Behavior Modification after a Heart Attack: Insights from Patients and Healthcare Professionals
DOI:
https://doi.org/10.48047/HOM.10.2.2024.1724-1743Keywords:
Heart Attack, Lifestyle modifications, HCPs Experience, Behavior change after MIAbstract
Behavior modification is important in managing and preventing recurrent cardiac events. By emphasizing lifestyle modifications and addressing psychosocial factors, healthcare providers can empower patients to take control of their cardiovascular health and improve long-term outcomes. Integrating evidence-based behavior modification programs into routine clinical practice and cardiac rehabilitation is essential for achieving optimal secondary prevention following myocardial infarction and enhancing overall patient well-being. This study explores patients’ behavior modification experience and Healthcare professionals’ perspectives on behavior change observed in heart attack survivors. Methods: We employed a qualitative descriptive study design to answer our research questions. Our participants were a diverse group of 38, including 20 patients who had experienced a heart attack and 18 healthcare professionals who had worked with heart attack survivors. We used a purposive sampling technique to recruit these individuals. Semi-structured in-depth interviews, lasting 40-50 minutes, were conducted with those who agreed to participate. The data were then organized and analyzed with an inductive coding approach, and thematic analysis was used to generate codes, categories, and themes.
Downloads
References
Roth, G, Mensah, G, Johnson, C. et al. (2020). Global Burden of Cardiovascular Diseases and Risk Factors, 1990–2019: Update From the GBD 2019 Study. J Am Coll Cardiol. 76 (25) 2982–3021. https://doi.org/10.1016/j.jacc.2020.11.010
Kaminsky, L. A., German, C., Imboden, M., Ozemek, C., Peterman, J. E., & Brubaker, P. H. (2022). The importance of healthy lifestyle behaviors in the prevention of cardiovascular disease. Progress in Cardiovascular Diseases, 70, 8-15. https://doi.org/10.1016/j.pcad.2021.12.001
Gaudel, P., Neupane, S., Koivisto, A., Kaunonen, M., & Rantanen, A. (2022). Effects of intervention on lifestyle changes among coronary artery disease patients: A 6‐month follow‐up study. Nursing Open, 9(4), 2024-2036. https://doi.org/10.1002/nop2.1212
Ghodeshwar, G. K., Dube, A., & Khobragade, D. (2023). Impact of lifestyle modifications on cardiovascular health: A narrative review. Cureus. https://doi.org/10.7759/cureus.42616
Zaree, A., Dev, S., Yaseen Khan, I., Arain, M., Rasool, S., Khalid Rana, M. A., Kanwal, K., Bhagat, R., Prachi, F., Puri, P., Varrassi, G., Kumar, S., Khatri, M., & Mohamad, T. (2023). Cardiac rehabilitation in the modern era: Optimizing recovery and reducing recurrence. Cureus. https://doi.org/10.7759/cureus.46006
Mattei, J., & Alfonso, C. (2020). Strategies for healthy eating promotion and behavioral change perceived as effective by nutrition professionals: A mixed-methods study. Frontiers in Nutrition, 7. https://doi.org/10.3389/fnut.2020.00114
Olmos-Vega, F. M., Stalmeijer, R. E., Varpio, L., & Kahlke, R. (2022). A practical guide to reflexivity in qualitative research: AMEE guide No. 149. Medical Teacher, 45(3), 241-251. https://doi.org/10.1080/0142159x.2022.2057287
Naeem, M., Ozuem, W., Howell, K., & Ranfagni, S. (2024). Demystification and actualisation of data saturation in qualitative research through thematic analysis. International Journal of Qualitative Methods, 23. https://doi.org/10.1177/16094069241229777
Mustofa, M. (2024). Epistemology of paradigms for positivism, Interpretivism, and action research in educational research: A literature review. Journal of Office Administration : Education and Practice, 3(3), 214-224. https://doi.org/10.26740/joaep.v3n3.p214-224
Wang, J., Yu, Q., Liu, N., Nie, K., Sun, X., & Xia, L. (2023). Trends in research on dietary behavior and cardiovascular disease from 2002 to 2022: A bibliometric analysis. Frontiers in Nutrition, 10. https://doi.org/10.3389/fnut.2023.1147994
Subramaniam, M., Devi, F., AshaRani, P. V., Zhang, Y., Wang, P., Jeyagurunathan, A., Roystonn, K., Vaingankar, J. A., & Chong, S. A. (2022). Barriers and facilitators for adopting a healthy lifestyle in a multi-ethnic population: A qualitative study. PLOS ONE, 17(11), e0277106. https://doi.org/10.1371/journal.pone.0277106
Okorare, O., Evbayekha, E. O., Adabale, O. K., Daniel, E., Ubokudum, D., Olusiji, S. A., & Antia, A. U. (2023). Smoking cessation and benefits to cardiovascular health: A review of literature. Cureus. https://doi.org/10.7759/cureus.35966
Brust, M., Gebhardt, W. A., Van Bruggen, S., Janssen, V., Numans, M. E., & Kiefte-de Jong, J. C. (2023). Making sense of a myocardial infarction about changing lifestyle in the five months following the event: An interpretative phenomenological analysis. Social Science & Medicine, 338, 116348. https://doi.org/10.1016/j.socscimed.2023.116348
Khadanga, S., Gaalema, D. E., Savage, P., & Ades, P. A. (2021). Underutilization of cardiac rehabilitation in women. Journal of Cardiopulmonary Rehabilitation and Prevention, 41(4), 207-213. https://doi.org/10.1097/hcr.0000000000000629
Rippe, J. M., & Angelopoulos, T. J. (2019). Lifestyle strategies for risk factor reduction, prevention and treatment of cardiovascular disease. Lifestyle Medicine, 19-36. https://doi.org/10.1201/9781315201108-2
Coull, A., & Pugh, G. (2021). Maintaining physical activity following myocardial infarction: A qualitative study. BMC Cardiovascular Disorders, 21(1). https://doi.org/10.1186/s12872-021-01898-7
Masupe, T., Onagbiye, S., Puoane, T., Pilvikki, A., Alvesson, H. M., & Delobelle, P. (2022). Diabetes self-management: A qualitative study on challenges and solutions from the perspective of South African patients and health care providers. Global Health Action, 15(1). https://doi.org/10.1080/16549716.2022.2090098
Liu, M., Chang, C., Hsueh, M., Hu, Y., & Liao, Y. (2020). Occupational, transport, leisure-time, and overall sedentary behaviors and their associations with the risk of cardiovascular disease among high-tech company employees. International Journal of Environmental Research and Public Health, 17(10), 3353. https://doi.org/10.3390/ijerph17103353
Alshakarah, A., Muriyah, D., Alsaghir, F., Alanzi, R., Almalki, S., Alsadan, S., Alotaibi, A. B., Alshaalan, R., & Albrahim, T. (2023). Awareness and knowledge of cardiovascular diseases and its risk factors among women of reproductive age: A scoping review. Cureus. https://doi.org/10.7759/cureus.49839
Muhammad, S., Ahmadi, H., Mortimer, G., Sekhon, H., Kharouf, H., & Jebarajakirthy, C. (2020). The interplay of positive and negative emotions to quit unhealthy consumption behaviors: Insights for social marketers. Australasian Marketing Journal, 28(4), 349-360. https://doi.org/10.1016/j.ausmj.2020.07.004
McTavish, F. J. (2016). Suffering, death, and eternal life. The Linacre Quarterly, 83(2), 134-141. https://doi.org/10.1080/00243639.2016.1166338
Andersen, E. B., Kristiansen, M., & Bernt Jørgensen, S. M. (2023). Barriers and facilitators to return to work following cardiovascular disease: A systematic review and meta-synthesis of qualitative research. BMJ Open, 13(1), e069091. https://doi.org/10.1136/bmjopen-2022-069091
Michaelsen, M. M., & Esch, T. (2023). Understanding health behavior change by motivation and reward mechanisms: A review of the literature. Frontiers in Behavioral Neuroscience, 17. https://doi.org/10.3389/fnbeh.2023.1151918
Lauderdale, M. E., Yli-Piipari, S., Irwin, C. C., & Layne, T. E. (2015). Gender differences regarding motivation for physical activity among college students: A self-determination approach. The Physical Educator. https://doi.org/10.18666/tpe-2015-v72-i5-4682
Eshah, N. F. (2019). Readiness for behavior change in patients living with ischemic heart disease. Journal of Nursing Research, 27(6), e57. https://doi.org/10.1097/jnr.0000000000000336
Manns, A., Mahdjoub, S., Ibanez, G., Jarrier, E., Daeipour, A., Melchior, M., & El-Khoury, F. (2023). Health professional’s perception of a smoking cessation intervention among disadvantaged patients participating in a pragmatic randomized trial. BMC Health Services Research, 23(1). https://doi.org/10.1186/s12913-023-09950-2
Firth, J., Marx, W., Dash, S., Carney, R., Teasdale, S. B., Solmi, M., Stubbs, B., Schuch, F. B., Carvalho, A. F., Jacka, F., & Sarris, J. (2019). The effects of dietary improvement on symptoms of depression and anxiety: A meta-analysis of randomized controlled trials. Psychosomatic Medicine, 81(3), 265-280. https://doi.org/10.1097/psy.0000000000000673
Verplanken, B., & Orbell, S. (2022). Attitudes, habits, and behavior change. Annual Review of Psychology, 73(1), 327-352. https://doi.org/10.1146/annurev-psych-020821-011744
Lutala, P., Nyasulu, P., & Muula, A. (2022). Salient beliefs about modifiable risk behaviours among patients living with diabetes, hypertension or both: A qualitative formative study. African Journal of Primary Health Care & Family Medicine, 14(1). https://doi.org/10.4102/phcfm.v14i1.3327
Park, J. H., Moon, J. H., Kim, H. J., Kong, M. H., & Oh, Y. H. (2020). Sedentary lifestyle: Overview of updated evidence of potential health risks. Korean Journal of Family Medicine, 41(6), 365-373. https://doi.org/10.4082/kjfm.20.0165
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Adnan Yaqoob, Rubina Barolia, Laila Ladak, Aamir Hameed Khan, Furqan Yaqub Pannu (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.