Spouse Involvement in Cardiac Patients Behavior Change

配偶参与心脏病患者行为改变

• 批准号: 6314704
• 负责人: TANTINA B HONG
• 金额: $ 3.1万
• 依托单位: WAYNE STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-09-30 至 2001-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6314704
• 关键词: behavioral /social science research tag; cardiovascular disorder; clinical research; exercise; family structure /dynamics; health behavior; human subject; rehabilitation; spouses

Heart disease continues to diminish the quality and claim the lives of many American despite increasing evidence that the consequences of cardiovascular disease can be reduced through modification of health and risk behaviors, even among older adult patients. The role of the patients' support network in facilitating (or hindering) behavior change has received increasing attention in the empirical literature. Thus, this study of 100 heart disease patients and their spouses explores individual perceptions of supportive, controlling, and undermining exchanges by the other in response to recommendations for adoption and maintenance of exercise activity. In light of the known benefits of health promoting behavior such as exercise in forestalling the disablement of heart disease, this study focuses on the transtheoretical model of individual stages and processes of exercise behavior change. In addition, the proposed project explores exercise behavior change within the larger context of the patient's family. In that marital partners importantly influence patient adjustment to illness, this study investigates individual behavior change of each partner. It is proposed that the shared perspective on behavior change afforded by similarity in stage and corresponding processes of change will enhance partners' coping assistance in adopting health-sustaining exercise behavior through more supportive, fewer controlling and fewer undermining exchanges regarding exercise activity. The aims of the proposed project are threefold. First, this study examines the present stage and correspondent processes of change in the exercise behavior of patients enrolled in a cardiac rehabilitation program and that of their spouses. Second, it investigates individual perceptions of patients and of spouses regarding their supportive, controlling, and undermining exchanges pertaining to engagement in exercise behavior. Last, it tests the relationship between individual stage and corresponding processes of change with perceptions of supportive, controlling, and undermining exchanges of the partner.

尽管越来越多的证据表明，心血管疾病的后果可以通过改变健康和危险行为来减少，即使是在老年患者中，心脏病仍在继续降低许多美国人的质量并夺走他们的生命。 病人的支持网络在促进（或阻碍）行为改变中的作用在实证文献中越来越受到关注。因此，本研究探讨了100名心脏病患者及其配偶的支持，控制和破坏交流的个人看法，其他在通过和维持运动活动的建议。鉴于运动等健康促进行为在预防心脏病致残方面的已知益处，本研究着重于运动行为改变的个体阶段和过程的跨理论模型。此外，拟议的项目探讨运动行为的变化在更大的背景下，病人的家庭。由于配偶对病患适应疾病有重要影响，本研究探讨配偶个体行为改变。研究结果表明，在行为改变的阶段和相应的变化过程的相似性所提供的共同的观点，将提高合作伙伴的应对援助，通过更多的支持，更少的控制和更少的破坏性交流有关的运动活动，采用健康维持的运动行为。拟议项目的目标有三个方面。 首先，本研究探讨目前的阶段和相应的过程中的运动行为的变化参加心脏康复计划的患者和他们的配偶。其次，它调查了患者和配偶的个人看法，他们的支持，控制和破坏有关的参与运动行为的交流。最后，它测试了个人阶段和相应的变化过程与支持，控制和破坏合作伙伴的交流的看法之间的关系。