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Gepubliceerd in:

01-04-2014

A self-regulation lifestyle program for post-cardiac rehabilitation patients has long-term effects on exercise adherence

Auteurs: Veronica Janssen, Veronique De Gucht, Henk van Exel, Stan Maes

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 2/2014

Abstract

As maintenance of lifestyle change and risk factor modification following completion of cardiac rehabilitation has been shown to be notoriously difficult, we developed a brief self-regulation lifestyle program for post-cardiac rehabilitation patients. Randomized-controlled trial. Following completion of cardiac rehabilitation 210 patients were randomized to receive either a lifestyle maintenance program (n = 112) or standard care (n = 98). The program was based on self-regulation principles and consisted of a motivational interview, 7 group sessions and home assignments. Risk factors and health behaviors were assessed at baseline (end of cardiac rehabilitation), and 6 and 15 months thereafter. ANCOVAs showed a significant effect of the lifestyle program on exercise behavior at 15-month follow-up. Mediation analysis demonstrated that the treatment effect on exercise behavior could be explained by self-regulation skills. Chi squared tests showed that patients in the intervention group had significantly fewer uncontrolled risk factors as compared to the control group. Finally, the lifestyle intervention program was associated with a 12 % reduction in self-reported cardiac hospital admission rates. This trial indicates that a relatively brief, theory-based lifestyle program is capable of inciting and maintaining improvements in exercise adherence. It is suggested that patients may need ongoing attention and guidance, for example in the form of (internet-based) booster sessions, as long-term consolidation of changes is arduous.

vorige artikel Comparative optimism among patients with coronary heart disease (CHD) is associated with fewer adverse clinical events 12 months later

volgende artikel Changing how I feel about the food: experimentally manipulated affective associations with fruits change fruit choice behaviors

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Titel: A self-regulation lifestyle program for post-cardiac rehabilitation patients has long-term effects on exercise adherence
Auteurs: Veronica Janssen
Veronique De Gucht
Henk van Exel
Stan Maes
Publicatiedatum: 01-04-2014
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 2/2014
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-012-9489-y

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