Skip to main content

Welkom bij THIM Hogeschool voor Fysiotherapie & Bohn Stafleu van Loghum

THIM Hogeschool voor Fysiotherapie heeft ervoor gezorgd dat je Mijn BSL eenvoudig en snel kunt raadplegen. Je kunt je links eenvoudig registreren. Met deze gegevens kun je thuis, of waar ook ter wereld toegang krijgen tot Mijn BSL. Heb je een vraag, neem dan contact op met helpdesk@thim.nl.

Registreer

Om ook buiten de locaties van THIM, thuis bijvoorbeeld, van Mijn BSL gebruik te kunnen maken, moet je jezelf eenmalig registreren. Dit kan alleen vanaf een computer op een van de locaties van THIM.

Eenmaal geregistreerd kun je thuis of waar ook ter wereld onbeperkt toegang krijgen tot Mijn BSL.

Login

Als u al geregistreerd bent, hoeft u alleen maar in te loggen om onbeperkt toegang te krijgen tot Mijn BSL.

Top
Gepubliceerd in:

01-06-2009

Relationship between self-efficacy and physical activity among patients with type 2 diabetes

Auteurs: Gareth R. Dutton, Fei Tan, Bridgette C. Provost, Jamie L. Sorenson, Brandon Allen, Dawn Smith

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2009

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Introduction

While previous studies indicate a significant relationship between self-efficacy and physical activity, less research has focused on this relationship among patients with type 2 diabetes. The purpose of this investigation was to examine whether self-efficacy mediated the relationship between participation in a 1-month, print-based physical activity intervention and improvements in activity levels.

Methods

Participants (N = 85; mean age = 57; 73% Caucasian; 69% female) were recruited from a community diabetes center. The intervention was individually-tailored based on theoretical constructs, including self-efficacy.

Results

After controlling for age, baseline activity, and baseline self-efficacy, the tailored intervention was associated with significant improvements in physical activity, 95% CI [23.01, 271.68] as well as self-efficacy, CI [0.02, 3.48]. There was an indirect effect of treatment on physical activity through self-efficacy, CI [0.77, 73.11], and the direct effect of treatment on physical activity was no longer significant, CI [−7.33, 253.40], after the influences of self-efficacy change were accounted for in the model.

Discussion

Results supported a mediation effect, such that the treatment effect on physical activity was completely mediated by changes in self-efficacy. Although replication is needed, results support the theoretical rationale for targeting self-efficacy to promote physical activity among patients with type 2 diabetes.
Literatuur
go back to reference Bandura, A. (1986). Social foundations of thought and action: A Social Cognitive Theory. Englewood Cliffs, NJ: Prentice Hall. Bandura, A. (1986). Social foundations of thought and action: A Social Cognitive Theory. Englewood Cliffs, NJ: Prentice Hall.
go back to reference Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182. doi:10.1037/0022-3514.51.6.1173.PubMedCrossRef Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182. doi:10.​1037/​0022-3514.​51.​6.​1173.PubMedCrossRef
go back to reference Blair, S. N., Haskell, W. L., Ho, P., Paffenbarger, R. S., Vranizan, K. M., Farquhar, J. W., et al. (1985). Assessment of habitual physical activity by a seven-day recall in a community survey and controlled experiments. American Journal of Epidemiology, 122, 794–804.PubMed Blair, S. N., Haskell, W. L., Ho, P., Paffenbarger, R. S., Vranizan, K. M., Farquhar, J. W., et al. (1985). Assessment of habitual physical activity by a seven-day recall in a community survey and controlled experiments. American Journal of Epidemiology, 122, 794–804.PubMed
go back to reference Blanchard, C. M., Fortier, M., Sweet, S., O’Sullivan, T., Hogg, W., Reid, R. W., et al. (2007). Explaining physical activity levels from a self-efficacy perspective: The physical activity counseling trial. Annals of Behavioral Medicine, 34, 323–328. doi:10.1007/BF02874557.PubMedCrossRef Blanchard, C. M., Fortier, M., Sweet, S., O’Sullivan, T., Hogg, W., Reid, R. W., et al. (2007). Explaining physical activity levels from a self-efficacy perspective: The physical activity counseling trial. Annals of Behavioral Medicine, 34, 323–328. doi:10.​1007/​BF02874557.PubMedCrossRef
go back to reference Boule, N. G., Haddad, E., Kenny, G. P., Wells, G. A., & Sigal, R. J. (2001). Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus: A meta-analysis of controlled clinical trials. Journal of the American Medical Association, 286, 1218–1227. doi:10.1001/jama.286.10.1218.PubMedCrossRef Boule, N. G., Haddad, E., Kenny, G. P., Wells, G. A., & Sigal, R. J. (2001). Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus: A meta-analysis of controlled clinical trials. Journal of the American Medical Association, 286, 1218–1227. doi:10.​1001/​jama.​286.​10.​1218.PubMedCrossRef
go back to reference Calfas, K. J., Long, B. J., Sallis, J. F., Wooten, W. J., Pratt, M., & Patrick, K. (1996). A controlled trial of physician counseling to promote the adoption of physical activity. Preventive Medicine, 25, 225–233. doi:10.1006/pmed.1996.0050.PubMedCrossRef Calfas, K. J., Long, B. J., Sallis, J. F., Wooten, W. J., Pratt, M., & Patrick, K. (1996). A controlled trial of physician counseling to promote the adoption of physical activity. Preventive Medicine, 25, 225–233. doi:10.​1006/​pmed.​1996.​0050.PubMedCrossRef
go back to reference Cardinal, B. J., & Sachs, M. L. (1996). Effects of mail-mediated, stage-matched exercise behavior change strategies on female adults’ leisure-time exercise behavior. The Journal of Sports Medicine and Physical Fitness, 36, 100–107.PubMed Cardinal, B. J., & Sachs, M. L. (1996). Effects of mail-mediated, stage-matched exercise behavior change strategies on female adults’ leisure-time exercise behavior. The Journal of Sports Medicine and Physical Fitness, 36, 100–107.PubMed
go back to reference Clark, M., Hampson, S. E., Avery, L., & Simpson, R. (2004). Effects of a brief tailored intervention on the process and predictors of lifestyle behaviour change in patients with type 2 diabetes. Psychology Health and Medicine, 9, 440–449. doi:10.1080/13548500412331292250.CrossRef Clark, M., Hampson, S. E., Avery, L., & Simpson, R. (2004). Effects of a brief tailored intervention on the process and predictors of lifestyle behaviour change in patients with type 2 diabetes. Psychology Health and Medicine, 9, 440–449. doi:10.​1080/​1354850041233129​2250.CrossRef
go back to reference Conn, V. S., Hafdahl, A. R., Mehr, D. R., LeMaster, J. W., Brown, S. A., & Nielson, P. J. (2007). Metabolic effects of interventions to increase exercise in adults with type 2 diabetes. Diabetologia, 50, 913–921. doi:10.1007/s00125-007-0625-0.PubMedCrossRef Conn, V. S., Hafdahl, A. R., Mehr, D. R., LeMaster, J. W., Brown, S. A., & Nielson, P. J. (2007). Metabolic effects of interventions to increase exercise in adults with type 2 diabetes. Diabetologia, 50, 913–921. doi:10.​1007/​s00125-007-0625-0.PubMedCrossRef
go back to reference Dishman, R. K., Motl, R. W., Saunders, R., Felton, G., Ward, D. S., Dowda, M., et al. (2004). Self-efficacy partially mediates the effect of a school-based physical activity intervention among adolescent girls. Preventive Medicine, 38, 628–636. doi:10.1016/j.ypmed.2003.12.007.PubMedCrossRef Dishman, R. K., Motl, R. W., Saunders, R., Felton, G., Ward, D. S., Dowda, M., et al. (2004). Self-efficacy partially mediates the effect of a school-based physical activity intervention among adolescent girls. Preventive Medicine, 38, 628–636. doi:10.​1016/​j.​ypmed.​2003.​12.​007.PubMedCrossRef
go back to reference Dunn, A. L., Marcus, B. H., Kampert, J. B., Garcia, M. E., Kohl, H. W., & Blair, S. N. (1999). Comparison of lifestyle and structured interventions to increase physical activity and cardiorespiratory fitness: A randomized trial. Journal of the American Medical Association, 281, 327–334. doi:10.1001/jama.281.4.327.PubMedCrossRef Dunn, A. L., Marcus, B. H., Kampert, J. B., Garcia, M. E., Kohl, H. W., & Blair, S. N. (1999). Comparison of lifestyle and structured interventions to increase physical activity and cardiorespiratory fitness: A randomized trial. Journal of the American Medical Association, 281, 327–334. doi:10.​1001/​jama.​281.​4.​327.PubMedCrossRef
go back to reference Efron, B., & Tibshirani, R. J. (1993). An introduction to the bootstrap. Boca Raton, FL: Chapman & Hall/CRC. Efron, B., & Tibshirani, R. J. (1993). An introduction to the bootstrap. Boca Raton, FL: Chapman & Hall/CRC.
go back to reference Grace, S. L., Barry-Bianchi, S., Stewart, D. E., Rukholm, E., & Nolan, R. P. (2006). Physical activity behavior, motivational readiness and self-efficacy among Ontarians with cardiovascular disease and diabetes. Journal of Behavioral Medicine, 30, 21–29. doi:10.1007/s10865-006-9080-5.PubMedCrossRef Grace, S. L., Barry-Bianchi, S., Stewart, D. E., Rukholm, E., & Nolan, R. P. (2006). Physical activity behavior, motivational readiness and self-efficacy among Ontarians with cardiovascular disease and diabetes. Journal of Behavioral Medicine, 30, 21–29. doi:10.​1007/​s10865-006-9080-5.PubMedCrossRef
go back to reference Kim, C., McEwen, L. N., Kieffer, E. C., Herman, W. H., & Piette, J. D. (2008). Self-efficacy, social support, and associations with physical activity and body mass index among women with histories of gestational diabetes mellitus. The Diabetes Educator, 34, 719–728. doi:10.1177/0145721708321005.PubMedCrossRef Kim, C., McEwen, L. N., Kieffer, E. C., Herman, W. H., & Piette, J. D. (2008). Self-efficacy, social support, and associations with physical activity and body mass index among women with histories of gestational diabetes mellitus. The Diabetes Educator, 34, 719–728. doi:10.​1177/​0145721708321005​.PubMedCrossRef
go back to reference Marcus, B. H., Selby, V. C., Niaura, R. S., & Rossi, J. S. (1992). Self-efficacy and the stages of exercise behavior change. Research Quarterly for Exercise and Sport, 63, 60–66.PubMed Marcus, B. H., Selby, V. C., Niaura, R. S., & Rossi, J. S. (1992). Self-efficacy and the stages of exercise behavior change. Research Quarterly for Exercise and Sport, 63, 60–66.PubMed
go back to reference Marcus, B. H., Bock, B. C., Pinto, B. M., Forsyth, L. H., Roberts, M. B., & Traficante, R. M. (1998). Efficacy of an individualized, motivationally-tailored physical activity intervention. Annals of Behavioral Medicine, 20, 174–180. doi:10.1007/BF02884958.PubMedCrossRef Marcus, B. H., Bock, B. C., Pinto, B. M., Forsyth, L. H., Roberts, M. B., & Traficante, R. M. (1998). Efficacy of an individualized, motivationally-tailored physical activity intervention. Annals of Behavioral Medicine, 20, 174–180. doi:10.​1007/​BF02884958.PubMedCrossRef
go back to reference Marcus, B. H., Lewis, B. A., Williams, D. M., Dunsiger, S. I., Jakicic, J. M., Whiteley, J. A., et al. (2007). Step into motion: A randomized trial examining the relative efficacy of internet vs. print-based physical activity interventions. Contemporary Clinical Trials, 28, 737–747. doi:10.1016/j.cct.2007.04.003.PubMedCrossRef Marcus, B. H., Lewis, B. A., Williams, D. M., Dunsiger, S. I., Jakicic, J. M., Whiteley, J. A., et al. (2007). Step into motion: A randomized trial examining the relative efficacy of internet vs. print-based physical activity interventions. Contemporary Clinical Trials, 28, 737–747. doi:10.​1016/​j.​cct.​2007.​04.​003.PubMedCrossRef
go back to reference Morrato, E. H., Hill, J. O., Wyatt, H. R., Ghushchyan, V., & Sullivan, P. W. (2007). Physical activity in U.S. adults with diabetes and at risk for developing diabetes, 2003. Diabetes Care, 30, 203–209. doi:10.2337/dc06-1128.PubMedCrossRef Morrato, E. H., Hill, J. O., Wyatt, H. R., Ghushchyan, V., & Sullivan, P. W. (2007). Physical activity in U.S. adults with diabetes and at risk for developing diabetes, 2003. Diabetes Care, 30, 203–209. doi:10.​2337/​dc06-1128.PubMedCrossRef
go back to reference Morris, K. S., McAuley, E., & Motl, R. W. (2008). Self-efficacy and environmental correlates of physical activity among older women and women with multiple sclerosis. Health Education Research, 23, 744–752. doi:10.1093/her/cym067.PubMedCrossRef Morris, K. S., McAuley, E., & Motl, R. W. (2008). Self-efficacy and environmental correlates of physical activity among older women and women with multiple sclerosis. Health Education Research, 23, 744–752. doi:10.​1093/​her/​cym067.PubMedCrossRef
go back to reference Plotnikoff, R. C., Brez, S., & Brunet, S. (2003). Are exercise social-cognitive factors and behaviors different for adults with diabetes? A randomized community sample. Psychology Health and Medicine, 8, 465–471. doi:10.1080/1354850310001604577.CrossRef Plotnikoff, R. C., Brez, S., & Brunet, S. (2003). Are exercise social-cognitive factors and behaviors different for adults with diabetes? A randomized community sample. Psychology Health and Medicine, 8, 465–471. doi:10.​1080/​1354850310001604​577.CrossRef
go back to reference Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36, 717–731. Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36, 717–731.
go back to reference Prodaniuk, T. R., Plotnikoff, R. C., Spence, J. C., & Wilson, P. M. (2006). The influence of self-efficacy and outcome expectations on the relationship between perceived environment and physical activity in the workplace. The International Journal of Behavioral Nutrition and Physical Activity, 1, 7–18. doi:10.1186/1479-5868-1-7.CrossRef Prodaniuk, T. R., Plotnikoff, R. C., Spence, J. C., & Wilson, P. M. (2006). The influence of self-efficacy and outcome expectations on the relationship between perceived environment and physical activity in the workplace. The International Journal of Behavioral Nutrition and Physical Activity, 1, 7–18. doi:10.​1186/​1479-5868-1-7.CrossRef
go back to reference Sallis, J. F., Haskell, W. L., Wood, P. D., Fortmann, S. P., Rogers, T., Blair, S. N., et al. (1985). Physical activity assessment methodology in the Five-City Project. American Journal of Epidemiology, 121, 91–106.PubMed Sallis, J. F., Haskell, W. L., Wood, P. D., Fortmann, S. P., Rogers, T., Blair, S. N., et al. (1985). Physical activity assessment methodology in the Five-City Project. American Journal of Epidemiology, 121, 91–106.PubMed
go back to reference Sigal, R. J., Kenny, G. P., Wasserman, D. H., Castaneda-Sceppa, C., & White, R. D. (2006). Physical activity/exercise and type 2 diabetes: A consensus statement from the American Diabetes Association. Diabetes Care, 29, 1433–1438. doi:10.2337/dc06-9910.PubMedCrossRef Sigal, R. J., Kenny, G. P., Wasserman, D. H., Castaneda-Sceppa, C., & White, R. D. (2006). Physical activity/exercise and type 2 diabetes: A consensus statement from the American Diabetes Association. Diabetes Care, 29, 1433–1438. doi:10.​2337/​dc06-9910.PubMedCrossRef
go back to reference Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. In A. Leinhardt (Ed.), Sociological Methodology (pp. 290–312). Washington, DC: American Sociological Association. Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. In A. Leinhardt (Ed.), Sociological Methodology (pp. 290–312). Washington, DC: American Sociological Association.
go back to reference Sullivan, P. W., Morrato, E. H., Ghushchyan, V., Wyatt, H. R., & Hill, J. O. (2005). Obesity, inactivity, and the prevalence of diabetes and diabetes-related cardiovascular comorbidities in the U.S., 2000–2002. Diabetes Care, 28, 1599–1603. doi:10.2337/diacare.28.7.1599.PubMedCrossRef Sullivan, P. W., Morrato, E. H., Ghushchyan, V., Wyatt, H. R., & Hill, J. O. (2005). Obesity, inactivity, and the prevalence of diabetes and diabetes-related cardiovascular comorbidities in the U.S., 2000–2002. Diabetes Care, 28, 1599–1603. doi:10.​2337/​diacare.​28.​7.​1599.PubMedCrossRef
go back to reference Thomas, D.E., Elliott, E.J., & Naughton, G.A. (2007). Exercise for type 2 diabetes mellitus. Cochrane Database of Systematic Reviews (Online : Update Software), 2, 1–41. Thomas, D.E., Elliott, E.J., & Naughton, G.A. (2007). Exercise for type 2 diabetes mellitus. Cochrane Database of Systematic Reviews (Online : Update Software), 2, 1–41.
Metagegevens
Titel
Relationship between self-efficacy and physical activity among patients with type 2 diabetes
Auteurs
Gareth R. Dutton
Fei Tan
Bridgette C. Provost
Jamie L. Sorenson
Brandon Allen
Dawn Smith
Publicatiedatum
01-06-2009
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 3/2009
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-009-9200-0