily life. The primary outcome, physical activity, will be measured in all groups with a physical activity monitor (PAM). Secondary outcomes are quality of life, general - and exercise - self-efficacy, and health status. Follow-up will take place after 6 and 9 months. Separately, a process evaluation will be conducted to explore reasons for trial non-participation, and the intervention’s acceptability for participating patients and nurses. Discussion Results of this study will give insight into the effects of the It’s LiFe! monitoring and feedback tool combined with care from a practice nurse for people with COPD or DM2 on physical activity. Trial registration ClinicalTrials.gov:
NCT01867970
Collapse
Affiliation(s)
- Renée Verwey
- School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, the Netherlands.
| | | | | | | | | | | |
Collapse
|
45
|
Berry DC, Schwartz TA, McMurray RG, Skelly AH, Neal M, Hall EG, Aimyong N, Amatuli DJ, Melkus G. The family partners for health study: a cluster randomized controlled trial for child and parent weight management. Nutr Diabetes 2014; 4:e101. [PMID: 24418827 PMCID: PMC3904082 DOI: 10.1038/nutd.2013.42] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2013] [Accepted: 11/26/2013] [Indexed: 12/11/2022] Open
Abstract
OBJECTIVE The purpose of this study was to test a two-phased nutrition and exercise education, coping skills training, and exercise intervention program for overweight or obese low-income ethnic minority 2nd to 4th grade children and their parents in rural North Carolina, USA. METHODS A cluster randomized controlled trial was carried out with 358 children (7-10 years) and a parent for each child (n=358). General linear mixed models were used to determine the effects of the intervention on weight, adiposity, health behaviors, and eating and exercise self-efficacy by examining changes in children and parents from baseline to completion of the study (18 months). RESULTS At 18 months, children in the experimental group did not have a significantly decreased body mass index (BMI) percentile (P=0.470); however, they showed a reduction in the growth rate of their triceps (P=0.001) and subscapular skinfolds (P<0.001) and an improvement in dietary knowledge (P=0.018) and drank less than one glass of soda per day (P=0.052) compared with the control group. Parents in the experimental group had decreased BMI (P=0.001), triceps (P<0.001) and subscapular skinfolds (P<0.001) and increased nutrition (P=0.003) and exercise (P<0.001) knowledge and more often drank water or unsweetened drinks (P=0.029). At 18 months, children in the experimental group did not show significant improvement in eating (P=0.956) or exercise self-efficacy (P=0.976). Experimental parents demonstrated improved socially acceptable eating self-efficacy (P=0.013); however, they did not show significant improvement in self-efficacy pertaining to emotional eating (P=0.155) and exercise (P=0.680). CONCLUSION The results suggest that inclusion of children and parents in the same intervention program is an effective way to decrease adiposity and improve nutrition behaviors in both children and parents and improve weight and eating self-efficacy in parents.
Collapse
Affiliation(s)
- D C Berry
- School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - T A Schwartz
- School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
- Department of Biostatistics, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - R G McMurray
- School of Exercise and Sport Science and Nutrition, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - A H Skelly
- School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - M Neal
- School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - E G Hall
- School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - N Aimyong
- Department of Biostatistics, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - D J Amatuli
- School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - G Melkus
- School of Nursing, Muriel and Virginia Pless Center for Nursing Research, New York University, New York, NY, USA
| |
Collapse
|
46
|
Sheer VC. A Meta-Synthesis of Health-Related Self-Efficacy Instrumentation: Problems and Suggestions. J Nurs Meas 2014; 22:77-93. [DOI: 10.1891/1061-3749.22.1.77] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Background and Purpose: Self-efficacy, a central construct in health interventions, has been measured in various contexts. The absence of any published meta-review of self-efficacy instrumentation led to the current meta-synthesis that reports and evaluates the instrumentation processes. Methods: A systematic search resulted in 39 self-efficacy instrumentation studies, which were evaluated for the aspects of conceptual bases, health contexts, operational definition, instrumentation procedures, reliability and scale length, and item content. Results: Primarily based in Bandura’s social cognitive theory, these studies reported self-efficacy instrumentation for developing new scales and modifying/validating measures for illness management, healthy behavior adoption/maintenance, disease/risk prevention, and aging management. Trait-like, specific-domain, and situation approaches were used for generating item content. Problems in some studies include non-efficacy items, a lack of systematic instrumentation procedures, item content too general for specific-domain self-efficacy, and measurement inefficiency. Conclusions: The piecemeal fashion of self-efficacy instrumentation has resulted in incomparable self-efficacy measures of similar domains of health functioning. A trans-domain framework, thus, is warranted. Suggestions are provided for solving other problems in self-efficacy instrumentation.
Collapse
|
47
|
Song H, Kim J, Tenzek KE, Lee KM. The effects of competition and competitiveness upon intrinsic motivation in exergames. COMPUTERS IN HUMAN BEHAVIOR 2013. [DOI: 10.1016/j.chb.2013.01.042] [Citation(s) in RCA: 75] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
48
|
van der Heijden MMP, Pouwer F, Romeijnders AC, Pop VJM. Testing the effectiveness of a self-efficacy based exercise intervention for inactive people with type 2 diabetes mellitus: design of a controlled clinical trial. BMC Public Health 2012; 12:331. [PMID: 22559322 PMCID: PMC3390268 DOI: 10.1186/1471-2458-12-331] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2012] [Accepted: 05/04/2012] [Indexed: 01/21/2023] Open
Abstract
Background Sufficient exercise is important for people with Type 2 Diabetes Mellitus (T2DM), as it can prevent future health problems. Despite, it is estimated that only 30-40% of people with T2DM are sufficiently active. One of the psychosocial constructs that is believed to influence physical activity behaviour, is exercise self-efficacy. The goal of this study is to evaluate a patient-tailored exercise intervention for people with T2DM that takes exercise self-efficacy into account. Methods/Design This study is conducted as a non-randomized controlled clinical trial. Patients are eligible when they are diagnosed with T2DM, exercise less than advised in the ADA guideline of 150 min/week of moderate-intensity aerobic physical activity, have an BMI >25 and are between 18 and 80 years old. Recruitment takes place at a Primary care organization of general practitioners and practice nurses in the south of the Netherlands. Participants are allocated to three groups: An advice intervention -for participants with a high exercise self-efficacy score- in which participants receive a patient-tailored exercise intervention, an intensive intervention -for participants with a low exercise self-efficacy score- in which participants receive a patient-tailored exercise intervention accomplished by a group based intervention, and a control group in which participants receive regular Dutch diabetes care. The primary outcome measure of this study is physical activity. Secondary outcome measures are health status, (symptoms of) depression, exercise self-efficacy, Body Mass Index (BMI), blood pressure and glycemic control. Discussion We aimed to design an intervention that can be implemented in Primary care, but also to design an easy accessible program. This study is innovative as it is -to our best knowledge- the first study that takes level of exercise self-efficacy of people with T2DM into account by means of giving extra support to those with the lowest exercise self-efficacy. If the program succeeds in increasing the amount of physical activity it can be implemented in regular primary care. Trial registration Dutch Trial Register NTR2734
Collapse
Affiliation(s)
- Marion M P van der Heijden
- Department of Medical Psychology and Neuropsychology, Center of Research on Psychology in Somatic diseases (CoRPS), Tilburg University, Tilburg, the Netherlands
| | | | | | | |
Collapse
|
49
|
Nelson M, Davis MC. Development and preliminary validation of the Parent Efficacy for Child Healthy Weight Behaviour Scale. J Health Psychol 2012; 18:282-91. [PMID: 22473772 DOI: 10.1177/1359105312439732] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
This study developed a new measure of parent self-efficacy for promoting healthy weight behaviours in their children, the Parent Efficacy for Child Healthy Weight Behaviour Scale (PECHWB). In total 601 primary caregivers of children aged 4-17 completed an online survey consisting of the PECHWB, a measure of general parenting self-efficacy, measures of parental depression, anxiety and stress and demographic questions. Factor analysis identified four PECHWB subscales with high levels of internal consistency. The PECHWB showed significant small positive correlations with a measure of global parenting self-efficacy and small negative correlations with measures of parental negative affect. This study provides initial evidence for the reliability and validity of the PECHWB. Future research is required to establish further evidence of the psychometric properties of the PECHWB scale in independent samples before the scale can be used in evaluating intervention outcomes.
Collapse
|
50
|
Berry DC, McMurray R, Schwartz TA, Skelly A, Sanchez M, Neal M, Hall G. Rationale, design, methodology and sample characteristics for the family partners for health study: a cluster randomized controlled study. BMC Public Health 2012; 12:250. [PMID: 22463125 PMCID: PMC3353192 DOI: 10.1186/1471-2458-12-250] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2011] [Accepted: 03/30/2012] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Young children who are overweight are at increased risk of becoming obese and developing type 2 diabetes and cardiovascular disease later in life. Therefore, early intervention is critical. This paper describes the rationale, design, methodology, and sample characteristics of a 5-year cluster randomized controlled trial being conducted in eight elementary schools in rural North Carolina, United States. METHODS/DESIGN The first aim of the trial is to examine the effects of a two-phased intervention on weight status, adiposity, nutrition and exercise health behaviors, and self-efficacy in overweight or obese 2nd, 3 rd, and 4th grade children and their overweight or obese parents. The primary outcome in children is stabilization of BMI percentile trajectory from baseline to 18 months. The primary outcome in parents is a decrease in BMI from baseline to 18 months. Secondary outcomes for both children and parents include adiposity, nutrition and exercise health behaviors, and self-efficacy from baseline to 18 months. A secondary aim of the trial is to examine in the experimental group, the relationships between parents and children's changes in weight status, adiposity, nutrition and exercise health behaviors, and self-efficacy. An exploratory aim is to determine whether African American, Hispanic, and non-Hispanic white children and parents in the experimental group benefit differently from the intervention in weight status, adiposity, health behaviors, and self-efficacy.A total of 358 African American, non-Hispanic white, and bilingual Hispanic children with a BMI ≥ 85th percentile and 358 parents with a BMI ≥ 25 kg/m² have been inducted over 3 1/2 years and randomized by cohort to either an experimental or a wait-listed control group. The experimental group receives a 12-week intensive intervention of nutrition and exercise education, coping skills training and exercise (Phase I), 9 months of continued monthly contact (Phase II) and then 6 months (follow-up) on their own. Safety endpoints include adverse event reporting. Intention-to-treat analysis will be applied to all data. DISCUSSION Findings from this trial may lead to an effective intervention to assist children and parents to work together to improve nutrition and exercise patterns by making small lifestyle pattern changes. TRIAL REGISTRATION NCT01378806.
Collapse
Affiliation(s)
- Diane C Berry
- School of Nursing, The University of North Carolina at Chapel Hill, Campus Box 7460, Chapel Hill, NC 27599-7460, USA
| | - Robert McMurray
- School of Exercise and Sport Science, The University of North Carolina at Chapel Hill, 025 Fetzer Gymnasium, Campus Box 8700, Chapel Hill, NC 27599-8700, USA
| | - Todd A Schwartz
- School of Nursing, The University of North Carolina at Chapel Hill, Campus Box 7460, Chapel Hill, NC 27599-7460, USA
| | - Anne Skelly
- School of Nursing, The University of North Carolina at Chapel Hill, Campus Box 7460, Chapel Hill, NC 27599-7460, USA
| | - Maria Sanchez
- School of Nursing, The University of North Carolina at Chapel Hill, Campus Box 7460, Chapel Hill, NC 27599-7460, USA
| | - Madeline Neal
- School of Nursing, The University of North Carolina at Chapel Hill, Campus Box 7460, Chapel Hill, NC 27599-7460, USA
| | - Gail Hall
- School of Nursing, The University of North Carolina at Chapel Hill, Campus Box 7460, Chapel Hill, NC 27599-7460, USA
| |
Collapse
|