Barrier self-efficacy and physical activity over a 12-month period in men and women who do and do not attend cardiac rehabilitation.

2007 ◽  
Vol 52 (1) ◽  
pp. 65-73 ◽  
Author(s):  
Chris M. Blanchard ◽  
Robert D. Reid ◽  
Louise I. Morrin ◽  
Louise J. Beaton ◽  
Andrew Pipe ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cardiac Rehabilitation ◽  
Self Efficacy ◽  
Men And Women

scholarly journals Digital Health Intervention Promoting Physical Activity in Older Adults Post Cardiac Rehabilitation: Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Linda G. Park ◽  
Abdelaziz Elnaggar ◽  
Sei J. Lee ◽  
Stephanie Merek ◽  
Thomas J. Hoffmann ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cardiac Rehabilitation ◽  
Usual Care ◽  
Exercise Capacity ◽  
Self Efficacy ◽  
Digital Health ◽  
Intervention Group ◽  
Mobile App ◽  
Group Differences ◽  
Cardiac Events

BACKGROUND Cardiac rehabilitation (CR) is an exercise-based program prescribed after cardiac events that is associated with improved physical, mental, and social functioning; however, many patients return to a sedentary lifestyle leading to deteriorating exercise capacity after discharge from CR. Physical activity (PA) is critical to avoid recurrence of cardiac events and mortality as well as maintaining functional capacity. Leveraging digital health strategies to increase adherence to PA is a promising approach. We sought to determine whether mobile health strategies (MOVN mobile app for self-monitoring, supportive push-through messages, and wearable activity tracker) would improve PA and exercise capacity over 2 months. OBJECTIVE The objectives of this study were to: 1) evaluate group differences in PA and exercise capacity; and 2) determine group differences in depression and self-efficacy to maintain exercise after CR. METHODS During the final week of outpatient CR, patients were randomized 1:1 to the intervention group or usual care. The intervention group downloaded the MOVN mobile app, received supportive push-through messages on motivation and secondary prevention of cardiovascular disease (CVD) 3 times per week, and wore a Fitbit Charge 2 to track steps. Participants in the usual care group wore a pedometer and recorded their daily steps in a diary. Data from the 6MWT and self-reported questionnaires were collected at baseline and 2 months. RESULTS We recruited 60 patients from 2 CR sites at a community hospital in Northern California. The mean age was 66.8 ± 8.6 and 22% were female; retention rate of 85%. Our results from 51 patients who completed follow up showed the intervention group had a statistically significant higher mean daily steps count compared to the control (8,860 vs. 6,633) (P = .021). There was no difference between groups for the 6MWT, depression, or self-efficacy to maintain exercise. CONCLUSIONS Our technology-based intervention using a mobile app, push-through messages, and Fitbit proposes a low-cost, pragmatic, and contemporary approach to promote physical activity and sustain exercise capacity after completing CR. This intervention addresses a major public health initiative to promote PA in patients with CVD with the potential to improve critical PA, clinical, and psychosocial outcomes. CLINICALTRIAL “Trial Registration: ClinicalTrials.gov NCT03446313”

scholarly journals Testing a longitudinal integrated self-efficacy and self-determination theory model for physical activity post-cardiac rehabilitation

2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Shane N. Sweet ◽  
Michelle S. Fortier ◽  
Shaelyn M. Strachan ◽  
Chris M. Blanchard ◽  
Pierre Boulay
Keyword(s):  
Physical Activity ◽  
Cardiac Rehabilitation ◽  
Self Efficacy ◽  
Self Determination Theory ◽  
Cross Sectional Study ◽  
Rehabilitation Program ◽  
Theory Model ◽  
Self Determination ◽  
Self Report ◽  
Cross Sectional

Self-determination theory and self-efficacy theory are prominent theories in the physical activity literature, and studies have begun integrating their concepts. Sweet, Fortier, Strachan and Blanchard (2012) have integrated these two theories in a cross-sectional study. Therefore, this study sought to test a longitudinal integrated model to predict physical activity at the end of a 4-month cardiac rehabilitation program based on theory, research and Sweet <em>et al</em>.’s cross-sectional model. Participants from two cardiac rehabilitation programs (N=109) answered validated self-report questionnaires at baseline, two and four months. Data were analyzed using Amos to assess the path analysis and model fit. Prior to integration, perceived competence and self-efficacy were combined, and labeled as confidence. After controlling for 2-month physical activity and cardiac rehabilitation site, no motivational variables significantly predicted residual change in 4-month physical activity. Although confidence at two months did not predict residual change in 4-month physical activity, it had a strong positive relationship with 2-month physical activity (β=0.30, P&lt;0.001). The overall model retained good fit indices. In conclusion, results diverged from theoretical predictions of physical activity, but self-determination and self-efficacy theory were still partially supported. Because the model had good fit, this study demonstrated that theoretical integration is feasible.

scholarly journals Health Literacy for Cardiac Rehabilitation: An Examination of Associated Illness Perceptions, Self-Efficacy, Motivation and Physical Activity

2020 ◽  
Vol 17 (22) ◽  
pp. 8641
Author(s):  
Ronie Walters ◽  
Stephen J. Leslie ◽  
Jane Sixsmith ◽  
Trish Gorely
Keyword(s):  
Physical Activity ◽  
Cardiovascular Disease ◽  
Health Literacy ◽  
Cardiac Rehabilitation ◽  
Self Efficacy ◽  
Illness Perceptions ◽  
Health Behaviours ◽  
Hierarchical Cluster ◽  
Cross Sectional ◽  
Scottish Highlands

Following a diagnosis of cardiovascular disease there is a need for patients to self-manage. Health literacy has been shown to be lower in patients with cardiovascular disease, yet research into health literacy in this population is limited. This study used the Health Literacy Questionnaire (HLQ) to examine the health literacy and associated health, health behaviours and psychological profiles of cardiac rehabilitation patients from a remote and rural regional programme in the Scottish Highlands. Consecutive patients referred to the service in a calendar year were sent a cross-sectional questionnaire by post. Hierarchical cluster analysis grouped respondents based on their health literacy profile, and nonparametric methods were used to analyse differences between clusters on the other measures. A total of 282 participants responded (45.7%). Respondents were older (median: 71 years) and more likely to be from more affluent areas. Five health literacy clusters emerged with different profiles of health, physical activity, self-efficacy, motivation and illness perceptions. There was no difference in relation to cardiac rehabilitation attendance by health literacy cluster, but those with lower health literacy were less likely to be aware of the referral. Patterns of health literacy are associated with health, health behaviours and some psychological constructs. Knowledge of distinct cluster characteristics may help services better target interventions.

Inflated Perceptions of Physical Activity After Stroke: Pairing Self-Report With Physiologic Measures

2008 ◽  
Vol 5 (2) ◽  
pp. 308-318 ◽  
Author(s):  
Barbara Resnick ◽  
Kathleen Michael ◽  
Marianne Shaughnessy ◽  
Eun Shim Nahm ◽  
Susan Kopunek ◽  
...  
Keyword(s):  
Physical Activity ◽  
Self Efficacy ◽  
Community Dwelling ◽  
Self Report ◽  
Men And Women ◽  
Activity Monitors ◽  
Behavioral Variables ◽  
Efficacy Expectations ◽  
Treadmill Testing ◽  
And Performance

Background:Self-report measures of physical activity have well-known drawbacks, and physiologic measures alone do not account for behavioral variables important in the perception and performance of physical activity. Therefore, we considered multiple measures to quantify physical activity in community-dwelling men and women with chronic stroke.Methods:This analysis included data from a volunteer sample of 87 individuals at least 6 months poststroke. Physical activity was measured using self-report questionnaires, step activity monitors, self-efficacy expectations related to exercise, and VO2peak from treadmill testing, and a model of physical activity was tested.Results:Most of the variance in objective physical activity was explained by VO2peak, and most of the variance in subjective physical activity was explained by self-efficacy expectations. There were significant discrepancies between subjective and objective findings.Conclusion:This study helps to understand the perspective of stroke survivors with regard to physical activity.

scholarly journals A Longitudinal Examination of the Social-Ecological Correlates of Exercise in Men and Women Following Cardiac Rehabilitation

2019 ◽  
Vol 8 (2) ◽  
pp. 250 ◽  
Author(s):  
Mahshid Moghei ◽  
Robert Reid ◽  
Evyanne Wooding ◽  
Gabriela Melo Ghisi ◽  
Andrew Pipe ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cardiac Rehabilitation ◽  
Physical Environment ◽  
Cardiac Patients ◽  
Men And Women ◽  
Social Ecological ◽  
The Social ◽  
Intensity Physical Activity ◽  
Vigorous Intensity ◽  
Longitudinal Examination

Cardiac patients who engage in ≥150 min of moderate- to vigorous-intensity physical activity (MVPA)/week have lower mortality, yet MVPA declines even following cardiac rehabilitation (CR), and is lower in women. A randomized trial of nine socioecological theory-based exercise facilitation contacts over 50 weeks versus usual care (1:1 parallel arms) was undertaken (NCT01658683). The tertiary objective, as presented in this paper, was to test whether the intervention impacted socioecological elements, and in turn their association with MVPA. The 449 participants wore an accelerometer and completed questionnaires post-CR, and 26, 52 and 78 weeks later. At 52 weeks, exercise task self-efficacy was significantly greater in the intervention arm (p = 0.01), but no other differences were observed except more encouragement from other cardiac patients at 26 weeks (favoring controls). Among women adherent to the intervention, the group in whom the intervention was proven effective, physical activity (PA) intentions at 26 weeks were significantly greater in the intervention arm (p = 0.04), with no other differences. There were some differences in socioecological elements associated with MVPA by arm. There were also some differences by sex, with MVPA more often associated with exercise benefits/barriers in men, versus with working and the physical environment in women.

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