Document Detail


Predicting short and long-term exercise intentions and behaviour in patients with coronary artery disease: A test of protection motivation theory.
MedLine Citation:
PMID:  20204992     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this study was to examine the utility of protection motivation theory (PMT) in the prediction of exercise intentions and behaviour in the year following hospitalisation for coronary artery disease (CAD). Patients with documented CAD (n = 787), recruited at hospital discharge, completed questionnaires measuring PMT's threat (i.e. perceived severity and vulnerability) and coping (i.e. self-efficacy, response efficacy) appraisal constructs at baseline, 2 and 6 months, and exercise behaviour at baseline, 6 and 12 months post-hospitalisation. Structural equation modelling showed that the PMT model of exercise at 6 months had a good fit with the empirical data. Self-efficacy, response efficacy, and perceived severity predicted exercise intentions, which, in turn predicted exercise behaviour. Overall, the PMT variables accounted for a moderate amount of variance in exercise intentions (23%) and behaviour (20%). In contrast, the PMT model was not reliable for predicting exercise behaviour at 12 months post-hospitalisation. The data provided support for PMT applied to short-term, but not long-term, exercise behaviour among patients with CAD. Health education should concentrate on providing positive coping messages to enhance patients' confidence regarding exercise and their belief that exercise provides health benefits, as well as realistic information about disease severity.
Authors:
Heather Tulloch; Robert Reida; Monika Slovinec D'Angeloa; Ronald C Plotnikoff; Louise Morrina; Louise Beatona; Sophia Papadakisa; Andrew Pipe
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Psychology & health     Volume:  24     ISSN:  1476-8321     ISO Abbreviation:  Psychol Health     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2010-03-05     Completed Date:  2010-05-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8807983     Medline TA:  Psychol Health     Country:  England    
Other Details:
Languages:  eng     Pagination:  255-69     Citation Subset:  IM    
Affiliation:
University of Ottawa Heart Institute, Ottawa, Ontario, Canada. hetulloch@ottawaheart.ca
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MeSH Terms
Descriptor/Qualifier:
Aged
Coronary Artery Disease*
Exercise*
Female
Forecasting
Health Promotion
Humans
Intention*
Male
Middle Aged
Models, Theoretical*
Motivation*
Ontario
Questionnaires
Risk Reduction Behavior*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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