Modifiable risk factors and motivation for lifestyle change of CVD patients starting cardiac rehabilitation: The BENEFIT study.

Autor: Breeman LD; Health, Medical, and Neuropsychology Unit, Leiden University, the Netherlands. Electronic address: L.D.Breeman@fsw.leidenuniv.nl., Pérez-Alonso A; Department of Methodology and Statistics, Tilburg University, the Netherlands., Kühling-Romero D; Health, Medical, and Neuropsychology Unit, Leiden University, the Netherlands., Kraaijenhagen RA; Vital10, Amsterdam, the Netherlands., Al-Dhahir I; Health, Medical, and Neuropsychology Unit, Leiden University, the Netherlands., IJzerman RVH; Health, Medical, and Neuropsychology Unit, Leiden University, the Netherlands., van Eersel R; Health, Medical, and Neuropsychology Unit, Leiden University, the Netherlands., Wolstencroft K; Leiden Institute of Advanced Computer Science, Leiden University, the Netherlands., Bonten TN; Department Public Health and Primary Care, Leiden University Medical Centre, the Netherlands., Atsma DE; Department of Cardiology, Leiden University Medical Center, the Netherlands., Chavannes NH; Department Public Health and Primary Care, Leiden University Medical Centre, the Netherlands., van Gemert-Pijnen L; Centre for eHealth and Wellbeing Research, Department of Psychology, Health and Technology, University of Twente, the Netherlands., Kemps HMC; Department of Cardiology, Máxima Medical Center Veldhoven, the Netherlands; Department of Industrial Design, Eindhoven University of Technology, the Netherlands., Scholte Op Reimer W; Department of Cardiology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam Cardiovascular Sciences, Amsterdam, the Netherlands; HU University of Applied Sciences Utrecht, Research Group Chronic Diseases, Utrecht, the Netherlands., Evers AWM; Health, Medical, and Neuropsychology Unit, Leiden University, the Netherlands; Medical Delta, Leiden University, Technical University Delft, Erasmus University Rotterdam, the Netherlands., Janssen VR; Department of Cardiology, Leiden University Medical Center, the Netherlands.
Jazyk: angličtina
Zdroj: Heart & lung : the journal of critical care [Heart Lung] 2024 Sep 17; Vol. 69, pp. 31-39. Date of Electronic Publication: 2024 Sep 17.
DOI: 10.1016/j.hrtlng.2024.09.008
Abstrakt: Background: To improve lifestyle guidance within cardiac rehabilitation (CR), a comprehensive understanding of the motivation and lifestyle-supporting needs of patients with cardiovascular disease (CVD) is required.
Objectives: This study's purpose is to evaluate patients' lifestyle and their motivation, self-efficacy and social support for change when starting CR.
Methods: 1782 CVD patients (69 % male, mean age 62 years) from 7 Dutch outpatient CR centers participated between 2020 and 2022. Modifiable risk factors were assessed with a survey and interviews by healthcare professionals during CR intake.
Results: Most patients exhibited an elevated risk in 3-4 domains. Elevated risks were most prominent in domains of (1) waist circumference and BMI (2) physical exercise (3) healthy foods intake and (4) sleep duration. Most patients chose to focus on increasing physical exercise, but about 20 % also wanted to focus on a healthy diet and/or decrease stress levels. Generally, motivation, self-efficacy and social support to reach new lifestyle goals were high. However, patients with an unfavorable risk profile had lower motivation and self-efficacy to work on lifestyle changes, while patients with lower social support had a higher chance to quit the program prematurely.
Conclusions: Our results underscore the need to begin CR with a comprehensive lifestyle assessment and highlight the importance of offering lifestyle interventions tailored to patients' specific modifiable risk factors and lifestyle-supporting needs, targeting multiple lifestyle domains. Expanding the current scope of CR programs to address diverse patient needs and strengthening support may enhance motivation and adherence and lead to significant long-term benefits for cardiovascular health.
Clinical Trial Registration Number: Netherlands Trial Register; registration number NL8443.
Competing Interests: Declaration of competing interest Roderik Kraaijenhagen is the CEO of the participating cardiac rehabilitation centers. All other authors declare no conflict of interest.
(Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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