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      Maintenance of Physical Activity and Exercise Capacity After Rehabilitation in Coronary Heart Disease: A Randomized Controlled Trial

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          Abstract

          Background and Objectives:

          Physical activity is one of the core components in cardiac rehabilitation and secondary prevention programs. This study investigated the effect of an intervention based on the health action process approach (HAPA) together with family support in the maintenance of physical activity and exercise capacity in coronary heart disease after discharge from rehabilitation.

          Method and Materials:

          In this randomized controlled trial, 96 patients with coronary heart disease were randomly assigned to control and intervention groups at the end of a rehabilitation program at Afshar Hospital, Yazd, Iran. HAPA Constructs and family support using a self-reported questionnaire and maximal oxygen uptake through a treadmill exercise test were measured prior to and 4 months after the intervention.

          Results:

          HAPA-based intervention together with family support increased scores of HAPA constructs and family support in the intervention group compared with the control group. The results showed that physical activity and exercise capacity in the intervention group was significantly higher than the control group after the intervention.

          Conclusion:

          HAPA-based intervention together with family support can be a useful tool for maintenance of physical activity and exercise capacity in coronary heart disease.

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          Most cited references38

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          Mechanisms of health behavior change in persons with chronic illness or disability: the Health Action Process Approach (HAPA).

          Ralf Schwarzer, Sonia Lippke, Aleksandra Luszczynska (2011)
          The present article presents an overview of theoretical constructs and mechanisms of health behavior change that have been found useful in research on people with chronic illness and disability. A self-regulation framework (Health Action Process Approach) serves as a backdrop, making a distinction between goal setting and goal pursuit. Risk perception, outcome expectancies, and task self-efficacy are seen as predisposing factors in the goal-setting (motivational) phase, whereas planning, action control, and maintenance/recovery self-efficacy are regarded as being influential in the subsequent goal-pursuit (volitional) phase. The first phase leads to forming an intention, and the second to actual behavior change. Such a mediator model serves to explain social-cognitive processes in health behavior change. By adding a second layer, a moderator model is provided in which three stages are distinguished to segment the audience for tailored interventions. Identifying persons as preintenders, intenders, or actors offers an opportunity to match theory-based treatments to specific target groups. Numerous research and assessment examples, especially within the physical activity domain, serve to illustrate the application of the model to rehabilitation settings and health promotion for people with chronic illness or disability. The theoretical developments and research evidence for the self-regulation framework explain the cognitive mechanisms of behavior change and adherence to treatment in the rehabilitation setting.
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            Exercise training and cardiac rehabilitation in primary and secondary prevention of coronary heart disease.

            Carl Lavie, Randal Thomas, Ray W Squires … (2009)
            Substantial data have established a sedentary lifestyle as a major modifiable risk factor for coronary heart disease (CHD). Increased levels of physical activity, exercise training, and overall cardiorespiratory fitness have provided protection in the primary and secondary prevention of CHD. This review surveys data from observational studies supporting the benefits of physical activity, exercise training, and overall cardiorespiratory fitness in primary prevention. Clearly, cardiac rehabilitation/secondary prevention (CRSP) programs have been greatly underused by patients with CHD. We review the benefits of CRSP programs on CHD risk factors, psychological factors, and overall CHD morbidity and mortality. These data support the routine referral of patients with CHD to CRSP programs. Patients should be vigorously encouraged to attend these programs.
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              Exercise testing of patients with coronary heart disease. Principles and normal standards for evaluation.

              Clinton R. Bruce (1971)
              Article 0 comments Cited 66 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Glob J Health Sci
                Journal ID (iso-abbrev): Glob J Health Sci
                Title: Global Journal of Health Science
                Publisher: Canadian Center of Science and Education (Canada )
                ISSN (Print): 1916-9736
                ISSN (Electronic): 1916-9744
                Publication date (Print): November 2014
                Publication date (Electronic): 29 July 2014
                Volume: 6
                Issue: 6
                Pages: 198-208
                Affiliations
                [1 ]Department of Health Education and Promotion, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
                [2 ]Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
                [3 ]Faculty of Social Sciences, Yazd University, Yazd, Iran
                [4 ]Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran
                Author notes
                Correspondence: Mohammadreza Vafaeinasab, Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Tel: 98-351-821-1450. E-mail: Vafaeinasab@ 123456gmail.com
                Article
                Publisher ID: GJHS-6-198
                DOI: 10.5539/gjhs.v6n6p198
                PMC ID: 4825531
                PubMed ID: 25363124
                SO-VID: 6353093d-9ff4-4f71-9e61-1d4406ed387c
                Copyright © Copyright: © Canadian Center of Science and Education
                License:

                This is an open-access article distributed under the terms and conditions of the Creative Commons Attribution license ( http://creativecommons.org/licenses/by/3.0/).

                History
                Date received : 22 May 2014
                Date accepted : 11 July 2014
                Categories
                Subject: Articles

                Keywords: physical activity,exercise capacity,coronary heart disease,health action process approach,family support
                Data availability:
                Keywords: physical activity, exercise capacity, coronary heart disease, health action process approach, family support

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