Physical Activity and Cardiac Self-Efficacy Levels during Early Recovery Following Acute Myocardial Infarction: A Jordanian Study

Abedalmajeed Shajrawi, Malcolm Granat, Ian Jones, Felicity Astin

Research output: Contribution to journalArticlepeer-review


Background: Regular physical activity is important for patients with established coronary heart disease as it favourably influences their coronary risk profile. General self-efficacy is a powerful predictor of health behaviour change that increases in physical activity levels. Few studies have simultaneously measured physical activity and self-efficacy during early recovery after the first Acute Myocardial Infarction (AMI). Purpose: To assess changes in objectively measured physical activity levels at 2 weeks (T2) and 6 weeks (T3) and self-reported cardiac self-efficacy at hospital discharge (T1) and at T2 and T3 in patients recovering from AMI. Methods: Using a repeated measures design a purposive sample of patients diagnosed with first AMI, who did not have access to cardiac rehabilitation was recruited from a single centre in Jordan. A body-worn activity monitor (activPAL) was used to objectively measure free-living physical activity levels for seven consecutive days, at two time points (T2 and T3). An Arabic version of the cardiac self-efficacy scale was administered at T1, T2 and T3. Paired t-tests and ANOVA were used to examine differences in physical activity levels and cardiac self-efficacy scores respectively. Results: A sample of 100 participants was recruited, 62% were male with a mean age of 54.5 years ± 9.9 years. There was no statistically significant difference in physical activity levels measured at (T2) two weeks and (T3) six weeks. Cardiac self-efficacy scores improved significantly between T1, T2 and T3 across subscales and global cardiac self-efficacy. Conclusions/ Implications for Practice: Participants recovering from AMI in Jordan did not increase their physical activity levels during the early recovery phase although cardiac self-efficacy scores improved. This may be because the increase in cardiac self-efficacy was not matched by the practical skills and knowledge required to translate this positive psychological construct into behaviour change. This study provides a first step in understanding the complex relationship between cardiac self-efficacy and physical activity in this population. These findings could support the design of culturally appropriate interventions to increase physical activity levels in this population.
Original languageEnglish
Article numbere131
Number of pages10
JournalThe journal of nursing research : JNR
Issue number1
Early online date28 Oct 2020
Publication statusPublished - 1 Feb 2021

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