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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
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Maintaining physical activity following myocardial infarction: a qualitative study
1Centre for Sports and Exercise Medicine, Queen Mary University of London, Mile End Hospital, Bancroft Road, London, E1 4DG, UK.
BMC Cardiovascular Disorders
|February 19, 2021
Summary
Maintaining physical activity after myocardial infarction (MI) is crucial. Patients need better guidance and support post-cardiac rehabilitation to overcome fear and enhance self-efficacy for long-term exercise adherence.
Area of Science:
- Cardiology
- Behavioral Science
- Public Health
Background:
- Physical activity (PA) improves outcomes post-myocardial infarction (MI).
- Understanding patient experiences in maintaining PA post-cardiac rehabilitation (CR) is limited.
Purpose of the Study:
- Investigate MI survivors' attitudes, appraisals, and perceived barriers/motivators for long-term PA.
- Identify factors influencing sustained physical activity in post-MI individuals.
Main Methods:
- Semi-structured interviews with 18 adults (mean age 60.5) at least 5 months post-MI.
- Thematic analysis of interview transcripts using NVivo software.
- Participants included 13 males (72%) and 5 females (28%); 12 (67%) had attended CR.
Main Results:
- Four core themes emerged: MI as a 'teachable moment,' affective (enjoyment vs. fear) and cognitive (self-perception, self-efficacy) responses, and access to support.
- Survivors reported unclear exercise guidance post-CR and experienced vulnerability and fear, impacting self-efficacy.
- Lack of ongoing support and confusing advice hindered long-term PA maintenance.
Conclusions:
- Current CR programs inadequately address PA beliefs and self-efficacy.
- Interventions targeting fear, vulnerability, and providing clear, ongoing PA advice are needed.
- Enhanced social support and accessible resources can facilitate sustained PA in MI survivors.
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