A behavior change intervention for women in cardiac rehabilitation

被引:43
作者
Beckie, Theresa M. [1 ]
机构
[1] Univ S Florida, Coll Nursing, Tampa, FL 33612 USA
关键词
cardiac rehabilitation; coronary heart disease; motivational interviewing; stages of change; women;
D O I
10.1097/00005082-200603000-00013
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
There is undeniable evidence for physical and psychosocial benefits of cardiac rehabilitation programs for individuals suffering from coronary heart disease Yet, fewer women than men are referred to, begin, or complete cardiac rehabilitation programs. The numerous logistical, economic, and motivational barriers to healthy behavior change place women at risk for subsequent CHID events. To close this gender gap and improve outcomes, novel, efficacious, and individualized rehabilitative approaches for women with coronary heart disease are needed, The purpose of this article is to describe a theory-driven behavioral intervention designed exclusively for women with coronary heart disease. The 12-week intervention is being tested in a randomized controlled trial involving women referred to a cardiac rehabilitation program. The tenets of the Transtheoretical Model of behavior change and motivational interviewing guided the development and implementation of the stage-matched, individualized intervention to promote healthy behavior change for women with coronary heart disease. The ongoing trial will examine the efficacy of the intervention on physiological and psychosocial outcomes.
引用
收藏
页码:146 / 153
页数:8
相关论文
共 70 条
[1]   Cardiac rehabilitation in older coronary patients [J].
Ades, PA .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1999, 47 (01) :98-105
[2]   Disparities in women's referral to and enrollment in outpatient cardiac rehabilitation [J].
Allen, JK ;
Scott, LB ;
Stewart, KJ ;
Young, DR .
JOURNAL OF GENERAL INTERNAL MEDICINE, 2004, 19 (07) :747-753
[3]  
[Anonymous], 2004, HEART DIS STROK STAT
[4]  
[Anonymous], 1997, Self-efficacy: The exercise of control
[5]   Stages of change or changes of stage? Predicting transitions in transtheoretical model stages in relation to healthy food choice [J].
Armitage, CJ ;
Sheeran, P ;
Conner, M ;
Arden, MA .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2004, 72 (03) :491-499
[6]  
Benson G, 1997, Can J Cardiovasc Nurs, V8, P16
[7]   Improving uptake and adherence in cardiac rehabilitation: literature review [J].
Beswick, AD ;
Rees, K ;
West, RR ;
Taylor, FC ;
Burke, M ;
Griebsch, I ;
Taylor, RS ;
Victory, J ;
Brown, J ;
Ebrahim, S .
JOURNAL OF ADVANCED NURSING, 2005, 49 (05) :538-555
[8]   Drug prescriptions and referral to cardiac rehabilitation after acute coronary events:: comparison between men and women in the French PREVENIR Survey [J].
Bongard, V ;
Grenier, O ;
Ferrières, J ;
Danchin, N ;
Cantet, C ;
Amelineau, E ;
Cambou, JP .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2004, 93 (2-3) :217-223
[9]   The efficacy of motivational interviewing: A meta-analysis of controlled clinical trials [J].
Burke, BL ;
Arkowitz, H ;
Menchola, M .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2003, 71 (05) :843-861
[10]   Self-efficacy and the stages and processes of change associated with adopting and maintaining muscular fitness-promoting behaviors [J].
Cardinal, BJ ;
Kosma, M .
RESEARCH QUARTERLY FOR EXERCISE AND SPORT, 2004, 75 (02) :186-196