The roles of self-efficacy and motivation in the prediction of short- and long-term adherence to exercise among patients with coronary heart disease
| Autor: | Robert D. Reid, Luc G. Pelletier, Veronika Huta, Monika E. Slovinec D'Angelo |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Heart disease medicine.medical_treatment Coronary Disease Structural equation modeling Heart disorder medicine Humans Prospective Studies Prospective cohort study Exercise Applied Psychology Aged Self-efficacy Aged 80 and over Motivation Rehabilitation Behavior change Middle Aged medicine.disease Self Efficacy Test (assessment) Psychiatry and Mental health Physical therapy Patient Compliance Female Psychology Follow-Up Studies |
| Zdroj: | Health psychology : official journal of the Division of Health Psychology, American Psychological Association. 33(11) |
| ISSN: | 1930-7810 |
| Popis: | Objectives: Poor adherence to regular exercise is a documented challenge among people with heart disease. Identifying key determinants of exercise adherence and distinguishing between the processes driving short- and long-term adherence to regular exercise is a valuable endeavor. The purpose of the present study was to test a model of exercise behavior change, which incorporates motivational orientations and self-efficacy for exercise behavior, in the prediction of short- and long-term exercise adherence. Method: Male and female patients (N 801) hospitalized for coronary heart disease were recruited from 3 tertiary care cardiac centers and followed for a period of 1 year after hospital discharge. A prospective, longitudinal design was used to examine the roles of motivation and self-efficacy (measured at recruitment and at 2 and 6 months after discharge) in the prediction of exercise behavior at 6 and 12 months. Baseline measures of exercise and clinical and demographic covariates were included in the analyses. Results: Structural equation modeling showed that both autonomous motivation and self-efficacy were important determinants of short-term (6-month) exercise behavior regulation, but that only autonomous motivation remained a significant predictor of long-term (12-month) exercise behavior. Selfefficacy partially mediated the relationship between motivation for exercise and 6-month exercise behavior. Conclusions: This research confirmed the roles of autonomous motivation and self-efficacy in the health behavior change process and emphasized the key function of autonomous motivation in exercise maintenance. Theoretical and cardiac rehabilitation program applications of this research are discussed. |
| Databáze: | OpenAIRE |
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