title: Beyond resolutions? A randomized controlled trial of a self-regulation lifestyle programme for post-cardiac rehabilitation patients.
abstract: BACKGROUND
  As lifestyle adherence and risk factor management following completion of cardiac rehabilitation (CR) have been shown to be problematic, we developed a brief self-regulation lifestyle programme for post-CR patients.
  
  
  METHODS
  Randomized-controlled trial.
  
  
  METHODS
  Following completion of CR 210 patients were randomized to receive either a lifestyle maintenance programme (n = 112) or standard care (n = 98). The programme was based on self-regulation principles and consisted of a motivational interview, seven group sessions, and home assignments. Risk factors and health behaviours were assessed at baseline (end of CR) and 6 months thereafter.
  
  
  RESULTS
  ANCOVAs showed a significant effect of the lifestyle programme after 6 months on blood pressure, waist circumference, and exercise behaviour.
  
  
  CONCLUSIONS
  This trial indicates that a relatively brief intervention based on self-regulation theory is capable of instigating and maintaining beneficial changes in lifestyle and risk factors after CR.
authors.affiliation: Department of Health Psychology, Leiden University, Leiden, The Netherlands. VJanssen@fsw.leidenuniv.nl
authors.forename: Veronica
authors.initials: V
authors.lastname: Janssen
authors.forename: Veronique
authors.initials: V
authors.lastname: De Gucht
authors.forename: Henk
authors.initials: H
authors.lastname: van Exel
authors.forename: Stan
authors.initials: S
authors.lastname: Maes
mesh_terms: D000368:Aged; D000704:Analysis of Variance; D001794:Blood Pressure; D016009:Chi-Square Distribution; D015444:Exercise; D005260:Female; D006126:Group Processes; D007722:Health Knowledge, Attitudes, Practice; D006331:Heart Diseases / Q000503:physiopathology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008390:Markov Chains; D008875:Middle Aged; D009010:Monte Carlo Method; D062405:Motivational Interviewing; D009426:Netherlands; D010349:Patient Compliance; D011314:Preventive Health Services; D012307:Risk Factors; D040242:Risk Reduction Behavior; D012648:Self Care; D013997:Time Factors; D016896:Treatment Outcome; D055105:Waist Circumference