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Journal of Health Psychology
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Self-efficacy for Exercise in Cardiac Rehabilitation

Review and Recommendations

Jennifer Woodgate

McMaster University, Canada, woodgat{at}mcmaster.ca

Lawrence R. Brawley

University of Saskatchewan, Canada, larry.brawley{at}usask.ca

Despite the numerous physical and psychosocial benefits of exercise for coronary heart disease survivors, non-adherence to cardiac rehabilitation (CR) exercise is a major problem. Adherence to the lifestyle behavior change associated with CR involves both physical and self-regulatory skills. While self-regulatory efficacy is clearly linked to exercise adherence and adjustment, the literature on the relationship between self-efficacy and exercise among CR participants has not been systematically reviewed. A search of relevant databases identified 41 CR studies. Few studies measured self-regulatory efficacy for actions that facilitate adherence. Most studies examined self-efficacy during the intensive center-based phase of CR, with little attention to long-term maintenance. The CR literature could benefit by examining (a) self-efficacy as a major rehabilitation outcome, (b) measurement of self-regulatory efficacy for behavior change, (c) suspected moderators of self-efficacy (i.e. gender, age), and (d) self-efficacy relative to maintenance.

Key Words: cardiac rehabilitation • exercise • physical activity • review • self-efficacy

Journal of Health Psychology, Vol. 13, No. 3, 366-387 (2008)
DOI: 10.1177/1359105307088141
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N. K. Mccorry, M. Corrigan, M. A. Tully, M. Dempster, B. Downey, and M. E. Cupples
Perceptions of exercise among people who have not attended cardiac rehabilitation following myocardial infarction
J Health Psychol, October 1, 2009; 14(7): 924 - 932.
[Abstract] [PDF]