Maintenance Cardiac Rehabilitation Exercise Adherence: Effects of Task and Self-Regulatory Self-Efficacy

The purpose of this study was to examine whether self-efficacy functions as a determinant and outcome of maintenance cardiac rehabilitation exercise adherence. Specifically, the purpose of this prospective observational study was to examine which types of self-efficacy–task or self-regulatory–predicted maintenance exercise attendance. In addition, the relative contribution of self-efficacy to the prediction of perceived exercise intensity was examined. Self-regulatory self-efficacy was operationalized as confidence to schedule and manage exercise sessions, while task self-efficacy concerned confidence to perform aspects of the exercise session and to walk for increasing durations. Sixty-four maintenance cardiac rehabilitation participants completed social cognitive measures and provided attendance data for 4 weeks prior to and 4 weeks following assessment. Results indicated that scheduling and walking self-efficacy significantly predicted cardiac rehabilitation exercise attendance. Task self-efficacy was the best predictor of perceived exercise intensity. Past exercise attendance significantly predicted all 3 dimensions of self-efficacy. Findings are discussed with respect to self-efficacy theory and applications to the maintenance of cardiac rehabilitation exercise adherence.