Relationship between self-efficacy and physical activity among patients with type 2 diabetes

Dutton, Gareth R.; Tan, Fei; Provost, Bridgette C.; Sorenson, Jamie; Allen, Brandon R.; Smith, Dawn

doi:10.1007/s10865-009-9200-0

Cited by 87 publications

(69 citation statements)

References 42 publications

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“…Self-efficacy (an individual's intrinsic confidence in their ability to perform a specific task) is a construct that has been associated with successful behavioral change, including increasing physical activity. [28][29][30][31][32][33] Self-efficacy is by its very nature a task-specific construct. 34 The Self-Efficacy scale used in this study is a general scale designed to broadly assess self-efficacy for dealing with chronic illness.…”

Section: Discussionmentioning

confidence: 99%

Screening for severe physical inactivity in chronic obstructive pulmonary disease

et al. 2012

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Objectively measured severe physical inactivity (SPI) has been reported as the strongest independent predictor of mortality in patients with chronic obstructive pulmonary disease (COPD). Activity monitoring is not feasible in routine clinical practice; therefore, we set out to determine the utility of simple clinical measures for predicting SPI in patients with COPD. A total of 165 patients with COPD wore an activity monitor for 5 days to define the presence or absence of SPI. Logistic models were generated including the modified Medical Research Council (MMRC) dyspnea grade, spirometry and the age-dyspnea-airflow obstruction (ADO) index. Physical Activity Scale for the Elderly (PASE) and Stanford Brief Activity Scale (SBAS) were also tested for validity and reliability in a subgroup of 67 patients. The MMRC dyspnea grade, PASE score, ADO index and SBAS score were associated with SPI, but general self-efficacy and spirometry were not. An MMRC dyspnea grade !3 was the best independent predictor of SPI (AUC: 0.74; PPV: 0.83; NPV: 0.68) followed closely by a PASE score of <111. The combination of MMRC dyspnea grade and PASE score provided the most robust model (AUC: 0.83; Positive Predictive Value (PPV): 0.95; Negative Predictive Value (NPV): 0.63). The results were confirmed using 5000 bootstrapped models from the cohort of 165 patients. MMRC dyspnea grade !3 may be the best triage tool for SPI in patients with COPD. The combination of the MMRC and PASE score provided the most robust prediction. Our results may have significant practical applicability for clinicians caring for patients with COPD.

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Section: Discussionmentioning

confidence: 99%

Screening for severe physical inactivity in chronic obstructive pulmonary disease

et al. 2012

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“…Individuals with belief in their ability to exert control over a behavior showed a stronger tendency to avoid smoking, drink less, consume a healthy diet, and exercise regularly. Research has shown that there is a statistically significant positive relationship between self-efficacy and health behaviors, including smoking cessation (Leung et al, 2008), reduction in alcohol consumption (Oei et al, 2007), fruit and vegetable intake (Anderson et al, 2007), and physical activity (Morris et al, 2008;Dutton et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

Psychosocial Factors and Health Behavior among Korean Adults: A Cross-sectional Study

Kye¹,

Park²

2012

Asian Pacific Journal of Cancer Prevention

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Objective: This study was an attempt to identify associations between health behavior, such as smoking, alcohol consumption, healthy diet, and physical activity, and psychosocial factors. Methods: This crosssectional study was conducted among 1,500 participants aged between 30 and 69 years, selected from a population-based database in October 2009 through multiple-stratified random sampling. Information was collected about the participants' smoking and drinking habits, dietary behavior, level of physical activity, stress, coping strategies, impulsiveness, personality, social support, sense of coherence, self-efficacy, health communication, and sociodemographics. Results: Agreeableness, as a personality trait, was negatively associated with smoking and a healthy diet, while extraversion was positively associated with drinking. The tendency to consume a healthy diet decreased in individuals with perceived higher stress, whereas it increased in individuals who had access to greater social support. Self-efficacy was found to be a strong predictor of all health behaviors. Provider-patient communication and physical environment were important factors in promoting positive healthy behavior, such as consumption of a healthy diet and taking regular exercise. Conclusions: Psychosocial factors influence individuals' smoking and drinking habits, dietary intake, and exercise patterns.

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“…Self-efficacy for exercise has been shown to increase physical activity (PA) levels in diabetic patients [5]. As a result of intervention-based SCT, improvements in PA levels are maintained for 6 -12 months [6].…”

Section: Introductionmentioning

confidence: 99%

Decrease in Self-Efficacy for Exercise at 12 Weeks after Exercise Education in Diabetic Patients

Matsui¹,

Washida²,

Shoji³

et al. 2017

Health

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The purpose of this study was to investigate whether self-efficacy for exercise decreased 12 weeks after educational intervention in diabetic patients and whether this had an effect on glycemic control. Thirty-eight diabetic patients underwent a 2-week educational program and were then followed for 12 weeks after discharge. The intervention program was delivered by several types of medical professionals. Lectures on exercise were given by a physical therapist, who tailored exercise instructions for individual patients. The assessment of self-efficacy for exercise was performed using a scale from a previous study, modified for Japanese people. The scale consisted of four sub-items: physical fatigue, mental stress, lack of time, and poor weather. Measurements were performed at the time of discharge and 12 weeks after discharge. Glycated hemoglobin (HbA1c) levels were assessed as an index of glycemic control, and diabetic status and social status factors were recorded. The physical fatigue and lack of time components of the self-efficacy for exercise scale were significantly decreased 12 weeks after discharge. Positive correlations were found between HbA1c levels at 12 weeks and duration of diabetes, number of educational admissions, and presence of diabetic retinopathy. The results suggest that the factors that are difficult to reproduce during hospital education (physical fatigue and lack of time) are the ones that decrease after discharge. To clarify the relationship between changes in self-efficacy for exercise and glycemic control, further studies with an extended follow-up period (24 weeks or 48 weeks) are needed.

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Relationship between self-efficacy and physical activity among patients with type 2 diabetes

Cited by 87 publications

References 42 publications

Screening for severe physical inactivity in chronic obstructive pulmonary disease

Screening for severe physical inactivity in chronic obstructive pulmonary disease

Psychosocial Factors and Health Behavior among Korean Adults: A Cross-sectional Study

Decrease in Self-Efficacy for Exercise at 12 Weeks after Exercise Education in Diabetic Patients

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