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Related Experiment Videos

Using the CHANGE intervention to enhance long-term exercise.

Shirley M Moore1, Jacqueline M Charvat

  • 1Frances Payne Bolton School of Nursing, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106-4904, USA. smm8@po.cwru.edu

The Nursing Clinics of North America
|October 23, 2002
PubMed
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The CHANGE intervention improves long-term exercise adherence after cardiac rehabilitation. This program enhances self-efficacy and relapse prevention skills for sustained physical activity and secondary cardiovascular event prevention.

Area of Science:

  • Cardiology
  • Behavioral Science
  • Public Health

Background:

  • Phase II Cardiac Rehabilitation (CR) effectively reconditions patients post-cardiac events.
  • Long-term exercise maintenance for secondary cardiovascular event prevention remains a challenge.
  • Existing CR programs have limited success in promoting sustained lifestyle changes.

Purpose of the Study:

  • To introduce and evaluate the CHANGE (Change Habits by Applying New Goals and Experiences) intervention.
  • To enhance problem-solving, self-efficacy, and relapse prevention skills for long-term exercise.
  • To improve adherence to exercise for secondary cardiovascular prevention.

Main Methods:

  • CHANGE is a five-session, small-group, nurse-led intervention.
  • Delivered during the final three weeks of CR and at one and two months post-CR.

Related Experiment Videos

  • Utilized wristwatch heart rate (HR) monitors to track exercise metrics.

    • Main Results:

    • Pilot data show positive effects on exercise session frequency and duration.
    • Increased total minutes exercised and time within target HR zones were observed.
    • The intervention demonstrated acceptability to patients and feasibility for clinicians.

    Conclusions:

    • The CHANGE intervention shows promise in promoting long-term exercise adherence post-CR.
    • It effectively enhances key skills for sustained physical activity.
    • This approach supports secondary cardiovascular event prevention through improved lifestyle behaviors.