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Perceiving Cardiac Rehabilitation Staff as Mainly Responsible for Exercise: A Dilemma for Future Self‐Management
Author(s) -
Flora Parminder K.,
McMahon Casey J.,
Locke Sean R.,
Brawley Lawrence R.
Publication year - 2018
Publication title -
applied psychology: health and well‐being
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.276
H-Index - 31
eISSN - 1758-0854
pISSN - 1758-0846
DOI - 10.1111/aphw.12106
Subject(s) - rehabilitation , observational study , psychology , dilemma , cardiovascular health , persistence (discontinuity) , medicine , physical therapy , philosophy , geotechnical engineering , epistemology , engineering , disease
Background Cardiac rehabilitation ( CR ) exercise therapy facilitates patient recovery and better health following a cardiovascular event. However, post‐ CR adherence to self‐managed ( SM )‐exercise is suboptimal. Part of this problem may be participants’ view of CR staff as mainly responsible for help and program structure. Does post‐ CR exercise adherence for those perceiving high CR staff responsibility suffer as a consequence? Methods Participants in this prospective, observational study were followed over 12 weeks of CR and one month afterward. High perceived staff responsibility individuals were examined for a decline in the strength of adherence‐related social cognitions and exercise. Those high and low in perceived staff responsibility were also compared. Results High perceived staff responsibility individuals reported significant declines in anticipated exercise persistence ( d = .58) and number of different SM ‐exercise options ( d = .44). High versus low responsibility comparisons revealed a significant difference in one‐month post‐ CR SM ‐exercise volume ( d = .67). High perceived staff responsibility individuals exercised half of the amount of low responsibility counterparts at one month post‐ CR . Perceived staff responsibility and CR SRE significantly predicted SM ‐exercise volume, R 2 adj = .10, and persistence, R 2 adj = .18, one month post‐ CR . Conclusion Viewing helpful well‐trained CR staff as mainly responsible for participant behavior may be problematic for post‐ CR exercise maintenance among those more staff dependent.