Using Visual Methods to Understand Physical Activity Maintenance following Cardiac Rehabilitation

Hardcastle, Sarah J.; McNamara, Keira; Tritton, Larette

doi:10.1371/journal.pone.0138218

Cited by 16 publications

(25 citation statements)

References 53 publications

(55 reference statements)

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“… All three participants displayed an overall pattern of a lower coded behavior score during baseline, signifying passivity, and a score closer to 3 during the intervention phases, signifying involvement in an activity. Hardcastle, McNamara & Tritton 2015 [ 53 ] Auto-photography and drawings Cardiac rehabilitation program Cross-sectional study N = 23 adults (59–87 years); cardiac rehabilitation patients >2 years after cardiac rehabilitation period. – Semi-structured interviews.…”

Section: Resultsmentioning

confidence: 99%

“…The type of art making varied: drawing, painting, coloring, mosaic, sculpture, ballet, drama or furniture making ( Table 1 ). In some papers, art making was considered a narrative (for example, [ 47 , [50] , [51] , [52] , [53] ]), while in other papers (for example, [ 39 , 46 , 49 ]) a narrative was produced as a complement to art making. In most papers, participants themselves chose the type of art making, but in some papers a pre-delineated art making scheme was seen.…”

Section: Resultsmentioning

confidence: 99%

“…In most papers, art making was described as a means for therapeutic nursing care, seen in various contexts and settings: specialized hospital mental care [ 43 ], pain care [ 57 ], oncologic care [ [58] , [59] , [60] ], neurologic care [ 61 ] rehabilitation [ 50 , 52 , 53 ], long-term elderly care (for example, [ 47 , 51 , 55 , 56 , 62 ]) and dementia care (for example, [ 48 , 49 , 63 ]). Art making was used as an assistive means in diagnosing Parkinson’s disease retroactively [ 64 ], a somatoform-functional pain disorder [ 57 ] and melanoma [ 59 ].…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Art making and expressive art therapy in adult health and nursing care: A scoping review

Vaartio-Rajalin

Santamäki-Fischer

Jokisalo

et al. 2021

International Journal of Nursing Sciences

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Objectives While receptive art engagement is known to promote health and wellbeing, active art engagement has not been fully explored in health and nursing care. This review is to describe the existing knowledge on art making and expressive art therapy in adult health and nursing care between 2010 and 2020. Methods Relevant studies and grey literature were searched and identified between March 17 and April 10, 2020 from EBSCO, CINAHL, Medline and ERIC databases and a general Internet search. Following data charting and extraction, the data ( n = 42 papers) were summarized and reported in accordance with PRISMA-ScR guidelines. Results In the included papers, both art making and expressive art therapy were seen in different health care and nursing contexts: yet not the home care context. The emphasis of art activities were group activities for chronically or terminally ill residents, adults aged 65 years or older. A focus on personal narrative was often seen, which may explain why art activities appear to be linked to acknowledging and building new strengths and skills, making meaning of experiences, personal growth, symptom alleviation, and communication; all used to foster collaboration between patients, patients’ near-ones and health care professionals. Conclusions Art activities appear to be suitable for every context and can promote personcenteredness and the measurement of nursing outcomes, and they should be considered an essential part of health and nursing care, nursing education and care for health care personnel.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Art making and expressive art therapy in adult health and nursing care: A scoping review

Vaartio-Rajalin

Santamäki-Fischer

Jokisalo

et al. 2021

International Journal of Nursing Sciences

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“…CR improves the patient's quality of life and promotes healthy aging through tailor-made CR (23). Of note, while CR involves individual exercise and is not group-based, it may be important for CVD patients to socialize with the CR medical stuff and other CVD patients in order to receive motivation to continue the CR program (24). Since we used a team approach in addition to regular exercise, the exercise capacity at AT was maintained by continuous CR for up to five years.…”

Section: Discussionmentioning

confidence: 99%

Possibility of Cardio-renal Protection by Long-term Cardiac Rehabilitation in Elderly Patients with Cardiovascular Diseases

et al. 2019

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Objective Cardiac rehabilitation (CR) improves the mortality in patients with cardiovascular disease (CVD). Even in elderly patients with CVD, CR may improve the activities of daily living (ADL). Methods Eighty-eight outpatients over 65 years of age at the beginning of a CR program (baseline) at Fukuoka University Hospital who had CVD and could be followed-up for up to 5 years were enrolled. CVD included ischemic heart disease, postoperative valvular heart disease, dissecting aneurysm of the aorta and peripheral artery disease. The patients were divided into 2 groups according to the average estimated glomerular filtration rate (eGFR) at baseline (55.4±14.8 mL/min/1.73 m 2 ): high (≥55.4, n=44) and low (<55.4, n=44)-eGFR groups. The anaerobic threshold (AT) during exercise and left ventricular ejection fraction (LVEF) were measured by cardiopulmonary exercise (CPX) and ultrasound cardiography, respectively. The serum brain natriuretic protein (BNP) was also measured every year. Results The average age at baseline in all patients was 73±6 years. In all patients, the level of eGFR did not significantly change for 5 years (55±15 mL/min/1.73 m 2 at baseline vs. 48±14 at the end of the study). The AT (3.7±1.0 METs at baseline vs. 3.3±0.5), LVEF (57±13% vs. 64±10%) and BNP (260±452 pg/mL vs. 308±345) were also maintained for 5 years. In both the low- and high-eGFR groups, the eGFR, AT during exercise, LVEF and BNP at the end of the study were not significantly changed compared to the baseline values, although some changes were observed during the follow-up period. Conclusion Long-term CR in CVD outpatients over 65 years of age helped maintain the AT, LVEF, BNP and eGFR for 5 years. CR afforded cardio-renal protection in elderly patients with CVD.

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“…These patients are often insufficiently physically active during leisure time prior to diagnosis (e.g., [ 16 ]). Moreover, upon diagnosis, they face psychological barriers to exercise related to fears of death, perceived exercise risks or lack of self-efficacy (e.g., [ 22 ]). While direct supervision in CR centers has the advantage of providing a safe environment with trained coaches and the possibility for social exchange, it does not reproduce the patients’ living context.…”

Section: Introductionmentioning

confidence: 99%

Protocol of the “As du Coeur” study: a randomized controlled trial on physical activity maintenance in cardiovascular patients

Fournier¹,

Radel²,

Tifratene³

et al. 2016

BMC Cardiovasc Disord

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BackgroundAlthough the benefits of supervised physical activity programs in cardiac rehabilitation have been well documented, the amount of physical activity often drops quickly after the end of the supervised period. This trial (registered as ISRCTN77313697) will evaluate the effectiveness of an experimental intervention based on habit formation theory applied to physical activity maintenance.Methods/DesignCardiovascular patients (N = 56) will be individually randomized into two groups. Two supervised physical activity (SPA) sessions per week will be offered to the first group for 20 weeks. Progressively autonomous physical activity (PAPA) will be offered to the second group as follows: 10 weeks of the same supervised program as the SPA group followed by 10 more weeks in which one supervised session will be replaced by a strategy to build and sustain the habit of autonomous practice of physical activity. The primary outcome is the amount of physical activity measured by the International Physical Activity Questionnaire (IPAQ; Craig et al., Med Sci Sport Exercises 35(8):1381–95, 2003). To compensate for the limited capacity to recruit subjects, multiple IPAQ measurements will be made (at T0, T5, T7, T9 and T12 months after the start of the intervention) and analyzed using the mixed model approach. We will also assess changes in physical and physiological indicators, automaticity of the physical activity behavior, motivation and quality of life. Last, we will assess the cost-effectiveness for each type of program.DiscussionIf proven to be effective, the PAPA intervention, which requires fewer supervised sessions, should provide a cost-effective solution to the problem of physical activity maintenance in cardiac rehabilitation.

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Using Visual Methods to Understand Physical Activity Maintenance following Cardiac Rehabilitation

Cited by 16 publications

References 53 publications

Art making and expressive art therapy in adult health and nursing care: A scoping review

Art making and expressive art therapy in adult health and nursing care: A scoping review

Possibility of Cardio-renal Protection by Long-term Cardiac Rehabilitation in Elderly Patients with Cardiovascular Diseases

Protocol of the “As du Coeur” study: a randomized controlled trial on physical activity maintenance in cardiovascular patients

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