Development of a Home-Exercise Barrier Self-Efficacy Scale for Elderly People Requiring Support and Care

Arita, Norimasa; Takenaka, Koji; Shimazaki, Takashi

doi:10.1298/jjpta.vol18_023

Cited by 5 publications

(7 citation statements)

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“…Health literacy was measured using the 14-item health literacy scale for Japanese adults (HLS-14) [ 19 ]. Self-efficacy was measured by the Self-Efficacy Scale for Positive Eating Behavior [ 20 ] for PEMAT-P and the Home-Exercise Barrier Self-Efficacy Scale [ 24 ] for PEMAT-A/V.…”

Section: Methodsmentioning

confidence: 99%

Translation, Cross-Cultural Adaptation, and Validation of the Japanese Version of the Patient Education Materials Assessment Tool (PEMAT)

Furukawa

Okuhara

Okada

et al. 2022

IJERPH

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Background: The Patient Education Materials Assessment Tool (PEMAT) systematically evaluates the understandability and actionability of patient education materials. This study aimed to develop a Japanese version of PEMAT and verify its reliability and validity. Methods: After assessing content validation, experts scored healthcare-related leaflets and videos according to PEMAT to verify inter-rater reliability. In validation testing with laypeople, the high-scoring material group (n = 800) was presented with materials that received high ratings on PEMAT, and the low-scoring material group (n = 799) with materials that received low ratings. Both groups responded to the understandability and actionability of the materials and perceived self-efficacy for the recommended actions. Results: The Japanese version of PEMAT showed strong inter-rater reliability (PEMAT-P: % agreement = 87.3, Gwet’s AC1 = 0.83. PEMAT-A/V: % agreement = 85.7, Gwet’s AC1 = 0.80). The high-scoring material group had significantly higher scores for understandability and actionability than the low-scoring material group (PEMAT-P: understandability 6.53 vs. 5.96, p < 0.001; actionability 6.04 vs. 5.49, p < 0.001; PEMAT-A/V: understandability 7.65 vs. 6.76, p < 0.001; actionability 7.40 vs. 6.36, p < 0.001). Perceived self-efficacy increased more in the high-scoring material group than in the low-scoring material group. Conclusions: Our study showed that materials rated highly on Japanese version of PEMAT were also easy for laypeople to understand and action.

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Section: Methodsmentioning

confidence: 99%

Translation, Cross-Cultural Adaptation, and Validation of the Japanese Version of the Patient Education Materials Assessment Tool (PEMAT)

Furukawa

Okuhara

Okada

et al. 2022

IJERPH

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“…The participants’ home-based exercise self-efficacy will be assessed using the Home-Exercise Barrier Self-Efficacy Scale. 25 Participants will be asked to respond to six exercise situations at home (1: when I am tired, 2: when I am in pain, 3: when I do not feel very good, 4: when I do not have time, 5: when I do not have the equipment or environment to exercise and 6: when I am alone) on a 5-point Likert scale ranging from 1 ( not at all confident ) to 5 ( absolutely confident ). Details on items and scoring are described in prior research.…”

Section: Methods and Analysismentioning

confidence: 99%

“…Details on items and scoring are described in prior research. 25 Total scores range from 6 to 30, with higher scores indicating greater self-efficacy in home-based exercise.…”

Section: Methods and Analysismentioning

confidence: 99%

“…Participants will be asked to respond to six exercise situations at home (1: when I am tired, 2: when I am in pain, 3: when I do not feel very good, 4: when I do not have time, 5: when I do not have the equipment or environment to exercise and 6: when I am alone) on a 5-point Likert scale ranging from 1 ( not at all confident ) to 5 ( absolutely confident ). Details on items and scoring are described in prior research 25. Total scores range from 6 to 30, with higher scores indicating greater self-efficacy in home-based exercise.…”

Section: Methods and Analysismentioning

confidence: 99%

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Effects of a home-based Radio-Taiso exercise programme on health-related quality of life in older adults with frailty: protocol for an assessor-blind randomised controlled trial

et al. 2022

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IntroductionFew clinical trials have examined the effects of home-based exercise programmes on health-related quality of life (HR-QoL) in older adults with frailty. Radio-Taiso is the most famous exercise programme in Japan. A home-based Radio-Taiso exercise programme may serve as an accessible, scalable and sustainable care intervention for older adults with frailty. The primary aim of this trial is to test whether older adults with frailty who are prescribed our home-based Radio-Taiso exercise programme will receive greater benefits for HR-QoL compared with those who are not prescribed the exercise programme. Potential mechanisms underlying the effectiveness of the programme and the effects of the programme on daily lifestyle will also be investigated.Methods and analysisThis assessor-blind randomised controlled trial will be conducted at the Tokyo Metropolitan Institute of Gerontology (TMIG) in Itabashi-ku, Tokyo, Japan. From April to May 2022, 226 older adults with prefrailty or frailty according to the revised Japanese version of the Cardiovascular Health Study criteria will be included from a large database. After a baseline assessment in June 2022, participants will be randomly assigned to the intervention (home-based Radio-Taiso exercise and nutrition programme) or control (nutrition programme) groups at a 1:1 ratio. After intervention completion, a follow-up assessment will be conducted in September 2022. The primary outcome is the change in the mental domain of HR-QoL assessed using SF-36. Secondary outcomes include physical and role/social domains and subscales of HR-QoL, frailty phenotype, physical fitness, posture, cognition, exercise self-efficacy, depressive symptoms, brain-derived neurotrophic factor, social network, habitual energy intake, physical activity and sleep conditions.Ethics and disseminationThe Research Ethics Committee of TMIG has approved the research protocol. This trial will be conducted in accordance with the principles of the Declaration of Helsinki. The findings will be presented at international academic conferences and published in peer-reviewed international journals.Trial registration numberUMIN000047229.

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“…Health literacy was measured using the 14-item health literacy scale for Japanese adults (HLS- 14) [17]. Self-e cacy was measured by the Self-E cacy Scale for Positive Eating Behavior [18] for PEMAT-P and the Home-Exercise Barrier Self-E cacy Scale [19] for PEMAT-A/V.…”

Section: Methodsmentioning

confidence: 99%

Translation, Cross-Cultural Adaptation, And Validation of The Japanese Version of The Patient Education Materials Assessment Tool (PEMAT)

Furukawa

Okuhara

Okada

et al. 2021

Preprint

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Background: The Patient Education Materials Assessment Tool (PEMAT) systematically evaluates the understandability and actionability of patient education materials. This study aimed to develop a Japanese version of PEMAT and verify its reliability and validity.Methods: After assessing content validation, experts scored healthcare-related leaflets and videos according to PEMAT, to verify inter-rater reliability. In validation testing with laypeople, the high-scoring material group (n=800) was presented with materials that received high ratings on PEMAT, and the low-scoring material group (n=799) with materials that received low ratings. Both groups responded to understandability and actionability of the materials and perceived self-efficacy for the recommended actions.Results: The Japanese version of PEMAT showed strong inter-rater reliability (PEMAT-P: % agreement= 87.3, Gwet’s AC1=0.83. PEMAT-A/V: % agreement=85.7%, Gwet’s AC1=.80). The high-scoring material group had significantly higher scores for understandability and actionability than the low-scoring material group (PEMAT-P: understandability 6.53 vs. 5.96, p<.001; actionability 6.04 vs. 5.49, p<.001; PEMAT-A/V: understandability 7.65 vs. 6.76, p<.001; actionability 7.40 vs. 6.36, p<.001). Perceived self-efficacy increased more in the high-scoring material group than in the low-scoring material group.Conclusions: Our study showed that materials rated highly on PEMAT were also easy for laypeople to understand and action. The Japanese version of PEMAT can be used to assess and improve the usability of patient education materials.

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Development of a Home-Exercise Barrier Self-Efficacy Scale for Elderly People Requiring Support and Care

Cited by 5 publications

References 0 publications

Translation, Cross-Cultural Adaptation, and Validation of the Japanese Version of the Patient Education Materials Assessment Tool (PEMAT)

Translation, Cross-Cultural Adaptation, and Validation of the Japanese Version of the Patient Education Materials Assessment Tool (PEMAT)

Effects of a home-based Radio-Taiso exercise programme on health-related quality of life in older adults with frailty: protocol for an assessor-blind randomised controlled trial

Translation, Cross-Cultural Adaptation, And Validation of The Japanese Version of The Patient Education Materials Assessment Tool (PEMAT)

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