Wellness motivation in cardiac rehabilitation: The role of self‐knowledge in cardiovascular risk modification

Abstract

Understanding the factors that motivate behavioral change is central to health promotion efforts. We used qualitative descriptive methods in an effort to understand the role of self-knowledge in the process of risk factor modification. The sample consisted of 17 men and 7 women with diagnosed coronary heart disease, who were attempting to initiate and sustain programs of cardiovascular risk modification. Participants described selfknowledge in terms of three contextually situated patterns: representational, evaluative, and behavioral action. Results reinforce the motivational role of the self and highlight the importance of understanding dimensions of selfknowledge relevant to cardiovascular risk reduction. ß 2007 Wiley Periodicals, Inc.

‘Extra information a bit further down the line’: Rheumatoid arthritis patients' perceptions of developing educational material about the cardiovascular disease risk

“…And what can we learn to help motivate others? 'Wellness motivation' conceptions of the self are thought to be particularly important (Fleury and Sedikides, 2007). A study into the role of self-knowledge and the modifi cation of cardiovascular risk suggested the following useful framework to consider in future cognitive behavioural programmes: representing the issue (how do I desire myself to be?…”

“…What am I afraid of becoming? ), evaluating the issue (creating short-and long-term goals and expectations for behavioural outcomes, gauging my personal effi cacy) and implementing behavioural action (creating behavioural strategies, negotiating the social context and creating self-monitoring strategies) (Fleury and Sedikides, 2007).…”

Promoting change in meat consumption among the elderly: Factual and prefactual framing of health and well-being

“…There is an increasing interest in non-health related motivations underlying the decision to change eating habits (Fleury, 1996;Fleury & Sedikides, 2007), reflecting a general shift from a strict biomedical perspective, which considers health as the mere absence of disease, to a broader, holistic perspective, which considers health and well-being as equally important components of individual welfare (McMahon & Fleury, 2012). This is the case across the whole lifecycle, including later stages of life.…”

Patient’s emotional reactions in cardiac rehabilitation: analysis and perspectives

“…Si è così passati dai primi studi sul "Tipo A" [4,5,6], all'impatto degli stress psico-sociali [7,8,9,10], allo studio delle relazioni fra depressione e malattia cardiache [11,12,13,14,15], all'identificazione di fattori protettivi quali il supporto psico-sociale [16,17,18], fino a specificare quali modalità di reazione del paziente potessero favorirlo o meno nella gestione di un evento cardiaco quali l'autoefficacia [19,20,21,22] o le modalità di attribuzione causale come il locus of control [23,24,25].…”