Abstract
Cardiovascular disease remains the leading cause of death in the United States and costs Americans nearly $276 billion in direct and indirect costs per year (American Heart Association, 2009). It is reported that 90% of cardiac events are attributable to a small number of modifiable risk factors which, if changed, can greatly decrease morbidity and mortality rates. Previous research has reported significant barriers to adopting behavior change among cardiac patients. These include difficulties controlling cravings, distaste of heart-healthy foods, and distress associated with increased physical activity (Cabanac, 1986; Dusseldorp, Van Elderen, Maes, Meulman, & Kraaij, 1999; Falk, Bisogni, & Sobal, 2000). We hypothesize three psychological factors that may play an important role in making and maintaining lifestyle changes: intolerance of discomfort, mindfulness, and values clarity. These three factors are central acceptance-based behavior therapy (ABBT) approaches. The current study evaluated the feasibility and initial effectiveness of ABBT at increasing adherence to behavioral recommendations in a cardiac population. The present study, termed Project ABLE, consisted of four, 90-minute group sessions aimed at helping participants become more mindful, learn distress tolerance skills and, strengthen their commitment to heart-health related values. Twelve participants were assessed at baseline and post-treatment. The program was associated with high treatment acceptance and comprehension, as well as positive change in diet, physical activity, and smoking behaviors. Implications of the findings and future research directions are discussed.%%%%M.S., Clinical Science – Drexel University, 2010
Published Version
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