A Longitudinal Examination of the Social-Ecological Correlates of Exercise in Men and Women Following Cardiac Rehabilitation

dc.contributor.authorMoghei, Mahshid
dc.contributor.authorReid, Robert D.
dc.contributor.authorWooding, Evyanne
dc.contributor.authorLima de Melo Ghisi, Gabriela
dc.contributor.authorPipe, Andrew
dc.contributor.authorChessex, Caroline
dc.contributor.authorPrince, Stephanie
dc.contributor.authorBlanchard, Chris M
dc.contributor.authorOh, Paul
dc.contributor.authorGrace, Sherry L.
dc.date.accessioned2020-03-11T15:14:26Z
dc.date.available2020-03-11T15:14:26Z
dc.date.issued2019-02-16
dc.description.abstractCardiac patients who engage in ≥150 min of moderate- to vigorous-intensity physical activity (MVPA)/week have lower mortality, yet MVPA declines even following cardiac rehabilitation (CR), and is lower in women. A randomized trial of nine socioecological theory-based exercise facilitation contacts over 50 weeks versus usual care (1:1 parallel arms) was undertaken (NCT01658683). The tertiary objective, as presented in this paper, was to test whether the intervention impacted socioecological elements, and in turn their association with MVPA. The 449 participants wore an accelerometer and completed questionnaires post-CR, and 26, 52 and 78 weeks later. At 52 weeks, exercise task self-efficacy was significantly greater in the intervention arm (p = 0.01), but no other differences were observed except more encouragement from other cardiac patients at 26 weeks (favoring controls). Among women adherent to the intervention, the group in whom the intervention was proven effective, physical activity (PA) intentions at 26 weeks were significantly greater in the intervention arm (p = 0.04), with no other differences. There were some differences in socioecological elements associated with MVPA by arm. There were also some differences by sex, with MVPA more often associated with exercise benefits/barriers in men, versus with working and the physical environment in women.en_US
dc.description.sponsorshipYork University Librariesen_US
dc.identifier.citationJournal of Clinical Medicine 8.2 (2019): 250.en_US
dc.identifier.urihttps://doi.org/10.3390/jcm8020250en_US
dc.identifier.urihttps://hdl.handle.net/10315/37091
dc.language.isoenen_US
dc.publisherMDPIen_US
dc.rightsAttribution 2.5 Canada*
dc.rights.articlehttps://www.mdpi.com/2077-0383/8/2/250en_US
dc.rights.journalhttps://www.mdpi.com/journal/jcmen_US
dc.rights.publisherhttps://www.mdpi.com/en_US
dc.rights.urihttp://creativecommons.org/licenses/by/2.5/ca/*
dc.subjectcardiac rehabilitationen_US
dc.subjectcardiovascular diseaseen_US
dc.subjectphysical activityen_US
dc.subjectsecondary preventionen_US
dc.subjectsocioecological modelen_US
dc.subjecttheoryen_US
dc.titleA Longitudinal Examination of the Social-Ecological Correlates of Exercise in Men and Women Following Cardiac Rehabilitationen_US
dc.typeArticleen_US

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