Exercise self-efficacy, exercise benefits and barriers, and commitment to a plan for exercise among Korean women with osteoporosis and osteoarthritis

Ewha Womans University, Sŏul, Seoul, South Korea
International Journal of Nursing Studies (Impact Factor: 2.9). 02/2006; 43(1):3-10. DOI: 10.1016/j.ijnurstu.2004.10.008
Source: PubMed


This study compared perceived exercise self-efficacy, exercise benefits, exercise barriers, and commitment to a plan for exercise between Korean women with a diagnosis of either osteoporosis or osteoarthritis. The influence of exercise self-efficacy, exercise benefits and barriers on commitment to a plan for exercise was also assessed in each group. Participants in the study were 154 Korean women over 40 years of age who were recruited from hospitals, health centers or a nursing home. The two groups differed on commitment to a plan for exercise with commitment greater among women with osteoporosis. Exercise self-efficacy was the most influential variable on commitment to a plan for exercise accounting for 27% of the variance in commitment among osteoporosis patients and 53% of the variance among osteoarthritis patients. This study generated information relevant to tailoring exercise interventions to the differing needs and perceptions of Korean women with osteoporosis and osteoarthritis.

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Available from: Hee Jung Jang, Aug 05, 2015
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    • "For instance, patient may be advised regarding a customized home-based exercise program that might be beneficial to overcome many of the exercise barriers[34]. Even though participants reported having barriers to exercise, they reported a moderate average of perceived exercise barriers (2.4/4), which was less than that reported among hemodialysis patients (2.66)[35], patients with multiple sclerosis (2.80)[36], and patients with osteoarthritis (2.59)[25]. Such a difference might be attributed to the less acute manifestations of diabetes than other diseases specially if under control. "

    Full-text · Article · Jan 2016 · Health
    • "Ailinger and Emerson (1998) emphasised that the knowledge regarding potential health problem is the preparation stage of initiating and continuing positive health behaviours to prevent the illness. The studies showing positive correlation between the related efficacy expectation of health behaviours such as quitting smoking, weight control, exercise, alcohol habit, stress management and diabetes management and behaviour performance have indicated that self-efficacy is an important determinant (Rapley & Fruin 1999, Kara 2002, Elliott et al. 2006, Shin et al. 2006, U ¨ nsal 2006, Sol et al. 2008). Possibility of developing the illness and perceiving osteoporosis as a serious illness are effective in behavioural changes in preventive programmes of osteoporosis. "
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    ABSTRACT: Ozturka & Sendirm(2011) Journal of Nursing and Healthcare of Chronic Illness3, 319–328 Evaluation of knowledge of osteoporosis and self-efficacy perception of female orthopaedic patients in Turkey Aim. To evaluate the osteoporosis knowledge and self-efficacy of female orthopaedic patients. Background. Osteoporosis can affect either gender; however, 80% of those affected are women. Many women present with fractures of the hip or wrist each year as a result of osteoporosis. The disease is essentially incurable and so a preventive public health approach is required. Knowledge-based intervention programmes have been effective in increasing osteoporosis awareness. Method. This descriptive cross-sectional survey design was conducted in three public and two private hospitals in Turkey. The sample consisted of 146 patients hospitalised in orthopaedic clinics of these hospitals. Data were collected by a Demographic Questionnaire, Osteoporosis Knowledge Test and Osteoporosis Self-Efficacy Scale. Data were collected in 2007. Results. The mean age of the patients was 59·6 ± 12·9 years. Patients’ osteoporosis knowledge (9·9 ± 4·4) and osteoporosis self-efficacy perception mean scores (778·2 ± 260·4) were low. It has been determined that osteoporosis self-efficacy increases as osteoporosis knowledge increases. Significant relations between age and both osteoporosis knowledge and self-efficacy were found. In addition, osteoporosis knowledge was found to be correlated with education and income. Conclusion. The results indicated that female orthopaedic patients display low level of knowledge and self-efficacy with regard to the osteoporosis. Women may engage in self-efficacy perceptions which would help to prevent osteoporosis, if they are informed regarding the effects and risk factors of osteoporosis, and the preventative behaviours associated with osteoporosis. Relevance to clinical practice. Results indicate the need for further health education concerning the importance of dietary calcium and exercise on osteoporosis prevention in female orthopaedic patients especially who are older and have less formal education.
    No preview · Article · Aug 2011 · Journal of Nursing and Healthcare of Chronic Illness
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    • "A tailored approach to interventions is being increasingly recommended in order to make the content personally relevant and to promote long-term behavior change. Several interventions are individually tailored on key variables identified in theoretical health behavior models, such as motivational readiness, decisional balance, or self-efficacy [9-11]. Interventions also have been tailored on personal characteristics (e.g., gender [12], depression [13], pain level [14]). "
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    ABSTRACT: Osteoarthritis (OA) is a prevalent chronic disease and a leading cause of disability in adults. For people with knee and hip OA, symptoms (e.g., pain and fatigue) can interfere with mobility and physical activity. Whereas symptom management is a cornerstone of treatment for knee and hip OA, limited evidence exists for behavioral interventions delivered by rehabilitation professionals within the context of clinical care that address how symptoms affect participation in daily activities. Activity pacing, a strategy in which people learn to preplan rest breaks to avoid symptom exacerbations, has been effective as part of multi-component interventions, but hasn't been tested as a stand-alone intervention in OA or as a tailored treatment using accelerometers. In a pilot study, we found that participants who underwent a tailored activity pacing intervention had reduced fatigue interference with daily activities. We are now conducting a full-scale trial. This paper provides a description of our methods and rationale for a trial that evaluates a tailored activity pacing intervention led by occupational therapists for adults with knee and hip OA. The intervention uses a wrist accelerometer worn during the baseline home monitoring period to glean recent symptom and physical activity patterns and to tailor activity pacing instruction based on how symptoms relate to physical activity. At 10 weeks and 6 months post baseline, we will examine the effectiveness of a tailored activity pacing intervention on fatigue, pain, and physical function compared to general activity pacing and usual care groups. We will also evaluate the effect of tailored activity pacing on physical activity (PA). Managing OA symptoms during daily life activity performance can be challenging to people with knee and hip OA, yet few clinical interventions address this issue. The activity pacing intervention tested in this trial is designed to help people modulate their activity levels and reduce symptom flares caused by too much or too little activity. As a result of this trial, we will be able to determine if activity pacing is more effective than usual care, and among the intervention groups, if an individually tailored approach improves fatigue and pain more than a general activity pacing approach. NCT01192516.
    Full-text · Article · Aug 2011 · BMC Musculoskeletal Disorders
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