Prediction of Patient Nonadherence with Home-Based Exercise for Cardiac Rehabilitation: The Role of Perceived Barriers and Perceived Benefits

Johnson, Natalie; Heller, Richard F

doi:10.1006/pmed.1997.0235

Cited by 42 publications

(29 citation statements)

References 31 publications

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“…The majority of individuals in the low trajectory reported at baseline no past exercise habits and three or more barriers to exercise. These findings concur with both health behaviour theory [31] and studies in healthy elderly [10,32] and cardiac [33,34] populations, in which past habits and barriers were strong predictors of future physical activity. Interventions that specifically target self-efficacy and barriers may be beneficial both during and following completion of rehabilitation.…”

Section: Discussionsupporting

confidence: 88%

Trajectories of endurance activity following pulmonary rehabilitation in COPD patients

Soicher¹,

Mayo²,

Gauvin³

et al. 2011

European Respiratory Journal

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Maintenance of physical activity following pulmonary rehabilitation remains a challenge for patients with chronic obstructive pulmonary disease (COPD). The objectives of this study were to identify patterns of endurance activity after completion of pulmonary rehabilitation and to characterise people who succeed and those who have difficulty maintaining endurance activity.In a longitudinal study embedded within a randomised clinical trial, 206 individuals with COPD underwent a 3-month pulmonary rehabilitation programme. Weekly duration of endurance activity was assessed at 4, 6, 8 and 12 months after the start of rehabilitation. Trajectory modelling was used to determine the most common patterns of activity during the post-rehabilitation phase from 4-12 months.Three distinct patterns were identified, two of which indicated difficulty in maintaining endurance activity: 61 individuals reported a high activity level at 4 months (2.7 h?week ) and declined. The low activity group was characterised by more severe disease and greater respiratory impairment. The high and declined group had less severe disease and respiratory impairment, but reported greater barriers to exercise.Pulmonary rehabilitation should include interventions aimed at minimising barriers, in order to induce long-term behaviour change.

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Section: Discussionsupporting

confidence: 88%

Trajectories of endurance activity following pulmonary rehabilitation in COPD patients

Soicher¹,

Mayo²,

Gauvin³

et al. 2011

European Respiratory Journal

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“…11 It has been suggested that "gentler" physical activities, such as yoga or tai chi, may help to promote regular participation in exercise, especially in chronic disease populations who face additional barriers to engaging in active lifestyles. 10,12 There have been a number of studies including randomized trials that reported positive therapeutic outcomes following yoga programs, including our group. 13 A wide range of benefits have been reported including improvements in asthma, 14 immune function, [15][16][17] hypertension, [18][19][20] cardiovascular effects, 12,21,22 blood pressure, 23,24 diabetes, 25 and serum cortisol levels.…”

mentioning

confidence: 98%

“…10,12 There have been a number of studies including randomized trials that reported positive therapeutic outcomes following yoga programs, including our group. 13 A wide range of benefits have been reported including improvements in asthma, 14 immune function, [15][16][17] hypertension, [18][19][20] cardiovascular effects, 12,21,22 blood pressure, 23,24 diabetes, 25 and serum cortisol levels. 23 The use of complementary and alternative medicine (CAM) as an adjuvant therapy in breast cancer patients has attracted the attention of many researchers worldwide.…”

mentioning

confidence: 98%

Effects of an Integrated Yoga Program in Modulating Psychological Stress and Radiation-Induced Genotoxic Stress in Breast Cancer Patients Undergoing Radiotherapy

et al. 2007

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Effects of an integrated yoga program in modulating perceived stress levels, anxiety, as well as depression levels and radiation-induced DNA damage were studied in 68 breast cancer patients undergoing radiotherapy. Two psychological questionnaires-Hospital Anxiety and Depression Scale (HADS) and Perceived Stress Scale (PSS)-and DNA damage assay were used in the study. There was a significant decrease in the HADS scores in the yoga intervention group, whereas the control group displayed an increase in these scores. Mean PSS was decreased in the yoga group, whereas the control group did not show any change pre-and postradiotherapy. Radiation-induced DNA damage was significantly elevated in both the yoga and control groups after radiotherapy, but the postradiotherapy DNA damage in the yoga group was slightly less when compared to the control group. An integrated approach of yoga intervention modulates the stress and DNA damage levels in breast cancer patients during radiotherapy.

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“…The researchers found that the perception of difficulties with time management was a factor associated with low intention to exercise. This study is in agreement with research by Johnson and Heller (1998) in a longitudinal study of 459 patients discharged from six public hospitals in Australia with a diagnosis of either acute myocardial infarction or angina. The researchers determined that the cardiac patients' time constraints and perceptions of the benefits of home exercise were predictive of adherence to regular home exercise six months after discharge from the hospital.…”

Section: Patient Reasons For Noncompliancesupporting

confidence: 91%

Clinician perceptions of factors that enhance patient compliance in physical therapy

Benea¹

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Prediction of Patient Nonadherence with Home-Based Exercise for Cardiac Rehabilitation: The Role of Perceived Barriers and Perceived Benefits

Cited by 42 publications

References 31 publications

Trajectories of endurance activity following pulmonary rehabilitation in COPD patients

Trajectories of endurance activity following pulmonary rehabilitation in COPD patients

Effects of an Integrated Yoga Program in Modulating Psychological Stress and Radiation-Induced Genotoxic Stress in Breast Cancer Patients Undergoing Radiotherapy

Clinician perceptions of factors that enhance patient compliance in physical therapy

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