Skip to main content
Top
Published in: Health and Quality of Life Outcomes 1/2012

Open Access 01-12-2012 | Research

Efficacy-mediated effects of spirituality and physical activity on quality of life: A path analysis

Authors: James F Konopack, Edward McAuley

Published in: Health and Quality of Life Outcomes | Issue 1/2012

Login to get access

Abstract

Background

Physical activity has been established as an important determinant of quality of life, particularly among older adults. Previous research has suggested that physical activity’s influence on quality of life perceptions is mediated by changes in self-efficacy and health status. In the same vein, spirituality may be a salient quality of life determinant for many individuals.

Methods

In the current study, we used path analysis to test a model in which physical activity, spirituality, and social support were hypothesized to influence global quality of life in paths mediated by self-efficacy and health status. Cross-sectional data were collected from a sample of 215 adults (male, n = 51; female, n = 164) over the age of 50 (M age = 66.55 years).

Results

The analysis resulted in a model that provided acceptable fit to the data (χ 2 = 33.10, df = 16, p < .01; RMSEA = .07; SRMR = .05; CFI = .94).

Conclusions

These results support previous findings of an efficacy-mediated relationship between physical activity and quality of life, with the exception that self-efficacy in the current study was moderately associated with physical health status (.38) but not mental health status. Our results further suggest that spirituality may influence health and well-being via a similar, efficacy-mediated path, with strongest effects on mental health status. These results suggest that those who are more spiritual and physically active report greater quality of life, and the effects of these factors on quality of life may be partially mediated by perceptions of self-efficacy.
Appendix
Available only for authorised users
Literature
1.
go back to reference Pollner M: Divine relations, social relations, and well-being. J Heal Soc Behav 1989, 30: 92–104. 10.2307/2136915CrossRef Pollner M: Divine relations, social relations, and well-being. J Heal Soc Behav 1989, 30: 92–104. 10.2307/2136915CrossRef
2.
go back to reference Diener E, Clifton D: Life satisfaction and religiosity in broad probability samples. Psychol Inq 2002, 13: 206–209. Diener E, Clifton D: Life satisfaction and religiosity in broad probability samples. Psychol Inq 2002, 13: 206–209.
3.
go back to reference Pargament KI: Is religion nothing but …? Explaining religion versus explaining religion away. Psychol Inq 2002, 13: 239–244. 10.1207/S15327965PLI1303_06CrossRef Pargament KI: Is religion nothing but …? Explaining religion versus explaining religion away. Psychol Inq 2002, 13: 239–244. 10.1207/S15327965PLI1303_06CrossRef
4.
go back to reference Hill TD, Angel JL, Ellison CG, Angel RJ: Religious attendance and mortality: An 8-year follow-up of older Mexican Americans. Journals of Gerontology B: Psychological Sciences and Social Sciences 2005, 60: S102-S109. 10.1093/geronb/60.2.S102CrossRefPubMed Hill TD, Angel JL, Ellison CG, Angel RJ: Religious attendance and mortality: An 8-year follow-up of older Mexican Americans. Journals of Gerontology B: Psychological Sciences and Social Sciences 2005, 60: S102-S109. 10.1093/geronb/60.2.S102CrossRefPubMed
5.
go back to reference Koenig HG, McCullough M, Larson D: Handbook of religion and health. Oxford University Press, Oxford; 2001.CrossRef Koenig HG, McCullough M, Larson D: Handbook of religion and health. Oxford University Press, Oxford; 2001.CrossRef
6.
go back to reference Idler EL: Religious involvement and the health of the elderly: Some hypotheses and an initial test. Social Forces 1987, 66: 226–238.CrossRef Idler EL: Religious involvement and the health of the elderly: Some hypotheses and an initial test. Social Forces 1987, 66: 226–238.CrossRef
7.
go back to reference Siegel K, Schrimshaw EW: The perceived benefits of religious and spiritual coping among older adults living with HIV/AIDS. Journal for the Scientific Study of Religion 2002, 41: 91–102. 10.1111/1468-5906.00103CrossRef Siegel K, Schrimshaw EW: The perceived benefits of religious and spiritual coping among older adults living with HIV/AIDS. Journal for the Scientific Study of Religion 2002, 41: 91–102. 10.1111/1468-5906.00103CrossRef
8.
go back to reference Levin JS: Religion and health: is there an association, is it valid, and is it causal? Social Science & Medicine 1994, 38: 1475–1482. 10.1016/0277-9536(94)90109-0CrossRef Levin JS: Religion and health: is there an association, is it valid, and is it causal? Social Science & Medicine 1994, 38: 1475–1482. 10.1016/0277-9536(94)90109-0CrossRef
9.
go back to reference Mattis JS, Jagers RJ: A relational framework for the study of religiosity and spirituality in the lives of African Americans. Journal of Community Psychology 2001, 29: 519–539.CrossRef Mattis JS, Jagers RJ: A relational framework for the study of religiosity and spirituality in the lives of African Americans. Journal of Community Psychology 2001, 29: 519–539.CrossRef
10.
go back to reference Strawbridge WJ, Shema SJ, Cohen RD, Kaplan GA: Religious attendance increases survival by improving and maintaining good health behaviors, mental health, and social relationships. Annals of Behavioral Medicine 2001, 23: 68–74. 10.1207/S15324796ABM2301_10CrossRefPubMed Strawbridge WJ, Shema SJ, Cohen RD, Kaplan GA: Religious attendance increases survival by improving and maintaining good health behaviors, mental health, and social relationships. Annals of Behavioral Medicine 2001, 23: 68–74. 10.1207/S15324796ABM2301_10CrossRefPubMed
11.
go back to reference Bandura A: On the psychosocial impact and mechanisms of spiritual modeling. Int J Psychol Relig 2003, 13: 167–173. 10.1207/S15327582IJPR1303_02CrossRef Bandura A: On the psychosocial impact and mechanisms of spiritual modeling. Int J Psychol Relig 2003, 13: 167–173. 10.1207/S15327582IJPR1303_02CrossRef
12.
go back to reference McAuley E, Konopack JF, Motl RW, Morris KS, Doerksen SE, Rosengren K: Physical activity and quality of life in older adults: Influence of health status and self-efficacy. Annals of Behavioral Medicine 2006, 31: 99–103. 10.1207/s15324796abm3101_14CrossRefPubMed McAuley E, Konopack JF, Motl RW, Morris KS, Doerksen SE, Rosengren K: Physical activity and quality of life in older adults: Influence of health status and self-efficacy. Annals of Behavioral Medicine 2006, 31: 99–103. 10.1207/s15324796abm3101_14CrossRefPubMed
13.
go back to reference White SM, Wójcicki TR, McAuley E: Physical activity and quality of life in community dwelling older adults. Health and Quality of Life Outcomes 2009, 7: 10. 10.1186/1477-7525-7-10PubMedCentralCrossRefPubMed White SM, Wójcicki TR, McAuley E: Physical activity and quality of life in community dwelling older adults. Health and Quality of Life Outcomes 2009, 7: 10. 10.1186/1477-7525-7-10PubMedCentralCrossRefPubMed
14.
go back to reference Sawatzky R, Gadermann A, Pescut B: An investigation of the relationships between spirituality, health status and quality of life in adolescents. Applied Research in Quality of Life 2009, 4: 5–22. 10.1007/s11482-009-9065-yCrossRef Sawatzky R, Gadermann A, Pescut B: An investigation of the relationships between spirituality, health status and quality of life in adolescents. Applied Research in Quality of Life 2009, 4: 5–22. 10.1007/s11482-009-9065-yCrossRef
15.
go back to reference Pfeiffer E: A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975, 23: 433–441.CrossRefPubMed Pfeiffer E: A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975, 23: 433–441.CrossRefPubMed
16.
go back to reference Diener E, Emmons RA, Larsen RJ, Griffin S: The Satisfaction with Life Scale. J Personal Assess 1985, 49: 71–75. 10.1207/s15327752jpa4901_13CrossRef Diener E, Emmons RA, Larsen RJ, Griffin S: The Satisfaction with Life Scale. J Personal Assess 1985, 49: 71–75. 10.1207/s15327752jpa4901_13CrossRef
17.
go back to reference Elavsky S, McAuley E, Motl RW, Konopack JF, Marquez DX, Jerome GJ, et al.: Physical activity enhances long-term quality of life in older adults: Efficacy, esteem, and affective influences. Annals of Behavioral Medicine 2005, 30: 138–145. 10.1207/s15324796abm3002_6CrossRefPubMed Elavsky S, McAuley E, Motl RW, Konopack JF, Marquez DX, Jerome GJ, et al.: Physical activity enhances long-term quality of life in older adults: Efficacy, esteem, and affective influences. Annals of Behavioral Medicine 2005, 30: 138–145. 10.1207/s15324796abm3002_6CrossRefPubMed
18.
go back to reference Ware JE, Kosinski M, Keller SD: The SF-36 Physical and Mental Health Summary Scales: A user's manual. Boston, MA. The Health Institute, New England Medical Center; 1994. Ware JE, Kosinski M, Keller SD: The SF-36 Physical and Mental Health Summary Scales: A user's manual. Boston, MA. The Health Institute, New England Medical Center; 1994.
19.
go back to reference Ware JE: The status of health assessment 1994. Annual Review of Public Health 1995, 16: 327–354. 10.1146/annurev.pu.16.050195.001551CrossRefPubMed Ware JE: The status of health assessment 1994. Annual Review of Public Health 1995, 16: 327–354. 10.1146/annurev.pu.16.050195.001551CrossRefPubMed
20.
go back to reference Russell DR, Cutrona C: The provisions of social relationships and adaptation to stress. In In Advances in personal relationships. Edited by: Jones WH, Perlman D. JAI Press, Greenwich, CT; 1984:37–68. Russell DR, Cutrona C: The provisions of social relationships and adaptation to stress. In In Advances in personal relationships. Edited by: Jones WH, Perlman D. JAI Press, Greenwich, CT; 1984:37–68.
21.
go back to reference Weiss RS: The provisions of social relationships. Prentice Hall, Englewood Cliffs, NJ; 1974. Weiss RS: The provisions of social relationships. Prentice Hall, Englewood Cliffs, NJ; 1974.
22.
go back to reference McAuley E, Jerome GJ, Marquez DX, Elavsky S, Blissmer B: Exercise self-efficacy in older adults: Social, affective, and behavioral influences. Annals of Behavioral Medicine 2003, 25: 1–7. 10.1207/S15324796ABM2501_01CrossRefPubMed McAuley E, Jerome GJ, Marquez DX, Elavsky S, Blissmer B: Exercise self-efficacy in older adults: Social, affective, and behavioral influences. Annals of Behavioral Medicine 2003, 25: 1–7. 10.1207/S15324796ABM2501_01CrossRefPubMed
23.
go back to reference Lev EL, Owen SV: A measure of self-care self-efficacy. Res Nurs Heal 1996, 19: 421–429. 10.1002/(SICI)1098-240X(199610)19:5<421::AID-NUR6>3.0.CO;2-SCrossRef Lev EL, Owen SV: A measure of self-care self-efficacy. Res Nurs Heal 1996, 19: 421–429. 10.1002/(SICI)1098-240X(199610)19:5<421::AID-NUR6>3.0.CO;2-SCrossRef
24.
go back to reference Melanson EL, Freedson PS: Validity of the Computer Science and Applications, Inc: CSA) activity monitor. Medicine & Science in Sports & Exercise 1995, 27: 934–940.CrossRef Melanson EL, Freedson PS: Validity of the Computer Science and Applications, Inc: CSA) activity monitor. Medicine & Science in Sports & Exercise 1995, 27: 934–940.CrossRef
25.
go back to reference Sirard JR, Melanson EL, Li L, Freedson PS: Field evaluation of the Computer Science and Applications, Inc. physical activity monitor. Medicine & Science in Sports & Exercise 2000, 32: 695–700.CrossRef Sirard JR, Melanson EL, Li L, Freedson PS: Field evaluation of the Computer Science and Applications, Inc. physical activity monitor. Medicine & Science in Sports & Exercise 2000, 32: 695–700.CrossRef
26.
go back to reference Welk GJ, Blair SN, Wood K, Jones S, Thompson RW: A comparative evaluation of three accelerometry-based physical activity monitors. Medicine & Science in Sports & Exercise 2000, 32(Suppl 9):489–497.CrossRef Welk GJ, Blair SN, Wood K, Jones S, Thompson RW: A comparative evaluation of three accelerometry-based physical activity monitors. Medicine & Science in Sports & Exercise 2000, 32(Suppl 9):489–497.CrossRef
27.
go back to reference Welk GJ, Schaben JA, Morrow JRJ: Reliability of accelerometry-based activity monitors: A generalizability study. Medicine & Science in Sports & Exercise 2004, 36: 1637–1645. Welk GJ, Schaben JA, Morrow JRJ: Reliability of accelerometry-based activity monitors: A generalizability study. Medicine & Science in Sports & Exercise 2004, 36: 1637–1645.
28.
go back to reference National Institute on Aging/Fetzer Workgroup: Multidimensional measurement of religiousness/spirituality for use in health research. John E. Fetzer Institute, Kalamazoo, MI; 1999. National Institute on Aging/Fetzer Workgroup: Multidimensional measurement of religiousness/spirituality for use in health research. John E. Fetzer Institute, Kalamazoo, MI; 1999.
29.
go back to reference Idler EL, Musick MA, Ellison CG, George LK, Krause N, Ory MG, et al.: Measuring multiple dimensions of religion and spirituality for health research: Conceptual background and findings from the 1998 General Social Survey. Research on Aging 2003, 25: 327–365. 10.1177/0164027503025004001CrossRef Idler EL, Musick MA, Ellison CG, George LK, Krause N, Ory MG, et al.: Measuring multiple dimensions of religion and spirituality for health research: Conceptual background and findings from the 1998 General Social Survey. Research on Aging 2003, 25: 327–365. 10.1177/0164027503025004001CrossRef
30.
go back to reference Muthén LK, Muthén BO: Mplus. 321st edition. Muthén & Muthén, Los Angeles; 1998. Muthén LK, Muthén BO: Mplus. 321st edition. Muthén & Muthén, Los Angeles; 1998.
31.
go back to reference Bollen KA: Structural equations with latent variables. Wiley-Interscience, New York; 1989.CrossRef Bollen KA: Structural equations with latent variables. Wiley-Interscience, New York; 1989.CrossRef
32.
go back to reference Browne MW, Cudeck R: Alternative ways of assessing model fit. In In Testing structural equation models. Edited by: Bollen KA, Long JS. Sage Publications, Newbury Park, CA; 1993:136–162. Browne MW, Cudeck R: Alternative ways of assessing model fit. In In Testing structural equation models. Edited by: Bollen KA, Long JS. Sage Publications, Newbury Park, CA; 1993:136–162.
33.
go back to reference Hu L, Bentler PM: Fit indices in covariance structure modeling: sensitivity to underparameterized model misspecification. Psychological Methods 1998, 3: 424–453.CrossRef Hu L, Bentler PM: Fit indices in covariance structure modeling: sensitivity to underparameterized model misspecification. Psychological Methods 1998, 3: 424–453.CrossRef
34.
go back to reference Bentler PM, Bonett DG: Significance tests and goodness of fit in the analysis of covariance structures. Psychol Bull 1980, 88: 588–606.CrossRef Bentler PM, Bonett DG: Significance tests and goodness of fit in the analysis of covariance structures. Psychol Bull 1980, 88: 588–606.CrossRef
35.
go back to reference Lawler-Row KA, Elliott J: The role of religious activity and spirituality in the health and well-being of older adults. J Heal Psychol 2010, 14: 43–52.CrossRef Lawler-Row KA, Elliott J: The role of religious activity and spirituality in the health and well-being of older adults. J Heal Psychol 2010, 14: 43–52.CrossRef
36.
go back to reference Sawatzky R, Ratner PA, Johnson JL, Kopec JA, Zumbo BD: Self-reported physical and mental health status and quality of life in adolescents: a latent variable mediation model. Health and Quality of Life Outcomes 2010, 8: 17. 10.1186/1477-7525-8-17PubMedCentralCrossRefPubMed Sawatzky R, Ratner PA, Johnson JL, Kopec JA, Zumbo BD: Self-reported physical and mental health status and quality of life in adolescents: a latent variable mediation model. Health and Quality of Life Outcomes 2010, 8: 17. 10.1186/1477-7525-8-17PubMedCentralCrossRefPubMed
37.
go back to reference Lim J, Yi J: The effects of religiosity, spirituality, and social support on quality of life: a comparison between Korean American and Korean breast and gynecologic cancer survivors. Oncology Nursing Forum 2009, 36: 699–708. 10.1188/09.ONF.699-708CrossRefPubMed Lim J, Yi J: The effects of religiosity, spirituality, and social support on quality of life: a comparison between Korean American and Korean breast and gynecologic cancer survivors. Oncology Nursing Forum 2009, 36: 699–708. 10.1188/09.ONF.699-708CrossRefPubMed
38.
go back to reference Helgeson VS: Social support and quality of life. Quality of Life Research 2003, 12(Suppl 1):25–31.CrossRefPubMed Helgeson VS: Social support and quality of life. Quality of Life Research 2003, 12(Suppl 1):25–31.CrossRefPubMed
39.
go back to reference Motl RW, McAuley E: Physical activity, disability, and quality of life in older adults. Physical Medicine and Rehabilitation Clinics of North America 2010, 21: 299–308. 10.1016/j.pmr.2009.12.006CrossRefPubMed Motl RW, McAuley E: Physical activity, disability, and quality of life in older adults. Physical Medicine and Rehabilitation Clinics of North America 2010, 21: 299–308. 10.1016/j.pmr.2009.12.006CrossRefPubMed
Metadata
Title
Efficacy-mediated effects of spirituality and physical activity on quality of life: A path analysis
Authors
James F Konopack
Edward McAuley
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2012
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-10-57

Other articles of this Issue 1/2012

Health and Quality of Life Outcomes 1/2012 Go to the issue