Self-Efficacy and Its Sources as Determinants of Physical Activity among Older People

  • Lisa M. Warner
  • David P. French


Self-efficacy—the belief in being able to accomplish a task despite difficulties—is one of the most consistent predictors of physical activity initiation and maintenance in older adults. This chapter therefore first describes self-efficacy and its distinction from similar constructs and embeds self-efficacy within social cognitive theory where it was first described. The chapter then proposes techniques on how to prompt the sources of this important self-belief in older adults before closing with implications for practice in this area.


  1. Abraham, C., & Michie, S. (2008). A taxonomy of behavior change techniques used in interventions. Health Psychology, 27(3), 379–387.CrossRefGoogle Scholar
  2. Ajzen, I. (2002). Perceived behavioral control, self-efficacy, locus of control, and the theory of planned behavior. Journal of Applied Social Psychology, 32(4), 665–683. Scholar
  3. Alarcon, G. M., Bowling, N. A., & Khazon, S. (2013). Great expectations: A meta-analytic examination of optimism and hope. Personality and Individual Differences, 54(7), 821–827. Scholar
  4. Allender, S., Cowburn, G., & Foster, C. (2006). Understanding participation in sport and physical activity among children and adults: A review of qualitative studies. Health Education Research, 21(6), 826–835.CrossRefGoogle Scholar
  5. Ashford, S., Edmunds, J., & French, D. P. (2010). What is the best way to change self-efficacy to promote lifestyle and recreational physical activity? A systematic review with meta-analysis. British Journal of Health Psychology, 15(2), 265–288. Scholar
  6. Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191–215. Scholar
  7. Bandura, A. (1997). Self-efficacy: The exercise of control. New York: Freeman.Google Scholar
  8. Bandura, A. (2004). Health promotion by social cognitive means. Health Education & Behavior, 31(2), 143–164. Scholar
  9. Bandura, A. (2006). Guide for constructing self-efficacy scales. In F. Pajares & T. Urdan (Eds.), Self-efficacy beliefs of adolescents (Vol. 5, pp. 307–337). Greenwich: Information Age Publishing.Google Scholar
  10. Bauman, A. E., Reis, R. S., Sallis, J. F., Wells, J. C., Loos, R. J. F., & Martin, B. W. (2012). Correlates of physical activity: Why are some people physically active and others not? The Lancet, 380(9838), 258–271. Scholar
  11. Benight, C. C., & Bandura, A. (2004). Social cognitive theory of posttraumatic recovery: The role of perceived self-efficacy. Behaviour Research & Therapy, 42(10), 1129–1148. Scholar
  12. Booth, M. L., Owen, N., Bauman, A., Clavisi, O., & Leslie, E. (2000). Social-cognitive and perceived environment influences associated with physical activity in older Australians. Preventive Medicine: An International Journal Devoted to Practice and Theory, 31(1), 15–22. Scholar
  13. Carstensen, L. L. (1992). Social and emotional patterns in adulthood: Support for socioemotional selectivity theory. Psychology and Aging, 7(3), 331–338. Scholar
  14. Carstensen, L. L., & Mikels, J. A. (2005). At the intersection of emotion and cognition: Aging and the positivity effect. Current Directions in Psychological Science, 14(3), 117–121. Scholar
  15. Chan, C., & Cameron, L. (2012). Promoting physical activity with goal-oriented mental imagery: A randomized controlled trial. Journal of Behavioral Medicine, 35(3), 347–363. Scholar
  16. Cooke, R., Dahdah, M., Norman, P., & French, D. P. (2016). How well does the theory of planned behaviour predict alcohol consumption? A systematic review and meta-analysis. Health Psychology Review, 10(2), 148–167. Scholar
  17. Devereux-Fitzgerald, A., Powell, R., Dewhurst, A., & French, D. P. (2016). The acceptability of physical activity interventions to older adults: A systematic review and meta-synthesis. Social Science & Medicine, 158, 14–23. Scholar
  18. Fishbein, M., & Cappella, J. N. (2006). The role of theory in developing effective health communications. Journal of Communication, 56(Suppl 1), S1–S17. Scholar
  19. Fleig, L., Ashe, M. C., Voss, C., Therrien, S., Sims-Gould, J., McKay, H. A., & Winters, M. (2016). Environmental and psychosocial correlates of objectively measured physical activity among older adults. Health Psychology, 35(12), 1364–1372. Scholar
  20. French, D. P. (2013). The role of self-efficacy in changing health-related behaviour: Cause, effect or spurious association? British Journal of Health Psychology, 18(2), 237–243. Scholar
  21. French, D. P. (2015). Self-efficacy and health. In J. D. Wright (Ed.), International encyclopedia of the social and behavioral sciences (Vol. 21, 2nd ed., pp. 509–514). Oxford: Elsevier.CrossRefGoogle Scholar
  22. French, D. P., Cooke, R., McLean, N., Williams, M., & Sutton, S. (2007). What do people think about when they answer theory of planned behaviour questionnaires?: A ‘think aloud’ study. Journal of Health Psychology, 12(4), 672–687.CrossRefGoogle Scholar
  23. French, D. P., Olander, E., Chisholm, A., & Mc Sharry, J. (2014). Which behaviour change techniques are most effective at increasing older adults’ self-efficacy and physical activity behaviour? A systematic review. Annals of Behavioral Medicine, 48(2), 225–234. Scholar
  24. Hardy, J. (2006). Speaking clearly: A critical review of the self-talk literature. Psychology of Sport and Exercise, 7(1), 81–97. Scholar
  25. Higgins, T. J., Middleton, K. R., Winner, L., & Janelle, C. M. (2014). Physical activity interventions differentially affect exercise task and barrier self-efficacy: A meta-analysis. Health Psychology, 33(8), 891–903. Scholar
  26. Johnston, M., Dixon, D., Hart, J., Glidewell, L., Schröder, C., & Pollard, B. (2014). Discriminant content validity: A quantitative methodology for assessing content of theory-based measures, with illustrative applications. British Journal of Health Psychology, 19(2), 240–257. Scholar
  27. Judge, T. A., Erez, A., Bono, J. E., & Thoresen, C. J. (2002). Are measures of self-esteem, neuroticism, locus of control, and generalized self-efficacy indicators of a common core construct? Journal of Personality and Social Psychology, 83(3), 693–710. Scholar
  28. Kassavou, A., Turner, A., Hamborg, T., & French, D. P. (2014). Predicting maintenance of attendance at walking groups: Testing constructs from three leading maintenance theories. Health Psychology, 33(7), 752–756. Scholar
  29. Koeneman, M. A., Verheijden, M. W., Chinapaw, M. J. M., & Hopman-Rock, M. (2011). Determinants of physical activity and exercise in healthy older adults: A systematic review. International Journal of Behavioral Nutrition and Physical Activity, 8, 142–142.CrossRefGoogle Scholar
  30. Kraft, P., Rise, J., Sutton, S., & Røysamb, E. (2005). Perceived difficulty in the theory of planned behaviour: Perceived behavioural control or affective attitude? British Journal of Social Psychology, 44(3), 479–496. Scholar
  31. Lackner, J. M., Carosella, A. M., & Feuerstein, M. (1996). Pain expectancies, pain, and functional self-efficacy expectancies as determinants of disability in patients with chronic low back disorders. Journal of Consulting and Clinical Psychology, 64(1), 212–220. Scholar
  32. Levy, B. R., Slade, M. D., & Kasl, S. V. (2002). Longitudinal benefit of positive self-perceptions of aging on functional health. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 57(5), P409–P417. Scholar
  33. Luszczynska, A., & Schwarzer, R. (2015). Social-cognitive theory. In M. Conner & P. Norman (Eds.), Predicting and changing health behaviour (pp. 225–251). Maidenhead: McGraw Hill Open University Press.Google Scholar
  34. Maddux, J. E., & Rogers, R. W. (1983). Protection motivation and self-efficacy: A revised theory of fear appeals and attitude change. Journal of Experimental Social Psychology, 19(5), 469–479. Scholar
  35. Marlatt, G. A., & Gordon, J. R. (1985). Relapse prevention: Maintenance strategies in the treatment of addictive behaviors. New York: Guilford Press.Google Scholar
  36. McAuley, E., Jerome, G. J., Marquez, D. X., Elavsky, S., & Blissmer, B. (2003). Exercise self-efficacy in older adults: Social, affective, and behavioral influences. Annals of Behavioral Medicine, 25(1), 1–7. Scholar
  37. McAuley, E., Elavsky, S., Jerome, G. J., Konopack, J. F., & Marquez, D. X. (2005). Physical activity-related well-being in older adults: Social cognitive influences. Psychology and Aging, 20(2), 295–302.CrossRefGoogle Scholar
  38. McGowan, L. J., Devereux-Fitzgerald, A., Powell, R., & French, D. P. (in press). How acceptable do older adults find the concept of being physically active? A systematic review and meta-synthesis. International Review of Sport and Exercise Psychology, 1–24.Google Scholar
  39. Michie, S., Abraham, C., Whittington, C., McAteer, J., & Gupta, S. (2009). Effective techniques in healthy eating and physical activity interventions: A meta-regression. Health Psychology, 28(6), 690–701.
  40. Michie, S., Ashford, S., Sniehotta, F. F., Dombrowski, S. U., Bishop, A., & French, D. P. (2011). A refined taxonomy of behaviour change techniques to help people change their physical activity and healthy eating behaviours: The CALO-re taxonomy. Psychology & Health, 26(11), 1479–1498. Scholar
  41. Michie, S., Richardson, M., Johnston, M., Abraham, C., Francis, J., Hardeman, W., et al. (2013). The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: Building an international consensus for the reporting of behavior change interventions. Annals of Behavioral Medicine, 46(1), 81–95. Scholar
  42. Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change. New York: Guilford.Google Scholar
  43. Miller, C. H., Lane, L. T., Deatrick, L. M., Young, A. M., & Potts, K. A. (2007). Psychological reactance and promotional health messages: The effects of controlling language, lexical concreteness, and the restoration of freedom. Human Communication Research, 33(2), 219–240. Scholar
  44. Notthoff, N., & Carstensen, L. L. (2014). Positive messaging promotes walking in older adults. Psychology and Aging, 29(2), 329–341. Scholar
  45. O’Brien Cousins, S. (2000). “My heart couldn’t take it”: Older women’s beliefs about exercise benefits and risks. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 55(5), 283–294. Scholar
  46. O’Brien Cousins, S., & Gillis, M. M. (2005). “Just do it… before you talk yourself out of it”: The self-talk of adults thinking about physical activity. Psychology of Sport and Exercise, 6(3), 313–334. Scholar
  47. O’Brien Cousins, S., & Tan, M. (2002). Sources of efficacy for walking and climbing stairs among older adults. Physical & Occupational Therapy in Geriatrics, 20(3), 51–68. Scholar
  48. Olander, E. K., Fletcher, H., Williams, S., Atkinson, L., Turner, A., & French, D. P. (2013). What are the most effective techniques in changing obese individuals’ physical activity self-efficacy and behaviour: A systematic review and meta-analysis. International Journal of Behavioral Nutrition and Physical Activity, 10(1), 29–29. Scholar
  49. Perkins, H. Y., Baum, G. P., Taylor, C. L. C., & Basen-Engquist, K. M. (2009). Effects of treatment factors, comorbidities and health-related quality of life on self-efficacy for physical activity in cancer survivors. Psycho-Oncology, 18(4), 405–411. Scholar
  50. Perloff, R. M. (1993). The dynamics of persuasion. Hillsdale/England: Lawrence Erlbaum Associates.Google Scholar
  51. Prochaska, J. O., & DiClemente, C. C. (1982). Transtheoretical therapy: Toward a more integrative model of change. Psychotherapy: Theory, Research & Practice, 19(3), 276–288. Scholar
  52. Resnick, B. (2002). Geriatric rehabilitation: The influence of efficacy beliefs and motivation. Rehabilitation Nursing: The Official Journal of The Association of Rehabilitation Nurses, 27(4), 152–159.CrossRefGoogle Scholar
  53. Resnick, B., & Jenkins, L. S. (2000). Testing the reliability and validity of the self-efficacy for exercise scale. Nursing Research, 49(3), 154–159. Scholar
  54. Rhodes, R. E., & Pfaeffli, L. A. (2010). Mediators of physical activity behaviour change among adult non-clinical populations: A review update. International Journal of Behavioral Nutrition and Physical Activity, 7, 37. Scholar
  55. Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the health belief model. Health Education & Behavior, 15(2), 175–183. Scholar
  56. Scholes, S., & Mindell, J. (2013). Physical activity in adults. In R. Craig & J. Mindell (Eds.), Health survey for England 2012 (Vol. 1, pp. 1–49). London: Health and Social Care Information Centre.Google Scholar
  57. Schwarzer, R. (2008). Modeling health behavior change: How to predict and modify the adoption and maintenance of health behaviors. Applied Psychology, 57(1), 1–29. Scholar
  58. Schwarzer, R., & Knoll, N. (2007). Functional roles of social support within the stress and coping process: A theoretical and empirical overview. International Journal of Psychology, 42(4), 243–252. Scholar
  59. Schwarzer, R., & Renner, B. (2000). Social-cognitive predictors of health behavior: Action self-efficacy and coping self-efficacy. Health Psychology, 19(5), 487–495.CrossRefGoogle Scholar
  60. Schwarzer, R., & Warner, L. M. (2013). Perceived self-efficacy and its relationship to resilience. In S. Prince-Embury & D. H. Saklofske (Eds.), Resilience in children, adolescents, and adults: Translating research into practice (pp. 139–150). New York: Springer.CrossRefGoogle Scholar
  61. Shaughnessy, M., & Resnick, B. M. (2009). Using theory to develop an exercise intervention for patients post stroke. Topics in Stroke Rehabilitation, 16(2), 140–146. Scholar
  62. Skinner, E. A. (1996). A guide to constructs of control. Journal of Personality and Social Psychology, 71(3), 549–570. Scholar
  63. Staring, A. B. P., & Breteler, M. H. M. (2004). Decline in smoking cessation rate associated with high self-efficacy scores. Preventive Medicine, 39(5), 863–868. Scholar
  64. van Stralen, M. M., De Vries, H., Mudde, A. N., Bolman, C., & Lechner, L. (2009). Determinants of initiation and maintenance of physical activity among older adults: A literature review. Health Psychology Review, 3(2), 147–207. Scholar
  65. Vancouver, J. B., Thompson, C. M., Tischner, E. C., & Putka, D. J. (2002). Two studies examining the negative effect of self-efficacy on performance. Journal of Applied Psychology, 87(3), 506–516. Scholar
  66. Warner, L. M., & Schwarzer, R. (in press). Self-efficacy. In K. S. M. L. Robbins (Ed.), The Wiley encyclopedia of health psychology: Volume II, the social bases of health behavior. New York: Wiley-Blackwell.Google Scholar
  67. Warner, L. M., Schüz, B., Knittle, K., Ziegelmann, J. P., & Wurm, S. (2011). Sources of perceived self-efficacy as predictors of physical activity in older adults. Applied Psychology: Health and Well-Being, 3(2), 172–192. Scholar
  68. Warner, L. M., Schüz, B., Wolff, J. K., Parschau, L., Wurm, S., & Schwarzer, R. (2014). Sources of self-efficacy for physical activity. Health Psychology, 33(11), 1298–1308. Scholar
  69. Warner, L. M., Wolff, J. K., Spuling, S. M., & Wurm, S. (in press). Perceived somatic and affective barriers for self-efficacy and physical activity. Journal of Health Psychology.
  70. Williams, S. L., & French, D. P. (2011). What are the most effective intervention techniques for changing physical activity self-efficacy and physical activity behaviour-and are they the same? Health Education Research, 26(2), 308–322. Scholar
  71. Williams, D. M., & Rhodes, R. E. (2016). The confounded self-efficacy construct: Conceptual analysis and recommendations for future research. Health Psychology Review, 10(2), 113–128. Scholar
  72. Wise, J. B., & Trunnell, E. P. (2001). The influence of sources of self-efficacy upon efficacy strength. Journal of Sport & Exercise Psychology, 23(4), 268–280.CrossRefGoogle Scholar
  73. Wolff, J. K., Warner, L. M., Ziegelmann, J. P., & Wurm, S. (2014). What do targeting positive views on ageing add to a physical activity intervention in older adults? Results from a randomised controlled trial. Psychology & Health, 29(8), 915–932. Scholar
  74. Wood, R., & Bandura, A. (1989). Social cognitive theory of organizational management. Academy of Management Review, 14(3), 361–384.CrossRefGoogle Scholar
  75. Young, M. D., Plotnikoff, R. C., Collins, C. E., Callister, R., & Morgan, P. J. (2014). Social cognitive theory and physical activity: A systematic review and meta-analysis. Obesity Reviews, 15, 983–995. Scholar

Copyright information

© The Author(s) 2018

Authors and Affiliations

  • Lisa M. Warner
    • 1
    • 2
  • David P. French
    • 3
  1. 1.Department of Health Psychology and Social, Organization and Economic PsychologyFreie Universität BerlinBerlinGermany
  2. 2.Department of PsychologyMSB Medical School BerlinBerlinGermany
  3. 3.Manchester Centre for Health Psychology, School of Health SciencesUniversity of ManchesterManchesterUK

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