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Self-regulatory efficacy for exercise in cardiac rehabilitation: Review and recommendations for measurement.
Rehabilitation Psychology ( IF 1.9 ) Pub Date : 2020-08-01 , DOI: 10.1037/rep0000361
Sean R Locke 1 , Casey J McMahon 2 , Lawrence R Brawley 2
Affiliation  

PURPOSE Self-regulatory efficacy (SRE) is a psychological resource necessary for cardiac rehabilitation (CR) exercise adoption and maintenance. A 2008 review of self-efficacy for CR exercise identified the need for more high-quality research on SRE. The present review had 4 purposes: (a) to review the characteristics of empirical SRE and CR exercise research since 2008; (b) to examine the quality of SRE measurement; (c) to determine whether varying quality of SRE measurement moderated the relationship between SRE, exercise, and CR social cognitions; and (d) to make recommendations for better measurement for future research. METHOD An initial search of 766 possible studies identified 29 for review. These included individuals engaged in or completing CR where SRE for exercise and relevant outcomes was assessed. Meta-analysis examined whether SRE measurement quality was associated with the magnitude of effects observed and to determine potential moderation by quality. RESULTS There were 11 unique operationalizations of SRE for exercise. Problematic factors included: non-SRE variables assessed as the construct, using global versus specific measures, and lack of a time frame over which SRE applied. Effect size was related to stronger relationships as level of study and measurement quality increased. CONCLUSION Since 2008, an increase in studies examining SRE and CR exercise was observed. To advance SRE and CR exercise research, measurement and research quality improvements are recommended that have implications for future mediation and CR intervention assessment. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译:

心脏康复运动的自我调节功效:评估和测量建议。

目的自我调节效能 (SRE) 是心脏康复 (CR) 运动采用和维持所必需的心理资源。2008 年对 CR 练习自我效能的审查确定了对 SRE 进行更多高质量研究的必要性。本次审查有 4 个目的:(a) 审查自 2008 年以来实证 SRE 和 CR 练习研究的特征;(b) 检查 SRE 测量的质量;(c) 确定不同质量的 SRE 测量是否调节了 SRE、运动和 CR 社会认知之间的关系;(d) 为更好地衡量未来研究提出建议。方法 对 766 项可能的研究的初步搜索确定了 29 项进行审查。这些包括参与或完成 CR 的个人,其中评估了运动的 SRE 和相关结果。荟萃分析检查了 SRE 测量质量是否与观察到的影响程度相关,并通过质量确定潜在的调节作用。结果 有 11 种独特的 SRE 操作用于锻炼。有问题的因素包括:作为构造评估的非 SRE 变量、使用全局与特定措施以及缺乏 SRE 应用的时间框架。随着研究水平和测量质量的提高,效应大小与更强的关系有关。结论 自 2008 年以来,观察到检查 SRE 和 CR 练习的研究有所增加。为了推进 SRE 和 CR 练习研究,建议改进测量和研究质量,这对未来的调解和 CR 干预评估有影响。(PsycInfo 数据库记录 (c) 2020 APA,保留所有权利)。
更新日期:2020-08-01
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