Background
Methods
Assessment of social-cognitive determinants
Statistical analysis
Results
N= 278 | |
---|---|
Male | 26.3% (73) |
Female | 73.7% (205) |
Age, years | 36.2 ± 10.1 |
Professional experience, years | 8.58 ± 7.70 |
Completed Bachelor's degree in nursing or physiotherapy | 37.8% (105) |
Completed or currently acquiring a degree above Bachelor's level | 31.3% (87) |
Completed or currently acquiring a Master's degree in nursing or physiotherapy | 30.9% (86) |
Consultation time devoted to health education | 60.4% |
Average number of consultations with one patient | 10.1 ± 12.2 |
Minimum number of consultations with one patient | 3.69 ± 4.23 |
N= 278 | BehT2 | IntT1 | Att | PBC | SN | DN | MN | Hab | Barr |
---|---|---|---|---|---|---|---|---|---|
Behavior Time 2 | BehT2 | ||||||||
Intention Time 1 | .44*** | IntT1 | |||||||
Attitude | .27*** | .59*** | Att | ||||||
Perceived behavioral control | .28*** | .41*** | .43*** | PBC | |||||
Subjective norms | .25*** | .45*** | .43*** | .43*** | SN | ||||
Descriptive norms | .29*** | .25*** | .25*** | .34*** | .50*** | DN | |||
Moral norms | ns | .14* | ns | ns | ns | ns | MN | ||
Habit | .30*** | .27*** | .16** | .40*** | .19** | .21** | ns | Hab | |
Barriers | -.40*** | -.38*** | -.39*** | -.42*** | -.40*** | -.33*** | ns | -.37*** | Barr |
Mean | 5.77 | 6.20 | 6.18 | 5.04 | 5.63 | 4.86 | 5.57 | 5.29 | 2.64 |
SD | 0.91 | 0.94 | 0.60 | 0.60 | 0.77 | 0.72 | 1.13 | 1.26 | 1.00 |
Range | 1-7 | 1-7 | 1-7 | 1-7 | 1-7 | 1-7 | 1-7 | 1-7 | 1-7 |
Congruence between healthcare professionals' intention and behavior
N = 199
| Behavior T2 | ||
---|---|---|---|
Encouragement | No encouragement | Total | |
Intention high T1 | 69.9 (79)
39.7
| 26.7 (23)
11.5
| 51.3 (102) |
Intention low T1 | 30.1 (34)
17.1
| 73.3 (63)
31.7
| 48.7 (97) |
Total | 56.8 (113) | 43.2 (86) |
Item | Intention T1 | Behavior T2 | |||
---|---|---|---|---|---|
Low | High | No encouragement | Encouragement | ||
I |
Behavior
| 5.35 ± 0.93 | 6.23 ± .0.69*** | 4.92 ± 0.68 | 6.42 ± .0.36*** |
1 Do you encourage cardiovascular patients to become physically active? | 5.75 ± 0.98 | 6.63 ± 0.64*** | 5.39 ± 0.89 | 6.74 ± 0.44*** | |
2 In the past month, how many of your cardiovascular patients did you encourage to become physically active? (none-all) | 5.00 ± 1.24 | 5.87 ± 0.97*** | 4.45 ± 1.10 | 6.12 ± 0.57*** | |
II |
Intention
| 5.21 ± 0.78 | 6.97 ± 0.07*** | 5.76 ± 0.99 | 6.52 ± 0.70*** |
1 Do you intend to encourage cardiovascular patients to become physically active tomorrow and the day after tomorrow? | 5.34 ± 0.92 | 7.00 ± 0.00*** | 5.83 ± 1.06 | 6.56 ± 0.84*** | |
2 Do you expect to encourage cardiovascular patients to become physically active tomorrow and the day after tomorrow? | 5.22 ± 1.00 | 7.00 ± 0.00*** | 5.79 ± 1.21 | 6.46 ± 0.85*** | |
3 Of the first 10 cardiovascular patients you see, how many do you intend to encourage to become physically active? | 5.08 ± 1.39 | 6.92 ± 0.22*** | 5.63 ± 1.47 | 6.55 ± 0.85*** | |
III |
Attitude
| 5.81 ± 0.62 | 6.48 ± 0.43*** | 6.06 ± 0.62 | 6.27 ± 0.56** |
1 Encouraging cardiovascular patients is very useful - very useless | 5.70 ± 1.07 | 6.68 ± 0.68*** | 6.08 ± 0.97 | 6.38 ± 0.96* | |
2 In my view, encouraging cardiovascular patients to become physically active is very good - very bad | 6.17 ± 0.72 | 6.68 ± 0.58*** | 6.33 ± 0.71 | 6.54 ± 0.67* | |
3 Is it useful to explain the relationship between the specific health problem and physical inactivity? (very useful-not useful at all) | 6.07 ± 0.86 | 6.57 ± 0.78*** | 6.21 ± 0.80 | 6.41 ± 0.94 | |
Is it useful to assess patients' motivation to become physically active? | 5.87 ± 1.03 | 6.24 ± 1.05* | 6.07 ± 0.96 | 6.05 ± 1.17 | |
Is it useful to assess the pros and cons of physical activity? | 5.40 ± 1.05 | 5.89 ± 1.08** | 5.65 ± 1.07 | 5.64 ± 1.22 | |
Is it useful to teach patients how to resist social pressure regarding physical activity? | 5.10 ± 1.28 | 5.74 ± 0.89*** | 5.37 ± 1.16 | 5.46 ± 1.06 | |
Is it useful to teach patients specific skills pertaining to physical activity? | 5.28 ± 1.15 | 6.11 ± 0.90*** | 5.46 ± 1.11 | 5.90 ± 1.10** | |
Is it useful to teach patients how to handle barriers in regard physical activity? | 5.46 ± 1.11 | 6.02 ± 0.87*** | 5.77 ± 0.99 | 5.74 ± 1.16 | |
Is it useful to formulate physical activity goals together with patients? | 5.73 ± 1.11 | 6.17 ± 0.95** | 5.92 ± 0.99 | 5.96 ± 1.14 | |
Is it useful to teach patients how to handle relapses in physical activity? | 5.66 ± 0.93 | 6.13 ± 0.88*** | 5.79 ± 0.97 | 6.04 ± 0.85* | |
IV |
Perceived behavioral control
| 4.76 ± 0.56 | 5.36 ± 0.53*** | 4.89 ± 0.57 | 5.15 ± 0.57*** |
1 Do you think that you have the skills and knowledge to encourage cardiovascular patients to become physically active? | 5.35 ± 1.00 | 6.18 ± 0.84*** | 5.50 ± 0.97 | 5.93 ± 0.93** | |
2 Do you think you can rely on your skills and knowledge to encourage cardiovascular patients to become physically active? | 5.52 ± 1.05 | 6.39 ± 0.74*** | 5.68 ± 0.92 | 6.09 ± 0.98** | |
3 Encouraging every cardiovascular patient to become physically active is very difficult-very easy | 3.83 ± 1.18 | 4.37 ± 1.22** | 3.96 ± 1.15 | 4.12 ± 1.24 | |
4 It is very easy-very difficult to explain the relationship between the specific health problem and physical inactivity | 5.27 ± 1.03 | 5.59 ± 1.00* | 5.22 ± 0.99 | 5.55 ± 0.95** | |
It is very easy-very difficult to assess patients' motivation to become physically active. | 4.30 ± 1.19 | 4.79 ± 1.14** | 4.45 ± 1.10 | 4.54 ± 1.19 | |
It is very easy-very difficult to assess the pros and cons of physical activity. | 4.66 ± 1.04 | 5.04 ± 1.05** | 4.84 ± 0.94 | 4.79 ± 1.06 | |
It is very easy-very difficult to teach patients how to resist social pressure regarding physical activity. | 3.67 ± 1.16 | 3.96 ± 1.20 | 3.73 ± 1.11 | 3.76 ± 1.16 | |
It is very easy-very difficult to teach patients specific skills pertaining to physical activity. | 4.69 ± 1.12 | 4.97 ± 1.12 | 4.71 ± 1.09 | 4.88 ± 1.10 | |
It is very easy-very difficult to teach patients how to handle barriers to physical activity. | 4.06 ± 1.12 | 4.37 ± 1.09* | 3.95 ± 1.04 | 4.33 ± 1.06** | |
It is very easy-very difficult to formulate physical activity goals together with patients. | 4.93 ± 0.93 | 5.08 ± 1.07 | 4.90 ± 0.99 | 5.00 ± 1.04 | |
It is very easy-very difficult teach patients how to handle relapses in physical activity. | 3.97 ± 1.08 | 4.18 ± 1.22 | 3.93 ± 1.15 | 4.03 ± 1.10 | |
V |
Subjective norms
| 5.28 ± 0.73 | 5.95 ± 0.65*** | 5.43 ± 0.78 | 5.77 ± 0.73*** |
1 Most colleagues who are important to me think I should encourage cardiovascular patients to become physically active. | 4.97 ± 1.31 | 5.82 ± 1.37*** | 5.20 ± 1.22 | 5.56 ± 1.51* | |
2 Most colleagues value that I encourage cardiovascular patients to become physically active. | 5.45 ± 0.87 | 6.18 ± 0.99*** | 5.65 ± 0.95 | 5.99 ± 1.00** | |
3 Patients value that I encourage them to become physically active. | 4.99 ± 0.90 | 5.32 ± 0.98* | 5.04 ± 0.99 | 5.27 ± 0.90 | |
4 The organization I work for values that I encourage cardiovascular patients to become physically active. | 5.71 ± 1.08 | 6.51 ± 0.77*** | 5.86 ± 1.08 | 6.30 ± 0.93** | |
VI |
Descriptive norms
| 4.66 ± 0.71 | 5.04 ± 0.67*** | 4.70 ± 0.74 | 5.00 ± 0.66** |
1 Do you encourage more cardiovascular patients to engage in physical activity than your colleagues do? | 4.32 ± 0.99 | 4.75 ± 1.13** | 4.42 ± 0.99 | 4.66 ± 1.09 | |
2 Do you encourage more cardiovascular patients to engage in physical activity than professionals that have the same academic background as you do? | 4.35 ± 0.67 | 4.71 ± 0.73*** | 4.41 ± 0.70 | 4.66 ± 0.74** | |
3 Most colleagues encourage patients to engage in physical activity themselves. | 5.45 ± 1.16 | 5.93 ± 1.05** | 5.51 ± 1.15 | 5.86 ± 1.12* | |
4 Do you consult colleagues when you experience problems encouraging cardiovascular patients to become physically active? | 4.53 ± 1.48 | 4.82 ± 1.32 | 4.50 ± 1.42 | 4.83 ± 1.37 | |
VII |
Moral norm
| 5.41 ± 0.87 | 5.75 ± 1.25* | 5.46 ± 0.94 | 5.62 ± 1.24 |
1 Encouraging patients to engage in physical activity is my professional duty. | 5.61 ± 1.04 | 6.12 ± 1.31** | 5.72 ± 1.02 | 5.87 ± 1.44 | |
2 Encouraging patients to engage in physical activity is a moral obligation. | 4.77 ± 1.45 | 5.11 ± 1.60 | 4.85 ± 1.39 | 4.99 ± 1.61 | |
3 Encouraging patients to engage in physical activity is an obvious part of my job. | 5.87 ± 0.88 | 6.03 ± 1.59 | 5.81 ± 1.18 | 6.02 ± 1.38 | |
VIII |
Habit
| 4.90 ± 1.21 | 5.64 ± 1.15*** | 4.87 ± 1.35 | 5.51 ± 1.10*** |
1 Encouraging patients to be physically active is something I do without thinking. | 4.57 ± 1.60 | 5.44 ± 1.58*** | 4.55 ± 1.67 | 5.25 ± 1.55** | |
2 Encouraging patients to be physically active is something I do automatically | 5.25 ± 1.11 | 5.86 ± 1.02*** | 5.21 ± 1.34 | 5.79 ± 0.94*** | |
IX |
Barriers
| 3.05 ± 0.89 | 2.24 ± 0.99*** | 2.96 ± 0.87 | 2.43 ± 0.99*** |
1 I encourage patients to become physically active even when I am busy (no, certainly not-yes, certainly). | 2.74 ± 1.17 | 2.02 ± 1.10*** | 2.69 ± 1.13 | 2.12 ± 1.12*** | |
2 I encourage patients to become physically active even when my organization makes it difficult to encourage patients. | 3.31 ± 1.13 | 2.46 ± 1.24*** | 3.16 ± 1.08 | 2.69 ± 1.24** |
Intention and behavior predicted by social-cognitive variables
N =278 | Intention T1 | Behavior T2 | ||
---|---|---|---|---|
r
| β |
r
| β | |
Intention | .44*** | .311*** | ||
Attitude | .59*** | .443*** | .27*** | |
Perceived behavioral control | .41*** | .137* | .28*** | |
Subjective norms | .45*** | .201*** | .25*** | |
Descriptive norm | .25*** | .29*** | ||
Moral norm | .14* | ns | ||
Habit | .27*** | .30*** | .163** | |
Barriers | -.38*** | -.40*** | -239*** | |
R2
| .41*** | .29*** |