Managing lapses in cardiac rehabilitation exercise therapy: Examination of the problem-solving process
| Autor: | Parminder K. Flora, Lawrence R. Brawley |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Male
Persistence (psychology) medicine.medical_specialty Heart Diseases medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Humans Medicine Problem Solving Aged Research method Rehabilitation business.industry Exercise therapy Variance (accounting) Self Efficacy Exercise Therapy Psychiatry and Mental health Clinical Psychology Rehabilitation exercise Physical therapy Patient Compliance Female Observational study business Social cognitive theory Clinical psychology |
| Zdroj: | Rehabilitation Psychology. 58:369-376 |
| ISSN: | 1939-1544 0090-5550 |
| Popis: | PURPOSE/OBJECTIVE Poor adherence to cardiac rehabilitation (CR) exercise therapy is an ongoing problem. Problem-solving (PS) is an identified cognitive-behavioral strategy to promote exercise adherence. However, PS process has not been examined, and how PS promotes adherence is not known. Using Social Cognitive Theory and Ewart's Social Problem-Solving Model as guiding frameworks, we examined proposed theoretical links between persistence, an indicator of adherence, and (a) PS effectiveness and (b) self-regulatory efficacy. Based on the Model of Social Problem-Solving, 2 distinct components of the PS process (problem-solving and solution implementation), were examined. RESEARCH METHOD/DESIGN Older adult participants (N = 52; 32 men) representing a typical CR sample (mean age = 65.6 years; SD = 10.8) participated in this correlational, observational study. RESULTS Two hierarchical multiple regressions indicated that PS effectiveness and self-regulatory efficacy were significant predictors of anticipated persistence. Relative to PS process, both predictors accounted for: (a) 41% of the variance in anticipated persistence with PS; and (b) 49% of the variance in anticipated persistence with solution implementation. CONCLUSIONS/IMPLICATIONS Proposed theoretical relationships were supported, and both PS effectiveness and self-regulatory efficacy accounted for a greater amount of the variance in anticipated persistence than either alone. Future efforts to improve adherence to rehabilitative exercise could include the use of PS. The 2 distinct components of the PS process may be important for successful adjustment to problems. |
| Databáze: | OpenAIRE |
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