Abstract 17156: The Effects of a Cardiac Rehabilitation Program Tailored for Women on Their Perceptions of Health: A Randomized Clinical Trial
Background: When compared with men, women with coronary heart disease (CHD) report poorer perceptions of health. Because perceptions of health influence adherence to health behaviors, this places women at increased risk for non-adherence to cardiac rehabilitation (CR) programs.
Hypothesis: We hypothesized that a motivationally-enhanced, stage-of-change-matched, CR program tailored for women would improve their perceptions of health compared to women attending a traditional, less gender-sensitive CR program.
Methods: A 2-group randomized clinical trial compared perceptions of health held by women completing a traditional 12-week CR program to those held by women completing a tailored program that included motivational interviewing guided by the Transtheoretical model of behavior change. Perceptions of health were measured using the SF-36 health survey that was administered to 225 women at baseline, post-intervention, and at 6-month follow-up. Analysis of variance was used to compare changes in SF-36 subscale scores over time.
Results: The group by time interaction was significant for the general health (F(2,446) = 3.80, P =.023), social functioning (F(2,446) = 4.85, P =.008), vitality (F(2,446) = 5.85, P =.003), and mental health (F(2,446) = 3.61, P =.028), subscales indicating that the pattern of change over time was different for the two groups. Of the four subscales on which there were significant interactions, the tailored group demonstrated improved scores over time on all four while the traditional group improved on only the emotional role limitations and vitality subscales.
Conclusions: A tailored CR program improved general health perceptions, mental health, vitality, and social functioning in women when compared to traditional CR. To the extent that perceptions of health contribute to healthy behaviors fostered in CR programs, tailoring CR programs to alter perceptions of health may improve adherence.
- Cardiac rehabilitation
- Behavioral medicine
- Clinical trials
- Patient education/teaching psychosocial aspects
- Cardiovascular nursing
- © 2010 by American Heart Association, Inc.