Development of an evaluation scale for self-management behavior related to physical activity of patients with coronary heart disease

Tokunaga-Nakawatase, Yuri; Taru, Chiemi; Miyawaki, Ikuko

doi:10.1016/j.ejcnurse.2011.01.001

Cited by 7 publications

(8 citation statements)

References 23 publications

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“…During home-based training patients are instructed to perform continuous training at a moderate intensity for at least 45 min for 5–7 days per week. Physical activity behaviour is evaluated by the Dutch Standard Healthy Movement Questionnaire, or the International Physical Activity Questionnaire [ 29 , 30 ]. Alternatively, physical activity energy expenditure may be evaluated by an accelerometer and/or heart rate monitor.…”

Section: Construction Of Clinical Algorithmsmentioning

confidence: 99%

Development of evidence-based clinical algorithms for prescription of exercise-based cardiac rehabilitation

et al. 2015

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BackgroundGuideline adherence with respect to exercise-based cardiac rehabilitation (CR) is hampered by a large variety of complex guidelines and position statements, and the fact that these documents are not specifically designed for healthcare professionals prescribing exercise-based CR programs. This study aimed to develop clinical algorithms that can be used in clinical practice for prescription and evaluation of exercise-based CR in patients with coronary artery disease (CAD) and chronic heart failure (CHF).MethodsThe clinical algorithms were developed using a systematic approach containing four steps. First, all recent Dutch and European cardiac rehabilitation guidelines and position statements were reviewed and prioritised. Second, training goals requiring a differentiated training approach were selected. Third, documents were reviewed on variables to set training intensity, modalities, volume and intensity and evaluation instruments. Finally, the algorithms were constructed.ResultsThree Dutch guidelines and three European position statements were reviewed. Based on these documents, five training goals were selected and subsequently five algorithms for CAD patients and five for CHF patients were developed.ConclusionsThis study presents evidence-based clinical algorithms for exercise-based CR in patients with CAD and CHF according to their training goals. These algorithms may serve to improve guideline adherence and the effectiveness of exercise-based CR.

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Section: Construction Of Clinical Algorithmsmentioning

confidence: 99%

Development of evidence-based clinical algorithms for prescription of exercise-based cardiac rehabilitation

et al. 2015

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“…Although a number of instruments are available to assess self-efficacy and self-management in a cardiac population, their focus is commonly on single behaviors such as physical activity, 21 smoking cessation, 22 dietary modification, 23 or weight management 24 . This has limited instruments' usefulness to simultaneously measure the range of lifestyle behaviors recommended to improve outcomes and reduce cardiac risk for cardiovascular patients 25 .…”

mentioning

confidence: 99%

“…18 The advantage of using an instrument designed to assess the 2 constructs simultaneously is that information about any incongruence in confidence (self-efficacy) and implementation of health behavior (self-management) can be seen at a glance by a busy clinician and therefore intervention to specifically address self-efficacy, self-management, or both can be tailored to the individual. 19,20 Although a number of instruments are available to assess self-efficacy and self-management in a cardiac population, their focus is commonly on single behaviors such as physical activity, 21 smoking cessation, 22 dietary modification, 23 or weight management. 24 This has limited instruments' usefulness to simultaneously measure the range of lifestyle behaviors recommended to improve outcomes and reduce cardiac risk for cardiovascular patients.…”

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confidence: 99%

Development and Validation of a Scale to Measure Self-efficacy and Self-management in People With Coronary Heart Disease

et al. 2020

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Background: Self-management is important in reducing coronary risk factors and in preventing recurrent cardiac events. An enabling factor that promotes self-management among patients with coronary heart disease (CHD) is self-efficacy. However, there is no standardized measure that captures self-efficacy and self-management concurrently in this population. Aim: The authors of this study report on the development and validation of a brief scale to measure self-efficacy and self-management in patients with CHD. Methods: Scale development and testing comprised (1) item generation, (2) content validity, and (3) pilot testing. The Heart Health Self-Efficacy and Self-Management (HH-SESM) scale includes 2 constructs: self-efficacy and self-management, measured concurrently. Components of the HH-SESM scale consisted of items related to behavioral and coronary risk factor modification. Survey data from 143 participants were used in exploratory factor analyses to test the factorial validity and internal consistency of the scale. Results: Twelve items with the same response format were included in the exploratory factor analysis. The factor analysis revealed a single-factor solution accounting for 36.7% and 36.5% of the variance in scores of the self-efficacy and self-management scales, respectively. The correlation (r = 0.72, P < .001) between the self-efficacy and self-management constructs indicates moderate convergent validity. Cronbach α of self-efficacy (0.83) and self-management (0.81) constructs showed good internal consistency. Conclusion: The HH-SESM is a brief, easy-to-administer, and reliable measure of self-efficacy and self-management in patients with CHD.

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“…Liu et al based on the scale by Tokunaga‐Nakawatase et al developed the Chinese version of the Evaluation Scale for Self‐management Behaviour related to Physical Activity of Patients with Coronary Heart Disease (ES‐SMBPA‐CHD) (Tokunaga‐Nakawatase, Taru, & Miyawaki, 2012 ). The scale aims to evaluate the level of Self‐management Behaviour related to Physical Activity of Patients with CHD and includes two subscales, namely “what do you do to enhance your daily physical activity?” and “what do you do to maintain the level of daily physical activity?”.…”

Section: Methodsmentioning

confidence: 99%

Kinesiophobia and self‐management behaviour related to physical activity in Chinese patients with coronary heart disease: The mediating role of self‐efficacy

et al. 2022

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Development of an evaluation scale for self-management behavior related to physical activity of patients with coronary heart disease

Abstract: The ES-SMBPA-CHD is reasonably reliable and valid and is expected to prove useful for the assessment of patients' self-management behavior and for individualized instruction.

Cited by 7 publications

References 23 publications

Development of evidence-based clinical algorithms for prescription of exercise-based cardiac rehabilitation

Development of evidence-based clinical algorithms for prescription of exercise-based cardiac rehabilitation

Development and Validation of a Scale to Measure Self-efficacy and Self-management in People With Coronary Heart Disease

Kinesiophobia and self‐management behaviour related to physical activity in Chinese patients with coronary heart disease: The mediating role of self‐efficacy

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