http://hdl.handle.net/10453/232 2013-06-18T22:52:48Z 2013-06-18T22:52:48Z Du Hui Yun Everett Bronwyn Newton Phillip Salamonson Yenna Davidson Patricia http://hdl.handle.net/10453/18708 2012-10-12T03:34:33Z 2012-01-01T00:00:00Z

Self-efficacy: a useful construct to promote physical activity in people with stable chronic heart failure Du Hui Yun; Everett Bronwyn; Newton Phillip; Salamonson Yenna; Davidson Patricia Aim. To explore the conceptual underpinnings of self-efficacy to address the barriers to participating in physical activity and propose a model of intervention. Background. The benefits of physical activity in reducing cardiovascular risk have led to evidence-based recommendations for patients with heart disease, including those with chronic heart failure. However, adherence to best practice recommendations is often suboptimal, particularly in those individuals who experience high symptom burden and feel less confident to undertake physical activity. Self-efficacy is the degree of confidence an individual has in his/her ability to perform behaviour under several specific circumstances. Four factors influence an individualâ¿¿s level of self-efficacy: (1) past performance, (2) vicarious experience, (3) verbal persuasion and (4) physiological arousal. Design. Discursive. Methods. Using the method of a discursive paper, this article seeks to explore the conceptual underpinnings of self-efficacy to address the barriers to participating in physical activity and proposes a model of intervention, the Home-Heart-Walk, to promote physical activity and monitor functional status. Conclusions. Implementing effective interventions to promote physical activities require appreciation of factors impacting on behaviour change. Addressing concepts relating to self-efficacy in physical activity interventions may promote participation and adherence in the longer term.

2012-01-01T00:00:00Z Gallagher Robyn Kirkness Ann Armari Elizabeth Davidson Patricia http://hdl.handle.net/10453/18709 2012-10-12T03:34:33Z 2012-01-01T00:00:00Z

Participants' perspectives of a multi-component, group-based weight loss programme supplement for cardiac rehabilitation: A qualitative study Gallagher Robyn; Kirkness Ann; Armari Elizabeth; Davidson Patricia Addressing overweight and obesity in people with cardiovascular risk factors is an important aspect of cardiac rehabilitation, but minimal implementation of targeted strategies has occurred. The aim of this study was to describe participants perspectives of a multi-component, group-based weight loss supplement to cardiac rehabilitation programmes. Four focus groups of participants completing the intervention (n = 16) and maintenance phases (n = 19) of the Healthy Eating and Exercise Lifestyle Program (HEELP) were conducted. Interviews were transcribed and thematically analyzed using an inductive process. The overall theme of participants responses was that HEELP helped them reprogramme their lifestyle behaviours to achieve weight loss. The programme was unique compared with other weight loss programmes because it was delivered and developed by familiar and expert health professionals who tailored the programme to participants' health status. Themes included the process of recognizing and deciding to make a commitment to managing their weight problem and feeling supported by the group and the staff to do this. Participants valued the group-based structure and the specific tools used in the programme. The programme content and structure provides a framework for the development of supplemental programmes for overweight and obese people at high cardiovascular risk.

2012-01-01T00:00:00Z Gallagher Robyn Kirkness Ann Armari Elizabeth Davidson Patricia http://hdl.handle.net/10453/18711 2012-10-12T03:34:33Z 2012-01-01T00:00:00Z

Weight management issues and strategies for people with high cardiovascular risk undertaking an Australian weight loss program: A focus group study Gallagher Robyn; Kirkness Ann; Armari Elizabeth; Davidson Patricia Obesity is particularly hazardous for people with multiple cardiovascular risk factors and existing cardiovascular disease, although few studies investigate experiences and perceptions of weight loss in this population. This study provides an understanding of participants knowledge, attitudes, and experiences of managing multiple risk factors and/or existing cardiovascular disease of participants who were undertaking a weight loss program. Thirty-five participants were recruited from the first 50 completing a multicomponent group-based weight loss intervention designed to follow cardiovascular disease and diabetes disease management programs. Four focus group interviews were conducted using a semistructured interview schedule. Data were analyzed using an inductive approach, and themes developed. Participants found the process of weight loss to be complex, dynamic, and challenging, as the conflicting needs of existing health conditions, social support, ambivalence, and time limitations required careful balance. In response, participants determinedly developed and tested strategies based on simplified principles, establishing routines for new health habits and portion control, and going back to basics in food selection. Therefore, weight loss programs for this population need to be specifically tailored to support patients efforts and strategies.

2012-01-01T00:00:00Z Bernal Daniel Stafford Leanne Bereznicki Luke Castelino Ronald Davidson Patricia Peterson Gregory http://hdl.handle.net/10453/18710 2012-10-12T03:34:33Z 2012-01-01T00:00:00Z

Home medicines reviews following acute coronary syndrome: study protocol for a randomized controlled trial Bernal Daniel; Stafford Leanne; Bereznicki Luke; Castelino Ronald; Davidson Patricia; Peterson Gregory Despite continual improvements in the management of acute coronary syndromes, adherence to guideline-based medications remains suboptimal. We aim to improve adherence with guideline-based therapy following acute coronary syndrome using an existing service that is provided by specifically trained pharmacists, called a Home Medicines Review. We have made two minor adjustments to target the focus of the existing service including an acute coronary syndrome specific referral letter and a training package for the pharmacists providing the service.

2012-01-01T00:00:00Z