Using the social cognitive theory to understand physical activity among dialysis patients.

Abstract:

PURPOSE/OBJECTIVE:The purpose of this study was to use the social cognitive theory (SCT) constructs self-efficacy, outcome expectations, and self-regulation to better understand associations of physical activity (PA) behaviors among dialysis patients after controlling for demographic and health-related factors. RESEARCH METHOD/DESIGN:This study was cross-sectional in design. Participants (N = 115; mean age = 61.51 years, SD = 14.01) completed self-report questionnaires during a regularly scheduled dialysis treatment session. Bivariate and hierarchical linear regression analyses were conducted to examine relationships among SCT constructs and PA. RESULTS:Significant relationships between PA and self-efficacy (r = .336), self-regulation (r = .280), and outcome expectations (r = .265) were detected among people on dialysis in bivariate analyses. Hierarchical linear regression revealed significant increases in variance explained for the addition of self-efficacy, self-regulation, and covariates (p < .01). Younger age, self-efficacy, and self-regulation were associated (p < .10) with greater participation in physical activity in the final model (R² = .272). Conclusion/Implication: This research supports the use of SCT in understanding PA among people undergoing dialysis treatment. The findings of this study can help health educators and health care practitioners better understand PA and how to promote it among this population. Future research should further investigate which activities dialysis patients participate in across the life span of their disease. Future PA programs should focus on increasing a patient's self-efficacy and self-regulation.

journal_name

Rehabil Psychol

authors

Patterson MS,Umstattd Meyer MR,Beaujean AA,Bowden RG

doi

10.1037/a0037002

subject

Has Abstract

pub_date

2014-08-01 00:00:00

pages

278-88

issue

3

eissn

0090-5550

issn

1939-1544

pii

2014-28815-001

journal_volume

59

pub_type

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