:: Volume 9, Issue 3 (summer 2018) ::
j.health 2018, 9(3): 267-276 Back to browse issues page
Investigating the Predictive Role of Health Beliefs and Cardiac Self-Efficacy in History of Tobacco Smoking in Patients with Coronary Artery Disease (CAD)
R Heshmati,
University of Tabriz
Abstract:   (112 Views)
Background & Objectives: Self-efficacy is a person's confidence in his ability to control the disease and maintain his duties. Health beliefs include assessing the risk of a health problem and assessing the benefits and barriers to health behaviors. The purpose of this study was to investigate the predictive role of health beliefs and cardiovascular self-efficacy in smoking patients with coronary artery disease CAD).
Method: In this cross-sectional study, 103 patients who were candidate of CABG and PTCA in Tehran Heart Center were selected by convenient sampling method. They were asked to complet the Sullivan`s cardiac self-efficacy questionnaire and researcher designed health belief questionnaire.
Results: The result of Logistic regression analysis showed that from tow predictor variables, only cardiac self-efficacy able to predict smoking (β=0.14) in patients with CAD. The high value of Wald's statistic indicates the usefulness and potency of self-efficacy variables in predicting cigarette smoking. This finding suggests that the cardiac self-efficacy is one of the determinants of smoking in patients with CAD.
Conclusion: Therefore, it is necessary to pay special attention to increase self-efficacy of these patients in smoking cessation interventions and prevention.
The results of logistic regression analysis showed that only the self-efficacy of the two predictors was able to predict the history of smoking (β=-0.44) in CAD patients.
Keywords: Health Beliefs, Cardiac Self-Efficacy, Smoking
Full-Text [PDF 127 kb]   (62 Downloads)    
Type of Study: Research | Subject: Special
Received: 2018/07/8 | Accepted: 2018/07/8 | Published: 2018/07/8
1. WHO. World Health Report Reducing Risk, Promoting Healthy Life. N Geneva: World Health Organization. 2014. 1;63: 2960-84.
2. Zarchi Karimi NE, Ali Akbar M. The prevalence of risk factors for coronary artery disease and the effects of lifestyle modification advice. Kowsar Medical Journal. 2009; 3(14): 157-162.
3. Scott MG, Gary JB, Michael HC. Primary prevention of coronary heart disease: Guidance from Framingham. Circulation. 1998; 97: 1876-87. [DOI:10.1161/01.CIR.97.18.1876]
4. Leventhal H, Brissette I, Leventhal EA. The common-sense model of self-regulation of health and illness. In L. D. Cameron & H. Leventhal (Eds.), The self-regulation of health and illness behaviour. The self-regulation of health and illness behavior. 2012; 21:56-79.
5. Bandura A. Social foundations of thought and action. The health psychology reader. 2002; 6:94-106. [DOI:10.4135/9781446221129.n6]
6. Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the Health Belief Model. Health Educ Q, 1988; 15:175–83. [DOI:10.1177/109019818801500203]
7. Halpern-Felsher BL, Biehl M, Kropp RK, Rubinstein ML. Perceived risks and benefits of smoking: Differences among adolescents with different smoking experiences and intentions. Prev Med. 2004;39:559-67. [DOI:10.1016/j.ypmed.2004.02.017] [PMID]
8. Redding CA, Rossi JR, Rossi SR, Velicer WF, Prochaska JQ. Health behavior models. health education, 2000; 3: 180-193.
9. Armitage CJ, Conner M. Social cognition models and health behavior: a structured review. psychological health, 2000; 15: 173-189. [DOI:10.1080/08870440008400299]
10. Hughes J. Smokers' beliefs about the inability to stop smoking. Addictive Behaviors, 2009; 34: 1005-1009. [DOI:10.1016/j.addbeh.2009.06.013] [PMID] [PMCID]
11. Sullivan MD, LaCroix AZ, Baum C, Grothaus LC, Katon WJ. Functional status in coronary artery disease: a one-year prospective study of the role of anxiety and depression. The American journal of medicine. 1997; 103(5):348-56. [DOI:10.1016/S0002-9343(97)00167-8]
12. Hughes JR, Naud S. Perceived role of motivation and self-efficacy in smoking cessation: A secondary data analysis. Addictive Behaviors, 2016; 61:58-61. [DOI:10.1016/j.addbeh.2016.05.010] [PMID] [PMCID]
13. Myers MG, Strong DR, Linke SE, Hofstetter CR. Predicting use of assistance with quitting: A longitudinal study of the role of quitting beliefs. Drug and Alcohol Dependence, 2015; 149: 220–224. [DOI:10.1016/j.drugalcdep.2015.02.003] [PMID] [PMCID]
14. Thrasher JF, Swayampakala K, Cummings KM, Hammond D, Anshari D, Krugman DM, et al. Cigarette package inserts can promote efficacy beliefs and sustained smoking cessation attempts: A longitudinal assessment of an innovative policy in Canada. Preventive Medicine, 2016; 88:59–65. [DOI:10.1016/j.ypmed.2016.03.006] [PMID] [PMCID]
15. Toukhy E, Choi K. Smoking-Related Beliefs and Susceptibility Among United States Youth Nonsmokers. Journal of Adolescent Health, 2015; 57:448-450. [DOI:10.1016/j.jadohealth.2015.06.016] [PMID] [PMCID]
16. Hoseinzadeh bazargani R. Developing of multifaceted hierarchical model of rehabilitation for patients with chronic diseases and testing its effectiveness in CABG cardiovascular patients. PhD theses, Tehran University, 2009.
17. Heshmati, R. Design and testing of health-related quality of life for patients with CAD based on theoretical models and patient perceptions of quality of life, PhD thesis, Tehran University. 2013.
18. Mark MC, &, Edward L. Self-efficacy and relapse in smoking cessation programs. Journal of Consulting and Clinical Psychology, 1981; 49(5): 648-658. [DOI:10.1037/0022-006X.49.5.648]
19. Martinez E, Tatum KL, Glass M, Bernath A, Ferris D, Reynolds P, Et.al. Correlates of smoking cessation self-efficacy in a community sample of smokers. Addictive behaviors. 2010;35(2):175-8. [DOI:10.1016/j.addbeh.2009.09.016] [PMID] [PMCID]
20. Allahverdipour H, AsghariJafarabadi M, Heshmati R, Hashemiparast M. Functional status, anxiety, cardiac self-efficacy, and health beliefs of patients with coronary heart disease. Health promotion perspectives. 2013;3(2):217. [PMID] [PMCID]
21. Heshmati R. Structural Relationships among Functional Status, Health Beliefs and BMI in Patients with CAD: The Mediator Role of Cardiac Self-Efficacy. Journal of Health and Care. 2016;18(3):191-206.
22. Heshmati R. Psychometric Properties of the Seattle Angina Questionnaire (SAQ): Scale for Assessing Health-Related Quality of Life in Patients with Coronary Artery Disease. J Res Behav Sci 2016; 14(3): 271-80.
23. Heshmati R, Hatami J, Bahrami EH, Sadeghian S. The effect of the biological status of CAD patients on health related quality of life: the mediating role of illness representations. Journal of research in behavioural sciences. 2014; 12(3): 328-341.
24. Fredrickson BL, Branigan C. Positive emotions broaden the scope of attention and thought-action repertoires. Cognition and Emotion, 2005; 19: 313-332. [DOI:10.1080/02699930441000238] [PMID] [PMCID]
25. Ghamari Givi H, Moulavi P, Heshmati R. Exploration of the Factor Structure of Positive and Negative Syndrome Scale in Schizophernia Spectrum Disorder. Journal of Clinical Psycology. 2010 Dec 15;2(2):1-0.
26. Heshmati R, Ghorbani F. The effect of Mindfulness-Based Stress Reduction (MBSR) program on physical functioning and health related quality of life (HRQOL) in people with coronary artery disease (CAD). Iranian Journal of Cardiovascular Nursing. 2016; 5(3): 16-25.
27. Karimi L, Ramezani V, Ahmadi M, Heshmati R, Jafar E. Psychometric properties of Torrance test (Persian version) of creative thinking (A form). Procedia-Social and Behavioral Sciences. 2010;5:1429-33. [DOI:10.1016/j.sbspro.2010.07.301]
28. Heshmati RA, Ghorbani NI, Rostami RE, Ahmadi MO, Akhavan HA. Comparative Study of Alexithymia in Patients with Psychotic Disorders, Non Psychotic and Normal People. Scientific Journal of Hamadan University of Medical Sciences. 2010;17(1):56-61.
29. Ajzen I. The theory of planned behavior. Organizational Behavior and Human Decision Processes. 1991; 50: 179-211. [DOI:10.1016/0749-5978(91)90020-T]

XML   Persian Abstract   Print

Volume 9, Issue 3 (summer 2018) Back to browse issues page