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Knowledge and exercise behavior maintenance in cardiac rehabilitation patients receiving educational interventions

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Date

2015-11

Authors

Lima de Melo Ghisi, Gabriela
Grace, Sherry
Thomas, Scott
Marques Vieira, Ariany
Ziesemer Costa, Isabel
Oh, Paul

Journal Title

Journal ISSN

Volume Title

Publisher

American Association of Heart Failure Nurses

Abstract

Objectives: To test whether a theoretically-based education curriculum results in more sustained knowledge, higher scores on Health Action Process Approach (HAPA)constructs, and greater exercise behavior 6 months post-cardiac rehabilitation ( CR) when compared to traditional CR education. Background: Patient education is a core component of CR. No research has examined whether this education results in sustained improvements post-program. Methods: In this quasi-experimental study, participants exposed to the traditional vs HAPA-based education completed surveys pre, post-CR, and 6 months post-discharge assessing knowledge, HAPA constructs, and exercise. Results: Ninety-three participants completed the final survey. Knowledge increases post-CR were sustained 6 months post-program, with no differences by curriculum. Many improvements in HAPA constructs observed post-CR were sustained, except for some decay in self-efficacy. Minutes of exercise per week were significantly greater in participants exposed to the HAPA-based curriculum 6 months post-program. Conclusions: HAPA-based education in CR has sustained effects on exercise.

Description

Keywords

patient education, health behavior theory, knowledge, physical exercise, cardiovascular disease

Citation

Care of Patients with Heart Disease| Vol 44, Issue 6, P474-480, NOVEMBER 01, 2015