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The effects of a tailored cardiac rehabilitation program on depressive symptoms in women: A randomized clinical trial.

Publication ,  Journal Article
Beckie, TM; Beckstead, JW; Schocken, DD; Evans, ME; Fletcher, GF
Published in: Int J Nurs Stud
January 2011

BACKGROUND: Depression is known to co-occur with coronary heart disease (CHD). Depression may also inhibit the effectiveness of cardiac rehabilitation (CR) programs by decreasing adherence. Higher prevalence of depression in women may place them at increased risk for non-adherence. OBJECTIVE: To assess the impact of a modified, stage-of-change-matched, gender-tailored CR program for reducing depressive symptoms among women with CHD. METHODS: A two-group randomized clinical trial compared depressive symptoms of women in a traditional 12-week CR program to those completing a tailored program that included motivational interviewing guided by the Transtheoretical Model of behavior change. Women in the experimental group also participated in a gender-tailored exercise protocol that excluded men. The Center for Epidemiological Studies Depression (CES-D) Scale was administered to 225 women at baseline, post-intervention, and at 6-month follow-up. Analysis of Variance was used to compare changes in depression scores over time. RESULTS: Baseline CES-D scores were 17.3 and 16.5 for the tailored and traditional groups, respectively. Post-intervention mean scores were 11.0 and 14.3; 6-month follow-up scores were 13.0 and 15.2, respectively. A significant group by time interaction was found for CES-D scores (F(2, 446)=4.42, p=.013). Follow-up tests revealed that the CES-D scores for the traditional group did not differ over time (F(2, 446)=2.00, p=.137). By contrast, the tailored group showed significantly decreased CES-D scores from baseline to post-test (F(1, 223)=50.34, p<.001); despite the slight rise from post-test to 6-month follow-up, CES-D scores remained lower than baseline (F(1, 223)=19.25, p<.001). CONCLUSION: This study demonstrated that a modified, gender-tailored CR program reduced depressive symptoms in women when compared to a traditional program. To the extent that depression hinders CR adherence, such tailored programs have potential to improve outcomes for women by maximizing adherence. Future studies should explore the mechanism by which such programs produce benefits.

Duke Scholars

Published In

Int J Nurs Stud

DOI

EISSN

1873-491X

Publication Date

January 2011

Volume

48

Issue

1

Start / End Page

3 / 12

Location

England

Related Subject Headings

  • Women's Health Services
  • Women
  • Treatment Outcome
  • Single-Blind Method
  • Program Evaluation
  • Patient Compliance
  • Patient Care Planning
  • Nursing Evaluation Research
  • Nursing
  • Motivation
 

Citation

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ICMJE
MLA
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Beckie, T. M., Beckstead, J. W., Schocken, D. D., Evans, M. E., & Fletcher, G. F. (2011). The effects of a tailored cardiac rehabilitation program on depressive symptoms in women: A randomized clinical trial. Int J Nurs Stud, 48(1), 3–12. https://doi.org/10.1016/j.ijnurstu.2010.06.005
Beckie, Theresa M., Jason W. Beckstead, Douglas D. Schocken, Mary E. Evans, and Gerald F. Fletcher. “The effects of a tailored cardiac rehabilitation program on depressive symptoms in women: A randomized clinical trial.Int J Nurs Stud 48, no. 1 (January 2011): 3–12. https://doi.org/10.1016/j.ijnurstu.2010.06.005.
Beckie TM, Beckstead JW, Schocken DD, Evans ME, Fletcher GF. The effects of a tailored cardiac rehabilitation program on depressive symptoms in women: A randomized clinical trial. Int J Nurs Stud. 2011 Jan;48(1):3–12.
Beckie, Theresa M., et al. “The effects of a tailored cardiac rehabilitation program on depressive symptoms in women: A randomized clinical trial.Int J Nurs Stud, vol. 48, no. 1, Jan. 2011, pp. 3–12. Pubmed, doi:10.1016/j.ijnurstu.2010.06.005.
Beckie TM, Beckstead JW, Schocken DD, Evans ME, Fletcher GF. The effects of a tailored cardiac rehabilitation program on depressive symptoms in women: A randomized clinical trial. Int J Nurs Stud. 2011 Jan;48(1):3–12.
Journal cover image

Published In

Int J Nurs Stud

DOI

EISSN

1873-491X

Publication Date

January 2011

Volume

48

Issue

1

Start / End Page

3 / 12

Location

England

Related Subject Headings

  • Women's Health Services
  • Women
  • Treatment Outcome
  • Single-Blind Method
  • Program Evaluation
  • Patient Compliance
  • Patient Care Planning
  • Nursing Evaluation Research
  • Nursing
  • Motivation