Behavior determinants among cardiac rehabilitation patients receiving educational interventions: An application of the health action process approach

Ghisi, Gabriela Lima de Melo; Grace, Sherry L.; Thomas, Scott; Oh, Paul

doi:10.1016/j.pec.2015.01.006

Cited by 44 publications

(30 citation statements)

References 52 publications

(61 reference statements)

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“…The empirically validated English version 16 , 17 has been translated and culturally adapted to Brazilian Portuguese. Clinicians and patients have reviewed the material, and a plain language and clear design review was completed in preparation for this trial.…”

Section: Methodsmentioning

confidence: 99%

Effects of comprehensive cardiac rehabilitation on functional capacity and cardiovascular risk factors in Brazilians assisted by public health care: protocol for a randomized controlled trial

Chaves¹,

Ghisi²,

Grace³

et al. 2016

Braz. J. Phys. Ther.

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BackgroundCardiovascular Disease (CVD) is the leading burden of disease worldwide. Moreover, CVD-related death rates are considered an epidemic in low- and middle-income countries (LMICs). Research shows that cardiac rehabilitation (CR) participation reduces death and improves disability and quality of life. Given the growing epidemic of CVD in LMICs and the insufficient evidence about CR programs in these countries, a Randomized Control Trial (RCT) in Latin America is warranted.ObjectiveTo investigate the effects of comprehensive CR on functional capacity and cardiovascular risk factors.MethodThe design is a single-blinded RCT with three parallel arms: comprehensive CR (exercise + education) versus exercise-based CR versus wait-list control (no CR). The primary outcome will be measured by the Incremental Shuttle Walk Test. Secondary outcomes are risk factors (blood pressure, dyslipidemia, dysglycemia, body mass index and waist circumference); tertiary outcomes are heart health behaviors (exercise, medication adherence, diet, and smoking), knowledge, and depressive symptoms. The CR program is six months in duration. Participants randomized to exercise-based CR will receive 24 weeks of exercise classes. The comprehensive CR group will also receive 24 educational sessions, including a workbook. Every outcome will be assessed at baseline and 6-months later, and mortality will be ascertained at six months and one year.ConclusionThis will be the first RCT to establish the effects of CR in Latin America. If positive, results will be used to promote broader implementation of comprehensive CR and patient access in the region and to inform a larger-scale trial powered for mortality.

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Section: Methodsmentioning

confidence: 99%

Effects of comprehensive cardiac rehabilitation on functional capacity and cardiovascular risk factors in Brazilians assisted by public health care: protocol for a randomized controlled trial

Chaves¹,

Ghisi²,

Grace³

et al. 2016

Braz. J. Phys. Ther.

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“…Furthermore, in the cases of considering the two plannings separately, the discrepant results have been reported in different studies (e.g. no direct relation between them in Ghisi et al (2015)). Therefore, the relationship between action planning and coping planning may need to be further explored from a moderation perspective.…”

Section: Structural Modelmentioning

confidence: 91%

<b>A New Psychological Approach to Reducing Individuals’ Car Use Behavior Applying Coping Planning and Analyzing Its Effects</b>

Hsieh

Kanda²,

Fujii

2017

URPR

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Mobility Management is quite common and important methodology for transportation policy. In mobility management for sustainable urban transport, the technique of action plans has been applied to help commuters translate their intention into actual travel behavior. However, less is known about the influence of the factor, coping planning, psychologically involving both "anticipation of barriers" and "strategy for overcoming barriers" even though it has been regarded as a key role in behavior change in the fields of health psychology and behavioral medicine. Therefore, the purpose of this research was two-fold: (1) to examine the roles of not merely action planning but coping planning as the proximal psychological determinants of car use behavior and pro-environmental mode use behavior, and (2) to assess the effects of requesting commuters to form personalized action plans and coping plans, respectively, on action planning and coping planning. We conducted an internet survey to 232 respondents with a car available who live in Taipei City, Taiwan. The respondents were assigned into one of three groups with action plan intervention, with action plus coping plan intervention, and without intervention. The results indicate that (1) coping planning mediates between intention and behavior, as well as between action planning and behavior; (2) owing to existing the interaction effect, the influence of action planning on behavior will be amplified if coping planning as a moderator is high; (3) forming personalized coping plans has an instant effect in promoting coping planning. Based on these findings, soft transport policy should include coping planning and related interventions for more effectively reducing car use.

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“…Studies have shown that using theory in crafting questionnaires and interventions can lead to more powerful assessments and effects. 25 Thus, pilot studies are key components in the process of developing instruments and used to evaluate how a sample of people from the survey population responds to the questionnaire. 48 The study was also classified as ''fair'' based on the methodological quality assessment.…”

Section: The Most Applicable Questionnaire To Assess Knowledge Of Hf mentioning

confidence: 99%

“…22 In order to plan and deliver an effective educational intervention, it is important to have precise information of what HF patients know about their condition, although better knowledge does not translate directly to behavior change. 8,11,25 In this context, the use of valid instruments to assess patients' knowledge with regard to their disease is important. It is also important for clinicians to have information about what instruments are suitable for assessing educational interventions they use in practice to improve the knowledge of their HF patients.…”

mentioning

confidence: 99%

Questionnaires Designed to Assess Knowledge of Heart Failure Patients

Vieira

Costa

et al. 2016

J Cardiovasc Nurs

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Behavior determinants among cardiac rehabilitation patients receiving educational interventions: An application of the health action process approach

Abstract: Educational curricula should be designed to not only increase patients' knowledge, but also enhance intentions, self-efficacy, and action planning.

Cited by 44 publications

References 52 publications

Effects of comprehensive cardiac rehabilitation on functional capacity and cardiovascular risk factors in Brazilians assisted by public health care: protocol for a randomized controlled trial

Effects of comprehensive cardiac rehabilitation on functional capacity and cardiovascular risk factors in Brazilians assisted by public health care: protocol for a randomized controlled trial

<b>A New Psychological Approach to Reducing Individuals’ Car Use Behavior Applying Coping Planning and Analyzing Its Effects</b>

Questionnaires Designed to Assess Knowledge of Heart Failure Patients

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