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

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

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KANNING, Martina, 2010. Physically active patients with coronary artery disease : a longitudinal investigation of the processes of exercise behaviour change. In: British journal of health psychology. 15(3), pp. 583-597. ISSN 1359-107X. eISSN 2044-8287. Available under: doi: 10.1348/135910709X477476

@article{Kanning2010-09Physi-33097, title={Physically active patients with coronary artery disease : a longitudinal investigation of the processes of exercise behaviour change}, year={2010}, doi={10.1348/135910709X477476}, number={3}, volume={15}, issn={1359-107X}, journal={British journal of health psychology}, pages={583--597}, author={Kanning, Martina} }

2010-09 Kanning, Martina 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.<br />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.<br />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.<br />Results. Comparative analysis indicates that the two hierarchical-factor model fits the data significantly better than the one hierarchical-factor model (χ<sup>2</sup>diff<sub>(1)</sub>=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 (β=0.27), reinforcement management (β=0.28), self-liberation (β=0.28), and stimulus control (β=0.33) indicating that these POC are predictive for CAD patients maintaining exercise.<br />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. 2016-02-23T13:33:53Z 2016-02-23T13:33:53Z Kanning, Martina eng Physically active patients with coronary artery disease : a longitudinal investigation of the processes of exercise behaviour change

Dateiabrufe seit 23.02.2016 (Informationen über die Zugriffsstatistik)

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