nach oben

Journal of Behavioral Medicine

Erschienen in:

01.04.2014

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

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

Erschienen in: Journal of Behavioral Medicine | Ausgabe 2/2014

Einloggen, um Zugang zu erhalten

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.

Balady, G. J., Williams, M. A., Ades, P. A., Bittner, V., Comoss, P., Foody, J. M., et al. (2007). Core components of cardiac rehabilitation/secondary prevention programs: 2007 update. A scientific statement from the American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee, the Council on Clinical Cardiology; the Councils on Cardiovascular Nursing, Epidemiology and Prevention, and Nutrition, Physical Activity, and Metabolism; and the American Association of Cardiovascular and Pulmonary Rehabilitation. Circulation, 115, 2675–2682.PubMedCrossRef

Bogers, R. P., Dagnelie, P. C., Westerterp, K. R., Kester, A. D. M., van Klaveren, J. D., Bast, A., et al. (2003). Using a correction factor to correct for overreporting in a food-frequency questionnaire does not improve biomarker-assessed validity of estimates for fruit and vegetable consumption. The Journal of Nutrition, 133, 1213–1219.PubMed

Brubaker, P. H., Warner, J. G., Jr., Rejeski, W. J., Edwards, D. G., Matrazzo, B. A., Ribisl, P. M., et al. (1996). Comparison of standard-and extended-length participation in cardiac rehabilitation on body composition, functional capacity, and blood lipids. The American Journal of Cardiology, 78, 769–773.PubMedCrossRef

Brug, J., Glanz, K., Van Assema, P., Kok, G., & van Breukelen, G. J. P. (1998). The impact of computer-tailored feedback and iterative feedback on fat, fruit, and vegetable intake. Health Education and Behavior, 25, 517–531.PubMedCrossRef

Chase, J.-A. D. (2011). Systematic review of physical activity intervention studies after cardiac rehabilitation. The Journal of Cardiovascular Nursing, 26, 351–358.PubMedCrossRef

Clark, A. M., Hartling, L., Vandermeer, B., & McAlister, F. A. (2005). Meta-analysis: Secondary prevention programs for patients with coronary artery disease. Annals of Internal Medicine, 143, 659–672.PubMedCrossRef

Clark, A. M., MacIntyre, P. D., & Cruickshank, J. (2007). A critical realist approach to understanding and evaluating heart health programmes. Health, 11, 513–539.PubMed

Conn, V. S., Hafdahl, A. R., Moore, S. M., Nielsen, P. J., & Brown, L. M. (2009). Meta-analysis of interventions to increase physical activity among cardiac subjects. International Journal of Cardiology, 133, 307–320.PubMedCentralPubMedCrossRef

Develasco, J., Rodriguez, J. A., Ridocci, F., & Aznar, J. (2004). Action to improve secondary prevention in coronary heart disease patients: One-year follow-up of a shared care programme. European Heart Journal Supplements, 6, 27–32.

Dusseldorp, E., Meulman, J., Kraaij, V., van Elderen, T., & Maes, S. (1999). A meta-analysis of psychoeduational programs for coronary heart disease patients. Health Psychology, 18, 506–519.PubMedCrossRef

Elobeid, M. A., Padilla, M. A., McVie, T., Thomas, O., Brock, D. W., Musser, B., et al. (2009). Missing data in randomized clinical trials for weight loss: Scope of the problem, state of the field, and performance of statistical methods. PLoS ONE, 4, e6624.PubMedCentralPubMedCrossRef

Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175–191.PubMedCrossRef

Giallauria, F., Lucci, R., D’Agostino, M., Vitelli, A., Maresca, L., Mancini, M., et al. (2009). Two-year multicomprehensive secondary prevention program: Favorable effects on cardiovascular functional capacity and coronary risk profile after acute myocardial infarction. Journal of Cardiovascular Medicine, 10, 772–780.PubMedCrossRef

Giannuzzi, P., Temporelli, P. L., Marchioli, R., Maggioni, A. P., Balestroni, G., Ceci, V., et al. (2008). Global secondary prevention strategies to limit event recurrence after myocardial infarction: Results of the GOSPEL study, a multicenter, randomized controlled trial from the Italian Cardiac Rehabilitation Network. Archives of Internal Medicine, 168, 2194–2204.PubMedCrossRef

Hayes, A. F. (2009). Beyond Baron and Kenny: Statistical mediation analysis in the New Millennium. Communication Monographs, 76, 408–420.CrossRef

Hayes, A. F., & Preacher, K. J. (submitted). Statistical mediation analysis with a multicategorical independent variable.

Hofman-Bang, C., Nygren, A., Rydn, L., Sundin, O., Lisspers, J., Nordlander, R., et al. (1999). Two-year results of a controlled study of residential rehabilitation for patients treated with percutaneous transluminal coronary angioplasty. A randomized study of a multifactorial programme. European Heart Journal, 20, 1465–1474.PubMedCrossRef

Horner, N. K., Patterson, R. E., Neuhouser, M. L., Lampe, J. W., Beresford, S. A., & Prentice, R. L. (2002). Participant characteristics associated with errors in self-reported energy intake from the Women’ s Health Initiative food-frequency. American Journal of Clinical Nutrition, 76, 766–773.PubMed

Huisman, S. D., De Gucht, V., Dusseldorp, E., & Maes, S. (2011). The effect of weight reduction interventions for persons with type 2 diabetes: A meta-analysis from a self-regulation perspective. The Diabetes Educator, 35, 818–835.CrossRef

Huisman, S., de Gucht, V., Maes, S., Schroevers, M., Chatrou, M., & Haak, H. (2009). Self-regulation and weight reduction in patients with type 2 diabetes: A pilot intervention study. Patient Education and Counseling, 75, 84–90.PubMedCrossRef

Janssen, V., De Gucht, V., Van Exel, H., & Maes, S. (2012). Beyond resolutions? A randomized controlled trial of a self-regulation lifestyle programme for post-cardiac rehabilitation patients. European Journal of Preventive Cardiology. doi:10.1177/2047487312441728

Knittle, K., Maes, S., & de Gucht, V. (2010). Psychological interventions for rheumatoid arthritis: Examining the role of self-regulation with a systematic review and meta-analysis of randomized controlled trials. Arthritis Care & Research, 62, 1460–1472.CrossRef

Kotseva, K., Wood, D. A., De Bacquer, D., Heidrich, J., & De Backer, G. (2004). Cardiac rehabilitation for coronary patients: Lifestyle, risk factor and therapeutic management. Results from the EUROASPIRE II survey. European Heart Journal Supplements, 6, 17–26.CrossRef

Lear, S. A., Brozic, A., Pritchard, P. H., Kiess, M., Ignaszewski, A., Linden, W., et al. (2003). The extensive lifestyle management intervention (ELMI) following cardiac rehabilitation trial. European Heart Journal, 24, 1920–1927.PubMedCrossRef

Linden, W., Phillips, M. J., & Leclerc, J. (2007). Psychological treatment of cardiac patients: A meta-analysis. European Heart Journal, 28, 2972–2984.PubMedCrossRef

Maes, S., & Karoly, P. (2005). Self-regulation assessment and intervention in physical health and illness: A review. Applied Psychology, 54, 267–299.CrossRef

Maes, S., Karoly, P., De Gucht, V., Ruehlman, L., & Heiser, W. (2006). The self-regulation skills battery. Unpublished manuscript. Leiden University & Arizona State University, Leiden/Phoenix (AZ).

Maric, B., Kaan, A., Ignaszewski, A., & Lear, S. A. (2009). A systematic review of telemonitoring technologies in heart failure. European Journal of Heart Failure, 11, 506–517.PubMedCrossRef

Michie, S., Abraham, C., Whittington, C., McAteer, J., & Gupta, S. (2009). Effective techniques in healthy eating and physical activity interventions: A meta-regression. Health Psychology, 28, 690–701.PubMedCrossRef

Michie, S., Ashford, S., Sniehotta, F. F., Dombrowski, S. U., Bishop, A., & French, D. P. (2011). A refined taxonomy of behaviour change techniques to help people change their physical activity and healthy eating behaviours: The CALO-RE taxonomy. Psychology & Health, 28, 1–20.

Moore, S. M., Ruland, C. M., Pashkow, F. J., & Blackburn, G. G. (1998). Women’s patterns of exercise following cardiac rehabilitation. Nursing Research, 47, 318–324.PubMedCrossRef

Nederlands Huisartsen Genootschap. (2011). Multidisciplinaire richtlijn cardiovasculair risicomanagement, herziening 2011. Utrecht: Bohn Stafleu van Loghum.

NHS/NVVC, Revalidatiecommissie Nederlandse Vereniging voor Cardiologie/Nederlandse Hartstichting. (2011). Multidisciplinaire richtlijn hartrevalidatie. Utrecht: Drukkerij Pascal.

Pickering, T. G., Hall, J. E., Appel, L. J., Falkner, B. E., Graves, J., Hill, M. N., et al. (2005). Recommendations for blood pressure measurement in humans and experimental animals: Part 1: Blood pressure measurement in humans: A statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association. Hypertension, 45, 142–161.PubMedCrossRef

Ross, R., Berentzen, T., Bradshaw, J., Janssen, I., Kahn, H. S., Katzmarzyk, P. T., et al. (2008). Does the relationship between waist circumference, morbidity and mortality depend on measurement protocol for waist circumference? Obesity Reviews, 9, 312–325.PubMedCrossRef

Shah, B. R., Adams, M., Peterson, E. D., Powers, B., Oddone, E. Z., Royal, K., et al. (2011). Secondary prevention risk interventions via telemedicine and tailored patient education (SPRITE): A randomized trial to improve postmyocardial infarction management. Circulation: Cardiovascular Quality and Outcomes, 4, 235–242.

Simmons, J. P., Nelson, L. D., & Simonsohn, U. (2011). False-positive psychology: Undisclosed flexibility in data collection and analysis allows presenting anything as significant. Psychological Science, 22, 1359–1366.PubMedCrossRef

Smeulders, E. S. T. F., van Haastregt, J. C. M., Ambergen, T., Janssen-Boyne, J. J. J., van Eijk, J. T. M., & Kempen, G. I. J. M. (2009). The impact of a self-management group programme on health behaviour and healthcare utilization among congestive heart failure patients. European Journal of Heart Failure, 11, 609–616.PubMedCrossRef

Smith, S. C., Benjamin, E. J., Bonow, R. O., Braun, L. T., Creager, M., Franklin, B., et al. (2011). AHA/ACCF secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease: 2011 update: A guideline from the American Heart Association and American College of Cardiology Foundation. Circulation, 124, 2458–2473.PubMedCrossRef

Smith-Spangler, C., Gienger, A. L., Lin, N., Lewis, R., Stave, C. D., & Olkin, I. (2007). Using pedometers to increase physical activity: A systematic review. JAMA, 298, 2296–2304.PubMedCrossRef

Sniehotta, F. F., Scholz, U., Schwarzer, R., Fuhrmann, B., Kiwus, U., & Voller, H. (2005). Long-term effects of two psychological interventions on physical exercise and self-regulation following coronary rehabilitation. International Journal of Behavioral Medicine, 12, 244–255.PubMedCrossRef

Taylor, R. S., Brown, A., Ebrahim, S., Jolliffe, J., Noorani, H., Rees, K., et al. (2004). Exercise-based rehabilitation for patients with coronary heart disease: Systematic review and meta-analysis of randomized controlled trials. The American Journal of Medicine, 116, 682–692.PubMedCrossRef

The Vestfold Heartcare Study Group. (2003). Influence on lifestyle measures and five-year coronary risk by a comprehensive lifestyle intervention programme in patients with coronary heart disease. European Journal of Cardiovascular Prevention and Rehabilitation, 10, 429–437.CrossRef

Tudor-Locke, C., Hatano, Y., Pangrazi, R. P., & Kang, M. (2008). Revisiting “how many steps are enough?”. Medicine and Science in Sports and Exercise, 40, S537–S543.PubMedCrossRef

Willich, S. N., Müller-Nordhorn, J., Kulig, M., Binting, S., Gohlke, H., Hahmann, H., et al. (2001). Cardiac risk factors, medication, and recurrent clinical events after acute coronary disease; A prospective cohort study. European Heart Journal, 22, 307–313.PubMedCrossRef

Wing, R. R., Tate, D. F., Gorin, A. A., Raynor, H. A., & Fava, J. L. (2006). A self-regulation program for maintenance of weight loss. The New England Journal of Medicine, 355, 1563–1571.PubMedCrossRef

Yusuf, S., Avezum, A., Pais, P., Dans, T., McQueen, M., Hawken, S., et al. (2004). Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): Case-control study. Lancet, 364, 937–952.PubMedCrossRef

Titel: A self-regulation lifestyle program for post-cardiac rehabilitation patients has long-term effects on exercise adherence
verfasst von: Veronica Janssen
Veronique De Gucht
Henk van Exel
Stan Maes
Publikationsdatum: 01.04.2014
Verlag: Springer US
Erschienen in: Journal of Behavioral Medicine / Ausgabe 2/2014
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-012-9489-y

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

23.04.2024 Depression antepartal oder postpartal Nachrichten

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2014

The unique and additive associations of family functioning and parenting practices with disordered eating behaviors in diverse adolescents

Differential medication nonadherence and illness beliefs in co-morbid HIV and type 2 diabetes

Learning about pain through observation: the role of pain-related fear

Improving secondary stroke self-care among underserved ethnic minority individuals: a randomized clinical trial of a pilot intervention