Understanding Physical Activity During Home-Based Cardiac Rehabilitation From Multiple Theoretical Perspectives

Blanchard, Chris M.; Reid, Robert D.; Morrin, Louise; McDonnell, Lisa; McGannon, Kerry R.; Rhodes, Ryan E.; Spence, John C.; Edwards, Nancy

doi:10.1097/hcr.0b013e3181ff0dfe

Cited by 13 publications

(32 citation statements)

References 25 publications

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“…The barrier self-efficacy scale was devel oped via CR focus groups to generate CR-specific PA barriers (Blanchard et al, 2011;. Patients were asked "During the next 6 months, how confident are you that you will adhere to your exercise prescription even if... (a) you fear you will have another cardiac event, (b) you have back pain, (c) you have medication side effects, (d) you had angina/chest pain earlier in the day, (e) you have health-related problems, (f) there is bad weather, (g) you have too much work, (h) you do not have time, and (i) it is too expensive to exercise?"…”

Section: Methodsmentioning

confidence: 99%

Self-efficacy and outcome expectations in cardiac rehabilitation: Associations with women’s physical activity.

Blanchard

Arthur

Gunn

2015

Rehabilitation Psychology

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Women in trajectories with higher task and barrier self-efficacy and outcome expectations are more likely to be active, whereas the opposite is true for women with lower efficacy and outcome expectancies. As such, it is critical that health-care practitioners incorporate strategies into their CR programs or professional practice after CR to increase women's confidence in engaging in PA, overcome barriers to engage in PA, and promote positive outcomes related to PA to increase their PA levels.

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Section: Methodsmentioning

confidence: 99%

Self-efficacy and outcome expectations in cardiac rehabilitation: Associations with women’s physical activity.

Blanchard

Arthur

Gunn

2015

Rehabilitation Psychology

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“…An independent evaluation of this measure found its reliability and validity to compare favourably to 9 other self-report measures of exercise based on various criteria including test-retest scores, objective activity monitors, and fitness indices [26]. Additionally, the LSI has been used frequently in CR [27, 28]. According to Godin (2011) [29], the examination of physical activity from a health benefit perspective should focus only on the moderate and strenuous categories of the scale.…”

Section: Methodsmentioning

confidence: 99%

Exercise Trajectories of Women from Entry to a 6-Month Cardiac Rehabilitation Program to One Year after Discharge

Arthur

Blanchard

Gunn

et al. 2013

BioMed Research International

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Background. Physical activity is associated with reduced mortality and morbidity. Cardiac rehabilitation (CR) is an effective intervention for patients with cardiovascular disease (CVD). Unfortunately, women are less likely to engage in, or sustain, regular physical activity. Objectives were to (1) describe women's guidelines-based levels of physical activity during and after CR and (2) determine the physical activity trajectories of women from entry to CR to one year after CR. Methods and Results. A prospective, longitudinal study of 203 women with CVD enrolled in a 6-month CR program. Physical activity was measured using the Godin Leisure Time Exercise Questionnaire (LSI), focusing on moderate-strenuous activity. Data were analyzed using latent class growth analysis (LCGA) and logistic regression. Mean scores on the LSI showed women to be “active” at all follow-up points. LCGA revealed a two-class model, respectively, called “inactive relapsers” and “moderately active relapsers.” Predictors of the “moderately active relapsers” class were employment status and diagnosis of myocardial infarction. Conclusions. Women achieved the recommended physical activity levels by the end of CR and sustained them until one year after CR. LCGA allowed us to determine the class trajectories associated with moderate-strenuous activity and, from these, to identify implications for targeted intervention.

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“…The mean age of participants ranged from 9.4 to 80.0 years. Men were considerably under-represented, with only 12/55 models (22%) using a sample with a male majority (53,54,63,64,66,68,70,72,73,83,87). Further, only 1/55 (2%) used a male-only sample (87) compared to 11/55 (20%) with female-only samples (52,55,65,67,71,86,87,89).…”

Section: Model Characteristicsmentioning

confidence: 99%

“…In addition to varied populations, the 55 PA models also tested various types of PA behaviour and included different combinations of SCT constructs. Nineteen (35%) used a measure of total PA as the dependent variable (55,58,60,64,67,68,71,73,75,77,78,(81)(82)(83)(84)86,88,89) and 15 (27%) used moderate-to-vigorous PA (54,57,(61)(62)(63)65,66,70,72,79,87). In addition, five (9%) used vigorous PA (52,59,69,90), three (5%) used moderate PA (59,76,90) and one (2%) used light PA (53).…”

Section: Model Characteristicsmentioning

confidence: 99%

“…goal/intention or selfregulation) was represented in 31 models (56%) (47)(48)(49)(50)(51)58,62,(66)(67)(68)(69)(70)(71)80,82,83,85,86,88,90) and the sociostructural factor construct (i.e. social support, impediments or perceived environment) was represented in 42 models (76%) (47)(48)(49)(50)(51)(52)54,(56)(57)(58)62,63,65,66,(69)(70)(71)(72)(73)(74)77,(79)(80)(81)(84)(85)(86)(87)(88)(89)(90)....…”

Section: Model Characteristicsmentioning

confidence: 99%

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Social cognitive theory and physical activity: a systematic review and meta‐analysis

et al. 2014

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This review investigated three research questions (i) What is the utility of social cognitive theory (SCT) to explain physical activity (PA)?; (ii) Is the effectiveness of SCT moderated by sample or methodological characteristics? and (iii) What is the frequency of significant associations between the core SCT constructs and PA? Ten electronic databases were searched with no date or sample restrictions. Forty-four studies were retrieved containing 55 SCT models of PA. Methodological quality was assessed using a standardized tool. A random-effects meta-analysis revealed that SCT accounted for 31% of the variance in PA. However, methodological quality was mostly poor for these models. Methodological quality and sample age moderated the PA effect size, with increases in both associated with greater variance explained. Although self-efficacy and goals were consistently associated with PA, outcome expectations and socio-structural factors were not. This review determined that SCT is a useful framework to explain PA behaviour. Higher quality models explained more PA variance, but overall methodological quality was poor. As such, high-quality studies examining the utility of SCT to explain PA are warranted.

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Understanding Physical Activity During Home-Based Cardiac Rehabilitation From Multiple Theoretical Perspectives

Abstract: : All 3 theories appeared to be viable options to inform the development of a MVPA intervention during home-based CR. However, the key constructs to target within each theory varied, suggesting the need to potentially use multiple theories to inform intervention development.

Cited by 13 publications

References 25 publications

Self-efficacy and outcome expectations in cardiac rehabilitation: Associations with women’s physical activity.

Self-efficacy and outcome expectations in cardiac rehabilitation: Associations with women’s physical activity.

Exercise Trajectories of Women from Entry to a 6-Month Cardiac Rehabilitation Program to One Year after Discharge

Social cognitive theory and physical activity: a systematic review and meta‐analysis

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