Readiness for Behavioral Changes in Patients With Heart Failure

2003 ◽  
Vol 12 (5) ◽  
pp. 444-453 ◽  
Author(s):  
Nancee V. Sneed ◽  
Sara C. Paul
Keyword(s):  
Heart Failure ◽  
Transtheoretical Model ◽  
Stage Of Change ◽  
Exercise Program ◽  
Lifestyle Changes ◽  
Readiness For Change ◽  
Behavioral Changes ◽  
High Sodium ◽  
Patients With Heart Failure ◽  
Stage Of Readiness

• Background Successful self-care in heart failure often requires lifestyle changes such as avoiding sodium, excess fluid intake, alcohol, and tobacco; exercising regularly; and losing weight. The Transtheoretical Model, a framework for making behavioral changes, proposes that change requires a series of stages. • Objectives To identify the stage of readiness for change in 6 lifestyle behaviors important in heart failure and to determine differences in signs and symptoms of heart failure, self-reported knowledge of the disease, and self-reported behavior between patients who have taken action and patients who have not. • Method A mail survey of 250 patients with heart failure. • Results Most respondents reported consistent avoidance of tobacco (90.6%), alcohol (87.9%), sodium (81%), and excess fluid (72.6%) and regular participation in exercise (67.1%) and trying to lose weight (64.7%). Yet only 38.7% had a regular exercise program, and 94.2% had eaten high-sodium foods in the preceding 24 hours. Knowledge of heart failure was low (mean score, 67.4%) and did not differ by stage of change. Only 30.4% of the respondents were at their desired weight, and most overweight subjects had been trying to lose weight for more than 6 months. • Conclusions Although respondents thought they were consistently adhering to recommended guidelines for changes in lifestyle, actual reported behaviors did not always support this evaluation. Use of the stage of change tool to assess stage of readiness to make lifestyle changes may not work well in patients with heart failure, perhaps because of the number and complexity of the changes needed.

Strategies for Behavior Change in Patients With Heart Failure

2004 ◽  
Vol 13 (4) ◽  
pp. 305-313 ◽  
Author(s):  
Sara Paul ◽  
Nancee V. Sneed
Keyword(s):  
Heart Failure ◽  
Behavior Change ◽  
Stages Of Change ◽  
Transtheoretical Model ◽  
Signs And Symptoms ◽  
Lifestyle Changes ◽  
Readiness For Change ◽  
Dietary Sodium ◽  
Actual Behavior ◽  
Patients With Heart Failure

Appropriate management of chronic heart failure and its signs and symptoms requires a considerable amount of participation by patients. Behavioral changes that prevent or minimize signs and symptoms and disease progression are just as important as the medications prescribed to treat the heart failure. The most difficult lifestyle changes include smoking cessation, weight loss, and restriction of dietary sodium. The Transtheoretical Model is a framework for assessing and addressing the concept of readiness for behavior change, which occurs in a 6-step process. The model consists of 3 dimensions: the stages of change, the processes of change on which interventions are based, and the action criteria for actual behavior. The stages of change are discussed, and interventions are presented to assist patients with heart failure in progressing through those stages toward maintenance of changed lifestyle behaviors. Methods for measuring the level of readiness for change of patients with heart failure are also presented, because correct staging is required before appropriate interventions matched to a patient’s stage can be delivered.

Atrial natriuretic peptides in man

1987 ◽  
Vol 65 (8) ◽  
pp. 1697-1700 ◽  
Author(s):  
M. Gary Nicholls ◽  
Hamid Ikram ◽  
Ian G. Crozier ◽  
Eric A. Espiner ◽  
Tim G. Yandle
Keyword(s):  
Heart Failure ◽  
Renal Failure ◽  
Physiological Role ◽  
High Sodium ◽  
Patients With Heart Failure ◽  
Normal Man ◽  
Urine Electrolytes ◽  
Pulmonary Arterial ◽  
Atrial Natriuretic

Research on the physiological role of atrial peptides in man is limited, and the potential for these peptides, or more stable analogues, in therapeutics is uncertain. It is clear, however, that plasma levels of immunoreactive atrial natriuretic peptide (IR-ANP) are increased in volunteers taking a high sodium diet, and are elevated in patients with heart failure, chronic renal failure, and primary aldosteronism. There is suggestive evidence that IR-ANP levels are increased also in essential hypertension, although overlap with normotensives is considerable. Injection or infusion of artrial peptides into man results in a diuresis, an increased output of urine electrolytes, a fall in blood pressure and a rise in heart rate, suppression of aldosterone and sometimes of renin also, and stimulation of norepinephrine. In essential hypertensives, urinary effects may be greater than in normotensives. Heart failure patients show a rise in cardiac output and falls in both systemic and pulmonary arterial pressure. Over the next few years and especially if specific antagonists can be developed, the physiologic and pathophysiologic roles of atrial peptides in normal man and in clinical disorders should be clarified. It is possible that stable analogues of atrial peptides will find a place in the treatment of cardiac failure, renal failure, and perhaps hypertension.

scholarly journals Combined Aerobic and Resistance Exercise Program Improves Task Performance in Patients With Heart Failure

2011 ◽  
Vol 92 (9) ◽  
pp. 1371-1381 ◽  
Author(s):  
Rebecca A. Gary ◽  
M. Elaine Cress ◽  
Melinda K. Higgins ◽  
Andrew L. Smith ◽  
Sandra B. Dunbar
Keyword(s):  
Heart Failure ◽  
Resistance Exercise ◽  
Task Performance ◽  
Exercise Program ◽  
Patients With Heart Failure

Stage of Readiness to Adopt Exercise Identifies Patients with Heart Failure at Increased Risk

2006 ◽  
Vol 38 (Supplement) ◽  
pp. S253-S254
Author(s):  
Tracie R. Parish ◽  
Maria Kosma ◽  
Charles Moore ◽  
Michael A. Welsch ◽  
Arnold Nelson
Keyword(s):  
Heart Failure ◽  
Increased Risk ◽  
Patients With Heart Failure ◽  
Stage Of Readiness ◽  
Readiness To Adopt

Motivational Readiness of Community College Students Engaging in Physical Activity

2015 ◽  
Vol 39 (2) ◽  
pp. 92-104 ◽  
Author(s):  
Sarah J. Young ◽  
Dohyun Lee ◽  
Jill R. Sturts
Keyword(s):  
Physical Activity ◽  
College Students ◽  
Community College ◽  
Community College Students ◽  
Transtheoretical Model ◽  
Readiness For Change ◽  
Relationship Status ◽  
Physically Active ◽  
Motivational Readiness ◽  
Stage Of Readiness

This study investigated the Stages of Motivational Readiness for Change (SMRC) related to the physical activity of community college students. The transtheoretical model was the basis for examining frequency and intentions of physical activity, relationships between behaviors, and demographic variables such as age, gender, income, relationship status, dependents, GPA, and BMI. A conceptual model was also created to depict statistically significant predictability for the stage of readiness for change, BMI, intention to use facilities, and current physical activity frequency. Findings revealed that stages varied according to gender, relationship status, and having children. In addition, SMRC was found to be a key predictor of students' current physical activity habits. Understanding the SMRC is helpful for administrators to determine levels of physical activity as it can provide a greater understanding of student mindset and result in determining appropriate programs, marketing strategies, and facility improvements for students to become more physically active.

scholarly journals A Combined Aerobic and Resistance Exercise Program Improves Physical Functional Performance in Patients With Heart Failure

2012 ◽  
Vol 27 (5) ◽  
pp. 418-430 ◽  
Author(s):  
Rebecca A. Gary ◽  
M. Elaine Cress ◽  
Melinda K. Higgins ◽  
Andrew L. Smith ◽  
Sandra B. Dunbar
Keyword(s):  
Heart Failure ◽  
Resistance Exercise ◽  
Functional Performance ◽  
Exercise Program ◽  
Patients With Heart Failure ◽  
Physical Functional Performance

scholarly journals Efficacy and Cost of an Exercise Program for Functionally Impaired Older Patients With Heart Failure

2012 ◽  
Vol 5 (2) ◽  
pp. 209-216 ◽  
Author(s):  
Miles D. Witham ◽  
Roberta L. Fulton ◽  
Carol A. Greig ◽  
Derek W. Johnston ◽  
Chim C. Lang ◽  
...  
Keyword(s):  
Heart Failure ◽  
Older Patients ◽  
Exercise Program ◽  
Patients With Heart Failure ◽  
Functionally Impaired

Childhood Overweight: Parental Perceptions and Readiness for Change

2015 ◽  
Vol 23 (2) ◽  
pp. 73-79
Author(s):  
Kristen R. Howard
Keyword(s):  
Childhood Obesity ◽  
Health Behavior ◽  
Behavior Change ◽  
Transtheoretical Model ◽  
Health Behavior Change ◽  
Readiness For Change ◽  
School Age Children ◽  
Health Crisis ◽  
Stage Of Readiness ◽  
The Face

Although the national health crisis of childhood obesity is a well-documented problem, few if any clinical interventions have had success in curbing its growth. In fact, childhood obesity, along with its associated morbidities, continues to climb even in the face of increased awareness. Research shows that factors contributing to obesity are almost entirely modifiable on some level. Furthermore, specific behavior changes have been shown to result in positive outcomes, yet these changes have not been widely implemented by practitioners, families, or individuals. The transtheoretical model of health behavior change offers insight into assessing individuals and targeting interventions for behavior change. This article focuses on guiding school nurses to assess parents of school-age children at risk for obesity for readiness for health behavior change, then choosing parent-focused interventions based on their stage of readiness for change.

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