Cardiovascular Management Self-efficacy: Psychometric Properties of a New Scale and Its Usefulness in a Rehabilitation C
- PDF / 496,361 Bytes
- 15 Pages / 595.276 x 790.866 pts Page_size
- 8 Downloads / 147 Views
ORIGINAL ARTICLE
Cardiovascular Management Self-efficacy: Psychometric Properties of a New Scale and Its Usefulness in a Rehabilitation Context Patrizia Steca, Ph.D. & Andrea Greco, Ph.D. & Erika Cappelletti, M.Sc. & Marco D’Addario, Ph.D. & Dario Monzani, Ph.D. & Luca Pancani, M.Sc. & Giovanni Ferrari, MD & Alessandro Politi, MD & Roberta Gestra, MD & Gabriella Malfatto, MD & Gianfranco Parati, MD
# The Society of Behavioral Medicine 2015
Abstract Background Self-efficacy beliefs have been shown to affect various effective health-promoting behaviors in patients. Unfortunately, availability of reliable and valid measures of self-efficacy in cardiovascular diseases (CVDs) is still very limited. Purpose The aims of this study were to present a new scale measuring self-efficacy beliefs in managing CVD and to examine its psychometric properties. Methods The study involved 172 patients (mean age = 66.4 years; SD=9.99 years; 76.2 % men) undergoing cardiovascular rehabilitation. Various psychological factors and CVD severity indicators were collected.
P. Steca : A. Greco (*) : E. Cappelletti : M. D’Addario : D. Monzani : L. Pancani Department of Psychology, University of Milan “Bicocca”, Piazza Ateneo Nuovo 1, 20126 Milano, Italy e-mail: [email protected] G. Ferrari Recovery and Functional Rehabilitation Department – Cardiac Rehabilitation, Villa Aprica Hospital, Gruppo Ospedaliero San Donato, Como, Italy A. Politi : R. Gestra Department of Cardiology, Moriggia-Pelascini Hospital, Italia Hospital, Gravedona, CO, Italy G. Malfatto : G. Parati Department of Cardiology, S. Luca Hospital, Istituto Auxologico Italiano, Milano, Italy G. Parati Department of Clinical Medicine and Prevention, University of Milan “Bicocca”, Milano, Italy
Results An Exploratory Structural Equation Model showed that the Cardiovascular Management Self-efficacy Scale has three factors: Cardiac Risk Factors, Adherence to Therapy, and Recognition of Symptoms. They all showed high internal consistency, and good convergent, discriminant, and predictive validity. Furthermore, these factors showed significant relations with CVD severity indicators. Conclusions The Cardiovascular Management Self-efficacy Scale could be a helpful instrument to monitor differences during interventions to improve good disease management. Keywords Self-efficacy beliefs . Cardiovascular disease severity . Impairment in daily functioning . Medication adherence . Personality characteristics . Anxiety . Depression . Illness perception
In recent decades, several studies have shown that the manifestation and clinical evolution of cardiovascular diseases (CVDs) are related to a range of negative (e.g., anger, hostility, anxiety, and depression) and positive psychosocial factors (e.g., social support, optimism, and sense of coherence) [1–16]. Guidelines for cardiovascular rehabilitation (CR), such as the American and European CR guidelines [17, 18], as well as the most recent European Society of Cardiology guidelines on CVD prevention [19], underline the importance of focusin
Data Loading...
