Development and impact of exercise self-efficacy types during and after cardiac rehabilitation.

Murray, Terra C.; Selzler, Anne-Marie; Norman, Paul

doi:10.1037/a0032018

Cited by 43 publications

(38 citation statements)

References 40 publications

(81 reference statements)

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“…As such, these women would not be a primary target to allocate resources to for an intervention. On the other hand, the remaining 59% of women formed a second subgroup (Low Significant Decliners-BSE) that started CR with little confidence they could overcome PA barriers, and this confidence continued to decline during and after CR, which is consistent with previous research (Rodgers et al, 2013). This downward trend is similar to that found in three of the four task self-efficacy subgroups.…”

Section: Discussionsupporting

confidence: 90%

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Self-efficacy and outcome expectations in cardiac rehabilitation: Associations with women’s physical activity.

Blanchard

Arthur

Gunn

2015

Rehabilitation Psychology

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Women in trajectories with higher task and barrier self-efficacy and outcome expectations are more likely to be active, whereas the opposite is true for women with lower efficacy and outcome expectancies. As such, it is critical that health-care practitioners incorporate strategies into their CR programs or professional practice after CR to increase women's confidence in engaging in PA, overcome barriers to engage in PA, and promote positive outcomes related to PA to increase their PA levels.

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Section: Discussionsupporting

confidence: 90%

“…This decline in self-efficacy is consistent with previous research (Rodgers, Murray, Selzler, & Norman, 2013). Unfortunately, a third distinct subgroup (Low Nonsignificant Decliners-TSE) emerged that had little confidence to engage in PA at the start of CR (i.e., their average score was 42.28%) and this continued to decline during "p < .05.…”

Section: Discussionsupporting

confidence: 88%

Self-efficacy and outcome expectations in cardiac rehabilitation: Associations with women’s physical activity.

Blanchard

Arthur

Gunn

2015

Rehabilitation Psychology

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“…Here we show continued improvements in weight loss and systolic blood pressure in the three months of usual CR – with an intervention which could easily be continued in the months beyond CR, providing a potential permanent lifestyle adjunct in the secondary prevention of CVD. Interestingly, new data regarding the psychology of post-CR care seems to indicate that patients responsible for the scheduling and execution of their own post-CR plan appear to show the greatest adherence [41]. …”

Section: Discussionmentioning

confidence: 99%

Digital Health Intervention as an Adjunct to Cardiac Rehabilitation Reduces Cardiovascular Risk Factors and Rehospitalizations

Widmer

Allison

Lerman

et al. 2015

J. of Cardiovasc. Trans. Res.

133

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Cardiac rehabilitation (CR) following myocardial infarction is vastly underused. As such the aim of this study was to test a digital health intervention (DHI) as an adjunct to CR. Patients undergoing standard Mayo Clinic CR were recruited prior to CR (n=25) or after three months CR (n=17). Changes in risk factors and rehospitalizations plus emergency department (ED) visits were assessed after three months. Patients assigned to DHI during CR had significant reductions in weight (−4.0+5.2 kg, P=.001), blood pressure (−10.8±13.5 mmHg, P=.0009), and the group using DHI after three months of CR had significant reductions in weight (−2.5±3.8 kg, P=.04) and systolic BP (−12.6±12.4 mmHg, P=.001) compared to the control groups. Both DHI groups also displayed significant reductions in rehospitalizations/ED visits (−37.9%, P=0.01 and −28%, P=.04, respectively). This study suggests that a guideline-driven, DHI CR program can augment secondary prevention strategies during usual CR by improving risk factors for repeat events.

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“…motivational interviewing and cognitive behaviour therapy) and objective feedback, patients will be sufficiently prepared for independent exercise in the home environment. 21,22 …”

Section: Introductionmentioning

confidence: 99%

Clinical and cost-effectiveness of home-based cardiac rehabilitation compared to conventional, centre-based cardiac rehabilitation: Results of the FIT@Home study

Kraal

Marle

Abu‐Hanna

et al. 2017

Eur J Prev Cardiolog

201

305

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AimAlthough cardiac rehabilitation improves physical fitness after a cardiac event, many eligible patients do not participate in cardiac rehabilitation and the beneficial effects of cardiac rehabilitation are often not maintained over time. Home-based training with telemonitoring guidance could improve participation rates and enhance long-term effectiveness.Methods and resultsWe randomised 90 low-to-moderate cardiac risk patients entering cardiac rehabilitation to three months of either home-based training with telemonitoring guidance or centre-based training. Although training adherence was similar between groups, satisfaction was higher in the home-based group (p = 0.02). Physical fitness improved at discharge (p < 0.01) and at one-year follow-up (p < 0.01) in both groups, without differences between groups (home-based p = 0.31 and centre-based p = 0.87). Physical activity levels did not change during the one-year study period (centre-based p = 0.38, home-based p = 0.80). Healthcare costs were statistically non-significantly lower in the home-based group (€437 per patient, 95% confidence interval –562 to 1436, p = 0.39). From a societal perspective, a statistically non-significant difference of €3160 per patient in favour of the home-based group was found (95% confidence interval –460 to 6780, p = 0.09) and the probability that it was more cost-effective varied between 97% and 75% (willingness-to-pay of €0 and €100,000 per quality-adjusted life-years, respectively).ConclusionWe found no differences between home-based training with telemonitoring guidance and centre-based training on physical fitness, physical activity level or health-related quality of life. However, home-based training was associated with a higher patient satisfaction and appears to be more cost-effective than centre-based training. We conclude that home-based training with telemonitoring guidance can be used as an alternative to centre-based training for low-to-moderate cardiac risk patients entering cardiac rehabilitation.

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Development and impact of exercise self-efficacy types during and after cardiac rehabilitation.

Abstract: These results are theoretically consistent and suggest that scheduling SE should be targeted during CR to improve post-CR exercise adherence.

Cited by 43 publications

References 40 publications

Self-efficacy and outcome expectations in cardiac rehabilitation: Associations with women’s physical activity.

Self-efficacy and outcome expectations in cardiac rehabilitation: Associations with women’s physical activity.

Digital Health Intervention as an Adjunct to Cardiac Rehabilitation Reduces Cardiovascular Risk Factors and Rehospitalizations

Clinical and cost-effectiveness of home-based cardiac rehabilitation compared to conventional, centre-based cardiac rehabilitation: Results of the FIT@Home study

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