Effect of problem-based learning on stages of change for exercise behaviour in patients with coronary artery disease.

BACKGROUND AND PURPOSE: Physical activity plays an important part in preventing coronary artery disease and is targeted in most rehabilitation and education programmes. The aim of the present study was to evaluate stages of change for exercise behaviour in patients with a recent event of coronary ar...

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Publicado en:Physiotherapy Research International Vol. 9; no. 1; pp. 24 - 33
Autores principales: Kamwendo K, Tingström P, Bergdahl B, Svensson E
Formato: clinical trial questionnaire/scale research tables/charts Journal Article
Publicado: Wiley-Blackwell 2004
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        2004140362
        10.1002/pri.297
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        atl: Effect of problem-based learning on stages of change for exercise behaviour in patients with coronary artery disease.
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        au:
          Kamwendo K
          Tingström P
          Bergdahl B
          Svensson E
        affil: Department of Caring Sciences (IVO), Örebro University, S-701 82 Örebro, Sweden
      sug:
        subj:
          Problem-Based Learning
          Exercise
          Health Behavior
          Attitude to Change
          Coronary Disease Rehabilitation
          Random Assignment
          Pretest-Posttest Design
          Intervention Trials
          Scales
          Nonparametric Statistics
          Change Theory
          Sweden
          Male
          Female
          Middle Age
          Questionnaires
          Sign Test
          Descriptive Statistics
          ROC Curve
          Confidence Intervals
          Human
          Middle Aged: 45-64 years
          Male
          Female
      ab: BACKGROUND AND PURPOSE: Physical activity plays an important part in preventing coronary artery disease and is targeted in most rehabilitation and education programmes. The aim of the present study was to evaluate stages of change for exercise behaviour in patients with a recent event of coronary artery disease. METHOD: A randomized two-group, pre--post-test design was used. Fifty-seven subjects were included in the problem-based learning intervention group and 61 subjects were included in the traditional rehabilitation control group. Data were analysed by intention-to-treat. A single-item five-category scale, based on the 'Stages of Change' model was used to measure the level of exercise behaviour. The statistical analysis used two non-parametric approaches for ordered categorical data. RESULTS: There was a significant systematic change over time towards the extreme scale categories in both groups. This suggested that individuals who were inactive before the intervention regressed, whereas individuals with some interest in physical activity remained static or improved. No significant differences between groups were found. CONCLUSION: Problem-based learning did not significantly influence patients' progression through exercise behaviour stages. Rehabilitation teams should be observant of inactive participants and their greater risk of regression.
      pubtype: Academic Journal
      doctype:
        clinical trial
        questionnaire/scale
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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