The Turkish version of the Multidimensional Outcome Expectations for Exercise Scale (MOEES) has been validated, showing high reliability for assessing exercise expectations among adults with cardiovascular disease (CVD). This important study reveals how individuals' beliefs about the outcomes of physical activity can significantly influence their participation rates and overall health management.
Conducted between January 5, 2023, and February 6, 2024, the study included 150 participants diagnosed with cardiovascular diseases. The research aimed to translate and validate the MOEES, originally developed to evaluate multiple dimensions of outcome expectations related to exercise. Researchers found the MOEES not only reliable but also suitable for future clinical and research applications.
Cardiovascular diseases, characterized by heart and circulatory disorders, are leading causes of mortality worldwide. Effective management increasingly incorporates lifestyle interventions, recognizing the inverse relationship between physical activity levels and cardiovascular mortality. Regular exercise is known to contribute to cardiovascular protection by enhancing various bodily functions. Given the variability of exercise needs across individuals, personalized programs are becoming more important.
Understanding the psychological aspect of exercise, including expectations derived from physical activity, can help tailor interventions effectively. The study identified varying levels of expectations among patients, which correlate with their engagement in exercise regimens. To develop the Turkish version of the MOEES, researchers ensured it was culturally appropriate after modifications to the language, employing the expertise of physiotherapy professionals for validation.
According to the authors of the article, "The Turkish MOEES is a reliable tool for evaluating physical, social, and self-evaluative outcome expectations...making it suitable for clinical and research applications." The study's findings indicate excellent internal consistency of the scale, with Cronbach's Alpha measuring at 0.919, and high test-retest reliability for the physical (0.924), social (0.929), and self-evaluative subscales (0.921).
Statistical analyses including confirmatory factor analysis (CFA) supported the scale’s validity, demonstrating strong correlations with existing measures of physical activity and kinesiophobia, highlighting the importance of psychological factors. The results suggest, as stated by the authors of the article, "Accurately measuring these expectations is...essential for creating more dependable and personalized exercise plans." Overall, the MOEES can determine individual readiness for rehabilitation, which could lead to improved health outcomes for CVD patients.
This study opens avenues for future research, particularly involving diverse populations suffering from chronic conditions, to determine the effectiveness of the MOEES across different cultural and health contexts. The reliability of the MOEES for cardiovascular patients provides clinicians with necessary tools to motivate and guide patients through personalized exercise interventions aimed at enhancing their rehabilitation outcomes.