Key result
A self-monitoring approach during cardiac rehabilitation significantly increased exercise maintenance, self-efficacy, and objective physical activity at 12 months post-MI compared to control.
Why the study?
Does a self-monitoring approach during cardiac rehabilitation improve exercise maintenance, self-efficacy, and physical activity in patients after myocardial infarction?
RCT (n=45)
Does a self-monitoring approach during cardiac rehabilitation improve exercise maintenance, self-efficacy, and physical activity in patients after myocardial infarction?
A self-monitoring approach during cardiac rehabilitation effectively increases long-term exercise maintenance, self-efficacy, and physical activity after myocardial infarction.
Supports integrating self-monitoring into post-MI cardiac rehabilitation; extends RCT evidence for sustained behavioral adherence.
We conducted a randomized, controlled trial to evaluate the effect of self-monitoring approach (SMA) on exercise maintenance, self-efficacy for physical activity (SEPA), and objective physical activity (OPA) over the long-term after supervised cardiac rehabilitation (CR). Forty-five myocardial infarction (MI) patients (mean age 64.2 years) were recruited following completion of an acute-phase exercise-based CR program. Patients were randomly assigned to a SMA or control group. Along with CR, the SMA group performed self-monitoring of their weight and OPA for 6-months ; the control group participated in CR only. Twelve months after MI onset, exercise maintenance, SEPA scores, and OPA as a caloric expenditure were assessed. More patients maintained their exercise routine in the SMA than the control group. Mean SEPA score and mean OPA after CR were significantly higher in the SMA than control group. SMA during CR may effectively increase exercise maintenance, SEPA, and OPA over a 1-year after MI.
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Izawa et al. (2006) conducted an RCT in Myocardial infarction (n=45). Self-monitoring approach (SMA) vs. Cardiac rehabilitation only was evaluated on Exercise maintenance, self-efficacy for physical activity (SEPA), and objective physical activity (OPA). A self-monitoring approach during cardiac rehabilitation significantly increased exercise maintenance, self-efficacy, and objective physical activity at 12 months post-MI compared to control.
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