All ETDs from UAB

Advisory Committee Chair

Laura Talbot Forbes

Advisory Committee Members

Surya Bhatt

John Dantzler

Retta Evans

Larell Wilkinson

Document Type


Date of Award


Degree Name by School

Doctor of Education (EdD) School of Education


the fourth leading cause of death in the United States, Chronic Obstructive Pulmonary Disease (COPD) is a major contributor of morbidity and mortality. The disease is characterized by chronic irritation and inflammation of the airways. The most common symptoms include chronic cough and shortness-of-breath. Pulmonary rehabilitation is a comprehensive exercise and education program for people with lung disease. It is well-established as an intervention to improve symptoms and other qualityof- life outcomes in people with COPD. Self-efficacy is the belief in one’s own abilities. It is recognized by the American Thoracic Society and European Respiratory Society as an integral part of motivation and necessary to develop the self-management skills fostered in pulmonary rehabilitation. The aim of this study was to explore self-efficacy as measured by the PRAISE instrument as it relates to pulmonary rehabilitation completion rates and self-efficacy changes. This study also tested associations between self-efficacy levels and psychosocial risk factors. No significant association was found between self-efficacy levels and pulmonary rehabilitation completion. No change in self-efficacy was found post-pulmonary rehabilitation. However, a significant association was revealed between low levels of self-efficacy and high levels of depression when testing associations of psychosocial risk factors.

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