Experiment: Self-efficacy and pedometers
The following Paper 3 looks at the role of self-efficacy in health behaviour related to aerobic exercise in teenage girls. The study was an experiment. You will find sample responses at the end of the text.
I have used this Paper 3 as part of our study of determinants of health. You will see this as part of the Determinants of Health lesson plan 1.3.
The Stimulus Piece
The following study looks at the role of self-efficacy in promoting physical activity in teenage girls. Self-efficacy is an important health belief - that is, the belief that you have control over your behaviour and you can change it if you want to.
The following study used an experimental design. Two classes of American female students (mean age of 16) were randomly allocated for a girls’ college to either an intervention group (n = 46) or a control group (n = 48). For all participants, their weekly step count and level of self-efficacy were measured as a baseline to begin.
In addition, a baseline of the girls’ cardiopulmonary endurance was measured, using a three-minute aerobic step test.
The control group went through a physical education class in which they were told that 12.000 steps or 60 minutes of walking were recommended per day. They were given a pedometer, but the data was blocked so that they could not see their own progress. The intervention group was given the same instruction about the number of steps that they should have per day, but they were given more support during the 12-week experiment. Every other week their data was downloaded for them to see - and a “walking log” was created which graphically illustrated the distances that they had walked. The researchers also discussed their physical activity with them and any difficulties they encountered.
The primary outcome was a change in the number of aerobic steps. After 12 weeks, the mean change in the number of aerobic steps in the intervention group had increased by 371 steps - and in the control group, they had decreased by 108 steps - a difference of 467 steps. There was no significant difference in the mean change of cardiopulmonary endurance or perceived exercise self-efficacy.
The researchers argue that is important for health professionals, including school health nurses, involved in the care of adolescent health, to design and provide a physical activity intervention combining self-efficacy theory and provision of a pedometer to promote physical activity.
Lee, L., Kuo, Y. , Fanaw, D., Perng, S. and Juang, I. (2012), The effect of an intervention combining self‐efficacy theory and pedometers on promoting physical activity among adolescents. Journal of Clinical Nursing, 21: 914-922. doi:10.1111/j.1365-2702.2011.03881.x
Questions
1a. Identify the method used and outline two characteristics of the method.
1b. Describe the sampling method used in the study.
1c. Suggest an alternative or additional research method giving one reason for your choice.
2. Describe the ethical considerations that were applied in the study and explain if further ethical considerations could be applied.
3. Discuss the possibility of generalizing/transferring the findings of the study.