Why the study?
Does Exercise Consultation based on the Transtheoretical Model improve physical activity adherence in an inactive patient in cardiac rehabilitation phase 3?
Does Exercise Consultation based on the Transtheoretical Model improve physical activity adherence in an inactive patient in cardiac rehabilitation phase 3?
The Transtheoretical Model for behavioral change can be a beneficial framework for motivating inactive patients in cardiac rehabilitation to engage in physical activity.
TTM-based exercise consultation may advance precontemplative patients; leaves open efficacy in randomized cardiac rehabilitation trials.
The purpose of the case study was to identify the importance of Exercise Consultation (EC) based on Transtheoretical Model (TTM) and Relapse Prevention Model. A 58 years old woman in the precontemplation phase is found to be inactive and is not willing to change the high risk behavior. On evaluation the functional status and a shuttle walk test (SWT) was performed where the level 4 out of 12 was attained initially with a peak heart rate of 130. The target was to incorporate TTM on patient in order to motivate her to proceed activities in her daily routine and move towards the action / maintenance stage. The process of changing was divided into experiential (thinking) and behavioral (doing) for the patient in order to motivate her to do physical activity. Furthermore counter-conditioning, helping relationships and self-liberation was utilized to improve the activity. Smarter goals were set up by dividing into weekly (short term), 2 monthly (intermediate) term and 4 monthly (longer) basis. Exercise adherence has found to be significantly affected by age, gender, physical as well as psychosocial well-being. Behavioral change model was found to be beneficial for the patient in cardiac rehabilitation phase 3. More significant results may be accomplished by incorporating TTM on larger scales.
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Khan et al. (2016) studied this question.
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