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Erschienen in: Journal of Behavioral Medicine 6/2019

07.05.2019 | Coronary Heart Disease

Promoting physical activity through a psychological group intervention in cardiac rehabilitation: a randomized controlled trial

verfasst von: Ramona Wurst, Stephan Kinkel, Jiaxi Lin, Wiebke Goehner, Reinhard Fuchs

Erschienen in: Journal of Behavioral Medicine | Ausgabe 6/2019

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Abstract

We examined the long-term effectiveness of a group-based psychological intervention (“MoVo-LISA”) to promote physical activity in patients with coronary heart disease. In this randomized controlled trial, N = 202 inactive patients with coronary heart disease were assigned to the control group (n = 102; treatment as usual) or the intervention group (n = 100; treatment as usual plus MoVo-LISA). Physical activity was assessed at baseline, 6 weeks (post-treatment), 6 months, and 12 months after discharge. ANCOVA for repeated measures revealed a significant interaction effect [p < .001; η p 2 = .214] indicating a large effect [d = 1.03] of the intervention on behavior change post-treatment. At 12-month follow-up, the level of physical activity in the intervention group was still 94 min per week higher than in the control group (p < .001; d = 0.57). Results of this RCT indicate that the MoVo-LISA intervention substantially improves the level of physical activity among initially inactive patients with coronary heart disease up to 1 year after the intervention.
Literatur
Zurück zum Zitat Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179–211.CrossRef Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179–211.CrossRef
Zurück zum Zitat Bandura, A. (2001). Social cognitive theory: An agentic perspective. Annual Review of Psychology, 52, 1–26.CrossRef Bandura, A. (2001). Social cognitive theory: An agentic perspective. Annual Review of Psychology, 52, 1–26.CrossRef
Zurück zum Zitat Booth, J. N., Levitan, E. B., Brown, T. M., Farkouh, M. E., Safford, M. M., & Muntner, P. (2014). Effect of sustaining lifestyle modifications (nonsmoking, weight reduction, physical activity, and mediterranean diet) after healing of myocardial infarction, percutaneous intervention, or coronary bypass (from the REasons for Geographic and Racial Differences in Stroke Study). The American Journal of Cardiology, 113(12), 1933–1940. https://doi.org/10.1016/j.amjcard.2014.03.033 CrossRefPubMedPubMedCentral Booth, J. N., Levitan, E. B., Brown, T. M., Farkouh, M. E., Safford, M. M., & Muntner, P. (2014). Effect of sustaining lifestyle modifications (nonsmoking, weight reduction, physical activity, and mediterranean diet) after healing of myocardial infarction, percutaneous intervention, or coronary bypass (from the REasons for Geographic and Racial Differences in Stroke Study). The American Journal of Cardiology, 113(12), 1933–1940. https://​doi.​org/​10.​1016/​j.​amjcard.​2014.​03.​033 CrossRefPubMedPubMedCentral
Zurück zum Zitat Conn, V. S. (2010). Depressive symptom outcomes of physical activity interventions: Meta-analysis findings. Annals of Behavioral Medicine, 39, 128–138.CrossRef Conn, V. S. (2010). Depressive symptom outcomes of physical activity interventions: Meta-analysis findings. Annals of Behavioral Medicine, 39, 128–138.CrossRef
Zurück zum Zitat De Vet, E., Oenema, A., & Brug, J. (2011). More or better: Do the number and specificity of implementation intentions matter in increasing physical activity? Psychology of Sport and Exercise, 12, 471–477.CrossRef De Vet, E., Oenema, A., & Brug, J. (2011). More or better: Do the number and specificity of implementation intentions matter in increasing physical activity? Psychology of Sport and Exercise, 12, 471–477.CrossRef
Zurück zum Zitat Fihn, S. D., Gardin, J. M., Abrams, J., Berra, K., Blankenship, J. C., Dallas, A., et al. (2012). 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the diagnosis and management of patients with stable ischemic heart disease: A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, and the American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Journal of the American College of Cardiology, 60(24), e44–e164. https://doi.org/10.1016/j.jacc.2012.07.013 CrossRefPubMed Fihn, S. D., Gardin, J. M., Abrams, J., Berra, K., Blankenship, J. C., Dallas, A., et al. (2012). 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the diagnosis and management of patients with stable ischemic heart disease: A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, and the American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Journal of the American College of Cardiology, 60(24), e44–e164. https://​doi.​org/​10.​1016/​j.​jacc.​2012.​07.​013 CrossRefPubMed
Zurück zum Zitat Fuchs, R., Goehner, W., & Seelig, H. (2011). Long-term effects of a psychological group intervention on physical exercise and health: The MoVo concept. Journal of Physical Activity and Health, 8, 794–803.CrossRef Fuchs, R., Goehner, W., & Seelig, H. (2011). Long-term effects of a psychological group intervention on physical exercise and health: The MoVo concept. Journal of Physical Activity and Health, 8, 794–803.CrossRef
Zurück zum Zitat Gerber, M., Fuchs, R., & Pühse, U. (2010). Follow-up of a short motivational and volitional exercise-intervention trial with overweight and obese individuals. Schweizerische Zeitschrift Fur Sportmedizin Und Sporttraumatologie, 58, 108. Gerber, M., Fuchs, R., & Pühse, U. (2010). Follow-up of a short motivational and volitional exercise-intervention trial with overweight and obese individuals. Schweizerische Zeitschrift Fur Sportmedizin Und Sporttraumatologie, 58, 108.
Zurück zum Zitat Goehner, W., & Fuchs, R. (2007). Änderung des Gesundheitsverhaltens. MoVo-Gruppenprogramme für körperliche Aktivität und gesunde Ernährung [Change of health behavior. MoVo group programs for physical activity and healthy nutrition]: Göttingen: Hogrefe. Goehner, W., & Fuchs, R. (2007). Änderung des Gesundheitsverhaltens. MoVo-Gruppenprogramme für körperliche Aktivität und gesunde Ernährung [Change of health behavior. MoVo group programs for physical activity and healthy nutrition]: Göttingen: Hogrefe.
Zurück zum Zitat Gollwitzer, P. M. (1999). Implementation intentions: Strong effects of simple plans. American Psychologist, 54, 493.CrossRef Gollwitzer, P. M. (1999). Implementation intentions: Strong effects of simple plans. American Psychologist, 54, 493.CrossRef
Zurück zum Zitat Karjalainen, J. J., Kiviniemi, A. M., Hautala, A. J., Piira, O.-P., Lepojärvi, E. S., Perkiömäki, J. S., et al. (2015). Effects of physical activity and exercise training on cardiovascular risk in coronary artery disease patients with and without type 2 diabetes. Diabetes Care, 38, 706–715. https://doi.org/10.2337/dc14-2216 CrossRefPubMed Karjalainen, J. J., Kiviniemi, A. M., Hautala, A. J., Piira, O.-P., Lepojärvi, E. S., Perkiömäki, J. S., et al. (2015). Effects of physical activity and exercise training on cardiovascular risk in coronary artery disease patients with and without type 2 diabetes. Diabetes Care, 38, 706–715. https://​doi.​org/​10.​2337/​dc14-2216 CrossRefPubMed
Zurück zum Zitat Little, R. J. A. (1988). A test of missing completely at random for multivariate data with missing values. Journal of the American Statistical Association, 83(404), 1198–1202.CrossRef Little, R. J. A. (1988). A test of missing completely at random for multivariate data with missing values. Journal of the American Statistical Association, 83(404), 1198–1202.CrossRef
Zurück zum Zitat Rothman, A. J. (2000). Toward a theory-based analysis of behavioral maintenance. Health Psychology, 19(1S), 64.CrossRef Rothman, A. J. (2000). Toward a theory-based analysis of behavioral maintenance. Health Psychology, 19(1S), 64.CrossRef
Zurück zum Zitat Schulz, K. F., Altman, D. G., & Moher, D. (2010). CONSORT 2010 statement: Updated guidelines for reporting parallel group randomised trials. BMJ (Clinical Research Ed.), 340, c332.CrossRef Schulz, K. F., Altman, D. G., & Moher, D. (2010). CONSORT 2010 statement: Updated guidelines for reporting parallel group randomised trials. BMJ (Clinical Research Ed.), 340, c332.CrossRef
Zurück zum Zitat Sheldon, K. M. (2014). Becoming oneself: The central role of self-concordant goal selection. Personality and Social Psychology Review, 18, 349–365.CrossRef Sheldon, K. M. (2014). Becoming oneself: The central role of self-concordant goal selection. Personality and Social Psychology Review, 18, 349–365.CrossRef
Zurück zum Zitat Sudeck, G., & Hoener, O. (2011). Volitional interventions within cardiac exercise therapy (VIN-CET): long-term effects on physical activity and health-related quality of life. Applied Psychology: Health and Well-Being, 3, 151–171. Sudeck, G., & Hoener, O. (2011). Volitional interventions within cardiac exercise therapy (VIN-CET): long-term effects on physical activity and health-related quality of life. Applied Psychology: Health and Well-Being, 3, 151–171.
Metadaten
Titel
Promoting physical activity through a psychological group intervention in cardiac rehabilitation: a randomized controlled trial
verfasst von
Ramona Wurst
Stephan Kinkel
Jiaxi Lin
Wiebke Goehner
Reinhard Fuchs
Publikationsdatum
07.05.2019
Verlag
Springer US
Erschienen in
Journal of Behavioral Medicine / Ausgabe 6/2019
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-019-00047-y

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