Physically active patients with coronary artery disease: A longitudinal investigation of the processes of exercise behaviour change

Martina K. Kanning

15 citations0/0 files storedBritish Journal of Health Psychology

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

Behavioral Health and Interventions Physical Activity and Health Cardiac Health and Mental Health

Abstract

OBJECTIVES: Although regular exercise is important for patients with coronary artery disease (CAD), most CAD patients are not sufficiently active. The transtheoretical model offers a framework for the process of exercise behaviour change. But until today, it is not clear which processes of exercise behaviour change (POC) support CAD patients in maintaining exercise after discharge. DESIGN: A longitudinal study with baseline measure and 6-month follow-up has been conducted. German CAD patients were mailed at home after discharge. POC and exercise were self-reported. METHODS: A total of 204 CAD patients were selected from five rehabilitation centres. A total of 108 CAD patients, which were in the post-action stages, provided data at baseline and follow-up. Two different analyses were carried out. Firstly, structural equation modelling with baseline data (N=147) was used to test the hierarchical order of the POC in experiential and behavioural processes. Secondly, cross-lagged panel analysis was used to investigate whether POC lead to exercise or vice versa and which POC support CAD patients in maintaining exercise. RESULTS: Comparative analysis indicates that the two hierarchical-factor model fits the data significantly better than the one hierarchical-factor model (chi(2)diff((1))=19.04, p<.001), even though experiential and behavioural processes are highly correlated (r=.98, p<.001). Standardized effects of the antecedent cross-lags are significant for consciousness raising (beta=0.27), reinforcement management (beta=0.28), self-liberation (beta=0.28), and stimulus control (beta=0.33) indicating that these POC are predictive for CAD patients maintaining exercise. CONCLUSION: Although some POC support the exercise behaviour change process and the hierarchical structure is apparent, it may be beneficial to adapt the POC to give a more precise understanding of the change processes.

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 15 citations exist upstream.

References

1999Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives 1998Principles and Practice of Structural Equation Modeling 1982Self-efficacy mechanism in human agency.1999Implementation intentions: Strong effects of simple plans.2006Implementation Intentions and Goal Achievement: A Meta‐analysis of Effects and Processes 1996The transtheoretical model and stages of change 1992The stages and processes of exercise adoption and maintenance in a worksite sample.2005Time for a change: putting the Transtheoretical (Stages of Change) Model to rest

Cited by

2016Le modèle transthéorique : description, intérêts et application dans la motivation à l’activité physique auprès de populations en surcharge pondérale 2015Development and practical implications of the Exercise Resourcefulness Inventory

Explore the map →

Papers that cite the same references — the relational fallback while embeddings are still backfilling.

Imported from OpenAlex (CC0) — nothing here is generated.