Physical Activity Maintenance in a Post-Cardiac Rehabilitation Population: A Mixed Methods Study [article]

Novella Martinello, University, My
2020
The purpose of this thesis was to better understand physical activity (PA) maintenance among patients who have completed cardiac rehabilitation (CR). Study 1: This study was a systematic review and meta-analysis of 19 randomized controlled trials (RCTs) testing PA and exercise maintenance interventions for adults who have completed CR. Descriptive synthesis of the studies combined with meta-analysis results provided evidence of increased PA among intervention groups compared with control groups
more » ... with control groups at follow-up. Results of the meta-analysis found a significant difference in PA in the intervention groups compared to the control groups, via multiple exercise outcomes including exercise sessions/week (SMD = 0.20; 95% CI, 0.04 - 0.35), kcal/week (SMD = 0.59; 95% CI, 0.19 - 0.98), and daily steps (SMD = 2.14; 95% CI, 0.90 - 3.38). There is evidence to support the effectiveness of interventions aimed at maintaining PA and exercise among adults who have completed CR. Study 2: This study was a synthesis of qualitative studies examining factors affecting PA maintenance among individuals who have completed CR. Eight studies met the criteria for inclusion. Multiple factors were identified among participants, including self-efficacy and motivation, social support, support with the transition from supervised hospital or centre-based exercise to exercise in the community or home, perceived safety of the exercise program, and availability and accessibility of PA resources and opportunities. Examining qualitative literature suggests factors at the intrapersonal-, interpersonal-, organizational- and neighbourhood-level are important in supporting exercise maintenance after completion of CR. Results from this synthesis identified key areas for tailored program design, grounded in a social ecological approach. Study 3: This study was a secondary analysis of trial data examining predictors of participants' moderate to vigorous physical activity (MVPA) 26 weeks after enrollment in a RCT of a PA maintenance intervention. Participants comp [...]
doi:10.20381/ruor-25665 fatcat:vbgwzzdrkbh7zgh4cr2cpnfll4