Living with heart disease after angioplasty: A qualitative study of patients who have been successful or unsuccessful in multiple behavior change

Heart Lung. 2010 Mar-Apr;39(2):105-15. doi: 10.1016/j.hrtlng.2009.06.017. Epub 2009 Aug 25.


Objective: To document values, attitudes, and beliefs that influence behavior change among a diverse group of patients post-angioplasty.

Methods: Purposive and maximum-variation sampling were used to assemble a demographically diverse patient cohort (N=61) who had been successful or unsuccessful at post-angioplasty multibehavior change. Semistructured interviews and grounded theory methods were used to collect and analyze qualitative data.

Results: Themes showed the following: a) Patients reported surviving a life-threatening event and feared disease recurrence and death; b) the perception of a turning point and self-determination facilitated behavior change; c) social support and spiritual beliefs promoted coping with the uncertainty of living with heart disease; and d) unsuccessful behavior change was related to physical limitations, a sense that "nothing helps," and the belief that angioplasty "cures" heart disease.

Conclusion: Lifestyle interventions should be culturally relevant and adapted to physical abilities. Fostering self-determination and social support may promote successful behavior change.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Aged
  • Aged, 80 and over
  • Angioplasty / psychology*
  • Chi-Square Distribution
  • Comorbidity
  • Coronary Disease / psychology*
  • Coronary Disease / surgery*
  • Female
  • Health Behavior*
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Interviews as Topic
  • Life Style
  • Male
  • Middle Aged
  • Qualitative Research
  • Randomized Controlled Trials as Topic
  • Risk Factors
  • Statistics, Nonparametric