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Self-efficacy and physical activity in adolescents with trivial, mild, or moderate congenital cardiac malformations

Published online by Cambridge University Press:  19 August 2008

Galit Bar-Mor ,
Yoram Bar-Tal ,
Tamar Krulik  and
Benjamin Zeevi
Galit Bar-Mor*
Affiliation:
Cardiology Institute, Schneider Children's Medical Center of Israel;
Yoram Bar-Tal
Affiliation:
Nursing Department, Sackler Faculty of Medicine, Tel-Aviv University, Israel
Tamar Krulik
Affiliation:
Nursing Department, Sackler Faculty of Medicine, Tel-Aviv University, Israel
Benjamin Zeevi
Affiliation:
Cardiology Institute, Schneider Children's Medical Center of Israel;
*
Galit Bar-Mor, Nursing Administration, 14 Kaplan St, Petach-Tiqva 49202, Israel. Tel: 972-3-6969631; Fax: 972-3-6969687, Email: [email protected] il (home); gbar-mor@clalit CO il (work)
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Abstract

Our purpose was to examine the cognitive processes that influence involvement in physical activity among 100 adolescents, 55 boys and 45 girls, ranging in age from 12 to 18 years, with trivial, mild, or moderate forms of congenital cardiac disease. We hypothesized, first, that the severity of the congenital cardiac malformation itself has an indirect effect on self-efficacy regarding physical activity, and that the relationship between the two is mediated by the recommendations of the cardiologist and the attitude of the mother. Second, we argued that self-efficacy serves as a mediating variable between the recommendations of the cardiologist and the attitude of the mother, on the one hand, and involvement in physical activity, on the other. The results confirmed both hypotheses. In a population of adolescents with trivial to moderate congenital cardiac malformations, beliefs in self-efficacy, rather than severity of the disease, were the most influential factors in determining whether or not adolescents will engage in sports or other physical activities. We also demonstrated the importance of the role played by the recommendations of the cardiologist in determining both the attitudes of the mother and the belief in self-efficacy of the adolescents.

Keywords

Self-efficacyphysical activity, congenital cardiac malformationsadolescents
Type
Original Articles
Information
Cardiology in the Young , Volume 10 , Issue 6 , November 2000 , pp. 561 - 566
Copyright
Copyright © Cambridge University Press 2000

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