scholarly journals Understanding the development of self-efficacy for physical activity engagement in men after myocardial infarction: A preliminary qualitative study

2021 ◽  
Vol 10 (2) ◽  
Author(s):  
Harlinna binti Abu ◽  
Salizar binti Mohamed Ludin ◽  
Siti Noorkhairina binti Sowtali

Background: This preliminary finding from a qualitative study examined the process of self-efficacy for the development of physical activity during myocardial infarction (MI) after recovery. A combination of healthy behaviors, including physical activity is the secondary prevention recommended to reduce the risk of recurrent MI. This study aims to understand how self-efficacy for physical activity is developed in a patient after MI by examining their perceptions and personal adherence to physical activity.Design and Methods: This was a qualitative study and data was collected through semi-structured in-depth recorded phone interviews with eight Malay male participants. They were screened using a questionnaire and participants that met the inclusion criteria were interviewed, and were admitted to National Heart Centre, Malaysia between January to June 2019 diagnosed with MI. The data collected were analysed using NVivo 12 software and thematic analysis was applied.Results: Four preliminary themes emerged from the study: 1) beliefs in physical activity; 2) healthy lifestyle: new normal or same old habit; 3) factors determining participation in pa; and 4) physical activity adherence strategies.Conclusions: The results of the studies showed that participants understand the need to maintain physical activity, which helps to maintain a healthy life after MI and prevent recurrent infarction. Strategies for developing self-efficacy for physical activity were also discussed. The need to understand that maintaining physical activity as well as adopting a new normal of healthy habit after MI is crucial in order to maintain the health and prevent recurrence of MI.

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Abedalmajeed SHAJRAWI ◽  
Malcolm GRANAT ◽  
Ian JONES ◽  
Felicity ASTIN

2020 ◽  
Vol 100 (12) ◽  
pp. 2110-2119
Author(s):  
Maria Bäck ◽  
Victoria Caldenius ◽  
Leif Svensson ◽  
Mari Lundberg

Abstract Objective Physical activity and exercise are central components in rehabilitation after a myocardial infarction. Kinesiophobia (fear of movement) is a well-known barrier for a good rehabilitation outcome in these patients; however, there is a lack of studies focusing on the patient perspective. The aim of this study was to explore patients’ perceptions of kinesiophobia in relation to physical activity and exercise 2 to 3 months after an acute myocardial infarction. Methods This qualitative study design used individual semi-structured interviews. Face-to-face interviews were conducted with 21 patients post-myocardial infarction who were screened for kinesiophobia (≥32 on the Tampa Scale for Kinesiophobia Heart). The interviews were transcribed and analyzed according to an inductive content analysis. Results An overarching theme was defined as “coping with fear of movement after a myocardial infarction—a dynamic process over time” comprising 2 subthemes and explaining how coping with kinesiophobia runs in parallel processes integrating the patient’s internal process and a contextual external process. The 2 processes are described in a total of 8 categories. The internal process was an iterative process governed by a combination of factors: ambivalence, hypervigilance, insecurity about progression, and avoidance behavior. The external process contains the categories of relatives’ anxiety, prerequisites for feeling safe, information, and the exercise-based cardiac rehabilitation program. Conclusion Coping with fear of movement after a myocardial infarction is a dynamic process that requires internal and external support. To further improve cardiac rehabilitation programs, person-centered strategies that support the process of each person—as well as new treatment strategies to reduce kinesiophobia—need to be elaborated. Impact Patients with a myocardial infarction were found to be ambivalent about how they expressed their fear of movement; therefore, it is crucial for physical therapists to acknowledge signs of fear by listening carefully to the patient’s full story in addition to using adequate self-reports and tests of physical fitness. These results will inform the design, development, and evaluation of new treatment strategies, with the overall aim of reducing kinesiophobia and increasing physical activity and participation in exercise-based cardiac rehabilitation.


2018 ◽  
Vol 16 (4) ◽  
pp. 204-212 ◽  
Author(s):  
Francia G. Portacio ◽  
Pamela Botero ◽  
Sara M. St. George ◽  
Mark Stoutenberg

Low-income Hispanics are a hard to reach population that face unique challenges in achieving behavior change. Understanding such challenges can inform the adaptation of lifestyle behavioral interventions and increase participant engagement. This descriptive qualitative study aimed to (1) inform lifestyle modification programs focused on improving the physical activity and healthy eating of low-income Hispanic adults and (2) explore potential gender differences necessary for consideration. Five gender-specific focus groups were conducted with Hispanic adults from a free community clinic ( n = 45, 64% women, 53.1 ± 10.1 years). Sessions were audio-recorded, transcribed, and coded using a general inductive approach. The qualitative software program Dedoose was used to perform a content analysis. Emergent themes included topics of interest, methods of increasing engagement in healthy behaviors, and the delivery of lifestyle modification programs. Men expressed greater interest in physical activity, while women desired to learn about healthy eating. Men described the importance of physician communication, while women focused on the role of social support as facilitators for participating in such programs. Both genders described education as key to behavior change and viewed text messaging as a valuable complement. Results from this study can inform the adaptation of lifestyle modification programs and increase the engagement of low-income Hispanic populations.


2019 ◽  
Vol 67 (12) ◽  
pp. 584-591 ◽  
Author(s):  
Rebecca Keele

Nurses often struggle with maintaining a healthy lifestyle. While nurses are often assumed to have the knowledge to participate in health-promoting behaviors, this knowledge may not translate into sustainable change in behavior. The purpose of this descriptive study was to compare nurses’ health behaviors with residents in the community where the nurses were employed. Participants ( N = 166) completed the Health Promoting Lifestyle Profile–II survey (HPLP-II) along with a demographic survey. The HPLP-II consists of six dimensions of a health-promoting lifestyle: (a) spiritual growth, (b) health responsibility, (c) physical activity, (d) nutrition, (e) interpersonal relations, and (f) stress management. Both groups scored the highest in spirituality followed by interpersonal relations. However, scores for the other HPLP-II dimensions ranked differently between the two groups. Nurses scored higher in health responsibility while the community participants scored higher on nutrition. Both groups scored the lowest on stress management and physical activity. Significant differences between groups were found only on the health responsibility dimension of the HPLP-II survey with nurses scoring higher. While nurses overall did not do any better than the general population in participating in a healthy lifestyle, patient stakeholders feel strongly that nurses should role model healthy behaviors. Employers need to be better prepared to support nurses to participate in a healthy lifestyle. Success can come from even small incremental changes (e.g., walking groups, team challenges, taking stairs) within the work environment. Furthermore, evidence-based practice teams that include administration, management, and staff are positioned to contribute through education and development of innovative workplace wellness programs.


2016 ◽  
Vol 44 (1) ◽  
pp. 175-181 ◽  
Author(s):  
Kyra Hamilton ◽  
Lisa M. Warner ◽  
Ralf Schwarzer

Objectives. Physical activity, including some form of vigorous activity, is a key component of a healthy lifestyle in young people. Self-efficacy and social support have been identified as key determinants of physical activity; however, the mechanism that reflects the interplay of these two factors is not well understood. The aim of the current study was to test social cognitive theory’s notion that self-efficacy relates to intention that translates into behavior and to investigate whether friend support and self-efficacy synergize, interfere, or compensate for one another to predict vigorous physical activity in adolescents—a population at risk of rapid decreases in physical activity. Method. A survey at two points in time was conducted in 226 students aged 12 to 16 years. In a conditional process analysis, friend support and physical activity self-efficacy were specified as interacting predictors of intention. The latter was specified as a mediator between self-efficacy and later vigorous physical activity, controlling for sex and age. Results. Self-efficacy emerged as the dominant predictor of intention, followed by friend support, and an interaction between support and self-efficacy. In adolescents with high self-efficacy, intention was independent of support. In those with low self-efficacy, receiving friend support partly compensated for lack of self-efficacy. The effect of self-efficacy on vigorous physical activity was mediated by intention. Conclusions. Adolescent vigorous physical activity was indirectly predicted by self-efficacy via intention, and this mediation was further moderated by levels of friend support, indicating that friend support can partly buffer lack of self-efficacy.


2020 ◽  
Vol 68 (4) ◽  
pp. 185-190
Author(s):  
A.S. Imangaliyev ◽  
◽  
A.G. Aristangaliyeva ◽  
G.M. Kasymgali ◽  
◽  
...  

The article discusses the problem of forming a healthy lifestyle for the students through the national values, the importance of many historical, cognitive, ideological events, national games based on the values transmitted from generation to generation. Referring to the documents on the development of health care in the Republic of Kazakhstan, it was found that a healthy lifestyle is, first of all, an intensive activity aimed at maintaining and strengthening health. As a result of the analysis of scientific, pedagogical, psychological and medical literature, several aspects of health are considered in terms of physical health, mental health, moral health, social health. By revealing the importance of a healthy lifestyle it was revealed that everything depends on the proper organization of physical activity, physical preparation, proper nutrition, the prevention of injuries and infectious diseases, the avoidance of bad habits, the prevention of stress and conflict, the ability to protect the human body, and the environmental impact on health.


Retos ◽  
2019 ◽  
pp. 1-10
Author(s):  
Nicolas Aguilar-Farias ◽  
Pia Martino-Fuentealba ◽  
Damian Chandia-Poblete

Abstract. Background: Little is known about of correlates of physical activity (PA), sedentary behaviour (SB), and sleeping in children from Latin America. The aim of this study was to assess the association between potential correlates with device-measured PA, SB and sleeping time in children from 9 to 11 years in Carahue, Chile. Methods: A cross-sectional study was conducted to assess correlates of physical behaviours (demographic, psychological, behavioural, home and school environment factors) from data reported by participants and caregivers. Each participant wore an ActiGraph GT3X+ accelerometer on the hip during seven consecutive days to measure PA, SB and sleeping time. Results: In total, 148 participants completed the study (47.3% male, 10.0±0.8 years). SB was positively associated with age, being female, family income, total screen time and distance to places, and negatively with higher scores of parent support for PA. Light PA was associated with age, family income, total screen time (all negative), and parent support for PA (positive). Moderate PA was associated with being male, self-efficacy and established healthy lifestyle committee at school. Vigorous PA was associated with being male, self-efficacy (both positive) and BMI z-score (negatively). Sleeping time was associated with age, portable videogame ownership (both negative) and PE minutes/week (positive).Conclusion: Variables from different levels explained each behaviour, reinforcing the need for multilevel strategies for promoting and helping to ensure healthier lifestyles in children.Resumen. Antecedentes: se sabe poco sobre los correlatos de la actividad física (PA), el comportamiento sedentario (SB) y el sueño en niños de América Latina. El objetivo de este estudio fue evaluar la asociación entre los posibles correlatos con la PA, la SB y el tiempo de sueño medidos por el dispositivo en niños de 9 a 11 años en Carahue, Chile. Métodos: se realizó un estudio transversal para evaluar los correlatos de los comportamientos físicos (factores demográficos, psicológicos, de comportamiento, del entorno escolar y del hogar) a partir de los datos informados por los participantes y los cuidadores. Cada participante usó un acelerómetro ActiGraph GT3X + en la cadera durante siete días consecutivos para medir la PA, SB y el tiempo de sueño. Resultados: En total, 148 participantes completaron el estudio (47.3% hombres, 10.0 ± 0.8 años). SB se asoció positivamente con la edad, el hecho de ser mujer, el ingreso familiar, el tiempo total de la pantalla y la distancia a los lugares, y negativamente con puntuaciones más altas de apoyo de los padres para PA. La PA leve se asoció con la edad, el ingreso familiar, el tiempo total de la pantalla (todo negativo) y el apoyo de los padres para la PA (positivo). La PA moderada se asoció con ser hombre, autoeficacia y un comité de estilo de vida saludable establecido en la escuela. La PA vigorosa se asoció con ser hombre, autoeficacia (ambos positivos) y puntaje BMI (negativo). El tiempo de sueño se asoció con la edad, la propiedad de los videojuegos portátiles (ambos negativos) y los minutos / semana de PE (positivo) .Conclusión: las variables de diferentes niveles explicaron cada comportamiento, lo que refuerza la necesidad de estrategias multinivel para promover y ayudar a garantizar estilos de vida más saludables en los niños.


Author(s):  
Irina V. KOZACHUK

We justified the need to understand the significance of physical education and sport for a person. Every person wants to live his life happily ever after. Therefore, everything must be done to maintain health until it is too late. Usually, due to the wrong lifestyle, a person has poor health, nervous disorders, diseases. Does a person do everything possible to maintain his health? Many diseases can be avoided if you properly build your lifestyle. Sport and physical education are not only a healthy lifestyle, but in general a normal and healthy life, which opens up more and more opportunities for the realization of forces and talents. We considered the issue of the importance of physical activity in human life, preservation and promotion of health. We discussed the problems of a sedentary lifestyle. We analyzed the need to preserve and promote health through physical activity.


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