OBJECTIVE: Cardiovascular disease (CVD) is the leading cause of death in the developed world. Cardiac rehabilitation (CR) is a comprehensive treatment program centered on structured exercise that has been demonstrated to achieve significant decreases in mortality and morbidity in cardiac patients, yet few patients adhere to exercise post-CR and so fail to maintain any health benefits accrued during rehabilitation. One reason for the lack of adherence might be that CR fails to address the challenges to adherence faced by patients when they no longer have the resources and structure of CR to support them. Self-efficacy (SE) is a robust predictor of behavioral persistence. This study therefore focuses on changes in different types of SE during CR and the relationship of SE to subsequent levels of physical activity. METHOD: A sample of 63 CR patients completed assessments of task, scheduling and coping SE at baseline and the end of CR, as well as self-reported exercise behavior at the end of CR and 1-month post-CR. RESULTS: Task SE (for performing elemental aspects of the behavior) was found to be most changed type of SE during CR and was strongly related to self-reported exercise at the end of CR. However, scheduling SE (for performing the behavior regularly) was most strongly related to self-reported exercise post-CR. CONCLUSIONS: These results are theoretically consistent and suggest that scheduling SE should be targeted during CR to improve post-CR exercise adherence.
OBJECTIVE:Cardiovascular disease (CVD) is the leading cause of death in the developed world. Cardiac rehabilitation (CR) is a comprehensive treatment program centered on structured exercise that has been demonstrated to achieve significant decreases in mortality and morbidity in cardiac patients, yet few patients adhere to exercise post-CR and so fail to maintain any health benefits accrued during rehabilitation. One reason for the lack of adherence might be that CR fails to address the challenges to adherence faced by patients when they no longer have the resources and structure of CR to support them. Self-efficacy (SE) is a robust predictor of behavioral persistence. This study therefore focuses on changes in different types of SE during CR and the relationship of SE to subsequent levels of physical activity. METHOD: A sample of 63 CR patients completed assessments of task, scheduling and coping SE at baseline and the end of CR, as well as self-reported exercise behavior at the end of CR and 1-month post-CR. RESULTS: Task SE (for performing elemental aspects of the behavior) was found to be most changed type of SE during CR and was strongly related to self-reported exercise at the end of CR. However, scheduling SE (for performing the behavior regularly) was most strongly related to self-reported exercise post-CR. CONCLUSIONS: These results are theoretically consistent and suggest that scheduling SE should be targeted during CR to improve post-CR exercise adherence.
Authors: Lindsay S Mayberry; Jonathan S Schildcrout; Kenneth A Wallston; Kathryn Goggins; Amanda S Mixon; Russell L Rothman; Sunil Kripalani Journal: Mayo Clin Proc Date: 2018-11-07 Impact factor: 7.616
Authors: Laura Q Rogers; Kerry S Courneya; Phillip M Anton; Patricia Hopkins-Price; Steven Verhulst; Randall S Robbs; Sandra K Vicari; Edward McAuley Journal: Ann Behav Med Date: 2017-04
Authors: Justin M Bachmann; Kathryn M Goggins; Samuel K Nwosu; Jonathan S Schildcrout; Sunil Kripalani; Kenneth A Wallston Journal: Patient Educ Couns Date: 2016-07-15
Authors: Justin M Bachmann; Lindsay S Mayberry; Kenneth A Wallston; Shi Huang; Christianne L Roumie; Daniel Muñoz; Niral J Patel; Sunil Kripalani Journal: Am J Cardiol Date: 2018-02-07 Impact factor: 2.778