Predicting Intentions to Physical Activity in Jordanian Patients with Coronary Artery Disease:
General Material Designation
[Thesis]
First Statement of Responsibility
Shadi, Kanan M.
Title Proper by Another Author
Impact of Attitudes, Subjective Norms, and Perceived Behavioral Control
.PUBLICATION, DISTRIBUTION, ETC
Name of Publisher, Distributor, etc.
Kent State University
Date of Publication, Distribution, etc.
2020
PHYSICAL DESCRIPTION
Specific Material Designation and Extent of Item
136
DISSERTATION (THESIS) NOTE
Dissertation or thesis details and type of degree
Ph.D.
Body granting the degree
Kent State University
Text preceding or following the note
2020
SUMMARY OR ABSTRACT
Text of Note
Background: Coronary artery disease (CAD) is the leading cause of death worldwide and is responsible for over 7 million deaths yearly all over the world. In developing countries such as Jordan, the incidence of coronary arteries disease exceeds that of developed countries. More than 35% of total deaths are related to CAD in Jordan. Decreased physical activity is common among Jordanians and it is one factor that may lead to CAD in Jordan. There is sparse research, including theory-based research, examining the lack of physical activity among Jordanian patients. Additionally, cultural restrictions that fuel motivation and support may contribute to a lack of physical activity participation among Jordanian patients. Purpose: The purpose of this study, utilizing the Theory of Planned Behavior (TPB) as the framework, was to understand the intentions of Jordanian CAD patients to engage in physical activity through the examination of attitudes, subjective norms, and perceived behavioral control. Methods: A cross-sectional study examined whether attitudes, subjective norms, and perceived behavioral control predict Jordanian CAD patients' intentions to participate in physical activity by using an Arabic-translated instrument that is based on the TPB. Additionally, the study explored the barriers to participating in physical activity. Results: Descriptive and Inferential statistics were used to analyze the sample characteristics and answer the research questions. A good Cronbach's alpha (0.87) was reported for the TPB questionnaire of the physical activity. The results indicated that the TPB predictors (attitude, subjective norms, and perceived behavioral control) explained 11.2 % of the variance in physical activity intention after controlling age and gender. Perceived behavioral control was the only significant predictor of physical activity intention. For the open-ended questions, feelings of exhaustion, in addition to the lack of time, family support, and shortage of physical activity facilities, were the most common barriers to engage in physical activity among Jordanian CAD patients. Conclusion: The study findings add new information to Jordanian literature in identifying the predictors of the CAD patients' intention toward physical activity. The results are useful to Jordanian nurses to determine underlying factors that might contribute to the lack of physical activity among CAD patients, such as the inability of those patients to control their engagement in physical activity. The predictive power of perceived behavioral control in the intention to engage in physical activity indicates that interventions promoting physical activity for Jordanian CAD patients should focus on fostering a sense of control over their environment. In practical terms, this implies making physical activity more desirable and convenient by addressing the barriers that ensure a safe and convenient space for physical activity. Future research should focus on mixed methods with a strong qualitative component to understand the weak association between attitude and subjective norms with Jordanian CAD patients' intention toward physical activity.