Physical activity and cardiac self-efficacy levels during early recovery after acute myocardial infarction : a Jordanian study

Shajrawi, A, Granat, MH ORCID:, Jones, I and Astin, F 2021, 'Physical activity and cardiac self-efficacy levels during early recovery after acute myocardial infarction : a Jordanian study' , Journal of Nursing Research, 29 (1) , e131.

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Background: Regular physical activity is important for patients with established coronary heart disease as it favorably influences their coronary risk profile. General self-efficacy is a powerful predictor of health behavior change that involves increases in physical activity levels. Few studies have simultaneously measured physical activity and self-efficacy during early recovery after a first acute myocardial infarction (AMI). Purpose: The aims of this study were to assess changes in objectively measured physical activity levels at 2 weeks (T2) and 6 weeks (T3) and self-reported cardiac self-efficacy at hospital discharge (T1) and at T2 and T3 in patients recovering from AMI. Methods: A repeated-measures design was used to recruit a purposive sample of patients from a single center in Jordan who were diagnosed with first AMI andwho did not have access to cardiac rehabilitation. A body-worn activity monitor (activPAL) was used to objectively measure free-living physical activity levels for 7 consecutive days at two time points (T2 and T3). An Arabic version of the cardiac self-efficacy scale was administered at T1, T2, and T3. Paired t tests and analysis of variance were used to examine differences in physical activity levels and cardiac self-efficacy scores, respectively. Results: A sample of 100 participants was recruited, of which 62%weremale. Themean age of the samplewas 54.5 ± 9.9 years. No statistically significant difference in physical activity levels was measured at 2 weeks (T2) and 6 weeks (T3). Cardiac self-efficacy scores improved significantly between T1, T2, and T3 across subscales and global cardiac self-efficacy. Conclusions/Implications for Practice: Participants recovering from AMI in Jordan did not increase their physical activity levels during the early recovery phase, although cardiac self-efficacy scores improved. This may be because the increase in cardiac self-efficacy was not matched by the practical skills and knowledge required to translate this positive psychological construct into behavioral change. This study provides a first step toward understanding the complex relationship between cardiac self-efficacy and physical activity in this population. The authors hope that these findings support the design of culturally appropriate interventions to increase physical activity levels in this population.

Item Type: Article
Schools: Schools > School of Health and Society > Centre for Health Sciences Research
Journal or Publication Title: Journal of Nursing Research
Publisher: Wolters Kluwer
ISSN: 1682-3141
Related URLs:
Depositing User: MH Granat
Date Deposited: 05 Nov 2020 08:44
Last Modified: 16 Feb 2022 05:55

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