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- Title
Perceiving Cardiac Rehabilitation Staff as Mainly Responsible for Exercise: A Dilemma for Future Self‐Management.
- Authors
Flora, Parminder K.; McMahon, Casey J.; Locke, Sean R.; Brawley, Lawrence R.
- Abstract
Background: Cardiac rehabilitation (CR) exercise therapy facilitates patient recovery and better health following a cardiovascular event. However, post‐CR adherence to self‐managed (SM)‐exercise is suboptimal. Part of this problem may be participants’ <italic>view of CR staff</italic> as mainly responsible for help and program structure. Does post‐CR exercise adherence for those perceiving high CR staff responsibility suffer as a consequence? Methods: Participants in this prospective, observational study were followed over 12 weeks of CR and one month afterward. <italic>High perceived staff responsibility</italic> individuals were examined for a decline in the strength of adherence‐related social cognitions and exercise. Those <italic>high and low in perceived staff responsibility</italic> were also compared. Results: High perceived staff responsibility individuals reported significant declines in anticipated exercise persistence (<italic>d</italic> = .58) and number of different SM‐exercise options (<italic>d</italic> = .44). High versus low responsibility comparisons revealed a significant difference in one‐month post‐CR SM‐exercise volume (<italic>d</italic> = .67). High perceived staff responsibility individuals exercised half of the amount of low responsibility counterparts at one month post‐CR. Perceived staff responsibility and CR SRE significantly predicted SM‐exercise volume, <italic>R</italic>2adj = .10, and persistence, <italic>R</italic>2adj = .18, one month post‐CR. Conclusion: Viewing helpful well‐trained CR staff as mainly responsible for participant behavior may be problematic for post‐CR exercise maintenance among those more staff dependent.
- Subjects
CARDIAC rehabilitation; EXERCISE; PHYSICAL activity; PHYSICAL fitness; CARDIOVASCULAR agents
- Publication
Applied Psychology: Health & Well-Being, 2018, Vol 10, Issue 1, p108
- ISSN
1758-0846
- Publication type
Article
- DOI
10.1111/aphw.12106