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Multicenter Study
. 2025 Jul 11;20(7):e0327731.
doi: 10.1371/journal.pone.0327731. eCollection 2025.

Psychometric properties of the exercise self-efficacy scale in patients with chronic obstructive pulmonary disease

Cristina Sacristán-Galisteo  1   2 , Tamara Del Corral  3 , Ibai López-de-Uralde-Villanueva  3 , M Carmen Gómez  1   4 , Patricia Martín-Casas  3
Affiliations
Multicenter Study

Psychometric properties of the exercise self-efficacy scale in patients with chronic obstructive pulmonary disease

Cristina Sacristán-Galisteo et al. PLoS One. .

Abstract

Objectives: This study explores the psychometric properties of the Exercise Self-Efficacy (ESE) scale among individuals with Chronic Obstructive Pulmonary Disease (COPD). The secondary objective was to evaluate the relationship between self-efficacy, functional exercise capacity, health-related quality of life and psychological state in the same population.

Methods: This cross-sectional study was carried out in primary care centers in Spain. The sample was comprised of 156 people with COPD in whom anthropometric and clinical information was recorded. The ESE scale and other measures on functional exercise capacity, psychological state and health-related quality of life were administered. Psychometric properties were assessed through construct validity (EFA, exploratory factor analysis; CFA, confirmatory factor analysis), internal consistency, floor/ceiling effects and convergent validity. In this way, a quantitative, predictive and correlational research was carried out.

Results: The EFA ruled out the structure of a single factor (Barletts's test p < 0.001, Kaiser-Meyer-Olkin 0.9). ACF suggested that the most appropriate adjustment model was the two-factor solution (comparative fit index = 0.967, Tucker-Lewis index = 0.961, root mean square approximation = 0.075, standardized root mean square residual = 0.058). Thus, ESE scale is best interpreting using 15 items distributed in 2 factors ("physical and occupational/environmental barriers" and "psychosocial barriers") than explained to 56.7% of the variance. With regard to reliability, Cronbach's alpha was = 0.92 and no floor or ceiling effects were observed. The scale showed a moderate/strong correlation with functional exercise capacity (r = 0.41), health-related quality of life (r= - 0.53) and psychological status (r= - 0.63).

Conclusions: The psychometric testing of the ESE scale provided support for the reliability and validity of the instrument in individuals with COPD. The ESE scale score shows a moderate positive correlation with functional exercise capacity and a negative correlation with health-related quality of life. In addition to a strong correlation with psychological status. In future research, the predictive power of the ESE scale in adherence to non-pharmacological treatment could be studied.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Structural equation modeling for the final 15-item version of the Bandura’s exercise self-efficacy scale.
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References

    1. Agustí A, Celli BR, Criner GJ, Halpin D, Anzueto A, Barnes P, et al. Global Initiative for Chronic Obstructive Lung Disease 2023 Report: GOLD Executive Summary. Eur Respir J. 2023;61(4):2300239. doi: 10.1183/13993003.00239-2023 - DOI - PMC - PubMed
    1. López-Campos JL, Quintana Gallego E, Carrasco Hernández L. Status of and strategies for improving adherence to COPD treatment. Int J Chron Obstruct Pulmon Dis. 2019;14:1503–15. doi: 10.2147/COPD.S170848 - DOI - PMC - PubMed
    1. Tashiro H, Takahashi K. Clinical Impacts of Interventions for Physical Activity and Sedentary Behavior on Patients with Chronic Obstructive Pulmonary Disease. J Clin Med. 2023;12(4):1631. doi: 10.3390/jcm12041631 - DOI - PMC - PubMed
    1. Furlanetto KC, Donária L, Schneider LP, Lopes JR, Ribeiro M, Fernandes KB, et al. Sedentary Behavior Is an Independent Predictor of Mortality in Subjects With COPD. Respir Care. 2017;62(5):579–87. doi: 10.4187/respcare.05306 - DOI - PubMed
    1. Xiang X, Huang L, Fang Y, Cai S, Zhang M. Physical activity and chronic obstructive pulmonary disease: a scoping review. BMC Pulm Med. 2022;22(1):301. doi: 10.1186/s12890-022-02099-4 - DOI - PMC - PubMed