Predicting physical activity following cardiac rehabilitation: A longitudinal observational study.

IF 1.9 4区医学 Q3 PSYCHOLOGY, CLINICAL

Rehabilitation Psychology Pub Date : 2023-08-01 DOI:10.1037/rep0000490

Walter Bierbauer, Tania Bermudez, Artur Bernardo, Ruth Fleisch-Silvestri, Matthias Hermann, Jean-Paul Schmid, Tobias Kowatsch, Urte Scholz

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引用次数: 0

Abstract

Purpose: The adoption of a healthy lifestyle is crucial for patients with established cardiac diseases. However, many patients do not engage in regular physical activity in their everyday life.

Research method: The present study applied the health action process approach (HAPA) in an intensive longitudinal research design (n = 3,354 daily surveys) investigating intention towards physical activity and objectively measured physical activity in 137 cardiac patients (M_age = 62.1 years) during and after inpatient rehabilitation across 28 days. Self-reported HAPA variables were measured daily in online questionnaires at the end of each day. Theory-driven hypotheses were tested using linear multilevel models.

Results: One-third of the sample did not reach the recommended physical activity levels in the first weeks after discharge from rehabilitation. Results are mostly in line with the motivational HAPA phase at both levels of analysis; outcome expectations and self-efficacy were positively associated with intentions. Results for the volitional phase were partly in line with the HAPA. Daily deviations in previous-day planning and concurrent action control were positively associated with physical activity during and after cardiac rehabilitation.

Conclusion: The results of this study partly speak towards the HAPA in predicting physical activity in cardiac patients, thereby replicating prior research. The HAPA framework offers guidance for motivating and empowering cardiac patients to be more active in their everyday life. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

查看原文本刊更多论文

预测心脏康复后的身体活动:一项纵向观察研究。

目的:采用健康的生活方式对患有心脏病的患者至关重要。然而，许多患者在日常生活中没有规律的体育活动。研究方法:本研究采用健康行动过程方法(HAPA)进行深入的纵向研究设计(n = 3,354次每日调查)，调查137例心脏病患者(年龄= 62.1岁)在住院康复期间和康复后28天内的身体活动意愿和客观测量的身体活动。每天结束时，在在线问卷中测量自我报告的HAPA变量。理论驱动的假设采用线性多层模型进行检验。结果:三分之一的样本在康复出院后的第一周内没有达到推荐的体力活动水平。两个层次的分析结果与动机HAPA阶段基本一致;结果预期和自我效能感与意图呈正相关。意志期的结果与HAPA部分一致。在心脏康复期间和之后，前一日计划和同时行动控制的每日偏差与身体活动呈正相关。结论:本研究的结果部分支持HAPA预测心脏病患者的身体活动，从而重复了先前的研究。HAPA框架为激励和授权心脏病患者在日常生活中更加活跃提供了指导。(PsycInfo数据库记录(c) 2023 APA，版权所有)。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Rehabilitation Psychology Multiple-

CiteScore

4.80

自引率

7.40%

发文量

期刊介绍： Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.