Psychosocial components of cardiac recovery and rehabilitation attendance.
OBJECTIVE
To examine the relations between demographic factors, specific psychosocial factors, and cardiac rehabilitation attendance.


METHODS
Cohort, repeated measures design.


METHODS
A large tertiary care centre in western Canada


METHODS
304 consecutive consenting patients discharged following acute myocardial infarction and/or coronary artery bypass graft surgery.


METHODS
The Jenkins self-efficacy expectation scales and activity checklists of behaviour performance for maintaining health and role resumption, modified version of the self-motivation inventory, and the shortened social support scale.


RESULTS
Those who had higher role resumption behaviour performance scores at two weeks after discharge were significantly less likely to attend cardiac rehabilitation programmes. At six months after discharge, those who attended cardiac rehabilitation demonstrated higher health maintenance self-efficacy expectation and behaviour performance scores. Health maintenance self-efficacy expectation and behaviour performance improved over time. Women reported less social support but showed greater improvement in health maintenance self-efficacy expectation. Changes in self-efficacy scores were unrelated to-but changes in health maintenance behaviour performance scores were strongly associated with-cardiac rehabilitation attendance.


CONCLUSIONS
Cardiac patients and practitioners may have misconceptions about the mandate and potential benefits of rehabilitation programmes. Patients who resumed role related activities early and more completely apparently did not see the need to "rehabilitate" while those who attended cardiac rehabilitation programmes enhanced their secondary prevention behaviours.
King
K M
KM
EPICORE Centre-CQIN, Division of Cardiology, 213 Heritage Medical Research Centre, University of Alberta, Edmonton, Alberta T6G 2S2, Canada. kingk@ucalgary.ca
Humen
D P
DP
Smith
H L
HL
Phan
C L
CL
Teo
K K
KK
D000328:Adult; D000367:Age Factors; D000368:Aged; D015331:Cohort Studies; D001026:Coronary Artery Bypass / Q000534:rehabilitation*; D003327:Coronary Disease / Q000523:psychology / Q000534:rehabilitation* / Q000601:surgery; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D015999:Multivariate Analysis; D009203:Myocardial Infarction / Q000523:psychology / Q000534:rehabilitation*; D010349:Patient Compliance; D012046:Rehabilitation / Q000523:psychology; D020377:Self Efficacy; D012737:Sex Factors; D012944:Social Support