Korean J Adult Nurs.  2019 Feb;31(1):78-88. 10.7475/kjan.2019.31.1.78.

A Prediction Model for Physical Activity Adherence for Secondary Prevention among Patients with Coronary Artery Disease

• Won MH
• Kim O

• KMID: 2438763
• DOI: http://doi.org/10.7475/kjan.2019.31.1.78

Abstract

PURPOSE
The purpose of this study was to construct and test a predictive model for physical activity adherence for secondary prevention among patients with coronary artery disease.
METHODS
Two hundred and eighty-two patients with coronary artery disease were recruited at cardiology outpatient clinics in four general hospitals and the data collection was conducted from September 1 to October 19, 2015.
RESULTS
The model fit indices for the final hypothetical model satisfied the recommended levels: χ2/dF=0.77, adjusted goodness of fit index=.98, comparative fit index=1.00, normal fit index=1.00, incremental fit index=1.00, standardized root mean residual=.01, root mean square error of approximation=.03. Autonomy support (β=.50), competence (β=.27), and autonomous motivation (β=.31) had significant direct effects on physical activity adherence for secondary prevention among patients with coronary artery disease. This variable explained 35.1% of the variance in physical activity adherence.
CONCLUSION
This study showed that autonomy support from healthcare providers plays a key role in promoting physical activity adherence for secondary prevention among patients with coronary artery disease. The findings suggest that developing intervention programs to increase feelings of competence and autonomous motivation through autonomy support from healthcare providers are needed to promote physical activity adherence for secondary prevention among patients with coronary artery disease.

MeSH Terms

Ambulatory Care Facilities
Cardiology
Compliance
Coronary Artery Disease*
Coronary Vessels*
Data Collection
Health Personnel
Hospitals, General
Humans
Mental Competency
Motivation
Motor Activity*
Secondary Prevention*

Figure

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  Figure 1. Conceptual framework for physical activity adherence among patients with coronary artery disease.

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  Figure 2. Path diagram of the final model.

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