Is the Theory of Planned Behavior a Useful Framework for Understanding Exercise Adherence During Phase II Cardiac Rehabilitation?

Blanchard, Chris M.; Courneya, Kerry S.; Rodgers, Wendy M.; Fraser, Shawn N.; Murray, Terra C.; Daub, Bill; Black, Bill

doi:10.1097/00008483-200301000-00007

Cited by 80 publications

(81 citation statements)

References 21 publications

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“…With respect to current behavior, the intention to engage in regular physical activities was the only variable associated to the outcome, consistently with other studies among cardiac patients 13,18 . However, in the study by Johnston et al 19 , the only predictor of the behavior was the perceived behavioral control.…”

Section: Resultssupporting

confidence: 89%

“…This theoretical model originated the analysis model used in the present study which was important during multivariable analysis 17 . On that account, this is one of the few studies using such theoretical model with this population 13,[18][19] and developed out of cardiac rehabilitation programs 13,19 . Besides, it adds up to the scarce literature on the theme 13 .…”

Section: Resultsmentioning

confidence: 99%

“…Such finding supports the ideas of some researchers reporting that the subjective norm usually is a weak predictor of behavioral intentions 24,30 . But, Blanchard et al 18 state that subjective norm was the more influential psychosocial variable on intention in CAD subjects enrolled in cardiac rehabilitation programs.…”

Section: Resultsmentioning

confidence: 99%

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Intention and regular physical activity behavior and associated factors in individuals with coronary artery disease

Oliveira

Silva

Alves

et al. 2014

Rev Bras Ativ Fis Saude

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The study measured the intention to engage in physical activities (PA) during hospital stay and Behavior after two months, as the factors associated to both outcomes in patients with coronary artery disease. A longitudinal study was conducted in adults diagnosed with coronary artery disease admitted to a reference cardiology hospital, in southern Brazil. The sample was composed by 150 men and women interviewed twice, first during hospital stay and, later, two months after hospital leave. A questionnaire was administered to evaluate demographics, socioeconomics, behavioral and nutritional variables. Psychosocial variables of the Theory of Planned Behavior were also assessed. Mean age of the sample was 58 years (range 30 to 79 years), 51.3% were men and 89.3% were white. At the time of hospitalization, 25.3% of the individuals perform any physical activity for at least 30 minutes a week in the six months preceding the cardiac event and 48.2% showed positive intent to practice. In multivariable analysis, the intention was associated with Perceived Behavioral Control, Perceived Risk and Habit. The prevalence of physical activity two months after hospital discharge was 38.8% and the intention was the only variable determinant of behavior. Actions aiming at behavior change must focus on psychosocial aspects while patients are still in the hospital to improve secondary prevention of coronary by adopting an active behavior. KeywordsMotor activity; Cardiovascular diseases; Intention; Longitudinal studies. resumo Este estudo teve o objetivo de medir a ocorrência e os fatores associados à Intenção para prática regular de atividades físicas durante a internação hospitalar e seu respectivo comportamento após dois meses em pacientes com doença arterial coronariana. Estudo longitudinal foi conduzido em adultos diagnosticados com a doença arterial coronariana internados em um hospital de referência em cardiologia, no sul do Brasil. A amostra foi composta por 150 homens e mulheres os quais foram entrevistadas duas vezes, primeiro durante a internação e, mais tarde , dois meses após alta hospitalar. Um questionário foi aplicado para avaliar variáveis demográficas, socioeconômicas, comportamentais e nutricionais. Variáveis psicossociais da Teoria do Comportamento

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Section: Resultssupporting

confidence: 89%

Section: Resultsmentioning

confidence: 99%

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Intention and regular physical activity behavior and associated factors in individuals with coronary artery disease

Oliveira

Silva

Alves

et al. 2014

Rev Bras Ativ Fis Saude

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“…Other than distance/travel time and rurality status, the following barriers were often self-reported: heavy traffic (Stokes 2008), parking problems, inconvenient program locations (Grace et al 2002), cost of traveling, not having a driver's license or inability to drive (Dunlay et al 2009, Winberg 2002, Jones et al 2007, Dalal, Evans 2003, Wingham et al 2006, and inclement weather leading to hazardous or congested traffic conditions (Blanchard et al 2003, Fleury et al 2004). Indeed, for rural patients, factors other than proximity to a program may influence attendance, such as the quality of roads and harsh weather in particular for northern-residing outpatients (Curnier, Savage & Ades 2005, Pell, Morrison 1998).…”

Section: Other Geographic Barriers To Cr Utilizationmentioning

confidence: 99%

Geographic issues in cardiac rehabilitation utilization: A narrative review

et al. 2010

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Objective-The purpose of this study was to review the current evidence regarding the relationship between geographic indicators and cardiac rehabilitation (CR) utilization among coronary heart disease (CHD) patients.Results-Seventeen articles were identified for inclusion, where nine studies assessed rurality, 10 studies assessed travel time/distance, and two of these studies assessed both. Nine of the 17 studies (52.9%) showed a significant negative relationship between geographic barrier and CR use. Four of the 17 studies (23.5%) showed a null relationship, while four studies (23.5%) showed mixed findings. Inconsistent findings identified appeared to be related to restricted geographic range, regional density, and socioeconomic status.Conclusions-Overall, 52.9% of the identified studies reported a significant negative relationship between geographic indicators and CR utilization. This relationship appeared to be particularly consistent in North American and Australian settings, but somewhat less so in the United Kingdom where there is greater population density and availability of public transport.

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“…Dropout rates have ranged from 10 to 36% and many patientsÕ exercise adherence levels decline even further once they have completed their programme. 10 Geographical and transportation barriers, socio-economic factors and financial constraints might be important determinants of this non-adherence. 11 Therefore, it is important to look for alternative models of health service delivery that could better meet patientsÕ preferences and, in so doing, enhance exercise treatment compliance.…”

Section: Introductionmentioning

confidence: 99%

An exploration of chronic pain patients’ perceptions of home telerehabilitation services

Cranen

Drossaert

Brinkman

et al. 2011

Health Expectations

103

110

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Objectives To explore patientsÕ perceptions regarding prospective telerehabilitation services and the factors that facilitate or impede patientsÕ intentions to use these services.Design Using semi-structured interviews, patients reflected on the pros and cons of various scenarios of prospective telerehabilitation services. PatientsÕ arguments were first arranged according to the Unified Theory of Acceptance and Use of Technology (UTAUT). Next, using inductive analysis, the data for each UTAUT component were analysed and arranged into subthemes.Setting and participants Twenty-five chronic pain patients were selected from a rehabilitation centre in the Netherlands.Results Overall, participants considered telerehabilitation helpful as a complementary or follow-up treatment, rather than an autonomous treatment. Arguments mainly related to the UTAUT constructs of Ôperformance expectancyÕ and Ôfacilitating conditionsÕ. Patients valued the benefits such as reduced transportation barriers, flexible exercise hours and the possibility to better integrate skills into daily life. However, many patients feared a loss of treatment motivation and expressed concerns about both reduced fellow sufferer contact and reduced face-to-face therapist contact. Few arguments related to Ôsocial normsÕ and Ôeffort expectancyÕ.Conclusions The effect of telerehabilitation on healthcare strongly depends on patientsÕ willingness to use. Our study showed that chronic pain patients valued the benefits of telerehabilitation but hesitate to use it as an autonomous treatment. Therefore, future initiatives should maintain traditional care to some degree and focus on patientsÕ attitudes as well. Either by giving information to increase patientsÕ confidence in telerehabilitation or by addressing reported drawbacks into the future design of these services. Further quantitative studies are needed to explore patientsÕ intentions to use telerehabilitation.

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Is the Theory of Planned Behavior a Useful Framework for Understanding Exercise Adherence During Phase II Cardiac Rehabilitation?

Abstract: Results of the present study provide evidence that the TPB is a useful framework for understanding exercise intentions and adherence during phase II CR.

Cited by 80 publications

References 21 publications

Intention and regular physical activity behavior and associated factors in individuals with coronary artery disease

Intention and regular physical activity behavior and associated factors in individuals with coronary artery disease

Geographic issues in cardiac rehabilitation utilization: A narrative review

An exploration of chronic pain patients’ perceptions of home telerehabilitation services

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