Gender, activity participation, education levels, and depressive symptoms predict activity participation levels at post-cardiac rehabilitation.

BACKGROUND: Little is known about predictors of activity participation that are objectively measured in cardiac rehabilitation (CR) graduates. This prospective observational study aimed to determine the predictors of objectively measured activity participation among adults with chronic cardiac condi...

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Published in:Physiotherapy Practice & Research Vol. 43; no. 1; pp. 45 - 54
Main Authors: Kim, Young Joo, Swift, Damon L., Houmard, Joseph A., Wu, Qiang, Sears, Samuel F., Paul, Alyssa M.
Format: research tables/charts Journal Article
Published: Sage Publications Inc. 2022
Online Access:View this record in EBSCOhost
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      dt: 2022
      vid: 43
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.3233/PPR-210586
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        atl: Gender, activity participation, education levels, and depressive symptoms predict activity participation levels at post-cardiac rehabilitation.
      aug:
        au:
          Kim, Young Joo
          Swift, Damon L.
          Houmard, Joseph A.
          Wu, Qiang
          Sears, Samuel F.
          Paul, Alyssa M.
        affil: Department of Occupational Therapy, East Carolina University, Greenville, NC, USA
      sug:
        subj:
          Sex Factors
          Physical Activity
          Educational Status
          Depression Symptoms
          Patient Compliance In Middle Age
          Patient Compliance In Old Age
          Rehabilitation, Cardiac
          Chronic Disease Rehabilitation
          Heart Diseases Rehabilitation
          Human
          Female
          Male
          Middle Age
          Aged
          Actigraphy
          Accelerometers
          Center for Epidemiological Studies Depression Scale
          Clinical Assessment Tools
          Psychological Tests
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
          Male
      ab: BACKGROUND: Little is known about predictors of activity participation that are objectively measured in cardiac rehabilitation (CR) graduates. This prospective observational study aimed to determine the predictors of objectively measured activity participation among adults with chronic cardiac conditions who have completed Phase II CR. METHODS: Twenty-five adults with chronic cardiac conditions graduating from traditional CR program participated in the study. The outcome variable was an activity participation level measured by light-to-vigorous intensity physical activity (LVPA) minutes using ActiGraph GT9X Link accelerometer after CR discharge. Covariates were collected at the discharge from CR, and outcome variables were collected at 1 month, 3 months, and 9 months post CR discharge. RESULTS: Gender, standardized LVPA at CR discharge, body mass index, and motivation for physical activity and leisure were significantly associated with the activity participation levels at 1 month, 3 months, and/or 9 months post CR discharge. Gender, standardized LVPA at CR discharge, highest education completed, and depressive symptoms significantly predicted the activity participation levels at 1 month (R2 = 0.69, p < 0.001), 3 months (R2 = 0.65, p < 0.001), and/or 9 months (R2 = 0.80, p < 0.001) post CR discharge. Female CR participants who were more active, had more than high school education, and showed more depressive symptoms at CR discharge were more likely to be active post CR. CONCLUSIONS: CR participants may benefit from individualized approach to plan their days post CR and application-focused and education-level sensitive sessions to understand the importance of activity participation maintenance post CR.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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