Health Psychology Commons^™

Exercise Self-Efficacy And Physical Wellness In A Worksite Wellness Program: Exploring Factor Structure And Perceptions, Micah B. Mcglathery

Dissertations

Exploring Perceptions of Exercise Self-Efficacy and Physical Wellness in a Worksite Wellness Program

Abstract

Worksite wellness programs are increasingly adopted to address insufficient exercise participation and other health-related behaviors that put employees at risk of chronic disease. Although quantitative outcomes are well-documented, there is limited research exploring how employees perceive these programs' impact on personal behavior change, particularly in relation to exercise self-efficacy. Guided by the Social Cognitive Theory and the Exercise is Medicine initiative, this study qualitatively investigates employee perceptions of a worksite wellness program’s influence on physical wellness and confidence to exercise. A phenomenological approach using semi-structured interviews …

A Brief Measure Of Decisional Balance For Health Equity Engagement Among Health Professionals, Amanda Lee Almond

Publications and Research

Racial health and healthcare inequities are sustained in part by health professionals’ beliefs about the benefits and costs of equity-focused action, yet no validated decisional balance measure exists for this domain. This study introduces and evaluates the Health Equity Decisional Balance (HEDB) scale. Eighty-eight health professionals completed the scale of ten proposed items assessing perceived pros and cons of engaging with health and healthcare equity work, along with a measure of Anti-Racist Efficacy (ARE) (Eschmann et al., 2023). Confirmatory factor analysis and structural equation modeling were used to test the latent structure of the scale and its predictive validity. A …

What Race Means For Health Among Black Americans: How Microaggressions Shape Self-Efficacy And Readiness For Behavior Change, Amanda Lee Almond

Publications and Research

Objectives: Persistent racial disparities in cardiovascular health among Black Americans reflect not only structural inequities in the United States, but also the racialized meanings of cardiovascular disease reproduced through public and private health communication. Drawing on ecological systems theory, this research examines how beliefs linking race and cardiovascular disease are reinforced through routine clinical interactions and how these meanings shape health behavior change. Method: Across two experimental mixed-methods studies, a model integrating ecological, social–cognitive, and behavior-change frameworks was tested. In Study 1 (N = 374), health-message framing was experimentally manipulated to examine effects on self-efficacy and decisional balance while controlling …

What Race Means For Health Among Black Americans: How Microaggressions Shape Self-Efficacy And Readiness For Behavior Change, Amanda Lee Almond

Publications and Research

Objectives: Persistent racial disparities in cardiovascular health among Black Americans reflect not only structural inequities in the United States, but also the racialized meanings of cardiovascular disease reproduced through public and private health communication. Drawing on ecological systems theory, this research examines how beliefs linking race and cardiovascular disease are reinforced through routine clinical interactions and how these meanings shape health behavior change. Method: Across two experimental mixed-methods studies, a model integrating ecological, social–cognitive, and behavior change frameworks was tested. In Study 1 (N = 374), health-message framing was experimentally manipulated to examine effects on self-efficacy and decisional balance while …

From Activity To Adaptability: Systematic Review On Elevating Adolescent Resilience Through Physical Activity, Kaylee Cowdrey

Honors Program: Senior Projects (Public)

The recent increase in mental health concerns among teens showcases the need for accessible solutions that help buffer against psychopathology and build resilience. This systematic literature review looks at various studies to see how physical activity can positively affect resilience in adolescents by enhancing their emotional regulation, self-efficacy, self-esteem, social connections, and brain function. Literature published since 2010 from databases, including APA PsycInfo, PubMed, and Google Scholar, was collected for this analysis. The results of the review found that as adolescents engage in physical activity, there is improvement in coping skills by enhancing emotional regulation, self-efficacy, self-esteem, and social connectedness …

Driving Healthy Behaviors Through Social Support: The Role Of Co-Responsibility In Weight Loss And Maintenance, Melanie Knufinke-Meyfroyt, Carlo Lancia, Yentl Lodewijks, Simon Nienhuijs, Eva Deckers

Patient Experience Journal

Objective: The effectiveness of out of hospital lifestyle interventions in healthcare is likely co-dependent on social support from involved one's. We sought to investigate the interrelationships between patient-partner Co-responsibility, Spousal Support, and Self-efficacy and the mechanisms through which they contribute to health behaviors and outcomes relevant to weight loss and maintenance. Methods: Co-responsibility, Spousal Support, self-efficacy, health outcomes and health behaviors like total weight loss, physical activity, OBESI-Q, and health satisfaction were assessed through a questionnaire among 868 individuals attempting to lose weight. Full and semi-partial correlations were used to understand the association between Co-responsibility, Spousal Support, Self-efficacy …

Using Self-Assessment Tools And Complementary Alternative Therapy For Chronic Migraines In Menopausal Women, Krystal Rachelle Bridwell

Electronic Theses and Dissertations

Abstract

Migraine headaches are ranked as one of the highest disabling conditions in the United States. Women who are in the perimenopausal transition phase have a higher prevalence of disabling migraines that can result in a decreased quality of life, loss of income, decreased productivity, and a higher risk for emotional difficulties. The gap in practice is the lack of education on complementary alternative medicine (CAM) and the use of a migraine diary to recognize individual symptoms as a substitute or cotherapy with pharmacologic treatments. The purpose of this scholarly project was to improve clinical practice and outcomes for perimenopausal …

Mental Health Practitioners’ Trauma Knowledge And Self-Efficacy Post-Emdr Training, Christy R. Collins, Shelby L. Dean, Jose Carbajal

Journal of Human Services: Training, Research, and Practice

This research study examines mental health practitioners’ level of trauma knowledge and trauma treatment self-efficacy pre- and post-EMDR therapy training in Texas. The purpose is to determine if practitioners' self-perception of efficacy in treating trauma and trauma knowledge will improve after completing EMDR training. The practitioner sample (N = 113) is from an EMDR trainer who conducted six EMDR trainings in Texas. Descriptive, correlational, and paired t-test statistical procedures were implemented to analyze the data for the study. The results show that practitioners’ self-perception of competence and knowledge could be attributed to their years of clinical experience treating clients with …

Associations Between Parenting Factors, Self-Efficacy, And Physical Activity Levels In Overweight African American Adolescents, Noelle Mink

Senior Theses

While there is extensive research on physical activity (PA) and the role it plays in preventing obesity, African American populations remain understudied despite reporting lower levels of PA compared to White Americans. Particularly, PA in adolescence has several indications for the development of healthy adult lifestyles. Additionally, there is limited data on the relationship between parenting factors and adolescent PA in overweight African American adolescents, despite theories that suggest that authoritative parenting factors, such as demandingness (e.g., control, monitoring) and responsiveness (e.g., warmth), can influence adolescent behaviors, including their motivation and self-efficacy for engaging in PA. Confidence in one’s ability …

Self-Efficacy And Parental Miscarried Helping In Adherence And Transition Readiness Among Adolescents And Young Adults With Epilepsy, Kirby-Estar G. Laguerre

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Given the complex regimen associated with epilepsy, ensuring that adolescents and young adults (AYAs) adhere to their medications, and are ready to transition from pediatric to adult care, is crucial to optimizing their health outcomes. Several social and ecological factors such as self-efficacy and parental miscarried helping can strengthen or weaken an adolescent’s medication adherence and readiness to shift from pediatric to adult care. Intending to contribute to informing and improving clinical care, this study sought to understand the relationships between self-efficacy, parental miscarried helping, medication adherence, and transition readiness. Methods: Using a cross-sectional observational design, 46 AYAs with …

Adherence To Dietary Recommendations For Adolescents With Cystic Fibrosis, Kristine M. Durkin

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Adhering to dietary recommendations and nutritional supplements to ensure adequate absorption of nutrients and malnutrition plays an important role in the health of patients with cystic fibrosis (CF). Non-adherence to the CF care regimen, including nutritional recommendations, is high in adolescents. Therefore, the overall goal of this study was to identify factors related to adherence to nutritional recommendations in adolescents with CF.

Method: A total of 42 adolescents (ages 12-18) were recruited from 5 CF centers across the US. Adolescents completed surveys measuring body image/satisfaction, health literacy, perceived barriers to enzyme use, and self-efficacy, as well as the quality …

The Effects Of Depression, Anxiety, And Stress On College Students: Examining The Role Of Mental Health Self-Efficacy On Willingness To Engage In Mental Health Services, Leeanna L. Golembiewski

Psychology Theses & Dissertations

Relative to younger ages, mental health problems are more prevalent among college students (Pedrelli et al., 2015) and nearly 20% of U.S college students are diagnosed each year with a mental health problem (Blanco et al., 2008). College students’ self-efficacy may influence mental health outcomes by impacting an individual’s decision to change their behavior and execute a course of action (Bresó et al., 2011). Mental health may also be influenced by the degree of willingness that an individual possesses, such that those who are more willing to seek mental health treatment are also more likely to follow through and seek …

Social Distancing In The Context Of Covid-19 Anxiety: A Social Cognitive Approach, Allyson S. Graf, Abigail Nehrkorn-Bailey, Amy Knepple Carney

Journal of Social, Behavioral, and Health Sciences

As the impact of COVID-19 continues, engagement in social distancing is essential. Using Social Cognitive Theory, the current study examined the unique roles of COVID-19 anxiety and self-efficacy on the relationships between information-seeking and risk perception as predictors of social distancing intention. A convenience sample of 960 adults (M = 37.81 years, SD = 11.65) completed an author-designed online survey. Participants completed measures on behavioral intention, information-seeking, risk perception, COVID-19 anxiety, and self-efficacy. Moderated mediations examined the theoretically proposed relationships among the variables. COVID-19 anxiety moderated the relationship between risk perception and self-efficacy, but not the association between information-seeking …

Treatment Satisfaction And Self-Efficacy In Hispanic Diabetes Patients At A Free Clinic Setting, Lhanze Tum

University Honors Theses

Diabetes continues to be one of the leading causes of death within the United States, with the Hispanic population having an especially high risk of developing diabetes. Understanding the different factors that may affect adherence to diabetes self-care, such as self-efficacy, duration of diabetes, and patient treatment satisfaction is important to reduce diabetes-related health complications. The aim of this study is to examine the relationship between patient self-efficacy for diabetes management and satisfaction with treatment, as well as whether the duration of diabetes is associated with self-efficacy for disease management. Baseline data was collected on 16 Hispanic patients with diabetes …

Helping The Have-Nots: Examining The Relationship Between Rehabilitation Adherence And Self-Efficacy Beliefs In Acl Reconstructed Naia And Ncaa Dii And Diii Female Athletes, Myles Tutin Englis

Theses and Dissertations--Kinesiology and Health Promotion

Anterior cruciate ligament injuries are among the most common and traumatic sport-related injuries, and often negatively impact one’s quality of life during and post-rehabilitation. For many NCAA Division I and professional female athletes, rehabilitation is streamlined with a multidisciplinary team, including sport psychology. For others (e.g., NAIA, NCAA Division II, III athletes) this may not always be the case, as many of these athletic programs may not have the resources to meet the various needs of injured and rehabilitating female student-athletes. In these instances, rehabilitation motivation, adherence, and success may be more dependent on the athletes’ individual resources and personalities, …

The Role Of Faculty In Fostering Psychosocial Wellbeing Among University Students, Kelley Wick

College of Education and Human Sciences: Dissertations, Theses, and Student Research

The transition to college represents a major life event, and successfully navigating this shift has implications for students’ psychosocial wellbeing. While there is ample support for the idea that social relationships can facilitate student wellbeing during the transition to college, there is limited understanding of the unique role faculty may play in supporting students. The aim of this study was to determine the relation of faculty support to student wellbeing and self-efficacy, independent of peer support and student level of stress. Additionally, the primary questions were to examine whether self-efficacy mediated the relation of faculty support to student wellbeing, and …

A Feminist-Centered, Self-Efficacy, Psychoeducational Intervention For Low-Income Rural Abused Women, Catherine Thomas

Scripps Senior Theses

The effects of a feminist-centered, self-efficacy, psychoeducational intervention will be tested using low-income rural female domestic violence victims. Derived from previous literature indicating that lower self-efficacy is commonly seen in abused women, this intervention will focus on reconfiguring the abused women’s ideas on the patriarchal world through a feminist-centered approach to increase their self-efficacy. Before the intervention, well-being, assertiveness, self-efficacy, attitudes towards feminism, and likelihood of returning to their abuser will be measured. The same dependent variables will be measured after the intervention, except for the likelihood of them returning to their abusers. As a follow-up three weeks after the …

The Relationship Between Intensity Of Fitness Tracker Usage And Motivation, Rachel Cannata, Abigail C. Daugherty, Madison O. Dirocco, Julianne Green, Pial Dasgupta

Williams Honors College, Honors Research Projects

Many college students engage in unhealthy behaviors which may contribute to diseases. Additionally, some students may lack motivation to rectify these behaviors to improve their long-term health. This study assessed the relationship between intensity of fitness tracker usage and motivation among health professions students at a large, public Midwestern university. This non-experimental, correlational study used convenience sampling and a theoretical framework based on Bandura’s Social Cognitive Theory. Online recruitment announcements were emailed and included links to the consent form and survey. Motivation was measured with Deci and Ryan’s modified self-determination tool. Intensity of tracker usage was measured using a scale …

Changing Weight Management Self-Efficacy Among Obese Puerto Rican Adults: A Quantitative Study Using A Health Coaching Intervention, Richard Valentin Ayala, Josh Bernstein

Internet Journal of Allied Health Sciences and Practice

Purpose: Obesity and associated healthcare-related issues continue to increase. The prevalence of obesity is on the rise, which has led many health professionals to find ways to improve health interventions. Health coaching can be a viable tool to reduce the obesity epidemic. The purpose of this quantitative study was to investigate the effects of an 8-weekhealth coaching intervention in obese individuals from Puerto Rico and to determine if self-esteem and body image influence weight managementself-efficacy. Method: A pretest-posttest design using a weight management self-efficacy scale helped the researcher evaluate the effectof the coaching sessions. In addition, body image …

Long-Term Impact Of Lifelong Fitness: Examining Longitudinal Exercise Behavior In College Students, Garrett Drake

Doctor of Psychology (PsyD)

Over time, the United States population has gradually shifted to an increasingly inactive lifestyle, and there has been a decline in health behavior. Only 50% of the population meet the recommended guidelines for weekly physical activity. With this glaring increase of inactive lifestyles, programs designed to increase health behavior change have become crucial. One solution to this problem has been a required Lifelong Fitness class at George Fox University where new college students learn knowledge and skills to implement for healthier lifestyles during this transformative time. A multiple regression model predicting long-term exercise by pre-minutes of exercise, post-minutes of exercise, …

What You Know Makes A Difference: Physical Activity Maintenance And Adherence Of Collegiate Students, Vista Beasley, Brooke Thompson, Patrick R. Young, Itay Basevitch

Journal of Counseling and Psychology

For decades, exercise psychology researchers dismissed health/exercise knowledge as a determinant of physical activity (PA). We sought to overturn this misconception, showing that psychological theory may serve as a basis for informing physical education curriculum. Based on social cognitive and self-determined motivation theories, we examined health/exercise knowledge as a determinant of collegiate students’ PA maintenance (i.e., ≥ 6 months of regular PA involvement); adherence to United States Department of Health and Human Services (USDHHS) 2008 PA guidelines; and PA types (i.e., aerobic, weight training). Collegiate students (n = 231) provided data via online survey. ANOVA analyses revealed that knowledge …

Examining The Relationship Between Self-Efficacy And Health Behaviors Among College Students, Brent D. Fisk

Doctor of Psychology (PsyD)

Adolescents’ transition into adulthood often coincides with significant developmental change processes. Behavioral patterns established during this period can determine risk and quality of life trajectories (Ben-Shlomo & Kuh, 2002, Halfon & Hochstein, 2002). Social support facilitates health behavior change and college students have ready access to peers with shared goals. In addition to social support, self-efficacy has also been associated with student health as a protective and predictive factor of healthy behaviors (Von Ah, Ebert, Ngamvitroj, Park, & Kang, 2004). Research indicates a strong relationship between self-efficacy and health behaviors; however, the direction of causality is unclear and there is …

A Mixed-Methods Study: Self-Efficacy And Barriers To Participation In Workplace Wellness Programs, Massiel Perez-Calhoon

Dissertations

America needs a healthy workforce to sustain the country. The scourge of obesity continues to plague Americans despite government initiatives such as the Affordable Care Act and wellness programs in the workplace to combat this epidemic. However, despite initiatives to make America healthy, barriers continued to impede the nation’s health. Lack of awareness and sensitivity to what motivates individual participants versus group participants built formidable barriers to accessing all workplace employees equitably. The purpose of this study was twofold. First, the intent of this study was to explore the relationship between self-efficacy and the impact on participation and engagement when …

Examining Health Behaviors In College Students With And Without Chronic Conditions, Duc-Thi J. Barsell

Theses and Dissertations

Many college students are in a developmental period in which they are transitioning from pediatric to adult health care. This time period can be challenging for all college students and especially for students with a chronic condition. The current study investigated the association between various health-related factors (health locus of control [HLOC], health literacy, health self-efficacy, and health-related quality of life [HRQOL]) and health behaviors in college students, as well as the moderating effect of having a chronic condition on those associations. These health behaviors were further operationalized as healthy lifestyle behaviors (preventative and wellness behaviors, dietary behaviors, physical activity) …

Are There Gender Differences In Perceived Sexual Self-Efficacy Among African-American Adolescents?, Michelle L. Redmond, Rhonda K. Lewis

Journal of Health Disparities Research and Practice

Background: African American adolescents accounted for more than half of all HIV/AIDS cases in 2009. Behavioral Strategies are needed to help lessen the incidence of HIV/AIDS among this population.

Purpose: The aim of his study was to examine sexual self-efficacy practices and beliefs among African American adolescents. We also examined gender differences between African American adolescents to better understand their perceptions of sexual self-efficacy, condom use intention, and other safer sex practices and beliefs.

Methods: A cross-sectional study was conducted with 214 African American adolescents using survey instruments to examine their beliefs, perception and intentions on the use of condoms, …

Pilates, Mindfulness And Somatic Education, Karen Caldwell, Marianne Adams, Rebecca Quinn, Mandy Harrison, Jeffrey M. Greeson

College of Science & Mathematics Departmental Research

The Pilates Method is a form of somatic education with the potential to cultivate mindfulness – a mental quality associated with overall well-being. However, controlled studies are needed to determine whether changes in mindfulness are specific to the Pilates Method or also result from other forms of exercise. This quasi-experimental study compared Pilates Method mat classes and recreational exercise classes on measures of mindfulness and well-being at the beginning, middle and end of a 15 week semester. Total mindfulness scores increased overall for the Pilates Method group but not for the exercise control group, and these increases were directly related …

From College Student To Change Agent: A Triadic Model Of Self-Efficacy, Attribution, And Appraisal, Joshua M. Garrin

Journal of Sustainable Social Impact

Beyond their newfound emancipation and opportunities for self-discovery, college students in the young adult stage of development are expected to achieve balance between their autonomous new world and the impending pressures of postgraduation life. The college student must not only reconcile issues related to identity formation, goal pursuits, and career exploration, but is expected to begin the process of identifying and developing the skills required to address salient social themes. How students establish competency beliefs, negotiate controllability over future outcomes, and appraise challenges have deep implications in their capacity to discover their social change “voice.” The following discussion proposes a …