Him. Mahler et Ja. Kulik, EFFECTS OF PREPARATORY VIDEOTAPES ON SELF-EFFICACY BELIEFS AND RECOVERY FROM CORONARY-BYPASS SURGERY, Annals of behavioral medicine, 20(1), 1998, pp. 39-46
This study evaluated the relative effects of three experimental videot
apes that involved different approaches for preparing coronary artery
bypass graft (CABG) patients for surgery and the inhospital recovery p
eriod. One of the tapes conveyed information via a health care expert
only. The other two featured the same health care expert and also incl
uded clips of interviews with patient models. These latter two tapes d
iffered in the extent to which they portrayed the recovery period as a
steady, forward progression or as consisting of ''ups and downs.'' Tw
o hundred fifty-eight male CABG patients were randomly assigned to vie
w one of the three videotapes on the evening prior to surgery or to a
control condition. Overall, patients who viewed any of the videotapes
felt significantly better prepared for the recovery period, reported h
igher self-efficacy for using the incentive spirometer and for speedin
g their recovery, performed more repetitions with their incentive spir
ometer each time they used it postoperatively, had shorter intensive c
are unit stays, and were released from the hospital more quickly than
patients in the control condition. There was also evidence that patien
ts' self-efficacy beliefs for speeding recovery directly mediated the
effects of the videotapes on length of stay both in the intensive care
unit and in the hospital.