Online Program

Improving Exercise Intentions for People Diagnosed with End-Stage-Renal Disease: The Importance of Brief In-Patient Social Cognitive-based Approaches

Monday, November 2, 2015

Rodney G. Bowden, PhD, Robbins College of Health and Human Sciences, Baylor University, Waco, TX
M. Renée Umstattd Meyer, PhD, MCHES, Department of Health, Human Performance, & Recreation, Baylor University, Waco, TX
Mallory Furmeister Daughtery, DPT, Providence Healthcare Network, TX
Kurt Von Ahn, DPT, Providence Hospital
Cindy Salazar, Baylor University
Ronald Wilson, MD, Internal Medicine, Baylor Scott & WHite, Waco, TX
Low-levels of physical activity (PA) are ubiquitous among End-Stage-Renal Disease (ESRD) patients and sustaining PA in this population is challenging. Given the absence of theoretically-supported approaches of research in this area and the high costs of such interventions, case-study methods are needed. The purpose of this study was to examine the effectiveness of an in-patient social cognitive theory (SCT)-tailored intervention to improve PA antecedents of an ESRD patient. Methods: During a brief in-patient session in a hospital-based dialysis unit, a physical therapist tailored discussion about PA with the participant using SCT constructs, while the participant completed two intradialytic exercise (IDE) bouts using a leg ergometer to improve self-efficacy, PA skills, and reduce fear (15-minutes of continuous activity, 15-minutes of rest, 15-minutes of continuous activity). Self-report pre/post-surveys were completed, including PA self-efficacy, chronic disease self-efficacy, outcome expectations, intention to exercise, and fear-avoidance. Results: Positive changes in scores occurred with intention to exercise in the next three months (D=250%), intention to exercise next month (D=75%), fear-avoidance (D=40%), intention to exercise next week (D=20%), chronic disease self-efficacy (D=20%), general PA self-efficacy (D=5.7%), and PA outcome expectations (D=5.6%). Conclusions: Participation in a SCT-tailored intervention incorporating IDE led to improvements in self-efficacy, outcome expectations, and intention to engage in PA. This case study supports further examination of brief in-patient SCT-tailored interventions with IDE to increase PA among those diagnosed with ESRD. Exposure to brief exercise bouts may lead to increased levels of self-efficacy, intention, and subsequently PA for people diagnosed with ESRD post in-patient care.

Learning Areas:

Administer health education strategies, interventions and programs

Learning Objectives:
Identify antecedents to exercise behavior in ESRD patients Demonstrate how the social cognitive theory can inform exercise interventions in ESRD patients Define the social cognitive theory

Keyword(s): Adherence, Behavioral Research

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: PI for this study
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.