Using the social cognitive theory to understand physical activity among dialysis patients.

Abstract

Significant relationships between PA and self-efficacy (r = .336), self-regulation (r = .280), and outcome expectations (r = .265) were detected among people on dialysis in bivariate analyses. Hierarchical linear regression revealed significant increases in variance explained for the addition of self-efficacy, self-regulation, and covariates (p < .01). Younger age, self-efficacy, and self-regulation were associated (p < .10) with greater participation in physical activity in the final model (R² = .272). Conclusion/Implication: This research supports the use of SCT in understanding PA among people undergoing dialysis treatment. The findings of this study can help health educators and health care practitioners better understand PA and how to promote it among this population. Future research should further investigate which activities dialysis patients participate in across the life span of their disease. Future PA programs should focus on increasing a patient's self-efficacy and self-regulation.

Barriers and facilitators for engagement and implementation of exercise in end‐stage kidney disease: Future theory‐based interventions using the Behavior Change Wheel

“…3 Social Cognitive Theory may also be useful in explaining physical activity behavior in patients with ESKD. 8 As such it may be more beneficial to use an agonist of health behavior change theories such as the Behavior Change Wheel (BCW) 9 to systematically understand patients and HCPs perceptions toward exercise.…”

“…This resulted in the implementation of a theory‐driven IDE intervention that was deemed feasible and demonstrated the potential for improvement in patient reported outcomes including physical capacity and depression . Social Cognitive Theory may also be useful in explaining physical activity behavior in patients with ESKD . As such it may be more beneficial to use an agonist of health behavior change theories such as the Behavior Change Wheel (BCW) to systematically understand patients and HCPs perceptions toward exercise.…”

Self-Management Program for People with Chronic Kidney Disease in Vietnam: A Pragmatic Randomised Controlled Trial

“…The concept of self-efficacy of SCT and its relationships with self-management behaviours in people with CKD has also been reported in eight descriptive studies (Balaga, 2012;Boothby & Salmon, 2013;Clarke et al, 2015;Curtin et al, 2008;Patterson et al, 2014;Tsay & Healstead, 2002;Wells & Anderson, 2011;Weng et al, 2010). However, seven studies involved people with ESKD receiving dialysis and/or who had a kidney transplant.…”

“…These studies have occurred in Western countries (Boothby & Salmon, 2013;Byrne et al, 2011;Clarke et al, 2015;Curtin et al, 2008;Patterson et al, 2014;Wells & Anderson, 2011;Wierdsma et al, 2011) and in nonWestern countries (Balaga, 2012;Joboshi & Oka, 2016;Kazawa & Moriyama, 2013;Moattari et al, 2012;Tsay & Healstead, 2002;Tsay, 2003;Weng et al, 2010), demonstrating the suitability of the constructs of SCT to differing cultures. These studies indicate the positive relationship between self-efficacy and self-management behaviours.…”

“…In the CKD literature, there have been 14 studies informed by SCT. These studies have been conducted in the U.S. (Curtin et al, 2008;Patterson, Umstattd Meyer, Beaujean, & Bowden, 2014;Wells & Anderson, 2011), Netherlands (Wierdsma et al, 2011), U.K. (Boothby & Salmon, 2013;Byrne et al, 2011;Clarke et al, 2015), Philippines (Balaga, 2012), Japan (Joboshi & Oka, 2016;Kazawa & Moriyama, 2013), Taiwan (Tsay & Healstead, 2002;Tsay, 2003;Weng et al, 2010), andIran (Moattari, Ebrahimi, Sharifi, &Rouzbeh, 2012). Six studies involved an intervention and the remaining studies were descriptive studies.…”