Promoting exercise maintenance: how interventions with booster sessions improve long-term rehabilitation outcomes.

Abstract:

OBJECTIVE:Follow-up intervention boosters are supposed to promote exercise maintenance beyond initial treatment. The current quasi-experimental study investigated the benefits of adding telephone-delivered intervention boosters to a self-management exercise intervention for rehabilitants. Psycho-social mechanisms by which the intervention boosters promote exercise maintenance were examined. RESEARCH DESIGN:Between 2009 and 2011, individuals in cardiac and orthopedic rehabilitation (N = 1,166) were allocated to either a self-management exercise intervention or a control group (i.e., questionnaire only). In addition to standard rehabilitation, participants in the intervention group were offered a series of telephone-delivered intervention boosters after 6 weeks and again after 6 months. Self-efficacy, action planning, and satisfaction with previous exercise outcomes were reassessed 12 months after discharge. Habit strength and exercise were measured 18 months after rehabilitation. RESULTS:The intervention with boosters promoted the maintenance of planning, self-efficacy, satisfaction, exercise, and habit strength. Changes in exercise were simultaneously mediated by changes in planning, self-efficacy, and satisfaction. Changes in habit strength were sequentially mediated by planning and exercise. CONCLUSIONS:Interventions with boosters that focus on action planning, self-efficacy, and satisfaction help to maintain self-directed postrehabilitation exercise. Frequent exercise performance, in turn, can strengthen exercise habits.

journal_name

Rehabil Psychol

authors

Fleig L,Pomp S,Schwarzer R,Lippke S

doi

10.1037/a0033885

subject

Has Abstract

pub_date

2013-11-01 00:00:00

pages

323-33

issue

4

eissn

0090-5550

issn

1939-1544

pii

2013-32428-001

journal_volume

58

pub_type

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