This study examined exercise maintenance among patients after completing cardiac rehabilitation. Subjects were men and women who had completed a Phase II Cardiac Rehabilitation Program approximately 12 months previously. Subjects were classified according to whether they had (a) never participated in a Phase III program (G-I) (N = 37), (b) enrolled and completed a Phase III program (G-II) (N = 30), or (c) were currently enrolled in a Phase III maintenance program (G-III) (N = 33). Subjects were significantly more likely to be participating in regular exercise if they had participated in a Phase III program (p < .05). Individuals in G-II and G-III engaged in more minutes of physical activity per week and were more likely to meet recommended levels of physical activity compared to G-I subjects. G-I individuals who had longer Phase II programs were more likely to maintain their exercise habits following graduation (p < .05). Results suggest that Phase III maintenance programs and longer Phase II participation improved exercise maintenance following rehabilitation.
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References
1.
American Association of Cardiovascular and Pulmonary Rehabilitation . (1999). Guidelines for cardiac rehabilitation and secondary prevention programs (3rd ed.). Champaign, IL: Human Kinetics.
2.
Balady, G. J. , Fletcher, B. J., & Froelicher, E. S. (1994). Cardiac rehabilitation programs. A statement for healthcare professionals from the American Heart Association. Circulation, 90, 1602-1610.
3.
Bethell, H. J. N. (1999). Exercise in cardiac rehabilitation. British Journal of Sports Medicine, 33, 79-86.
4.
Bittner, V. , & Oberman, A. (1994). Efficacy studies in coronary rehabilitation. Cardiology Clinics, 11, 333-347.
5.
Blair, S. N. , Haskell, W. L., Ho, P., Paffenbarger, R. S., Vranizan, K. M., Farquhar, J. W., et al. (1985). Assessment of habitual physical activity by seven-day recall in a community survey and controlled experiments. American Journal of Epidemiology, 122, 794-804.
6.
Bock, B. C. , Marcus, B. H., King, T., & Borrelli, B. (1999). Exercise reduces withdrawal symptoms and improves affect among women attempting smoking cessation: Results of a randomized controlled clinical trial. Addictive Behaviors, 24, 399-410.
7.
Bock, B. C. , Marcus, B. H., Pinto, B., & Forsyth, L. (in press). Maintenance of physical activity following an individualized motivationally tailored intervention. Annals of Behavioral Medicine.
8.
Brubaker, P. H. , Rejeski, W. J., Smith, M. J., Sevensky, K. H., Lamb, K. A., Sotile, W. M., et al. (2000). A home-based maintenance exercise program after center-based cardiac rehabilitation: Effects on blood lipids, body composition, and functional capacity. Journal of Cardiopulmonary Rehabilitation, 20, 50-56.
9.
Brubaker, P. H. , Warner, J. G., Rejeski, W. J., Edwards, D. G., Matrazzo, B. A., et al. (1996). Comparison of standard- and extended-length participation in cardiac rehabilitation on body composition, functional capacity, and blood lipids. American Journal of Cardiology, 78, 769-773.
10.
DeBusk, R. F. , Haskell, W. L., Miller, N. H., Berra, K., Taylor, C. B., Berger W. E., III, et al. (1985). Medically directed at-home rehabilitation soon after clinically uncomplicated acute myocardial infarction: A new model for patient care. American Journal of Cardiology, 55, 251-257.
11.
Dishman, R. K. (1990). Determinants of participation in physical activity. In C. Bouchard, R. J. Shepard, T. Stephens, J. R. Sutton, & B. D. McPherson (Eds.), Exercise, fitness, and health (pp. 75-102). Champaign, IL: Human Kinetics.
12.
Fletcher, G. F. , Blair, S. N., Blumenthal, J., Caspersen, C., Chaitman, B., Epstein, S., et al. (1992). Statement on exercise. Benefits and recommendations for physical activity programs for all Americans. A statement for health professionals by the Committee on Exercise and Cardiac Rehabilitation of the Council on Clinical Cardiology, American Heart Association. Circulation, 86, 340-344.
13.
Fries, R. , Long, M., & Forsythe, D. (1994). Randomized controlled trial of cost reductions from a health education program. American Journal of Health Promotion, 8, 216-218.
14.
Froelicher, V. F. , Herbert, W., Myers, J., & Ribisl, P. (1996). How cardiac rehabilitation is being influenced by changes in health care delivery. Journal of Cardiopulmonary Rehabilitation, 16, 151-159.
15.
Grosbois, J. M. , Lamblin, C., Lemaire, B., Chekroud, H., Dernis, J. M., Douay, B., et al. (1999). Long-term benefits of exercise maintenance after outpatient rehabilitation program in patients with chronic obstructive pulmonary disease. Journal of Cardiopulmonary Rehabilitation, 19, 216-225.
16.
Hagberg, J. M. (1990). Exercise, fitness, and hypertension. In C. Bouchard, R. J. Shepard, T. Stephens, J. R. Sutton, & B. McPherson (Eds.), Exercise, fitness, and health (pp. 455-465). Champaign, IL: Human Kinetics.
17.
Haskell, W. L. , Alderman, E. L., Fair, J. M., Maron, D. J., Mackey, S. F., Superko, H. R., et al. (1994). Effects of intensive multiple risk factor reduction on coronary atherosclerosis and clinical cardiac events in men and women with coronary artery disease: The Stanford Coronary Risk Intervention Project (SCRIP). Circulation, 89, 975-990.
18.
Hedback, B. , Perk, J., & Wodlin, P. (1993). Long-term reduction of cardiac mortality after myocardial infarction: Ten-year results of a comprehensive rehabilitation programme. European Heart Journal, 14, 831-835.
19.
King, A. C. , Haskell, W. L., Young, D. R., Oka, R. K., & Stefanick, M. L. (1995). Long-term effects of varying intensities and formats of physical activity on participation rates, fitness, and lipoproteins in men and women aged 50 to 65 years. Circulation, 91, 2596-2604.
20.
Leon, A. S. , Certo, C., & Comass, P. (1990). Scientific evidence of the value of cardiac rehabilitation services with emphasis on patients following myocardial infarction. Journal of Cardiopulmonary Rehabilitation, 10, 79-87.
21.
Lorig, K. , Holman, H., Sobel, D., Laurent, D., Gonzales, V., & Minor, M. (1994). Living a healthy life with chronic conditions: Self-management of heart disease, arthritis, stroke, diabetes, asthma bronchitis, emphysema. Palo Alto, CA: Bull Publishing.
22.
Marcus, B. H. , Bock, B. C., Pinto, B. M., Forsyth, L. H., Roberts, M. B., & Traficante, R. M. (1998). Efficacy of individualized, motivationally tailored physical activity intervention. Annals of Behavioral Medicine, 20, 174-180.
23.
Marcus, B. H. , Emmons, K. M., Simkin-Silverman, L. R., Linnan, L. A., Taylor, E. A., Bock, B. C., et al. (1997). Evaluation of motivationally tailored versus standard self-help physical activity interventions at the workplace. American Journal of Health Promotion, 12, 246-253.
24.
Morrin, L. , Black, S., & Reid, R. (2000). Impact of duration in a cardiac rehabilitation program on coronary risk profile and health-related quality of life outcomes. Journal of Cardiopulmonary Rehabilitation, 20, 115-121.
25.
Noel, J. , & Glasgow, R. (1999). Interactive technology applications for behavioral counseling: Issues and opportunities for health care settings. American Journal of Preventive Medicine, 17, 269-274.
26.
North, C. T. , McCullagh, P., & Vu Tran, Z. (1990). Effect of exercise on depression. Exercise and Sports Science Reviews, 37, 379-415.
27.
O’Connor, G. T. , Buring, J. E., Yusuf, S., Goldhaber, S. Z., Olmstead, E. M., Paffenbarger, R. S., Jr., et al. (1989). An overview of randomized trials of rehabilitation with exercise after myocardial infarction. Circulation, 80, 234-244.
28.
Oldridge, N. B. (1991). Compliance with cardiac rehabilitation services. Journal of Cardiopulmonary Rehabilitation, 11, 115-127.
29.
Oldridge, N. B. , Guyatt, G. H., Fischer, M. E., & Rimm, A. A. (1988). Cardiac rehabilitation after myocardial infarction: Combined experience of randomized clinical trials. Journal of the American Medical Association, 260, 945-950.
30.
Oldridge, N. B. , & Streiner, D. L. (1990). The health belief model: Predicting compliance and dropout in cardiac rehabilitation. Medicine and Science in Sports and Exercise, 22, 678-683.
31.
Pate, R. R. , Pratt, M., Blair, S. N., Haskell, W. L., Macera, C. A., Bouchard, C., et al. (1995). Physical activity and public health: A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. Journal of the American Medical Association, 271, 402-407.
32.
Perk, J. , Hedback, B., & Jutterdal, S. (1989). Cardiac rehabilitation: Evaluation of a long-term programme of physical training for outpatients. Scandinavian Journal of Rehabilitation Medicine, 21, 13-17.
33.
Sallis, J. F. , Haskell, W. L., Fortmann, S. P., Vranizan, K. M., Taylor, C. B., & Solomon, D. S. (1986). Predictors of adoption and maintenance of physical activity in a community sample. Preventive Medicine, 15, 331-341.
34.
Thomas, R. J. , Miller, N. H., & Taylor, C. B. (1991). Nurse-managed home-based exercise training after acute myocardial infarction: Methods and effects on functional capacity. Circulation, 84(Suppl. II), 540-545.
35.
Thompson, D. R. , & Bowman, G. S. (1998). Evidence for the effectiveness of cardiac rehabilitation. Intensive and Critical Care Nursing, 14, 38-48.
36.
Tran, A. V. , & Weltman, A. (1985). Differential effects of exercise on serum lipid and lipoprotein levels seen with changes in body weight: A meta-analysis. Journal of the American Medical Association, 254, 919-924.
37.
Wolfe, L. A. , Dafoe, W. A., Hendren-Roberge, E. A., & Goodman, L. S. (1990). Cardiovascular rehabilitation in Ontario, Canada. Journal of Cardiopulmonary Rehabilitation, 10, 130-140.
38.
Young, D. R. , Haskell, W. L., Jatulis, D. E., & Fortmann, S. P. (1993). Associations between changes in physical activity and risk factors for coronary heart disease in a community-based sample of men and women: The Stanford Five-City Project. American Journal of Epidemiology, 138, 205-216.
