Document Type

Thesis - University Access Only

Award Date

2011

Degree Name

Master of Science (MS)

Department / School

Health and Nutritional Sciences

Abstract

Purpose: Physical activity is recommended for patients with coronary artery disease. Current statistics suggest that only 33% of cardiac patients are meeting the recommended physical activity guidelines. Therefore, the purpose of the study was to determine the feasibility of a 3-month book club intervention, entitled Fit Minded: Coronary Artery Disease Survivors, to increase physical activity, self-worth, and reduce markers of cardiovascular risk in women with coronary artery disease. Methods: Eight women (66 ± 10 yrs) diagnosed with coronary artery disease or risk factors for coronary artery disease completed a 3-month intervention consisting of weekly book club meetings designed to provide social support, improve physical activity knowledge, awareness, confidence, and self-worth. Height, weight, body composition, waist circumference, BMI, C-reactive protein, and a full cholesterol panel were measured pre- and post intervention. Additionally, questionnaires were filled out in order to assess physical activity (Godin Leisure-Time Questionnaire, Modifiable Activity Questionnaire), perceived barriers (Benefits to Barriers Ratio Questionnaire), self-worth (Adult Self Perception Profile), and self-efficacy (Modified McAuley Questionnaire). Digital pedometers were used to monitor physical activity objectively every day for 12 weeks. Results: The benefits to barriers ratio (Benefits to Barriers Ratio Questionnaire) (pre: 50±14 and post: 64±16) and physical activity (Godin Leisure-Time Questionnaire) (pre: 20±22 and post: 37±19) improved from pre to post intervention (ps0.05). There was no significant change seen in the other variables measured (p>0.05). Discussion/Application: A 3 month book club intervention can increase awareness about the benefits of physical activity and through this mechanism increase physical activity participation in women with coronary artery disease. The Fit Minded program represents a creative approach to increase physical activity in women using the Transtheoretical Model and Social Cognitive Theory to empower women to adopt and maintain a physically active lifestyle.

Key Words: physical activity, self-worth, social support, coronary artery disease, women, transtheoretical model, social cognitive theory

Library of Congress Subject Headings

Heart diseases in women

Coronary heart disease -- Patients -- Rehabilitation

Coronary heart disease -- Exercise therapy

Book clubs (Discussion groups)

Format

application/pdf

Number of Pages

116

Publisher

South Dakota State University

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