How important are individual counselling, expectancy beliefs and autonomy for the maintenance of exercise after cardiac rehabilitation?

Mildestvedt, Thomas; Meland, Eivind; Eide, Geir Egil

doi:10.1177/1403494808090633

Cited by 36 publications

(33 citation statements)

References 123 publications

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“…about the benefits of PA and/or about possible techniques they could use to change their behaviour) appeared to be less effective at improving PA outcomes than interventions that did not include education sessions. 20,23,24,30,33,34 These findings are consistent with those reported in an earlier review with non-diseased populations. 39 It may be that individuals need to feel in control of their goals and actions to make behaviour changes.…”

Section: Discussionsupporting

confidence: 90%

Behavioural interventions to increase the physical activity of cardiac patients: a review

Ferrier

Blanchard

Vallis

et al. 2010

European Journal of Cardiovascular Prevention & Rehabilitat

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To examine the behaviour change techniques that have been used in physical activity (PA) interventions to increase PA during and after completing cardiac rehabilitation (CR) and for patients who do not attend CR (non-CR). PubMed, PsychINFO, SPORTdiscus, Web of Science, Prowler and Cochrane databases were searched to identify studies that described an intervention delivered to adults in the CR and non-CR contexts that focused solely on promoting PA. Twenty-three studies (14 post-CR and nine non-CR) were included in this review. Findings showed that interventions can increase PA; however, there were notable differences across CR contexts in their purpose, the participant demographics, and some of the behaviour change techniques used. Techniques shown to be most effective in the post-CR context were self-monitoring, setting specific goals, identifying barriers and developing plans for relapse prevention. In the non-CR context, unsupervised home-based interventions were shown to be effective at increasing PA, particularly when accompanied by follow-up prompts, general encouragement, specific goals set by the researcher and self-monitoring. Post-CR and non-CR interventions can result in improved PA outcomes; however, the research in this area is limited. More interventions are needed that target PA-only, particularly in the non-CR context.

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Section: Discussionsupporting

confidence: 90%

Behavioural interventions to increase the physical activity of cardiac patients: a review

Ferrier

Blanchard

Vallis

et al. 2010

European Journal of Cardiovascular Prevention & Rehabilitat

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“…The influence of general expectancy also in these studies decreased significantly with time [23, 24]. It seems from the current results that general expectancy beliefs are important, but first and foremost in short-term followup.…”

Section: Discussionsupporting

confidence: 56%

How Important Are Social Support, Expectations and Coping Patterns during Cardiac Rehabilitation

Blikman

Jacobsen

Eide

et al. 2014

Rehabilitation Research and Practice

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Purpose. To investigate the predictive role of relevant social and psychosocial determinants on emotional distress among patients after cardiac rehabilitation. Methods. A longitudinal prospective study examined short-term (6 months) and long-term (2 years) impact of predictors on anxiety and depression complaints in 183 patients with 6-months follow-up data attending a four-week rehabilitation stay at the Krokeide Centre in Bergen, Norway. The patients mainly suffered from coronary heart disease. Emotional distress, coping, social support, socioeconomic status, and negative expectations were measured by means of internationally validated questionnaires. A composite score of anxiety and depression complaints was used as the outcome measure in the study. Results. This study revealed that task-oriented coping improved emotional status in long-term followup, and negative expectations were associated with emotional distress in short-term followup. A higher socioeconomic status and more social support predicted improved emotional status in short- as well as long-term followup. Conclusions. Fewer negative expectations and functional coping along with social support are important factors for the prevention of emotional distress after cardiac disease. Such elements should be addressed and encouraged in patients during cardiac rehabilitation.

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“…To date, only a few interventions have been designed to promote exercise-related behaviors by specifically increasing personal autonomy in the form of exercise autonomous self-regulation in adults [e.g., [17,40,68,39,67,69]. Some of these trials are still ongoing and all have been conducted in Western cultures.…”

Section: Resultsmentioning

confidence: 99%

“…In addition, one of these interventions found gender differences, reporting significant increases in perceived autonomy support and self-reported exercise only for women [40]. In contrast, there was one study in a clinical setting that did not find significant differences in perceived autonomy support and exercise behavior between autonomy support group and controls [68]. The authors argued that their additional individual SDT-based 4-week intervention, added to standard cardiac rehabilitation, might have been too limited (i.e., an insufficient number of sessions) to achieve significant between-group differences.…”

Section: Resultsmentioning

confidence: 99%

Exercise, physical activity, and self-determination theory: A systematic review

Teixeira

Carraça

Markland

et al. 2012

Int J Behav Nutr Phys Act

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BackgroundMotivation is a critical factor in supporting sustained exercise, which in turn is associated with important health outcomes. Accordingly, research on exercise motivation from the perspective of self-determination theory (SDT) has grown considerably in recent years. Previous reviews have been mostly narrative and theoretical. Aiming at a more comprehensive review of empirical data, this article examines the empirical literature on the relations between key SDT-based constructs and exercise and physical activity behavioral outcomes.MethodsThis systematic review includes 66 empirical studies published up to June 2011, including experimental, cross-sectional, and prospective studies that have measured exercise causality orientations, autonomy/need support and need satisfaction, exercise motives (or goal contents), and exercise self-regulations and motivation. We also studied SDT-based interventions aimed at increasing exercise behavior. In all studies, actual or self-reported exercise/physical activity, including attendance, was analyzed as the dependent variable. Findings are summarized based on quantitative analysis of the evidence.ResultsThe results show consistent support for a positive relation between more autonomous forms of motivation and exercise, with a trend towards identified regulation predicting initial/short-term adoption more strongly than intrinsic motivation, and intrinsic motivation being more predictive of long-term exercise adherence. The literature is also consistent in that competence satisfaction and more intrinsic motives positively predict exercise participation across a range of samples and settings. Mixed evidence was found concerning the role of other types of motives (e.g., health/fitness and body-related), and also the specific nature and consequences of introjected regulation. The majority of studies have employed descriptive (i.e., non-experimental) designs but similar results are found across cross-sectional, prospective, and experimental designs.ConclusionOverall, the literature provides good evidence for the value of SDT in understanding exercise behavior, demonstrating the importance of autonomous (identified and intrinsic) regulations in fostering physical activity. Nevertheless, there remain some inconsistencies and mixed evidence with regard to the relations between specific SDT constructs and exercise. Particular limitations concerning the different associations explored in the literature are discussed in the context of refining the application of SDT to exercise and physical activity promotion, and integrating these with avenues for future research.

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How important are individual counselling, expectancy beliefs and autonomy for the maintenance of exercise after cardiac rehabilitation?

Cited by 36 publications

References 123 publications

Behavioural interventions to increase the physical activity of cardiac patients: a review

Behavioural interventions to increase the physical activity of cardiac patients: a review

How Important Are Social Support, Expectations and Coping Patterns during Cardiac Rehabilitation

Exercise, physical activity, and self-determination theory: A systematic review

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