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. 2009 Dec;20(4):5-11.

Exercise self-efficacy, habitual physical activity, and fear of falling in patients with coronary heart disease

Tanya Kinney Lapier  1 , Kimberly Cleary, Joshua Kidd
Affiliations

Exercise self-efficacy, habitual physical activity, and fear of falling in patients with coronary heart disease

Tanya Kinney Lapier et al. Cardiopulm Phys Ther J. 2009 Dec.

Abstract

The purpose of this study was to determine if a relationship exists between self-efficacy for physical activity and other pertinent factors in patients with coronary heart disease (CHD). A secondary purpose of this study was to determine if self-efficacy and exercise behavior are different in patients who report a fearing of falling (fallers) as compared to patients who do not report a fear of falling (non-fallers). This study included 50 patients who were admitted to the hospital for a CHD related diagnosis. Patients completed assessments of cardiac self-efficacy (Modified Barnason Efficacy Expectation Scale) and exercise behavior self-efficacy (Self Efficacy for Exercise Behavior Scale). In addition, the Physical Function subscale of the RAND 36-Item Health Survey and the Telephone Interview of Cognitive Function were used to characterize physical and cognitive function, respectively. Data analysis consisted of descriptive statistics, correlations, t-tests, and chi-square. Older patients reported higher levels of cardiac self-efficacy. Further, a positive correlation was found between cardiac self-efficacy and pre-hospitalization level of physical function. Patient income level and Self-efficacy for Exercise Behavior Resisting Relapse subscale scores were significantly correlated. A higher percent of fallers failed to meet minimum exercise guidelines as compared to non-fallers. It is important to identify the factors that are associated with exercise self-efficacy to improve health behavior adoption and adherence in patients with CHD.

Keywords: cardiac rehabilitation; coronary heart disease; exercise; self-efficacy.

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