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Updated: Jun 27, 2026

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Purposiveness, physical activity, and perceived health in cardiac patients
Carole K Holahan1, Charles J Holahan, Rie Suzuki
1Department of Kinesiology and Health Education, University of Texas at Austin, Austin, TX 78712, USA. c.holahan@mail.utexas.edu
Purpose:
This study examined the relationship of purposiveness, defined as maintaining purpose in life and a sense of personal growth, with physical activity and perceived health in a sample of cardiac outpatients.
Method:
Participants were 130 outpatients recruited through medical settings serving cardiac patients in a southwestern US community. Participants had an average age of 60 years (SD 12.37). Participants responded to a structured questionnaire at the medical setting. The hypothesized mediational model was tested using Latent Variable Structural Equations Analysis (LISREL) 8.
Results:
As hypothesized, the results of a LISREL analysis showed that a sense of purposiveness predicted more positive perceived health. Further, as predicted, this relation was mediated by physical activity. Purposiveness was linked to more physical activity, and a high level of physical activity, in turn, predicted better perceived health. A two-group LISREL analysis indicated that the model was equally valid for both sexes.
Conclusions:
The present results underscore the importance in cardiac rehabilitation of the continued study of factors that foster meaning in life, including a sense of purpose and individual growth, and of their potential to promote recovery of cardiac patients.
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