Abstract:
PURPOSE:Exercise is an important treatment modality for persons with chronic obstructive pulmonary disease (COPD), but factors influencing adherence have been examined infrequently. The purpose of this investigation was to explore adherence factors to a progressive resistance exercise program for persons with COPD. METHODS:Persons with COPD enrolled in a 12-week trial of progressive resistance exercise were invited to participate in 2 semistructured qualitative interviews exploring program adherence. Interviews were audio-taped, transcribed, and then coded independently by 2 researchers. Themes relating to short-term and long-term adherence were then developed and described. RESULTS:Twenty-two participants were interviewed at the conclusion of the intervention (12 weeks), and 19 completed a second interview at 24 weeks. Short-term exercise adherence was facilitated by expected outcomes, self-motivation, supervision, and group support, whereas health and weather factors were the major barriers to adherence. The barriers to exercise remained unchanged at 24 weeks despite a large decline in exercise adherence. Removal of environmental support at 12 weeks may have contributed to poor long-term exercise maintenance, with participants identifying group support and regular monitoring by a therapist as the most important strategies for maintaining exercise. CONCLUSIONS:The provision of external support in training program design appears important for persons with COPD. Longer-term adherence declined when group support and regular monitoring by a therapist was removed, despite the major perceived exercise barriers remaining unchanged. Therefore, further investigation is required to determine effective strategies for maximizing longer-term exercise adherence in this population.
journal_name
J Cardiopulm Rehabil Prevjournal_title
Journal of cardiopulmonary rehabilitation and preventionauthors
O'Shea SD,Taylor NF,Paratz JDdoi
10.1097/01.HCR.0000270686.78763.c8subject
Has Abstractpub_date
2007-05-01 00:00:00pages
166-74; quiz 175-6issue
3eissn
1932-7501issn
1932-751Xpii
01273116-200705000-00011journal_volume
27pub_type
临床试验,杂志文章abstract:PURPOSE:Endurance training (ET) as part of pulmonary rehabilitation in patients with chronic obstructive pulmonary disease (COPD) has been shown to improve exercise capacity and health-related quality of life, but dyspnea limits the exercise intensity. Therefore, resistance training (RT), which may cause less dyspnea, ...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章,评审
doi:10.1097/HCR.0000000000000105
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND:Heart failure with reduced ejection fraction (HFrEF) and chronic obstructive pulmonary disease (COPD) are relatively common conditions with similar symptoms of exercise intolerance and dyspnea. The aim of this study was to compare exercise capacity, ventilatory response, and breathing pattern in patient grou...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0000000000000528
更新日期:2020-11-01 00:00:00
abstract::Aggressive risk factor modification, including smoking cessation, blood pressure management, and more intensive efforts to control hyperlipidemia, as well as stress management training, are associated with improved cardiovascular outcomes and impressive mortality reductions. This commentary addresses these topics, wit...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0000000000000523
更新日期:2020-07-01 00:00:00
abstract:PURPOSE:Acceptance, a cognitive-behavioral concept successfully applied to chronic pain and chronic illness in an HIV/AIDS population, was examined for applicability in patients in a cardiac rehabilitation program. The study examined the internal reliability of the Activities Engagement (AE) and Illness Willingness (IW...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0b013e31825859c1
更新日期:2012-07-01 00:00:00
abstract:PURPOSE:A primary goal of cardiac rehabilitation (CR) exercise is to increase cardiopulmonary fitness. The aim of this study was to identify characteristics of CR participants who fail to improve peak oxygen uptake (peakV(O(2))). METHODS:The study cohort included 385 consecutive patients with directly measured peakV(O...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0b013e3181b4c8bd
更新日期:2009-09-01 00:00:00
abstract:PURPOSE:Chronic obstructive pulmonary disease promotes systemic repercussions, which can be minimized with physical exercise. This study investigated the effects of a water-based aerobic interval training program on the autonomic modulation of heart rate (HR), quality of life (QoL), and functional capacity (FC) of pati...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章,随机对照试验
doi:10.1097/HCR.0000000000000352
更新日期:2019-03-01 00:00:00
abstract:PURPOSE:Enhancing Standard Cardiac Rehabilitation with Stress Management Training in Patients with Heart Disease (ENHANCED) is a randomized clinical trial funded by the National Heart Lung and Blood Institute to evaluate the effects of stress management training (SMT) on changes in biomarkers of risk and quality of lif...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章,随机对照试验
doi:10.1097/HCR.0b013e3181d0c1d3
更新日期:2010-03-01 00:00:00
abstract:INTRODUCTION:Depression is increasingly a focus of attention in the management of heart disease. Clinicians in cardiac rehabilitation (CR) are well placed to assess and facilitate management of symptoms of depression, yet the timing and interpretation of measurements remain unclear. METHODS:We administered the Hare-Da...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/01.HCR.0000336141.94439.b8
更新日期:2008-09-01 00:00:00
abstract:PURPOSE:Quadriceps muscle weakness is a serious complication of physical inactivity following hospitalization due to acute exacerbations of chronic obstructive pulmonary disease (AECOPD). Preventing strength loss during AECOPD is therefore a high priority. We aimed to evaluate the feasibility of progressive knee-extens...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0000000000000230
更新日期:2017-01-01 00:00:00
abstract:PURPOSE:To evaluate the response of patients with obesity to a cardiac rehabilitation program (CRP), compared with patients without obesity. METHODS:We performed a retrospective analysis of 731 patients who completed phase II of a CRP after an acute coronary syndrome. The response to the CRP was assessed using the rel...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0000000000000442
更新日期:2019-11-01 00:00:00
abstract:PURPOSE:Although cardiac rehabilitation programs have been shown to decrease cardiovascular risk, morbidity, and mortality, few programs have integrated a balanced mind/body approach in which patients are taught the relaxation response and utilize cognitive behavior skills for stress management, along with diet and exe...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0b013e3181a33352
更新日期:2009-07-01 00:00:00
abstract:PURPOSE:Despite well-documented positive benefits, cardiac rehabilitation (CR) is an underutilized resource for patients following a cardiac event or intervention. Bias in the CR referral process has led to programs designed to ensure that all eligible patients receive a referral. The purpose of the current investigati...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0b013e31827e14da
更新日期:2013-05-01 00:00:00
abstract::Chronic obstructive pulmonary disease is a common, progressive disorder associated with disabling symptoms, skeletal muscle dysfunction, and substantial morbidity and mortality. Current national guidelines recommend pulmonary rehabilitation (PR) to improve dyspnea, functional capacity, and quality of life. Many PR exe...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章,评审
doi:10.1097/HCR.0b013e318297fea4
更新日期:2013-09-01 00:00:00
abstract:PURPOSE:We compared the prevalence of participants with and without symptomatic peripheral artery disease (PAD) who met the goals of attaining >7000 and 10 000 steps/d, and we determined whether PAD status was significantly associated with meeting the daily step count goals before and after adjusting for demographic va...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0000000000000554
更新日期:2020-11-11 00:00:00
abstract:PURPOSE:Little is known about the oxygen requirements during physical exertion or exercise in individuals with interstitial lung disease (ILD). This study examined exertional oxygen requirements, the relationships between exertional oxygen use, exercise capacity and aerobic training parameters, and predictors of change...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0000000000000338
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVE:Outpatient cardiac rehabilitation (CR) services are underutilized. Fewer women participate in CR than men. It is unclear whether women referred to CR enroll at the same rate as men. The purpose of this study was to compare enrollment rates of men and women who were referred to CR. METHODS:A retrospective med...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0b013e318207d2fa
更新日期:2011-07-01 00:00:00
abstract:PURPOSE:To determine the utility of equations that use the 6-minute walk test (6MWT) results to estimate peak oxygen uptake ((Equation is included in full-text article.)o2) and peak work rate with chronic obstructive pulmonary disease (COPD) patients in a clinical setting. METHODS:This study included a systematic revi...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章,评审
doi:10.1097/HCR.0000000000000129
更新日期:2015-11-01 00:00:00
abstract:PURPOSE:Cardiac rehabilitation (CR) programs decrease morbidity and mortality rates in patients with coronary artery disease, the leading cause of death in Latin America. This study was carried out to assess the characteristics and current level of CR program implementation in South America. METHODS:We carried out a s...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章,多中心研究
doi:10.1097/HCR.0b013e318272153e
更新日期:2013-01-01 00:00:00
abstract:PURPOSE:Psychoeducation is a recommended component of cardiac rehabilitation, but to date, evidence from high quality trials examining behavior change has not been synthesized. The primary aim of this systematic review was to examine the effectiveness of psychoeducation on behavior change in adults with coronary artery...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章,meta分析,评审
doi:10.1097/HCR.0b013e318220a7c9
更新日期:2011-09-01 00:00:00
abstract:PURPOSE:The purposes of this systematic review were to (1) review the literature related to the demographic and biopsychosocial-spiritual factors impacting cardiac rehabilitation (CR) referral and participation of African American patients with cardiovascular disease (CVD); (2) identify barriers and facilitators to CR ...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章,评审
doi:10.1097/HCR.0000000000000183
更新日期:2016-09-01 00:00:00
abstract:PURPOSE:Patients hospitalized with a cardiac condition are less likely to attend cardiac rehabilitation (CR) if they are smokers despite the benefits of doing so. The present study sought to investigate how, if at all, a patient's decision to attend CR was influenced by his or her tobacco use post-discharge. METHODS:W...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0000000000000366
更新日期:2019-05-01 00:00:00
abstract:PURPOSE:Peak oxygen uptake recovery delay (V˙o2peakRD), measured as the time until post-exercise oxygen uptake (V˙o2) decreases below V˙o2peak following maximal cardiopulmonary exercise testing (CPX), has been recognized as an abnormal response, associated with reduced cardiac output reserve during exercise in patients...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0000000000000502
更新日期:2020-11-01 00:00:00
abstract::Outcome measurement in cardiopulmonary rehabilitation is required for optimal assessment of program quality, effectiveness of treatments, and evaluation of patient progress. Recent position statements from the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR), American College of Cardiology,...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章,评审
doi:10.1097/HCR.0b013e3181927843
更新日期:2009-05-01 00:00:00
abstract:PURPOSE:Cardiac rehabilitation (CR) is a multifactorial program that encourages healthy behaviors in persons with a recent cardiovascular event or procedure. Research on the association between CR and health-behavior maintenance has focused on physical activity. Therefore, the purpose of this research was to examine th...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0b013e3181c8594b
更新日期:2010-01-01 00:00:00
abstract:PURPOSE:Outpatient cardiac rehabilitation (CR) participation after myocardial infarction (MI) reduces all-cause mortality; however, less is known about effects of CR on post-MI hospitalization. The study objective was to investigate effects of CR on hospitalization following acute MI among older adults. METHODS:Medica...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0000000000000452
更新日期:2020-03-01 00:00:00
abstract:PURPOSE:The objective of this study was to use a modified Philadelphia Panel rating method to evaluate the evidence supporting the use of therapeutic exercise interventions in patients with congestive heart failure (CHF). METHODS:A computerized literature search was conducted. Inclusion criteria included studies using...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章,评审
doi:10.1097/01.HCR.0000300263.07764.4a
更新日期:2007-11-01 00:00:00
abstract::Physical activity and exercise training (ET) enhance overall cardiorespiratory fitness (ie, fitness), thus producing many benefits in the primary and secondary prevention of cardiovascular diseases. Substantial evidence also indicates that acute and chronic inflammation is involved in the development and progression o...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章,评审
doi:10.1097/HCR.0b013e3182122827
更新日期:2011-05-01 00:00:00
abstract:PURPOSE:To determine the effectiveness of a pedometer-based telephone lifestyle coaching intervention on weight and physical activity. METHODS:A randomized controlled trial was conducted with 313 patients referred to cardiac rehabilitation in rural and urban Australia. Participants were allocated to a healthy weight (...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章,随机对照试验
doi:10.1097/HCR.0000000000000082
更新日期:2015-03-01 00:00:00
abstract:PURPOSE:To determine whether cardiac patients with psychosocial or socioeconomic problems have lower peak oxygen uptake ((Equation is included in full-text article.)O2peak) and whether these factors modify the effect of cardiac rehabilitation (CR). METHODS:A retrospective cohort study of patients with ischemic heart d...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0000000000000367
更新日期:2019-07-01 00:00:00
abstract:PURPOSE:The efficacy of alternative delivery models for a cardiac rehabilitation program (CRP) in low- and middle-income countries is not well documented. This study compared the traditional hospital-based CRP with a hybrid CRP in western Iran. METHODS:This observational study was conducted with postcoronary surgery p...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0000000000000087
更新日期:2015-01-01 00:00:00