The Effect of Self-Efficacy and Outcome Expectations Training on the Enhancement of Physical Activities AmongWomen Suffering From Breast Cancer: An Evidence-Based Intervention
نویسندگان
1 Department of Health Education, Faculty of Health, Isfahan University of Medical Sciences, Isfahan, IR Iran
2 Department of Health Education, Faculty of Health, Isfahan University of Medical Sciences, Isfahan, IR Iran
3 Department of Vital Statistics, School of Health, Isfahan University of Medical Sciences, Isfahan, IR Iran
4 Entekhab Supportive and Palliative Care Center, Isfahan, IR Iran
5 Department of the English Language, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad, IR Iran
6 Entekhab Supportive and Palliative Care Center, Isfahan, IR Iran
7 Department of Clinical Oncology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IR Iran
doi
چکیده
Background: At present, women tend to have a longer life-expectancy after a diagnosis of breast cancer has been established, primarilydue to earlier diagnoses and advances in the treatment of cancer. Unfortunately, because of the complications of medicaltreatments, women saved from breast cancer experience a considerable level of disability. One of the complications of such treatmentsis the avoidance of physical activity.Objectives: The purpose of this study was to conduct a training intervention based on the constructs of self-efficacy and outcomeexpectations in order to enhance the physical activity levels of women suffering from breast cancer.Patients and Methods: The present research was a quasi-experimental study with a randomized control group conducted on 70womenwith a final diagnosis of breast cancer in Isfahan, Iran (35 patients in each group). The data collection instruments included:(1) Underlying factors questionnaire, (2) self-efficacy in physical activity and outcome expectations measurement, and (3) the InternationalPhysical Activity Questionnaire (IPAQ). After collection, the data were entered into SPSS version 19 software. To analyze thedata, statistical tests such as the independent t-test, paired t-test, chi-square, and analysis of covariance were used.Results: A significant increase in the self-efficacy and outcome expectations in the experimental group was observed one month afterthe training intervention, and the amount of physical activity showed a significant increase three months after the intervention(P < 0.05, t = 4.1), while the same figures in the control group did not indicate any significant change (P > 0.05, t = 0.2). In addition,changes in mean scores of self-efficacy (58.42.3), outcome expectations (11.31.3), and physical activity (418183.5) before andafter intervention were significant in the intervention group (P < 0.000).Conclusions: It seems that health education programs based on the assessment of the needs of the patients can positively affecttheir behavioral motivation and performance in physical activities.
