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Heart Lung. 2010 Mar-Apr;39(2):105-15. doi: 10.1016/j.hrtlng.2009.06.017. Epub 2009 Aug 25.

Living with heart disease after angioplasty: A qualitative study of patients who have been successful or unsuccessful in multiple behavior change.

Author information

1
Center for Complementary and Integrative Medicine, Weill Cornell Medical College, 1300 York Ave, Box 46, New York, NY 10065, USA. jcpeters@med.cornell.edu

Abstract

OBJECTIVE:

To document values, attitudes, and beliefs that influence behavior change among a diverse group of patients post-angioplasty.

METHODS:

Purposive and maximum-variation sampling were used to assemble a demographically diverse patient cohort (N=61) who had been successful or unsuccessful at post-angioplasty multibehavior change. Semistructured interviews and grounded theory methods were used to collect and analyze qualitative data.

RESULTS:

Themes showed the following: a) Patients reported surviving a life-threatening event and feared disease recurrence and death; b) the perception of a turning point and self-determination facilitated behavior change; c) social support and spiritual beliefs promoted coping with the uncertainty of living with heart disease; and d) unsuccessful behavior change was related to physical limitations, a sense that "nothing helps," and the belief that angioplasty "cures" heart disease.

CONCLUSION:

Lifestyle interventions should be culturally relevant and adapted to physical abilities. Fostering self-determination and social support may promote successful behavior change.

PMID:
20207270
PMCID:
PMC2837542
DOI:
10.1016/j.hrtlng.2009.06.017
[Indexed for MEDLINE]
Free PMC Article
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