title: Effects of home-based cardiac exercise program on the exercise tolerance, serum lipid values and self-efficacy of coronary patients.
abstract: BACKGROUND
  Exercise-based cardiac rehabilitation improves exercise capacity and reduces cardiac risk factors. The purpose of this pilot study was to examine the effects of a home-based cardiac exercise program (HBCEP) on exercise tolerance, serum lipids, and self-efficacy in coronary heart disease patients in Turkey. Self-efficacy theory provided the framework for this study's intervention.
  
  
  METHODS
  The study design was a pre-test and post-test experimental, randomized assignment.
  
  
  METHODS
  The study included 30 participants in a home-based cardiac exercise program (HBCEP; mean age=54.7+/-7.8) and 30 in control (C; mean age=52.7+/-6.5). The Phase II cardiac exercise program included three 45-60-min sessions per week for 12 weeks, and the enhancement of self-efficacy through educational sessions and the use of goal setting, modelling, and physiological feedback strategies. Both groups were comparable in their medical regimen, exercise capacity, and other measured variables pre-intervention. At baseline and after 12 weeks, exercise capacity was evaluated by exercise testing using the Bruce Protocol, self-efficacy was measured with the Cardiac Exercise Self Efficacy Index, and serum lipid values were measured.
  
  
  RESULTS
  At the completion of the 12-week exercise program, the exercise capacity (P<0.001), total cholesterol (P=0.004), triglycerides (P=0.048), high-density lipoprotein-cholesterol (P=0.001), low-density lipoprotein-cholesterol (P=0.039), and self-efficacy (P<0.001) of the HBCEP Group were significantly improved compared to the control group.
  
  
  CONCLUSIONS
  These results suggest that a first-time HBCEP in Turkey can be successful in having patients adhere to a prescribed exercise program and reduce risk factors. Enhanced self-efficacy may have mediated the improved behavioural outcomes.
authors.affiliation: Izmir Ataturk School of Health, Ege University, Izmir, Turkey. fisun.senuzun@med.ege.edu.tr
authors.forename: Fisun
authors.initials: F
authors.lastname: Senuzun
authors.forename: Cicek
authors.initials: C
authors.lastname: Fadiloglu
authors.forename: Lora E
authors.initials: LE
authors.lastname: Burke
authors.forename: Serdar
authors.initials: S
authors.lastname: Payzin
mesh_terms: D003327:Coronary Disease / Q000097:blood / Q000523:psychology / Q000534:rehabilitation; D005081:Exercise Therapy / Q000379:methods*; D017079:Exercise Tolerance / Q000502:physiology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008055:Lipids / Q000097:blood*; D008297:Male; D008875:Middle Aged; D010045:Outpatients; D011379:Prognosis; D011446:Prospective Studies; D012307:Risk Factors; D020377:Self Efficacy
chemical_list: D008055:Lipids