Ma. Berkhuysen et al., Change in self-efficacy during cardiac rehabilitation and the role of perceived overprotectiveness, PAT EDUC C, 38(1), 1999, pp. 21-32
Citations number
31
Categorie Soggetti
Public Health & Health Care Science","Envirnomentale Medicine & Public Health
Self-efficacy (SE) is an important outcome following cardiac rehabilitation
(CR) when claiming benefits to patients and improving existing programs. T
his study evaluated change in SE during 6 weeks of multidisciplinary CR wit
h either a high or low-frequency exercise training program. The role of ove
rprotectiveness of the spouse, as it potentially counteracts improvement in
SE, was examined. Coronary patients (n = 114) were randomized into both ty
pes of program. Overprotectiveness (patient perception) was assessed prior
to rehabilitation. Self-efficacy in the domains controlling symptoms (SE-CS
) and maintaining function (SE-MF), were assessed prior to and immediately
after rehabilitation. Three findings pertain to program improvement: (1) As
predicted, the low-frequency program enhanced SE-CS more than the high-fre
quency program, suggesting that experiencing success in daily activities an
d active engagement of the patient seem more decisive factors in improving
SE than the frequency of exercise. (2) Changes in SE in both programs fell
short of clinical meaning, suggesting the need to use self-efficacy theory
more vigorously. (3) Overprotectiveness significantly predicted adverse cha
nge in SE in the high-frequency program, suggesting the need to include cou
nseling for cardiac couples in CR when applicable. (C) 1999 Elsevier Scienc
e Ireland Ltd, All rights reserved.