Mediators of Exercise Maintenance After Cardiac Rehabilitation

Overview

Journal J Cardiopulm Rehabil Prev

Specialties Cardiology & Vascular Diseases
Pulmonary Medicine
Rehabilitation Medicine

Date 2014 Jul 2

PMID 24983707

Citations 4

Authors

Bernardine M Pinto

Shira I Dunsiger

Affiliations

Soon will be listed here.

Abstract

Purpose: Exercise maintenance after completing phase II cardiac rehabilitation (CR) is challenging for many patients. A telephone-based maintenance intervention improved exercise participation compared with a control group at 12 months post-CR discharge. We examined the 6-month mediators of intervention effects on exercise.

Methods: In a randomized controlled trial, 130 patients who had completed CR (mean age: 63.6 [SD = 9.7] years, 20.8% female) were randomized to Maintenance Counseling (n = 64) or Contact Control (n = 66). Putative mediators examined the following: self-efficacy, behavioral processes of change, decisional balance index, social support for exercise, and enjoyment of exercise.

Results: Multiple mediation analyses showed that the intervention significantly increased social support from friends at 6 months but not the other constructs. Decreasing support from friends mediated greater exercise participation in Maintenance Counseling than in Contact Control at 12 months.

Conclusions: Social support from friends functioned as a suppressor mediator for exercise maintenance among cardiac patients.

Citing Articles

Structural equation model of psychological constructs of transtheoretical model, motives for physical activity, and amount of physical activity among people with type 2 diabetes mellitus in Malaysia.

Hidrus A, Kueh Y, Norsaadah B, Kim Y, Chang Y, Kuan G PLoS One. 2022; 17(3):e0266104.

PMID: 35358248 PMC: 8970478. DOI: 10.1371/journal.pone.0266104.

Systematic Review of Interventions Designed to Maintain or Increase Physical Activity Post-Cardiac Rehabilitation Phase II.

Graham H, Prue-Owens K, Kirby J, Ramesh M Rehabil Process Outcome. 2021; 9:1179572720941833.

PMID: 34497468 PMC: 8282140. DOI: 10.1177/1179572720941833.

Factors Influencing the Impact of Depressive Symptoms on Physical Functional Capacity After Cardiac Rehabilitation.

Wierenga K, Moore S, Liu J, Sattar A Rehabil Nurs. 2020; 45(6):348-357.

PMID: 33332796 PMC: 6858946. DOI: 10.1097/rnj.0000000000000227.

Psychological Aspects of Cardiac Care and Rehabilitation: Time to Wake Up to Sleep?.

Gallagher J, Parenti G, Doyle F Curr Cardiol Rep. 2015; 17(12):111.

PMID: 26482754 DOI: 10.1007/s11886-015-0667-8.

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