PMID- 21737490
OWN - NLM
STAT- MEDLINE
DCOM- 20120130
LR  - 20220408
IS  - 1931-3543 (Electronic)
IS  - 0012-3692 (Linking)
VI  - 140
IP  - 6
DP  - 2011 Dec
TI  - Measuring a change in self-efficacy following pulmonary rehabilitation: an 
      evaluation of the PRAISE tool.
PG  - 1534-1539
LID - S0012-3692(11)60650-8 [pii]
LID - 10.1378/chest.10-2649 [doi]
AB  - BACKGROUND: Self-efficacy explores the emotional functioning and coping skills of 
      an individual and is thought to be a strong predictor of health behaviors, which 
      is particularly important for pulmonary rehabilitation (PR). However, to our 
      knowledge, there is no measure of self-efficacy developed to explore behavior 
      change in the context of PR. METHODS: We investigated the reproducibility and 
      sensitivity of Pulmonary Rehabilitation Adapted Index of Self-Efficacy (PRAISE): 
      a tool adapted from the General Self-Efficacy Scale (GSES) to measure the 
      dimension of self-efficacy at the time of a course of PR. Twenty-nine clinically 
      stable patients with COPD completed PRAISE on their initial assessment to PR. The 
      tool was then completed 7 days later. An additional 225 patients completed PRAISE 
      prior to, and on completion of a 7-week course of PR. In addition, exercise 
      capacity was measured by the incremental shuttle walk test (ISWT), with the 
      Medical Research Council (MRC) dyspnea scale, Chronic Respiratory 
      Questionnaire-Self Reported (CRQ-SR), and Hospital Anxiety and Depression Scale 
      (HADS) also being collected. This process was repeated postrehabilitation. Data 
      were then analyzed to investigate the possibility that PRAISE could be an 
      indicator of PR response. RESULTS: In the reproducibility study, the mean change 
      in score was 0.72 (95% CI, -2.27-0.82), examined with intraclass correlation 
      coefficients, r = 0.99; indicating PRAISE test-retest reproducibility. The mean 
      change of score in the sensitivity study pre- to post-PR was 3.59 (95% CI, 
      2.24-4.73; P = .015). Change in the ISWT was 83.44 m (95% CI, 54.0-112.8; P < 
      .0001). There were several statistically significant differences between 
      variables, particularly with the mastery and emotion elements of the CRQ-SR at 
      baseline, but this was lost post-PR. This observation was also found with HADS. 
      No significant differences were found between MRC dypsnea scale grades with the 
      change in PRAISE score. PRAISE could not predict a successful outcome of PR. 
      CONCLUSIONS: The PRAISE tool is a reliable and sensitive measure of self-efficacy 
      for patients with COPD attending PR.
FAU - Vincent, Emma
AU  - Vincent E
AD  - Pulmonary Rehabilitation Research Group, Department of Respiratory Medicine and 
      Thoracic Surgery, Glenfield Hospital, University Hospitals of Leicester NHS 
      Trust, Leicester, England. Electronic address: emma.vincent@uhl-tr.nhs.uk.
FAU - Sewell, Louise
AU  - Sewell L
AD  - Pulmonary Rehabilitation Research Group, Department of Respiratory Medicine and 
      Thoracic Surgery, Glenfield Hospital, University Hospitals of Leicester NHS 
      Trust, Leicester, England.
FAU - Wagg, Katy
AU  - Wagg K
AD  - Pulmonary Rehabilitation Research Group, Department of Respiratory Medicine and 
      Thoracic Surgery, Glenfield Hospital, University Hospitals of Leicester NHS 
      Trust, Leicester, England.
FAU - Deacon, Sarah
AU  - Deacon S
AD  - Pulmonary Rehabilitation Research Group, Department of Respiratory Medicine and 
      Thoracic Surgery, Glenfield Hospital, University Hospitals of Leicester NHS 
      Trust, Leicester, England.
FAU - Williams, Johanna
AU  - Williams J
AD  - Pulmonary Rehabilitation Research Group, Department of Respiratory Medicine and 
      Thoracic Surgery, Glenfield Hospital, University Hospitals of Leicester NHS 
      Trust, Leicester, England.
FAU - Singh, Sally
AU  - Singh S
AD  - Pulmonary Rehabilitation Research Group, Department of Respiratory Medicine and 
      Thoracic Surgery, Glenfield Hospital, University Hospitals of Leicester NHS 
      Trust, Leicester, England.
LA  - eng
PT  - Comparative Study
PT  - Evaluation Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20110707
PL  - United States
TA  - Chest
JT  - Chest
JID - 0231335
SB  - IM
CIN - Chest. 2012 Apr;141(4):1123-4; author reply 1124. PMID: 22474161
MH  - Aged
MH  - Analysis of Variance
MH  - Cohort Studies
MH  - Disability Evaluation
MH  - Exercise Therapy/*methods
MH  - Exercise Tolerance
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pulmonary Disease, Chronic Obstructive/*diagnosis/*rehabilitation
MH  - Reproducibility of Results
MH  - Respiratory Function Tests
MH  - *Self Efficacy
MH  - Sensitivity and Specificity
MH  - Sickness Impact Profile
MH  - Treatment Outcome
MH  - United Kingdom
EDAT- 2011/07/09 06:00
MHDA- 2012/01/31 06:00
CRDT- 2011/07/09 06:00
PHST- 2011/07/09 06:00 [entrez]
PHST- 2011/07/09 06:00 [pubmed]
PHST- 2012/01/31 06:00 [medline]
AID - S0012-3692(11)60650-8 [pii]
AID - 10.1378/chest.10-2649 [doi]
PST - ppublish
SO  - Chest. 2011 Dec;140(6):1534-1539. doi: 10.1378/chest.10-2649. Epub 2011 Jul 7.