Inflated Perceptions of Physical Activity After Stroke: Pairing Self-Report With Physiologic Measures

2008 ◽  
Vol 5 (2) ◽  
pp. 308-318 ◽  
Author(s):  
Barbara Resnick ◽  
Kathleen Michael ◽  
Marianne Shaughnessy ◽  
Eun Shim Nahm ◽  
Susan Kopunek ◽  
...  
Keyword(s):  
Physical Activity ◽  
Self Efficacy ◽  
Community Dwelling ◽  
Self Report ◽  
Men And Women ◽  
Activity Monitors ◽  
Behavioral Variables ◽  
Efficacy Expectations ◽  
Treadmill Testing ◽  
And Performance

Background:Self-report measures of physical activity have well-known drawbacks, and physiologic measures alone do not account for behavioral variables important in the perception and performance of physical activity. Therefore, we considered multiple measures to quantify physical activity in community-dwelling men and women with chronic stroke.Methods:This analysis included data from a volunteer sample of 87 individuals at least 6 months poststroke. Physical activity was measured using self-report questionnaires, step activity monitors, self-efficacy expectations related to exercise, and VO2peak from treadmill testing, and a model of physical activity was tested.Results:Most of the variance in objective physical activity was explained by VO2peak, and most of the variance in subjective physical activity was explained by self-efficacy expectations. There were significant discrepancies between subjective and objective findings.Conclusion:This study helps to understand the perspective of stroke survivors with regard to physical activity.

Personal and social factors that influence physical activity levels in community-dwelling stroke survivors: A systematic review of qualitative literature

2021 ◽  
pp. 026921552199369
Author(s):  
Karl R Espernberger ◽  
Natalie A Fini ◽  
Casey L Peiris
Keyword(s):  
Physical Activity ◽  
Social Factors ◽  
Self Efficacy ◽  
Data Extraction ◽  
Community Dwelling ◽  
Stroke Survivors ◽  
Activity Levels ◽  
Post Stroke ◽  
Physical Activity Levels ◽  
Mobile Community

Objectives: To determine the personal and social factors perceived to influence physical activity levels in stroke survivors. Data sources: Four electronic databases (MEDLINE, CINAHL, PubMed and Embase) were searched from inception to November 2020, including reference and citation list searches. Study selection: The initial search yielded 1499 papers, with 14 included in the review. Included articles were peer-reviewed, qualitative studies, reporting on the perceived factors influencing physical activity levels of independently mobile community-dwelling adults, greater than 3 months post stroke. Data extraction: Data extracted included location, study aim, design, participant and recruitment information and how data were collected and analysed. Data synthesis: Thematic analysis was undertaken to identify meanings and patterns, generate codes and develop themes. Five main themes were identified: (i) Social networks are important influencers of physical activity; (ii) Participation in meaningful activities rather than ‘exercise’ is important; (iii) Self-efficacy promotes physical activity and physical activity enhances self-efficacy; (iv) Pre-stroke identity related to physical activity influences post-stroke physical activity; and (v) Formal programmes are important for those with low self-efficacy or a sedentary pre-stroke identity. Conclusions: Physical activity levels in stroke survivors are influenced by social activities and support, pre-stroke identity, self-efficacy levels and completion of activities that are meaningful to stroke survivors.

scholarly journals Relationship between the intention–behavior gap and self-efficacy for physical activity during childhood

2018 ◽  
Vol 23 (1) ◽  
pp. 79-86 ◽  
Author(s):  
Tsunenori Isa ◽  
Yuya Ueda ◽  
Ryo Nakamura ◽  
Shogo Misu ◽  
Rei Ono
Keyword(s):  
Physical Activity ◽  
High Activity ◽  
Self Efficacy ◽  
Self Report ◽  
Physically Active ◽  
Education Interventions ◽  
Relationship Of ◽  
The Relationship ◽  
Low Activity ◽  
Actual Participation

This study investigated the relationship of a gap between the intent to be physically active and actual participation in physical activity (‘intention–behavior gap’) and self-efficacy for physical activity during childhood. A self-report questionnaire was used to collect information from 946 children from the fourth and sixth grades in Japan on self-efficacy, intention, and physical activity. Children with an intention–behavior gap (high intent–low activity or low intent–high activity) had higher self-efficacy scores than those with low intent and low activity (27.66 or 27.65 vs. 21.69; p < .001). They had lower self-efficacy scores than those with high intent and high activity (27.66 or 27.65 vs. 30.56; p < .001). Children with an intention–behavior gap had lower self-efficacy for physical activity than those who intended to be and were physically active. Such children may benefit from education interventions that focus on improving self-efficacy.

THE DEVELOPMENT OF PHYSICAL ACTIVITY PROTOCOL IN PATIENTS WITH CONGESTIVE HEART FAILURE IN THE HOSPITAL INPATIENT WARDS

2018 ◽  
Vol 4 (5) ◽  
pp. 437-447
Author(s):  
Deni Susyanti ◽  
Dewi Elizadiani Suza ◽  
Yesi Ariani
Keyword(s):  
Physical Activity ◽  
Heart Failure ◽  
Congestive Heart Failure ◽  
Self Efficacy ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Group Discussion ◽  
Self Report ◽  
Hospital Inpatient ◽  
Reflection Data

Background: Patients with congestive heart failure need a comprehensive rehabilitative program to restore post-attack physical ability and prevent re-attacks, therefore, it is necessary to develop physical activity protocols for these patients. Objective: This study aims to develop physical activity protocols for patients with congestive heart failure in the inpatient wards of the Level II Putri Hijau Hospital, Indonesia. Methods: This was an action research with 3 cycles consisting of four stages, namely: (1) reconnaissance, (2) planning, (3) action and observation, and (4) reflection. Data were collected quantitatively and qualitatively. Qualitative data were collected using in-depth interview, focus group discussion, and self-report, while quantitative data were collected using nursing knowledge questionnaire to 35 nurses selected using total sampling, and self-efficacy questionnaire about physical activity exercise to 9 patients with congestive heart failure selected using accidental sampling. Qualitative data were analyzed using content analysis, while quantitative data using descriptive statistical test. Results: Findings showed the completed compilation of physical activity protocols for patients with congestive heart failure. The results of observation showed a decrease in blood pressure of patients with congestive heart failure on the average of 3.12 mmHg after given physical activity protocol by nurses. Conclusion: The physical activity protocols for patients with congestive heart failure have been developed, and it has an impact on the increase of nurses' knowledge concerning physical activity exercise for CHF patients as well as the improvement of patients' self-efficacy or self-confidence in doing the physical activities.

scholarly journals Effects of Reallocating Time Spent in Different Physical Activity Intensities on Sarcopenia Risk in Older Adults: An Isotemporal Substitution Analysis

Biology ◽  
2022 ◽  
Vol 11 (1) ◽  
pp. 111
Author(s):  
Jort Veen ◽  
Diego Montiel-Rojas ◽  
Fawzi Kadi ◽  
Andreas Nilsson
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Protein Intake ◽  
Handgrip Strength ◽  
Community Dwelling ◽  
Self Report ◽  
Linear Regression Models ◽  
Age Related ◽  
Muscle Health ◽  
The Impact

The role of daily time spent sedentary and in different intensities of physical activity (PA) for the maintenance of muscle health currently remains unclear. Therefore, we investigated the impact of reallocating time spent in different PA intensities on sarcopenia risk in older adults, while considering PA type (muscle strengthening activities, MSA) and protein intake. In a sample of 235 community-dwelling older adults (65–70 years), a sarcopenia risk score (SRS) was created based on muscle mass assessed by bioimpedance, together with handgrip strength and performance on the five times sit-to-stand (5-STS) test assessed by standardized procedures. Time spent in light-intensity PA (LPA), moderate-to-vigorous PA (MVPA), and being sedentary was assessed by accelerometry, and PA type (MSA) by self-report. Linear regression models based on isotemporal substitution were employed. Reallocating sedentary time to at least LPA was significantly (p < 0.05) related to a lower SRS, which remained evident after adjustment by PA type (MSA) and protein intake. Similarly, reallocating time in LPA by MVPA was related to a significantly (p < 0.05) lower SRS. Our results emphasize the importance of displacing sedentary behaviours for more active pursuits, where PA of even light intensities may alleviate age-related deteriorations of muscle health in older adults.

scholarly journals Effects of Self-Efficacy, Depression, and Anger on Health-Promoting Behaviors of Korean Elderly Women with Hypertension

2020 ◽  
Vol 17 (17) ◽  
pp. 6296
Author(s):  
Ae Sil Kim ◽  
Mi Heui Jang ◽  
Kyung Hwan Park ◽  
Ji Young Min
Keyword(s):  
Self Efficacy ◽  
Elderly Women ◽  
Intervention Strategy ◽  
Nursing Intervention ◽  
Community Dwelling ◽  
Self Report ◽  
Trait Anger ◽  
Anger Control ◽  
Health Promoting Behaviors ◽  
Health Promoting

The prevalence of hypertension among women in Korea aged 65 years or older is 61.7%. Past research has emphasized the importance of health-promoting behaviors in hypertension management for the elderly. The purpose of this cross-sectional study was to identify the effects of self-efficacy, depression, trait anger, and anger expression on the health-promoting behaviors of elderly women with hypertension. Self-report questionnaires were completed by 208 women aged 65 and older (age range: 65 to 85) diagnosed with hypertension by physicians and living in the communities of G city and N city of Gyeonggi-do in South Korea. A hierarchical regression analysis revealed that exercise (β = 0.36, p < 0.001) had the most significant effect on health-promoting behaviors, followed by depression (β = −0.31, p < 0.001), trait anger (β = 0.21, p = 0.002), anger control (β = 0.20, p < 0.001), religion (β = 0.18, p = 0.001), and self-efficacy (β = 0.18, p = 0.003). Trait anger and anger control were identified to have a more significant effect on health-promoting behaviors than self-efficacy. Thus, health-promoting behaviors were influenced by exercise, depression, anger, religion, and self-efficacy. It is necessary to implement a nursing intervention strategy which pays attention to these factors to improve health-promoting behaviors of Korean community-dwelling elderly women.

Physical Activity of Urban Community-Dwelling Older Latino Adults

2011 ◽  
Vol 8 (s2) ◽  
pp. S161-S170 ◽  
Author(s):  
David X. Marquez ◽  
Ruby Hoyem ◽  
Louis Fogg ◽  
Eduardo E. Bustamante ◽  
Beth Staffileno ◽  
...  
Keyword(s):  
Physical Activity ◽  
Urban Community ◽  
Community Dwelling ◽  
Self Report ◽  
Model Program ◽  
Latino Men ◽  
Gender And Age ◽  
Acculturation Level ◽  
Latino Adults ◽  
Healthy Activity

Background:To date, little is known about the physical activity (PA) levels and commonly reported modes of PA of older Latinos, and this information is critical to developing interventions for this population. The purpose of the current study was to examine PA assessed by self-report and accelerometer and to assess the influence of acculturation, gender, and age on the PA of urban community-dwelling older Latino adults.Methods:Participants were self-identified Latinos, primarily women (73%), and individuals aged 50 to 59 (31%), 60 to 69 (30%), and 70+ (39%). PA was measured with an accelerometer and the Community Healthy Activity Model Program for Seniors (CHAMPS) PA questionnaire.Results:Men reported engaging in, and objectively participated in, significantly more minutes of moderate/vigorous PA than women, but women reported greater light intensity household PA. Latinos aged 50 to 59 engaged in significantly more accelerometer-assessed PA than Latinos aged 60 to 69 and 70+, respectively. The majority of participants did not meet the PA Guidelines for Americans. No differences in PA were demonstrated by acculturation level. Older Latino men and women reported walking and dancing as modes of leisure PA.Conclusions:These findings suggest PA interventions should be targeted toward older Latinos, taking into account gender and age.

Barrier self-efficacy and physical activity over a 12-month period in men and women who do and do not attend cardiac rehabilitation.

2007 ◽  
Vol 52 (1) ◽  
pp. 65-73 ◽  
Author(s):  
Chris M. Blanchard ◽  
Robert D. Reid ◽  
Louise I. Morrin ◽  
Louise J. Beaton ◽  
Andrew Pipe ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cardiac Rehabilitation ◽  
Self Efficacy ◽  
Men And Women

scholarly journals The Modified Gait Efficacy Scale: Establishing the Psychometric Properties in Older Adults

2012 ◽  
Vol 92 (2) ◽  
pp. 318-328 ◽  
Author(s):  
Alaina M. Newell ◽  
Jessie M. VanSwearingen ◽  
Elizabeth Hile ◽  
Jennifer S. Brach
Keyword(s):  
Older Adults ◽  
Correlation Coefficient ◽  
Internal Consistency ◽  
Intraclass Correlation ◽  
Community Dwelling ◽  
Self Report ◽  
Retest Reliability ◽  
And Performance ◽  
Test Retest Reliability ◽  
Community Dwelling Older Adults

BackgroundPerceived ability or confidence plays an important role in determining function and behavior. The modified Gait Efficacy Scale (mGES) is a 10-item self-report measure used to assess walking confidence under challenging everyday circumstances.ObjectiveThe purpose of this study was to determine the reliability, internal consistency, and validity of the mGES as a measure of gait in older adults.DesignThis was a cross-sectional study.MethodsParticipants were 102 community-dwelling older adults (mean [±SD] age=78.6±6.1 years) who were independent in ambulation with or without an assistive device. Participants were assessed using the mGES and measures of confidence and fear, measures of function and disability, and performance-based measures of mobility. In a subsample (n=26), the mGES was administered twice within a 1-month period to establish test-retest reliability through the intraclass correlation coefficient (ICC [2,1]). The standard error of measure (SEM) was determined from the ICC and standard deviation. The Cronbach α value was calculated to determine internal consistency. To establish the validity of the mGES, the Spearman rank order correlation coefficient was used to examine the association with measures of confidence, fear, gait, and physical function and disability.ResultsThe mGES demonstrated test-retest reliability within the 1-month period (ICC=.93, 95% confidence interval=.85, .97). The SEM of the mGES was 5.23. The mGES was internally consistent across the 10 items (Cronbach α=.94). The mGES was related to measures of confidence and fear (r=.54–.88), function and disability (Late-Life Function and Disability Instrument, r=.32–.88), and performance-based mobility (r=.38–.64).LimitationsThis study examined only community-dwelling older adults. The results, therefore, should not be generalized to other patient populations.ConclusionThe mGES is a reliable and valid measure of confidence in walking among community-dwelling older adults.

Relationship between Self-Report and Performance Measures of Function: A Systematic Review

2006 ◽  
Vol 25 (3) ◽  
pp. 253-270 ◽  
Author(s):  
Liliana Coman ◽  
Julie Richardson
Keyword(s):  
Systematic Review ◽  
Performance Measures ◽  
Functional Limitations ◽  
Community Dwelling ◽  
Self Report ◽  
Inclusion Criteria ◽  
And Performance ◽  
Community Dwelling Older Adults ◽  
Similar Assessment

ABSTRACTThe authors conducted a systematic review of studies examining correlations between assessments of function obtained using self-report and those obtained using performance-based measures for community-dwelling older adults.METHODSArticles for this review were identified using electronic searching in MEDLINE, CINHAL, and AGELINE and hand-searching techniques. Two reviewers selected the studies that met the inclusion criteria, extracted the data, and assessed the methodological quality of the data.RESULTSSeventeen studies met the inclusion criteria for review. Correlations between self-report and performance ranged from −0.72 to 0.60. Sixty per cent of the studies compared self-report instruments measuring disability with performance measures addressing functional limitations. In studies that assessed the same functional tasks and functional limitations using the two methods, the correlation varied between 0.60 and 0.86.CONCLUSIONWhen the construct measured by the two methods was the same, the correlations were moderate to large and, therefore, measurement of functional limitations by self-report or performance probably reflected a similar assessment of function.

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