Lima de Melo Ghisi, GabrielaGrace, SherryThomas, ScottOh, Paul2021-04-152021-04-152015-05Patient Education and Counseling. Volume 98, Issue 5, May 2015, Pages 612-6210738-3991https://doi.org/10.1016/j.pec.2015.01.006http://hdl.handle.net/10315/38285Objectives: To (1) test the effect of a Health Action Process Approach (HAPA) theory-based education program in cardiac rehabilitation (CR) compared to traditional education on patient knowledge and HAPA constructs; and, (2) investigate the theoretical correlates of exercise behavior among CR patients receiving theory-based education. Methods: CR patients were exposed to an existing or HAPA-based 6 month education curriculum in this quasi-experimental study. Participants completed a survey assessing exercise behavior, HAPA constructs, and knowledge pre and post-program. Results: 306 patients consented to participate, of which 146 (47.7%) were exposed to the theory-based educational curriculum. There was a significant improvement in patients’ overall knowledge pre- to post-CR, as well as in some HAPA constructs and exercise behavior, regardless of curriculum (p<0.05). Path analysis revealed that knowledge was significantly related to intention formation, and intentions to engage in exercise were not directly related to behavior, which required action planning. Conclusions: The theoretically-informed education curriculum was not associated with greater knowledge or exercise behavior as expected. Education in CR improves knowledge, and theoretical constructs related to exercise behavior. Practice implications: Educational curricula should be designed to not only increase patients’ knowledge, but also enhance intentions, self-efficacy, and action planning.enElsevier Journals © <2015>. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/Attribution-NoDerivatives 4.0 Internationalcardiac rehabilitationpatient educationhealth behavior theoryknowledgephysical exerciseArticlehttps://www.sciencedirect.com/journal/patient-education-and-counselinghttps://www.sciencedirect.com/https://www.sciencedirect.com/science/article/abs/pii/S0738399115000129?via%3Dihub