Document Detail


Effect of the self-monitoring approach on exercise maintenance during cardiac rehabilitation: a randomized, controlled trial.
MedLine Citation:
PMID:  15829777     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the effect of the self-monitoring approach (SMA) on self-efficacy for physical activity (SEPA), exercise maintenance, and objective physical activity level over a 6-mo period after a supervised 6-mo cardiac rehabilitation (CR) program. DESIGN: We conducted a randomized, controlled trial with 45 myocardial infarction patients (38 men, seven women; mean age, 64.2 yrs) recruited after completion of an acute-phase, exercise-based CR program. Patients were randomly assigned to an SMA group (n = 24) or control group (n = 21). Along with CR, the subjects in the SMA group self-monitored their weight and physical activity for 6 mos. The SMA used in this study was based on Bandura's self-efficacy theory and was designed to enhance confidence for exercise maintenance. The control group participated in CR only. All patients were evaluated with the SEPA assessment tool. Exercise maintenance, SEPA scores, and objective physical activity (average steps per week) as a caloric expenditure were assessed at baseline and during a 6-mo period after the supervised CR program. RESULTS: Mean period from myocardial infarction onset did not differ significantly between the SMA and control groups (12.1 +/- 1.3 vs. 12.2 +/- 1.2 mos, P = 0.692). All patients maintained their exercise routine in the SMA group. Mean SEPA score (90.5 vs. 72.7 points, P < 0.001) and mean objective physical activity (10,458.7 vs. 6922.5 steps/wk, P < 0.001) at 12 mos after myocardial infarction onset were significantly higher in the SMA than control group. SEPA showed significant positive correlation with objective physical activity (r = 0.642, P < 0.001). CONCLUSIONS: SMA during supervised CR may effectively increase exercise maintenance, SEPA, and objective physical activity at 12 mos after myocardial infarction onset.
Authors:
Kazuhiro P Izawa; Satoshi Watanabe; Kazuto Omiya; Yasuyuki Hirano; Koichiro Oka; Naohiko Osada; Setsu Iijima
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of physical medicine & rehabilitation / Association of Academic Physiatrists     Volume:  84     ISSN:  0894-9115     ISO Abbreviation:  Am J Phys Med Rehabil     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-04-14     Completed Date:  2005-05-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8803677     Medline TA:  Am J Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  313-21     Citation Subset:  AIM; IM    
Affiliation:
Department of Rehabilitation Medicine, St. Marianna University School of Medicine Hospital, Kawasaki, Japan.
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MeSH Terms
Descriptor/Qualifier:
Analysis of Variance
Body Weight / physiology
Exercise*
Female
Hand Strength / physiology
Humans
Japan
Knee / physiology
Male
Middle Aged
Motor Activity / physiology
Muscle, Skeletal / physiology
Myocardial Infarction / rehabilitation*
Outcome Assessment (Health Care)
Oxygen Consumption / physiology
Questionnaires
Self Care*
Self Efficacy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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