Maintaining exercise participation among patients who have completed cardiac rehabilitation is integral to secondary prevention of coronary events and cardiac re-hospitalization. Patients in Phase II cardiac rehabilitation programs, a majority being older adults, participate in regular supervised exercise during the program; however, long-term adherence to exercise is poor, with only 30% reporting regular exercise at 12 month follow-ups. To promote exercise maintenance after completion of a 12 week Phase II rehabilitation program, we propose to offer a theoretically-based intervention that we have used successfully to promote exercise among older, primary-care patients. This program (Maintenance Counseling) includes brief advice from the Cardiac Rehabilitation case manager at Phase II program discharge followed by telephone counseling based on the Transtheoretical Model of Behavior Change and Social Cognitive Theory. Health educators will provide the telephone-based intervention over 6 months. Using a randomized controlled design, 180 patients will be assigned to Maintenance Counseling or Brief Advice plus Contact Control. Outcome assessments will include an exercise tolerance test (baseline/post-rehabilitation and 6 months), self reported exercise participation, motivational readiness for exercise, and objective activity monitoring at baseline, 6, 12 and 18 months. These data will help to identify whether telephone-based exercise counseling is an effective strategy for sustaining regular exercise and fitness among cardiac rehabilitation patients thereby contributing to secondary prevention of coronary heart disease. ? ?

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project (R01)
Project #
1R01HL076734-01
Application #
6765001
Study Section
Behavioral Medicine, Interventions and Outcomes Study Section (BMIO)
Program Officer
Cooper, Lawton S
Project Start
2004-07-01
Project End
2008-05-31
Budget Start
2004-07-01
Budget End
2005-05-31
Support Year
1
Fiscal Year
2004
Total Cost
$521,563
Indirect Cost
Name
Miriam Hospital
Department
Type
DUNS #
063902704
City
Providence
State
RI
Country
United States
Zip Code
02906
Pinto, Bernardine M; Dunsiger, Shira I (2015) Mediators of exercise maintenance after cardiac rehabilitation. J Cardiopulm Rehabil Prev 35:13-20
Pinto, Bernardine M; Dunsiger, Shira I; Farrell, Nancy et al. (2013) Psychosocial outcomes of an exercise maintenance intervention after phase II cardiac rehabilitation. J Cardiopulm Rehabil Prev 33:91-8
Pinto, Bernardine M; Goldstein, Michael G; Papandonatos, George D et al. (2011) Maintenance of exercise after phase II cardiac rehabilitation: a randomized controlled trial. Am J Prev Med 41:274-83
Pinto, Bernardine M; Rabin, Carolyn; Farrell, Nancy (2005) Lifestyle and coronary heart disease prevention. Prim Care 32:947-61