Perceived self-efficacy and empowerment in patients at increased risk of sudden cardiac arrest

Davies, Brianna; Allan, Katherine S.; Carroll, Sandra; Gibbs, Karen; Roberts, Jason D.; MacIntyre, Ciorsti; Steinberg, Christian; Tadros, Rafik; Dorian, Paul; Healey, Jeffrey S.; Gardner, Martin; Laksman, Zachary; Krahn, Andrew D.; Fournier, Anne; Seifer, Colette; Lauck, Sandra

doi:10.3389/fcvm.2023.955060

Cited by 3 publications

(2 citation statements)

References 57 publications

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“…This unexpected outcome invites a reconsideration of assumptions regarding gender and self-efficacy in medical treatment contexts (27). It highlights the complexity of confidence as a psychological construct and its interaction with gender in the realm of cardiac care (28).…”

Section: Discussionmentioning

confidence: 99%

Treatment Motivation and Hopelessness among Cardiac Patients

Ijaz,

Kanwal,

Javed

et al. 2024

JHRR

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Background: Cardiac patients' adherence to treatment regimens is crucial for their recovery and well-being. The role of psychological factors, including treatment motivation and hopelessness, in influencing treatment outcomes has gained increasing attention. Gender differences in these psychological aspects may have implications for tailoring patient care strategies. Objective: This study aimed to explore the differences in treatment motivation and hopelessness between male and female cardiac patients and to examine how these factors are related to demographic variables such as age, gender, education, and income. Methods: A total of 150 cardiac patients from the C-P-E Institute of Cardiology Multan were selected through purposive sampling for this cross-sectional study. The Treatment Motivation Questionnaire (TMQ) and the Beck Hopelessness Scale (BHS) were administered to assess treatment motivation and hopelessness, respectively. Data on demographic variables were also collected. Statistical analysis included mean, standard deviation, and t-tests. Results: The study found no significant difference in external motivation between females (mean=2.09, SD=0.35) and males (mean=2.02, SD=0.32, p=0.158). Internal motivation was significantly higher in males (mean=2.33, SD=0.27) compared to females (mean=2.23, SD=0.25, p=0.023). Help-seeking behavior was more prevalent in males (mean=2.45, SD=0.45) than in females (mean=2.28, SD=0.45, p=0.04). No significant difference was observed in confidence and overall treatment motivation between genders. Hopelessness was significantly higher in males (mean=12.05, SD=1.91) than in females (mean=11.43, SD=1.94, p=0.047). Conclusion: The study underscored significant gender differences in internal motivation and help-seeking behavior among cardiac patients, with males displaying higher levels of both. Additionally, males exhibited greater hopelessness than females. These findings suggest the need for gender-specific interventions to enhance treatment motivation and address hopelessness in cardiac patients.

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Section: Discussionmentioning

confidence: 99%

Treatment Motivation and Hopelessness among Cardiac Patients

Ijaz,

Kanwal,

Javed

et al. 2024

JHRR

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“…Self-efficacy is relevant to the development of the ability to engage in and sustain positive health behaviors [26], whereas empowerment is about gaining control over health decisions [10]. According to Davies et al [27], self-efficacy and empowerment are different and not interchangeable concepts; they could be associated with each other in fostering healthy behavior. Therefore, we propose the following:…”

Section: Self-efficacymentioning

confidence: 99%

Empowerment Enabled by Information and Communications Technology and Intention to Sustain a Healthy Behavior: Survey of General Users

Alluhaidan,

Chatterjee,

Drew

et al. 2023

JMIR Hum Factors

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Background Most people with chronic conditions fail to adhere to self-management behavioral guidelines. In the last 2 decades, several mobile health apps and IT-based systems have been designed and developed to help patients change and sustain their healthy behaviors. However, these systems often lead to short-term behavior change or adherence while the goal is to engage the population toward long-term behavior change. Objective This study aims to contribute to the development of long-term health behavior changes or to help people sustain their healthy behavior. For this purpose, we built and tested a theoretical model that includes enablers of empowerment and an intention to sustain a healthy behavior when patients are assisted by information and communications technology. Methods Structural equation modeling was used to analyze 427 survey returns collected from a diverse population of participants and patients. Notably, the model testing was performed for physical activity as a generally desirable healthy goal. Results Message aligned with personal goals, familiarity with technology tools, high self-efficacy, social connection, and community support played a significant role (P<.001) in empowering individuals to maintain a healthy behavior. The feeling of being empowered exhibited a strong influence, with a path coefficient of 0.681 on an intention to sustain healthy behavior. Conclusions The uniqueness of this model is its recognition of needs (ie, social connection, community support, and self-efficacy) to sustain a healthy behavior. Individuals are empowered when they are assisted by family and community, specifically when they possess the knowledge, skills, and self-awareness to ascertain and achieve their goals. This nascent theory explains what might lead to more sustainable behavior change and is meant to help designers build better apps that enable people to conduct self-care routines and sustain their behavior.

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Empowerment Enabled by Information and Communications Technology and Intention to Sustain a Healthy Behavior: Survey of General Users (Preprint)

Alluhaidan¹,

Chatterjee²,

Drew³

et al. 2023

Preprint

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BACKGROUND Most people with chronic conditions failed to adhere to self-management behavioral guidelines. In the last two decades, several mHealth apps and IT-based systems have been designed and developed to help patients change and sustain their healthy behaviors. Yet, these systems often lead to short-term behavior change or adherence while the goal is to engage the population towards long-term behavior change. OBJECTIVE In this research we aimed to contribute to the development of long-term health behavior change or to help people sustain their healthy behavior. For that purpose, we built and tested a theoretical model that includes enablers of empowerment and an intention to sustain a healthy behavior when patients are assisted by Information and Communication Technology (ICT). This nascent theory explains what might lead to more sustainable behavior change and is meant to help designers build better apps that help patients with a chronic condition to conduct self-care routines. METHODS Structural Equation Modeling (SEM) was used to analyze 427 survey returns collected from a diverse population of subjects and patients. Notably, the model testing was done for physical activity as a general desirable healthy goal. RESULTS Message aligned with personal goals, familiarity with technology tools, high self-efficacy, social connection, and community support play a significant role in empowering individuals to maintain a healthy behavior. When individuals feel empowered, they exhibit higher intention to sustain the behavior. CONCLUSIONS The uniqueness of this model is its recognition of needs (i.e., social connection, community support, and self-efficacy) to sustain a healthy behavior. Individuals are empowered when they are assisted by family and community, specifically when they are in possession of the knowledge, skills, and self-awareness to ascertain and achieve their goals.

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Perceived self-efficacy and empowerment in patients at increased risk of sudden cardiac arrest

Cited by 3 publications

References 57 publications

Treatment Motivation and Hopelessness among Cardiac Patients

Treatment Motivation and Hopelessness among Cardiac Patients

Empowerment Enabled by Information and Communications Technology and Intention to Sustain a Healthy Behavior: Survey of General Users

Empowerment Enabled by Information and Communications Technology and Intention to Sustain a Healthy Behavior: Survey of General Users (Preprint)

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