Reduction in Fear of Physical Activity Among Older Persons With Coronary Artery Disease by Physical Therapist–Assisted Exercise: A Randomized Trial

Deka, Pallav; Pathak, Dola; Klompstra, Leonie; Muñoz-Gómez, Elena; Espí-López, Gemma Victoria; Marqués-Sulé, Elena

doi:10.1016/j.jamda.2021.08.007

Cited by 1 publication

(2 citation statements)

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“…This discrepancy may imply a distinct mechanism of intention generation in patients with CHD. Patients with CHD may experience feelings of physical constraint, bad mood, and unfavorable perceptions about life following the cardiac incident as the self-perceived barriers that restrict them from engaging in PA (Alharbi et al, 2017 ; Deka et al, 2021 ). Third, in the integrated theoretical model, CFC acted as a measure of the temporal framework within which perceived results are assessed.…”

Section: Theoretical Implicationsmentioning

confidence: 99%

“…However, patients with a diagnosis of CHD are faced with distinct physical and psychological barriers, which restrict them from participating in moderate-to-vigorous physical activity (MVPA). For instance, patients who experience angina during exercise or rest may develop a fear of engaging in PA (Deka et al, 2021 ). Therefore, they may engage in lower-intensity PA and show reduced adherence to PA.…”

Section: Introductionmentioning

confidence: 99%

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Using an integrated model of the theory of planned behavior and the temporal self-regulation theory to explain physical activity in patients with coronary heart disease

Wang

Wu²,

Hua³

et al. 2023

Front. Psychol.

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BackgroundThis study aimed to explore the psychosocial determinants of the physical activity (PA) levels in patients with coronary heart disease (CHD) using an integrated theoretical model based on the theory of planned behavior (TPB) and the temporal self-regulation theory (TST).MethodThis was a prospective study conducted at the Affiliated Hospital of Hangzhou Normal University, Zhejiang, China. A total of 279 patients with CHD [176 men aged 26–89 years, mean (M) = 64.69, standard deviation (SD) = 13.17] were selected under the study inclusion criteria by convenience sampling. The data on attitude, subjective norm (SN), perceived behavioral control (PBC), and intention variables for the TPB model and consideration of future consequences (CFC), habit, and self-control (SC) variables for the TST model were collected 1–2 days before the discharge (Time 1, T1) of the participants, and a telephone follow-up was made to assess the participants' self-reported PA levels 1 week after their discharge (Time 2, T2).ResultsThe results revealed that only 39.8% of the patients with CHD met the guidelines' recommendations on PA. The data analyses using structural equation modeling (SEM) in the Mplus 8.3 modeling program showed that, in the simple mediation model, attitude, PBC, and CFC were positively related to the intention to practice guideline-recommended levels of PA but SN was not. In addition, intention was shown to mediate the relationships between attitude, PBC, CFC, and PA levels. Furthermore, based on the moderated mediating model, intention and habit were shown to be positively associated with PA levels but SC was not. Moreover, SC played a significant moderating role between intention and PA levels. However, habit strength did not moderate the relationship between intention and PA levels.ConclusionAn integration of the TPB and TST models offers a good theoretical tool for understanding PA levels in patients with CHD.

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Section: Theoretical Implicationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%