In patients with CHD and/or diabetes, a lifestyle program reduced the lack of motivation barrier from 40% to 23% at 4 months (p=0.040), which negatively influenced self-efficacy at 12 months.
Cohort (n=134)
Does a lifestyle-change program improve exercise barriers and self-efficacy in people with CHD and/or DM?
In patients with CHD and/or diabetes, lack of motivation remains a significant barrier to exercise that negatively impacts self-efficacy even after participating in a lifestyle-change program.
Absolute Event Rate: 23% vs 40%
p-value: p=0.040
BACKGROUND: Barriers to exercise are common in people with coronary heart disease (CHD) and/or diabetes mellitus (DM), and may influence self-efficacy for exercise. PURPOSE: The purpose of this study was to describe the exercise barriers experienced by people who have CHD and/or DM participating in the Healthy Eating and Exercise Lifestyle Program and to determine whether these barriers influence self-efficacy. METHODS: Participants ( n = 134) identified their barriers to exercise and completed the self-efficacy for exercise survey at baseline, at 4 months (following structured and supervised exercise) and at 12 months (following home-based exercise with three follow-up calls). RESULTS: The sample mean age was 63.6 years (SD 8.5) and 58% were male. Barriers to exercise were reported by 88% at baseline, 76% at 4 months, and 47% at 12 months. The most common barriers were lack of motivation (40.3%), lack of time overall (30.6%), and lack of time due to family commitments (17.2%). Only motivation changed significantly over time from baseline (40%) to 4 months (23%, p = 0.040). Lower self-efficacy for exercise was associated with lack of motivation at 12 months only, more depressive symptoms at baseline and 4 months, and a CHD diagnosis and higher body mass index at 12 months. In contrast, male gender and having higher self-efficacy at baseline were associated with higher self-efficacy for exercise at 4 and 12 months. CONCLUSION: Patients identified many exercise barriers despite participating in a lifestyle-change program. Lack of motivation negatively influenced self-efficacy for exercise at 12 months. Other factors needing attention include baseline self-efficacy, depressive symptoms, being female, being more overweight, and having CHD.
Alharbi et al. (Fri,) conducted a cohort in Coronary heart disease (CHD) and/or diabetes mellitus (DM) (n=134). Healthy Eating and Exercise Lifestyle Program vs. Baseline was evaluated on Lack of motivation barrier at 4 months compared to baseline (p=0.040). In patients with CHD and/or diabetes, a lifestyle program reduced the lack of motivation barrier from 40% to 23% at 4 months (p=0.040), which negatively influenced self-efficacy at 12 months.