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Self-efficacy and barriers to multiple behavior change in low-income African Americans with hypertension.

Abstract：

:Behavioral risk factors are among the preventable causes of health disparities, yet long-term change remains elusive. Many interventions are designed to increase self-efficacy, but little is known about the effect on long-term behavior change in older, low-income African Americans, especially when facing more problematic barriers. A cohort of 185 low-income African-Americans with hypertension reported barriers they encountered while undergoing a multiple behavior change trial from 2002 to 2006. The purpose of the present study was to explore the relationships between self-efficacy, barriers, and multiple behavior change over time. Higher self-efficacy seemed to be partially helpful for smoking reduction and increasing physical activity, but not for following a low-sodium diet. Addiction was indirectly associated with less reduction in smoking through lower self-efficacy. Otherwise, different barriers were associated with behavior change than were associated with self-efficacy: being "too busy" directly interfered with physical activity and "traditions" with low-sodium diet; however, they were neither the most frequently reported barriers, nor associated with lower self-efficacy. This suggests that an emphasis on self-efficacy alone may be insufficient for overcoming the most salient barriers encountered by older African Americans. Additionally, the most common perceived barriers may not necessarily be relevant to long-term behavioral outcomes.

journal_name

J Behav Med

journal_title

Journal of behavioral medicine

authors

Mansyur CL,Pavlik VN,Hyman DJ,Taylor WC,Goodrick GK

doi

10.1007/s10865-012-9403-7

subject

Has Abstract

pub_date

2013-02-01 00:00:00

pages

75-85

issue

1

eissn

0160-7715

issn

1573-3521

journal_volume

36

pub_type

杂志文章

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