Key result
Structured classes, social support, and self-efficacy drive long-term adherence to cardiac rehabilitation.
Why the study?
What motivations and supports sustain long-term adherence to structured physical activity in older adults with coronary heart disease?
What motivations and supports sustain long-term adherence to structured physical activity in older adults with coronary heart disease?
Structured class routines, specific self-efficacy, social support, and knowledge of health benefits are critical for sustaining long-term adherence to cardiac rehabilitation in older adults.
May inform adherence strategies in cardiac rehab for older adults; hypothesis-generating and requires prospective validation.
PURPOSE: Research addressing methods to sustain long-term adherence to physical activity among older adults is needed. This study investigated the motivations and supports deemed necessary to adhere to a community-based cardiac rehabilitation (CBCR) program by individuals with established coronary heart disease. METHODS: Twenty-four long-term adherers (15 men, 9 women; age 67.7 ± 16.7 yr) took part in focus-group discussions. RESULTS: Constant comparative analysis supported previous research in terms of the importance of referral procedures, social support, and knowledge of health benefits in influencing uptake and adherence to CBCR. Results also highlighted the routine of a structured class and task-, barrier-, and recovery-specific self-efficacy as necessary to sustain long-term adherence for this specific clinical group. DISCUSSION: Older adults themselves provide rich information on how to successfully support their long-term adherence to structured exercise sessions. Further research into how to build these components into any exercise program is necessary.
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Martín et al. (2012) studied established coronary heart disease (n=24). Community-based cardiac rehabilitation (CBCR) program was evaluated on Motivations and supports deemed necessary to adhere to a community-based cardiac rehabilitation program. Focus group discussions with 24 long-term adherers revealed that structured classes, social support, and specific self-efficacy are necessary to sustain adherence to cardiac rehabilitation.
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