BACKGROUND: It is important that patients with vascular diseases adopt a healthy lifestyle so as to reduce vascular risk. Since self-efficacy is an important precondition for health behavior change in patients with chronic disease, we investigated whether self-efficacy was associated with cardiovascular lifestyle in patients with clinical manifestations of vascular diseases. METHODS AND DESIGN: In this observational cohort study, 125 patients who had recently been referred for cerebrovascular disease, coronary heart disease, or peripheral arterial disease participated in a 1-year self-management intervention. They completed a self-efficacy questionnaire and questions about their cardiovascular lifestyle at baseline and after 1 year. Logistic regression analyses were performed to quantify the impact of change in self-efficacy on physical activity, smoking behavior, alcohol consumption, and food choices. RESULTS: Improved self-efficacy was associated with improved adherence to guidelines for physical activity (OR 3.5, 95%CI 1.0-11.0) and food choices (B 0.15, 95%CI 0.00-0.31). No such improvement was seen regarding adherence to guidelines for smoking or alcohol intake. CONCLUSION: In patients with vascular diseases, improvements in self-efficacy are associated with an improvement in cardiovascular lifestyle, namely, more exercise and better food choices.
BACKGROUND: It is important that patients with vascular diseases adopt a healthy lifestyle so as to reduce vascular risk. Since self-efficacy is an important precondition for health behavior change in patients with chronic disease, we investigated whether self-efficacy was associated with cardiovascular lifestyle in patients with clinical manifestations of vascular diseases. METHODS AND DESIGN: In this observational cohort study, 125 patients who had recently been referred for cerebrovascular disease, coronary heart disease, or peripheral arterial disease participated in a 1-year self-management intervention. They completed a self-efficacy questionnaire and questions about their cardiovascular lifestyle at baseline and after 1 year. Logistic regression analyses were performed to quantify the impact of change in self-efficacy on physical activity, smoking behavior, alcohol consumption, and food choices. RESULTS: Improved self-efficacy was associated with improved adherence to guidelines for physical activity (OR 3.5, 95%CI 1.0-11.0) and food choices (B 0.15, 95%CI 0.00-0.31). No such improvement was seen regarding adherence to guidelines for smoking or alcohol intake. CONCLUSION: In patients with vascular diseases, improvements in self-efficacy are associated with an improvement in cardiovascular lifestyle, namely, more exercise and better food choices.
Authors: Mariam Kashani; Arn H Eliasson; Elaine M Walizer; Clarie E Fuller; Renata J Engler; Todd C Villines; Marina N Vernalis Journal: Glob J Health Sci Date: 2016-09-01
Authors: Saskia Puijk-Hekman; Betsie Gi van Gaal; Sebastian Jh Bredie; Maria Wg Nijhuis-van der Sanden; Sandra van Dulmen Journal: JMIR Res Protoc Date: 2017-02-08