Iranian Red Crescent Medical Journal

Published by: Kowsar

Behavioral Change Challenges in the Context of Center-Based Cardiac Rehabilitation: A Qualitative Study

Fariba Jokar 1 , Hojatollah Yousefi 2 , * , Alireza Yousefy 3 and Masoumeh Sadeghi 4
Authors Information
1 Students Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, IR Iran
2 Department of Adult Nursing, School of Nursing and Midwifery, Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, IR Iran
3 Department of Medical Education, Isfahan University of Medical Sciences, Isfahan, IR Iran
4 Cardiac Rehabilitation Research Center, Isfahan University of Medical Sciences, Isfahan, IR Iran
Article information
  • Iranian Red Crescent Medical Journal: June 01, 2015, 17 (6); e27504
  • Published Online: June 23, 2015
  • Article Type: Research Article
  • Received: January 30, 2015
  • Revised: April 5, 2015
  • Accepted: April 18, 2015
  • DOI: 10.5812/ircmj.17(5)2015.27504

To Cite: Jokar F, Yousefi H, Yousefy A, Sadeghi M. Behavioral Change Challenges in the Context of Center-Based Cardiac Rehabilitation: A Qualitative Study, Iran Red Crescent Med J. 2015 ; 17(6):e27504. doi: 10.5812/ircmj.17(5)2015.27504.

Copyright © 2015, Iranian Red Crescent Medical Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
  • 1. Drozd F, Lehto T, Oinas-Kukkonen H. Persuasive Technology. Design for Health and Safety. 2012; : 157-68
  • 2. Piepoli MF, Corra U, Benzer W, Bjarnason-Wehrens B, Dendale P, Gaita D, et al. Secondary prevention through cardiac rehabilitation: from knowledge to implementation. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation. Eur J Cardiovasc Prev Rehabil. 2010; 17(1): 1-17[DOI][PubMed]
  • 3. Bjarnason-Wehrens B, McGee H, Zwisler AD, Piepoli MF, Benzer W, Schmid JP, et al. Cardiac rehabilitation in Europe: results from the European Cardiac Rehabilitation Inventory Survey. Eur J Cardiovasc Prev Rehabil. 2010; 17(4): 410-8[DOI][PubMed]
  • 4. Fisher EB, Fitzgibbon ML, Glasgow RE, Haire-Joshu D, Hayman LL, Kaplan RM, et al. Behavior matters. Am J Prev Med. 2011; 40(5)-30[DOI][PubMed]
  • 5. Michie S, van Stralen MM, West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci. 2011; 6: 42[DOI][PubMed]
  • 6. Barefoot JC, Brummett BH, Williams RB, Siegler IC, Helms MJ, Boyle SH, et al. Recovery expectations and long-term prognosis of patients with coronary heart disease. Arch Intern Med. 2011; 171(10): 929-35[DOI][PubMed]
  • 7. Newsom JT, Huguet N, McCarthy MJ, Ramage-Morin P, Kaplan MS, Bernier J, et al. Health behavior change following chronic illness in middle and later life. J Gerontol B Psychol Sci Soc Sci. 2012; 67(3): 279-88[DOI][PubMed]
  • 8. Schwarzer R. Modeling health behavior change: How to predict and modify the adoption and maintenance of health behaviors. Appl Psychol. 2008; 57(1): 1-29[DOI]
  • 9. Huang ES, Basu A, O'Grady M, Capretta JC. Projecting the future diabetes population size and related costs for the U.S. Diabetes Care. 2009; 32(12): 2225-9[DOI][PubMed]
  • 10. Peterson JC, Allegrante JP, Pirraglia PA, Robbins L, Lane KP, Boschert KA, et al. Living with heart disease after angioplasty: A qualitative study of patients who have been successful or unsuccessful in multiple behavior change. Heart Lung. 2010; 39(2): 105-15[DOI][PubMed]
  • 11. O’Neil A, Berk M, Davis J, Stafford L. Cardiac-self efficacy predicts adverse outcomes in coronary artery disease (CAD) patients. Health. 2013; 5(6)[DOI]
  • 12. Patton MQ. Qualitative evaluation and research methods. 1990;
  • 13. Rodriguez KL, Appelt CJ, Switzer GE, Sonel AF, Arnold RM. "They diagnosed bad heart": a qualitative exploration of patients' knowledge about and experiences with heart failure. Heart Lung. 2008; 37(4): 257-65[DOI][PubMed]
  • 14. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006; 3(2): 77-101[DOI]
  • 15. Major B, O'Brien LT. The social psychology of stigma. Annu Rev Psychol. 2005; 56: 393-421[DOI][PubMed]
  • 16. Wrigley S, Jackson H, Judd F, Komiti A. Role of stigma and attitudes toward help-seeking from a general practitioner for mental health problems in a rural town. Aust N Z J Psychiatry. 2005; 39(6): 514-21[DOI][PubMed]
  • 17. Lubkin IM, Larsen PD. Chronic illness: Impact and interventions. 2006;
  • 18. Osborn CY, Paasche-Orlow MK, Bailey SC, Wolf MS. The mechanisms linking health literacy to behavior and health status. Am J Health Behav. 2011; 35(1): 118-28[PubMed]
  • 19. Ford D, Zapka J, Gebregziabher M, Yang C, Sterba K. Factors associated with illness perception among critically ill patients and surrogates. CHEST J. 2010; 138(1): 59-67[DOI]
  • 20. Greco A, Steca P, Pozzi R, Monzani D, Malfatto G, Parati G. The influence of illness severity on health satisfaction in patients with cardiovascular disease: The mediating role of illness perception and self-efficacy beliefs. Behav Med. 2015; 41(1): 9-17
  • 21. Petrie KJ, Weinman J. Patients’ perceptions of their illness the dynamo of volition in health care. Curr Dir Psychol Sci. 2012; 21(1): 60-5[DOI]
  • 22. Saarni SI, Suvisaari J, Sintonen H, Pirkola S, Koskinen S, Aromaa A, et al. Impact of psychiatric disorders on health-related quality of life: general population survey. Br J Psychiatry. 2007; 190: 326-32[DOI][PubMed]
  • 23. Katch H, Mead H. The role of self-efficacy in cardiovascular disease self-management: a review of effective programs. Patient Intell. 2010; 2: 33-44[DOI]
  • 24. Kagawa-Singer M, Padilla GV, Ashing-Giwa K. Health-related quality of life and culture. Semin Oncol Nurs. 2010; 26(1): 59-67[DOI][PubMed]
  • 25. Rosland AM, Heisler M, Choi HJ, Silveira MJ, Piette JD. Family influences on self-management among functionally independent adults with diabetes or heart failure: do family members hinder as much as they help? Chronic Illn. 2010; 6(1): 22-33[DOI][PubMed]
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