title: Knowledge and exercise behavior maintenance in cardiac rehabilitation patients receiving educational interventions.
abstract: OBJECTIVE
  To test whether a theoretically-based education curriculum results in more sustained knowledge, higher scores on Health Action Process Approach (HAPA) constructs, and greater exercise behavior 6 months post-cardiac rehabilitation (CR) when compared to traditional CR education.
  
  
  BACKGROUND
  Patient education is a core component of CR. No research has examined whether this education results in sustained improvements post-program.
  
  
  METHODS
  In this quasi-experimental study, participants exposed to the traditional vs HAPA-based education completed surveys pre, post-CR, and 6 months post-discharge assessing knowledge, HAPA constructs, and exercise.
  
  
  RESULTS
  Ninety-three participants completed the final survey. Knowledge increases post-CR were sustained 6 months post-program, with no differences by curriculum. Many improvements in HAPA constructs observed post-CR were sustained, except for some decay in self-efficacy. Minutes of exercise per week were significantly greater in participants exposed to the HAPA-based curriculum 6 months post-program.
  
  
  CONCLUSIONS
  HAPA-based education in CR has sustained effects on exercise.
authors.affiliation: Exercise Sciences Department, Faculty of Kinesiology & Physical Education, University of Toronto, Toronto, Canada; Cardiac Rehabilitation and Prevention Program, Toronto Rehabilitation Institute, University Health Network, Toronto, Canada. Electronic address: gabriella.meloghisi@uhn.ca.
authors.forename: Gabriela Lima de Melo
authors.initials: GL
authors.lastname: Ghisi
authors.affiliation: Cardiac Rehabilitation and Prevention Program, Toronto Rehabilitation Institute, University Health Network, Toronto, Canada; School of Kinesiology and Health Science, York University, Toronto, Canada.
authors.forename: Sherry L
authors.initials: SL
authors.lastname: Grace
authors.affiliation: Exercise Sciences Department, Faculty of Kinesiology & Physical Education, University of Toronto, Toronto, Canada.
authors.forename: Scott
authors.initials: S
authors.lastname: Thomas
authors.affiliation: CNPQ, National Council for Scientific and Technological Development, Brazilia, Brazil.
authors.forename: Ariany Marques
authors.initials: AM
authors.lastname: Vieira
authors.affiliation: CNPQ, National Council for Scientific and Technological Development, Brazilia, Brazil.
authors.forename: Isabel Ziesemer
authors.initials: IZ
authors.lastname: Costa
authors.affiliation: Cardiac Rehabilitation and Prevention Program, Toronto Rehabilitation Institute, University Health Network, Toronto, Canada.
authors.forename: Paul
authors.initials: P
authors.lastname: Oh
mesh_terms: D000368:Aged; D000072038:Cardiac Rehabilitation; D002318:Cardiovascular Diseases / Q000523:psychology; D003479:Curriculum; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006801:Humans; D008297:Male; D010349:Patient Compliance; D010353:Patient Education as Topic / Q000379:methods*; D020377:Self Efficacy; D011795:Surveys and Questionnaires
keywords: Cardiovascular disease; Health behavior theory; Knowledge; Patient education; Physical exercise