Knowledge and exercise behavior maintenance in cardiac rehabilitation patients receiving educational interventions

Heart Lung. 2015 Nov-Dec;44(6):474-80. doi: 10.1016/j.hrtlng.2015.09.004. Epub 2015 Oct 13.


Objectives: 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.

Keywords: Cardiovascular disease; Health behavior theory; Knowledge; Patient education; Physical exercise.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Cardiac Rehabilitation*
  • Cardiovascular Diseases / psychology
  • Curriculum*
  • Exercise Therapy / methods*
  • Female
  • Follow-Up Studies
  • Health Behavior*
  • Humans
  • Male
  • Patient Compliance*
  • Patient Education as Topic / methods*
  • Self Efficacy*
  • Surveys and Questionnaires