Physical Activity Behavior, Motivational Readiness and Self-Efficacy among Ontarians with Cardiovascular Disease and Diabetes
- 237 Downloads
This cross-sectional study examined physical activity and its correlates among 355 diabetes, 144 cardiovascular disease, 75 diabetes and cardiovascular disease, and 390 residents with cardiovascular risk factors. Community residents (N=2566) were screened by telephone, and 964 participants completed a self-report survey. Non-diabetes participants participated in a greater range of physical activities (p<.001), more frequently (p=.013). Diabetes participants had lower physical activity readiness and efficacy (ps<.009). In a regression model (p<.001), region and disease, work, marital and smoking status were significant correlates of physical activity frequency. Interventions which increase motivational readiness and efficacy among diabetics are required to prevent and delay complications, particularly in regions with environmental barriers such as cold weather and homogeneous, low-density land use.
KEY WORDS:physical activity cardiovascular disease diabetes mellitus self-efficacy motivational readiness.
This research was funded by the Heart and Stroke Foundation. S. Grace is supported by the Ontario Ministry of Health and Long-Term Care.
- American Diabetes Association. (2002). Diabetes mellitus and exercise. Diabetes Care 25: s64–s68.Google Scholar
- Bondy, S. J., Jaglal, S., and Slaughter, P. M. (1999). Area Variation in Heart Disease Mortality Rates. Institute for Clinical Evaluative Sciences, Toronto, ON.Google Scholar
- Brawley, L. R., Rejeski, J. W., and Lutes, L. (2000). A group-mediated cognitive-behavioral intervention for increasing adherence to physical activity in older adults. J. Appl. Biobehav. Res. 5(1): 47–65.Google Scholar
- Brown, A., Taylor, R., Noorani, H., Stone, J., and Skidmore, B. (2003). Exercise-Based Cardiac Rehabilitation Programs for Coronary Artery Disease : A Systematic Clinical and Economic Review No. Technology Report no. 34). Ottawa, ON: Canadian Coordinating Office for Health Technology Assessment.Google Scholar
- Dunn, S. W. (1993). Psychological aspects of diabetes in adults. In Maes, S., Leventhal, H., and Johnston, M. (Eds.), International Review of Health Psychology. Wiley, London, pp. 175–197.Google Scholar
- Grundy, S. M., Pasternak, R., Greenland, P., Smith, S., Jr, and Fuster, V. (1999). Assessment of cardiovascular risk by use of multiple-risk-factor assessment equations: A statement for healthcare professionals from the American heart association and the American college of cardiology. Circulation 100(13): 1481–1492.PubMedGoogle Scholar
- Henrichs, H., and International Diabetes Federation-Europe and Lions Clubs International Foundations. (2002). Fatalism, denial common among world's diabetics.Google Scholar
- Jolliffe, J. A., Rees, K., Taylor, R. S., Thompson, D., Oldridge, N., and Ebrahim, S. (2001). Exercise-based rehabilitation for coronary heart disease. Cochrane Database of Systematic Reviews (Online : Update Software), 1, CD001800.Google Scholar
- Marsden, E. (1996). The Role of Exercise in the Well-Being of People with Insulin Dependent Diabetes Mellitus: Perceptions of Patients and Health Professionals. Unpublished Ph.D., University of Glasgow.Google Scholar
- Mutrie, N. (1999). Exercise adherence and clinical populations. In Bull, S. (Ed.), Adherence Issues in Sport & Exercise. John Wiley & Sons Ltd., England, pp. 75–109.Google Scholar
- Pageot, J. C. (1987). Obstacles to participation in physical activities of the Canadian elderly population. In Berridge, M. E., and Ward, G. R. (Eds.), International Perspectives on Adapted Physical Activity. Human Kinetics, Champaign, IL.Google Scholar
- Reed, G. R. (1999). Adherence to exercise and the transtheoretical model of behavior change. In Bull, S. (Ed.), Adherence Issues in Sport & Exercise. John Wiley & Sons Ltd., England, pp. 19–45.Google Scholar
- Smith, N. L., Savage, P. J., Heckbert, S. R., Barzilay, J. I., Bittner, V. A., Kuller, L. H. et al. (2002). Glucose, blood pressure, and lipid control in older people with and without diabetes mellitus: The cardiovascular health study. J. Am. Geriatr. Soc. 50(3): 416–423.PubMedCrossRefGoogle Scholar
- Snoek, F. J. (2002). Breaking the barriers to optimal glycaemic control–what physicians need to know from patients' perspectives. Int. J. Clin. Prac. Suppl. 129: 80–84.Google Scholar
- Stephens, T., and Caspersen, C. J. (1994). The demography of physical activity. In Bouchard, C., and Shephard, R. J. (Eds.), Physical Activity, Fitness, and Health: International Proceedings and Consensus Statement. Human Kinetics, Champaign, IL, pp. 204–213.Google Scholar
- The Criteria Committee of the New York Heart Association (Ed.). (1994). Nomenclature and Criteria for Diagnosis of Diseases of the Heart and Great Vessels. Little, Brown & Co., Boston.Google Scholar