Annals of Behavioral Medicine

, Volume 31, Issue 1, pp 53–62

Effects of a CHANGE intervention to increase exercise maintenance following cardiac events

  • Shirley M. Moore
  • Jacqueline M. Charvat
  • Nahida H. Gordon
  • Beverly L. Roberts
  • Fredric Pashkow
  • Paul Ribisl
  • Michael Rocco
Article

DOI: 10.1207/s15324796abm3101_9

Cite this article as:
Moore, S.M., Charvat, J.M., Gordon, N.H. et al. ann. behav. med. (2006) 31: 53. doi:10.1207/s15324796abm3101_9

Abstract

Background: Despite participation in a cardiac rehabilitation program, there is a downward trajectory of exercise participation during the year following a cardiac event.Purpose: The purpose of this study was to test the effectiveness of CHANGE (Change Habits by Applying New Goals and Experiences), a lifestyle modification program designedto increase exercise maintenance in the year following a cardiac rehabilitation program. The CHANGE intervention consists of 5 small-group cognitive-behavioral change counseling sessions in which participants are taught self-efficacy enhancement, problem-solving skills, and relapse prevention strategies to address exercise maintenance problems.Method: Participants (N = 250) were randomly assigned to the CHANGE intervention (supplemental to usual care) or a usual-care-only group. Exercise was measured using portable wristwatch heart rate monitors worn during exercise for 1 year. Cox proportional hazards regression was used to determine differences in exercise over the study year between the study groups.Results: Participants in the usual-care group were 76% more likely than those in the CHANGE group to stop exercising during the year following a cardiac rehabilitation program (hazard ratio = 1.76, 95% confidence interval = 1.08–2.86, p = .02) when adjusting for the significant covariates race, gender, comorbidity, muscle and joint pain, and baseline motivation. Most participants, however, had less than recommended levels of exercise amount and intensity.Conclusions: Counseling interventions that use contemporary behavior change strategies, such as theCHANGEintervention, can reduce the number of individuals who do not exercise following cardiac events.

Copyright information

© The Society of Behavioral Medicine 2006

Authors and Affiliations

  • Shirley M. Moore
    • 1
  • Jacqueline M. Charvat
    • 1
  • Nahida H. Gordon
    • 1
  • Beverly L. Roberts
    • 1
  • Fredric Pashkow
    • 2
  • Paul Ribisl
    • 3
  • Michael Rocco
    • 4
  1. 1.Associate Dean and Professor of NursingCase Western Reserve UniversityCleveland
  2. 2.Sanofi~SynthelaboBridgewaterNew Jersey
  3. 3.Wake Forest UniversityUSA
  4. 4.Cleveland Clinic FoundationUSA

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