Bandura's exercise self-efficacy scale: Validation in an Australian cardiac rehabilitation setting

Everett, B; Salamonson, Y; Davidson, PM

Bandura's exercise self-efficacy scale: Validation in an Australian cardiac rehabilitation setting

Everett, B

Salamonson, Y Davidson, PM

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Publication Type:: Journal Article
Citation:: International Journal of Nursing Studies, 2009, 46 (6), pp. 824 - 829
Issue Date:: 2009-06-01

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Field	Value	Language
dc.contributor.author	Everett, B https://orcid.org/0000-0003-1733-7462	en_US
dc.contributor.author	Salamonson, Y	en_US
dc.contributor.author	Davidson, PM https://orcid.org/0000-0003-2050-1534	en_US
dc.date.available	2009-01-31	en_US
dc.date.issued	2009-06-01	en_US
dc.identifier.citation	International Journal of Nursing Studies, 2009, 46 (6), pp. 824 - 829	en_US
dc.identifier.issn	0020-7489	en_US
dc.identifier.uri	http://hdl.handle.net/10453/16962
dc.description.abstract	Background: Despite the established benefits of cardiac rehabilitation (CR) in improving health outcomes for people with cardiovascular disease, adherence to regular physical activity at recommended levels remains suboptimal. Self-efficacy has been shown to be an important mediator of health behaviour, including exercise. Objectives: To assess the psychometric properties of Bandura's exercise self-efficacy (ESE) scale in an Australian CR setting. Design: Validation study. Setting: Cardiac rehabilitation. Participants: One hundred and ten patients (Mean: 60.11, S.D.: 10.57 years). Methods: Participants completed a six-minute walk test (6MWT) and Bandura's exercise self-efficacy scale at enrolment and on completion of a 6-week CR program. Results: Bandura's ESE scale had a single factor structure with high internal consistency (0.95), and demonstrated no floor or ceiling effects. A comparison of ESE scores by distance walked on 6MWT indicated those who recorded more than 500 m at baseline had significantly higher ESE scores (Mean: 116.26, S.D.: 32.02 m) than those patients who only achieved up to 400 m on the 6MWT at baseline (Mean: 89.94, S.D.: 29.47 m) (p = 0.044). A positive and significant correlation between the change in scores on the ESE scale and the change in the 6MWT distance (r = 0.28, p = 0.035) was seen. Conclusions: The ESE scale was a robust measure of exercise self-efficacy over the range of patients attending this outpatient cardiac rehabilitation program. Interventions to improve self-efficacy may increase CR patient's efficacy for regular physical activity. © 2009 Elsevier Ltd. All rights reserved.	en_US
dc.relation.ispartof	International Journal of Nursing Studies	en_US
dc.relation.isbasedon	10.1016/j.ijnurstu.2009.01.016	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	Cardiac Rehabilitation	en_US
dc.subject.mesh	Exercise	en_US
dc.subject.mesh	Factor Analysis, Statistical	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Reproducibility of Results	en_US
dc.subject.mesh	Self Efficacy	en_US
dc.title	Bandura's exercise self-efficacy scale: Validation in an Australian cardiac rehabilitation setting	en_US
dc.type	Journal Article
utslib.citation.volume	6	en_US
utslib.citation.volume	46	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
utslib.copyright.status	closed_access
pubs.issue	6	en_US
pubs.publication-status	Published	en_US
pubs.volume	46	en_US

Abstract:

Background: Despite the established benefits of cardiac rehabilitation (CR) in improving health outcomes for people with cardiovascular disease, adherence to regular physical activity at recommended levels remains suboptimal. Self-efficacy has been shown to be an important mediator of health behaviour, including exercise. Objectives: To assess the psychometric properties of Bandura's exercise self-efficacy (ESE) scale in an Australian CR setting. Design: Validation study. Setting: Cardiac rehabilitation. Participants: One hundred and ten patients (Mean: 60.11, S.D.: 10.57 years). Methods: Participants completed a six-minute walk test (6MWT) and Bandura's exercise self-efficacy scale at enrolment and on completion of a 6-week CR program. Results: Bandura's ESE scale had a single factor structure with high internal consistency (0.95), and demonstrated no floor or ceiling effects. A comparison of ESE scores by distance walked on 6MWT indicated those who recorded more than 500 m at baseline had significantly higher ESE scores (Mean: 116.26, S.D.: 32.02 m) than those patients who only achieved up to 400 m on the 6MWT at baseline (Mean: 89.94, S.D.: 29.47 m) (p = 0.044). A positive and significant correlation between the change in scores on the ESE scale and the change in the 6MWT distance (r = 0.28, p = 0.035) was seen. Conclusions: The ESE scale was a robust measure of exercise self-efficacy over the range of patients attending this outpatient cardiac rehabilitation program. Interventions to improve self-efficacy may increase CR patient's efficacy for regular physical activity. © 2009 Elsevier Ltd. All rights reserved.

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