Document Detail


Self-reported compliance to home-based resistance training in cardiac patients.
MedLine Citation:
PMID:  19707150     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To retrospectively identify factors influencing long-term compliance to home-based resistance training (RT) in a cardiac rehabilitation (CR) programme. METHODS: Five hundred and eighteen patients (447 males, 71 females) attending a CR programme consisting of aerobic exercise, education and lifestyle counselling were also offered RT exercises, which they performed over a 72-month period. These patients were sent a questionnaire to examine ongoing participation in RT and perceptions around RT. RESULTS: Sixty-nine percent of the surveys were returned. The mean follow-up time was 38.7+/-25.9 months post-RT prescription (about 2.5 years postgraduation from on-site CR). Among respondents, 50% (50.6% males, 42.9% females) were continuing RT at the time of the survey (compliers), and 50% (49.4% males, 57.1% females) had discontinued RT (dropouts). Compliers perceived greater support for RT participation than dropouts (41.3 and 22.5% perceived strong support, respectively, from family/friends and physicians, P<0.005). Dropouts had a higher percentage of body fat at baseline than compliers (32% of dropouts and 20% of compliers had a body fat >25%, P<0.025). Men participated mainly to 'improve appearance' and women to 'prevent osteoporosis'. Weight reduction was a greater motivator to participate for dropouts than for compliers. The main reason for discontinuing RT was 'lack of motivation'. The most common injuries occurred in one shoulder or the lower back. Only 3% discontinued RT because of injury. CONCLUSION: One-half of patients starting an RT home-based programme were still under training at the time of the survey (mean 38.7 months). A lower percentage of body fat and support from family/friends and physicians seem to increase long-term compliance. There were sex differences in reasons for participation and dropout. Emphasizing achievable benefits that motivate men and women to participate may help to reduce dropout.
Authors:
Susan Marzolini; Donald J Mertens; Paul I Oh; Michael J Plyley
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology     Volume:  17     ISSN:  1741-8275     ISO Abbreviation:  Eur J Cardiovasc Prev Rehabil     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-11     Completed Date:  2010-04-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101192000     Medline TA:  Eur J Cardiovasc Prev Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  35-41, quiz 42-9     Citation Subset:  IM    
Affiliation:
Toronto Rehabilitation Institute, University of Toronto, Canada. Marzolini.susan@torontorehab.on.ca
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MeSH Terms
Descriptor/Qualifier:
Adiposity
Adult
Aged
Aged, 80 and over
Chi-Square Distribution
Counseling*
Family Relations
Female
Health Knowledge, Attitudes, Practice*
Heart Diseases / physiopathology,  psychology,  rehabilitation*
Humans
Male
Middle Aged
Motivation
Patient Compliance*
Patient Dropouts
Patient Education as Topic*
Physician-Patient Relations
Program Development
Program Evaluation
Questionnaires
Resistance Training* / adverse effects
Retrospective Studies
Risk Reduction Behavior*
Sex Factors
Social Support
Time Factors
Treatment Outcome

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


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