Tool guide for lifestyle behavior change in a cardiovascular risk reduction program

White, Nicole D.; Lenz, T.; Smith, K. Sabina

doi:10.2147/prbm.s40490

Cited by 25 publications

(29 citation statements)

References 25 publications

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“…SMART goals follow a transtheoretical model of change in which participants are in contemplation stages of change 19. This method of goal setting has the participant set realistic goals that are obtainable and helpful at each stage.…”

Section: Methodsmentioning

confidence: 99%

Effect of pedometer use and goal setting on walking and functional status in overweight adults with multimorbidity: a crossover clinical trial

Takahashi¹,

Quigg²,

Croghan³

et al. 2016

CIA

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BackgroundWalking can improve functional status, and a pedometer and goal setting can increase walking and, potentially, gait speed. The efficacy of pedometer use and goal setting for increasing step counts among overweight and obese adults with multiple comorbid conditions has not been evaluated.MethodsWe recruited and randomly assigned obese or overweight adults with multimorbidity to immediate pedometer use with goal setting or delayed pedometer use, using a crossover design. The primary outcome of interest was step count, with secondary outcomes of gait speed and grip strength, with comparison between the intervention and delayed pedometer groups.ResultsMean (standard deviation [SD]) age of the 130 participants was 63.4 (15.0) years. At 2 months, mean (SD) steps for the immediate pedometer use group (n=64) was 5,337 (3,096), compared with 4,446 (2,422) steps in the delayed pedometer group (n=66) (P=0.08). Within-group step count increased nonsignificantly, by 179 steps in the immediate pedometer group and 212 steps in the delayed pedometer group after 2 months of intervention, with no significant difference between the groups. Gait speed significantly increased by 0.08 m/s (P<0.05) and grip strength significantly increased by 1.6 kg (P<0.05) in the immediate pedometer group.ConclusionPedometer use and goal setting did not significantly increase step count among overweight and obese adults with multimorbidity. The absolute step count was lower than many reported averages. Gait speed and grip strength increased with immediate pedometer use. The use of pedometers and goal setting may have an attenuated response in this population.

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Section: Methodsmentioning

confidence: 99%

Effect of pedometer use and goal setting on walking and functional status in overweight adults with multimorbidity: a crossover clinical trial

Takahashi¹,

Quigg²,

Croghan³

et al. 2016

CIA

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“…According to this model, there are five steps for behavior modification: pre-contemplation, contemplation, preparation, action, and maintenance. According to the model of the stages of modification, people are in different stages of modification and not all can benefit from specific health information (7).…”

Section: Introductionmentioning

confidence: 99%

Correlation of Heart Knowledge and Cardiac Risk Factors with Readiness for Lifestyle Modification in Companions of Patients with Cardiovascular Diseases in the West of Iran

Ezzati

Salehi

2019

Middle East J Rehabil Health Stud

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Background: Unhealthy lifestyle and lack of readiness to modify are some of the most important factors in the development of chronic diseases such as cardiovascular diseases (CVDs). Objectives: To investigate the correlation of heart knowledge, perceived heart risk factors (PHRFs), and risk perception of heart disease with readiness for lifestyle modification in companions of patients with cardiovascular diseases. Methods: In this cross-sectional study, 200 companions of patients with CVDs at Imam Ali Hospital in Kermanshah city were selected by convenience sampling. The data were collected using the heart disease knowledge questionnaire (HDKQ), perception of risk of heart disease scale (PRHDS), perceived heart risk factor scale (PHRFS), and readiness for lifestyle modification questionnaire. Data were analyzed using the Pearson correlation coefficient and linear regression analyses. Results: The participants had a moderate level of readiness for lifestyle modification, PHRFs, and risk perception; while the level of participants' heart knowledge was weak. Moreover, there was a significant relationship between heart knowledge and readiness for lifestyle modification (P = 0.001); however, there was no significant relationship between the risk perception (P = 0.404) and PHRFs (P = 0.073) with readiness for lifestyle modification. Conclusions: The companions of the patients with CVDs have a moderate level of readiness for lifestyle modification. Considering the existence of a significant relationship between readiness for lifestyle modification and heart knowledge, it can be concluded that a higher level of heart knowledge can play an important role in the increased readiness for lifestyle modification by the family members of the patients with CVDs.

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“…37 In this regard, a unique advantage of the risk prediction model developed in this study is its ability to provide information that shows individuals how lifestyle modifications may reduce their future risk. When considering Case 2, as described in the Appendix, a decrease in the frequency of alcohol intake to 3 days per week, as well as a 6 kg decrease in body weight and a decrease in SBP/DBP by 4/2 mm Hg following 1 year of lifestyle modification, will result in a decrease in his 4-year risk of hypertension from 64.2 to 38.6% (age, 50 years old; body mass index, 24.7 kg m −2 ; no excessive alcohol intake; and BP, 132/82 mm Hg).…”

Section: Discussionmentioning

confidence: 99%

Development of a risk prediction model for incident hypertension in a working-age Japanese male population

et al. 2014

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The aim of this study was to develop a risk prediction model for incident hypertension in a Japanese male population. Study participants included 15,025 nonhypertensive Japanese male workers (mean age, 38.8±8.9 years) who underwent an annual medical checkup at a company. The participants were followed-up for a median of 4.0 years to determine new-onset hypertension, defined as a systolic blood pressure (BP) ⩾140 mm Hg, a diastolic BP ⩾90 mm Hg, or the initiation of antihypertensive medication. Participants were divided into the following two cohorts for subsequent analyses: the derivation cohort (n=12,020, 80% of the study population) and the validation cohort (n=3005, the remaining 20% of the study population). In the derivation cohort, a multivariate Cox proportional hazards model demonstrated that age, body mass index, systolic and diastolic BP, current smoking status, excessive alcohol intake and parental history of hypertension were independent predictors of incident hypertension. Using these variables, a risk prediction model was constructed to estimate the 4-year risk of incident hypertension. In the validation cohort, the risk prediction model demonstrated high discrimination ability and acceptable calibration, with a C-statistic of 0.861 (95% confidence interval 0.844, 0.877) and a modified Hosmer-Lemeshow χ2 statistic of 15.2 (P=0.085). A risk score sheet was constructed to enable the simple calculation of the approximate 4-year probability of incident hypertension. In conclusion, a practical risk prediction model for incident hypertension was successfully developed in a working-age Japanese male population.

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Tool guide for lifestyle behavior change in a cardiovascular risk reduction program

Cited by 25 publications

References 25 publications

Effect of pedometer use and goal setting on walking and functional status in overweight adults with multimorbidity: a crossover clinical trial

Effect of pedometer use and goal setting on walking and functional status in overweight adults with multimorbidity: a crossover clinical trial

Correlation of Heart Knowledge and Cardiac Risk Factors with Readiness for Lifestyle Modification in Companions of Patients with Cardiovascular Diseases in the West of Iran

Development of a risk prediction model for incident hypertension in a working-age Japanese male population

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