期刊
EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY
卷 20, 期 3, 页码 431-441出版社
OXFORD UNIV PRESS
DOI: 10.1177/2047487312441728
关键词
Adherence; cardiac rehabilitation; lifestyle; maintenance; randomized controlled trial; risk factors; self-regulation
Background: As lifestyle adherence and risk factor management following completion of cardiac rehabilitation (CR) have been shown to be problematic, we developed a brief self-regulation lifestyle programme for post-CR patients. Design: Randomized-controlled trial. Methods: Following completion of CR 210 patients were randomized to receive either a lifestyle maintenance programme (n = 112) or standard care (n = 98). The programme was based on self-regulation principles and consisted of a motivational interview, seven group sessions, and home assignments. Risk factors and health behaviours were assessed at baseline (end of CR) and 6 months thereafter. Results: ANCOVAs showed a significant effect of the lifestyle programme after 6 months on blood pressure, waist circumference, and exercise behaviour. Conclusion: This trial indicates that a relatively brief intervention based on self-regulation theory is capable of instigating and maintaining beneficial changes in lifestyle and risk factors after CR.
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