title: Self-efficacy and outcome expectations in cardiac rehabilitation: associations with women's physical activity.
abstract: OBJECTIVE
  Little is known regarding the social-cognitive correlates of physical activity (PA) during and after cardiac rehabilitation (CR) in a female sample. The objective of the current study was to identify distinct trajectories for task self-efficacy, barrier self-efficacy, and outcome expectations and examine their association with PA.
  
  
  METHODS
  A total of 203 women with cardiovascular disease completed a survey that included the self-efficacy, outcome-expectation, and PA measures at the beginning and end of CR, and 6 and 12 months after completing CR.
  
  
  RESULTS
  Latent class growth analyses showed that multiple trajectories existed for task self-efficacy, barrier self-efficacy, and outcome expectations. Dual trajectory analyses showed that women in less favorable task self-efficacy, barrier self-efficacy, and outcome-expectation trajectories had a greater probability of being in an inactive PA trajectory.
  
  
  CONCLUSIONS
  Women in trajectories with higher task and barrier self-efficacy and outcome expectations are more likely to be active, whereas the opposite is true for women with lower efficacy and outcome expectancies. As such, it is critical that health-care practitioners incorporate strategies into their CR programs or professional practice after CR to increase women's confidence in engaging in PA, overcome barriers to engage in PA, and promote positive outcomes related to PA to increase their PA levels.
authors.affiliation: Department of Medicine.
authors.forename: Christopher
authors.initials: C
authors.lastname: Blanchard
authors.affiliation: Faculty of Health Sciences, McMaster University.
authors.forename: Heather M
authors.initials: HM
authors.lastname: Arthur
authors.affiliation: Faculty of Health Sciences, McMaster University.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Gunn
mesh_terms: D001294:Attitude to Health; D000072038:Cardiac Rehabilitation; D002318:Cardiovascular Diseases / Q000523:psychology*; D015444:Exercise / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D020377:Self Efficacy; D016896:Treatment Outcome; D014930:Women / Q000523:psychology*