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A between sex analysis of self and proxy efficacy and its relationship with attendance at a community based chronic illness rehabilitation programme.
O'Leary, Emer; McCaffrey, Noel; Moyna, Niall; Doyle, Frank; Furlong, Bróna; Walsh, Deirdre; Woods, Catherine
Background: Physical activity is a principal intervention in primary and secondary prevention of chronic illness. While the benefits of community based rehabilitation is acknowledged,the rate of attendance and adherence remains sub optimal. Self-efficacy is acknowledged to be a key factor relating to adherence in rehabilitation but the construct of proxy efficacy, defined as one’s confidence in the skills and abilities of a third party to function effectively on another’s behalf, is less often studied. This paper examines the relationship between gender and ‘self’ and ‘proxy-efficacy’ and their potential role in attendance to a community based chronic illness rehabiliation (CBCIR) programme. Methods: Participants attending induction at the programme completed a questionnaire assessing demographics and both self (9 items) and proxy efficacy for exercise (9 items) which was assessed on a Likert scale from 0 (not confident at all) to 10 (very confident), with a higher score indicating greater efficacy. Subsequently, attendance was objectively monitored by researchers at exercise sessions for 24 weeks. Results: 69 participants (M age=65.5 +9.8 years, 56% Male) completed all measures. Mean proxy-efficacy and mean self-efficacy is significantly greater in women compared to men (p<0.05). Mean proxy-efficacy was found to be higher than mean self-efficacy in both males (proxy-efficacy=8.7+1.2, self efficacy=8.3+1.8) and females (proxyefficacy= 7.7+2.2, self-efficacy=6.5+2.0) with no correlation between the variables. Correlational analyses found a moderate significant positive correlation between proxy efficacy and number of weeks attended in the 24 weeks (r=.440,p<.05) in women with no correlation observed between self-efficacy and weeks attended. No correlations are observed between either form of efficacy and attendance in men. Discussion: Participants report greater confidence in the proxy agent than themselves as the agent. This was furthered in women with an association identified between proxy efficacy and 24-week attendance. These results suggest the importance of the proxy for women in a CBCIR setting but further longitudinal research should be carried out in the area of proxy efficacy and attendance at community based chronic illness rehabilitation programmes. Implications: An understanding of these variables help CBCIR programme facilitators intervene to ensure greater attendance.
Keyword(s): Psychology; Sports sciences
Publication Date:
Type: Other
Peer-Reviewed: Unknown
Language(s): English
Institution: Dublin City University
Citation(s): O'Leary, Emer, McCaffrey, Noel, Moyna, Niall ORCID: 0000-0003-1061-8528 <>, Doyle, Frank, Furlong, Bróna ORCID: 0000-0003-4552-0555 <>, Walsh, Deirdre and Woods, Catherine ORCID: 0000-0002-0892-6591 <> (2016) A between sex analysis of self and proxy efficacy and its relationship with attendance at a community based chronic illness rehabilitation programme. In: HEPA, 28-30 Sept 2016, Belfast, Northern Ireland.
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First Indexed: 2017-01-19 06:02:19 Last Updated: 2019-02-09 06:16:09