The purpose of this study was to examine changes in self-efficacy after attending a pulmonary rehabilitation program. Twenty-nine subjects with chronic obstructive pulmonary disease (COPD) were enrolled in the program, which was designed to increase patients' confidence in their own ability to manage or avoid breathing difficulty in certain situations. Results showed a significant improvement (p < .05) in scores on the COPD Self-Efficacy Scale between preprogram and postprogram attendance. These findings were still evident at 6 months following program attendance. Incorporation of self-efficacy theory should be considered in the rehabilitation of individuals with COPD.
Get full access to this article
View all access options for this article.
References
1.
Bandura, A.
(1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191-215.
2.
Bandura, A.
(1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice Hall.
3.
Beach, L. R.Campbell, F. L.
, & Townes, B. D. (1979). Subjective expected utility and the prediction of birth planning decisions. Organized Behavior and Human Performance, 24, 18-24.
4.
Bernier, M.
, & Avaid, J. (1986). Self-efficacy, outcome, and attrition in a weight reduction program. Cognitive Therapy and Research, 10, 319-338.
5.
Candiotte, M.
, & Lichensteinm, E. (1981). Self-efficacy and relapse in smoking cessation programs. Journal of Consulting Clinical Psychology, 19(5), 648-658.
6.
Connors, G.
, & Hilling, L. (1993). Guidelines for pulmonary rehabilitation programs (American Association of Cardiovascular and Pulmonary Rehabilitation). Champaign, IL: Human Kinetics Publishers.
7.
Fishman, A.
(1994). Pulmonary rehabilitation research. American Journal of Respiratory Critical Care Medicine, 149, 825-833.
8.
Jensen, K.
, Banwart, L., Venhaus, R., Popkess-Vawter, S., & Perkins, S. B. (1993). Advanced rehabilitation nursing care of coronary angioplasty patients using self-efficacy theory. Journal of Advanced Nursing, 18, 926-931.
9.
Kaplan, R.
, Atkins, C., & Reinsch, S. (1984). Specific efficacy expectations mediate exercise compliance in patients with COPD. Health Psychology, 3, 223-242.
10.
National Heart, Lung and Blood Institute fact book: Fiscal year 1990. (1991, February). Washington, DC: Department of Health and Human Services, Public Health Service, National Institutes of Health.
11.
Oether-Black, S. L.
, Hart, F., Hoffman, J., & Geary, S. (1992). Preoperative self-efficacy and postoperative behaviors. Applied Nursing Research, 5, 134-139.
12.
Redline, S.
(1991). The epidemiology of COPD. In N. S. Cherneack (Ed.), Chronic obstructive pulmonary disease (pp. 225-234). Philadelphia: W. B. Saunders.
13.
Rist, F.
, & Watzi, H. (1983). Self assessment of relapse risk and assertiveness in relation to treatment outcome of female alcoholics. Addictive Behavior, 8, 121-127.
14.
Stewart, K. J.
, Keleman, M. H., & Ewart, C. K. (1994). Relationships between self-efficacy and mood before and after exercise training. Journal of Cardiopulmonary Rehabilitation, 14(1), 35-42.
15.
Strecher, V.
, DeVellis, B., Becher, M., & Rosenstock, I. (1986). The role of self-efficacy in achieving health behavior change. Health Education Quarterly, 13(1), 73-92.
16.
Wigal, J.
, Creer, T., & Kotses, H. (1991). The COPD self-efficacy scale. Chest, 99, 1193-1196.
