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Effects of home-based cardiac exercise program on the exercise tolerance, serum lipid values and self-efficacy of coronary patients

Senuzun, F and Fadiloglu, C and Burke, LE and Payzin, S (2006) Effects of home-based cardiac exercise program on the exercise tolerance, serum lipid values and self-efficacy of coronary patients. European Journal of Preventive Cardiology, 13 (4). 640 - 645. ISSN 2047-4873

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Exercise-based cardiac rehabilitation improves exercise capacity and reduces cardiac risk factors. The purpose of this pilot study was to examine the effects of a home-based cardiac exercise program (HBCEP) on exercise tolerance, serum lipids, and self-efficacy in coronary heart disease patients in Turkey. Self-efficacy theory provided the framework for this study's intervention. The study design was a pre-test and post-test experimental, randomized assignment. The study included 30 participants in a home-based cardiac exercise program (HBCEP; mean age = 54.7 ± 7.8) and 30 in control (C; mean age = 52.7 ± 6.5). The Phase II cardiac exercise program included three 45-60-min sessions per week for 12 weeks, and the enhancement of self-efficacy through educational sessions and the use of goal setting, modelling, and physiological feedback strategies. Both groups were comparable in their medical regimen, exercise capacity, and other measured variables pre-intervention. At baseline and after 12 weeks, exercise capacity was evaluated by exercise testing using the Bruce Protocol, self-efficacy was measured with the Cardiac Exercise Self Efficacy Index, and serum lipid values were measured. At the completion of the 12-week exercise program, the exercise capacity (P<0.001), total cholesterol (P =0.004), triglycerides (P = 0.048), high-density lipoprotein-cholesterol (P = 0.001), low-density lipoprotein-cholesterol (P = 0.039), and self-efficacy (P<0.001) of the HBCEP Group were significantly improved compared to the control group. These results suggest that a first-time HBCEP in Turkey can be successful in having patients adhere to a prescribed exercise program and reduce risk factors. Enhanced self-efficacy may have mediated the improved behavioural outcomes. © 2006, European Society of Cardiology. All rights reserved.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Senuzun, F
Fadiloglu, C
Burke, LElbu100@pitt.eduLBU1000000-0003-2434-9867
Payzin, S
Date: 1 January 2006
Date Type: Publication
Journal or Publication Title: European Journal of Preventive Cardiology
Volume: 13
Number: 4
Page Range: 640 - 645
DOI or Unique Handle: 10.1097/
Schools and Programs: School of Nursing > Nursing
Refereed: Yes
ISSN: 2047-4873
MeSH Headings: Coronary Disease--blood; Coronary Disease--psychology; Coronary Disease--rehabilitation; Exercise Therapy--methods; Exercise Tolerance--physiology; Female; Follow-Up Studies; Humans; Lipids--blood; Male; Middle Aged; Outpatients; Prognosis; Prospective Studies; Risk Factors; Self Efficacy
PubMed ID: 16874157
Date Deposited: 20 Sep 2012 21:12
Last Modified: 26 Jan 2022 12:55


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