Women's participation in regular exercise is a major factor in preventing heart disease, the leading cause of death in women. Only 15% of adults exercise at the recommended level, and the percentage of rural women who do so is even less. Heart-to-heart (HTH) is an innovative intervention designed to increase exercise in rural women at risk of developing coronary heart disease.
The specific aims of this research project are to: (1) Determine the magnitude of change in exercise adherence and cardio respiratory fitness and whether this magnitude differs for rural women in HTH and rural women in the control group; (2) Examine the magnitude of change in self-efficacy, stage of change, and social support and whether this change differs for rural women in HTH and rural women in the control group; (3) Examine whether self-efficacy, stage of change, and social support mediate the relationship between HTH and the outcome variables of exercise adherence and cardio respiratory fitness; (4) Describe HTH participants' experiences with the intervention. Data from exercise logs will measure adherence, a 12-minute walk test will measure fitness, and self-report data will measure self-efficacy, social support, and group cohesion. Quantitative data will be analyzed with ANOVA, hierarchical regression and effect sizes. Qualitative data will be analyzed with qualitative content analysis. ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Predoctoral Individual National Research Service Award (F31)
Project #
1F31NR008656-01A1
Application #
6791634
Study Section
National Institute of Nursing Research Initial Review Group (NRRC)
Program Officer
Huss, Karen
Project Start
2004-09-15
Project End
2005-09-14
Budget Start
2004-09-15
Budget End
2005-09-14
Support Year
1
Fiscal Year
2004
Total Cost
$31,570
Indirect Cost
Name
Oregon Health and Science University
Department
Type
Schools of Nursing
DUNS #
096997515
City
Portland
State
OR
Country
United States
Zip Code
97239
Perry, Cynthia K; Butterworth, Susan W (2011) Commitment strength in motivational interviewing and movement in exercise stage of change in women. J Am Acad Nurse Pract 23:509-14
Perry, Cindy K; Rosenfeld, Anne G; Kendall, Judith (2008) Rural women walking for health. West J Nurs Res 30:295-316;discussion 317-24
Perry, Cindy K; Rosenfeld, Anne G; Bennett, Jill A et al. (2007) Heart-to-Heart: promoting walking in rural women through motivational interviewing and group support. J Cardiovasc Nurs 22:304-12
Perry, Cindy K; Bennett, Jill A (2006) Heart disease prevention in women: promoting exercise. J Am Acad Nurse Pract 18:568-73