The purpose of this study is to understand how the language used by healthcare professionals in a cardiac rehabilitation exercise program impacts women's adherence to exercise after completing the program. The hypothesis is that women in a program led by transformational leaders, who build trust and motivation, will be more likely to continue exercising after the program than those in a neutrally-led program. The study will randomly assign women with cardiovascular disease to an experimental group with transformational leader training or a control with neutral training, and track their exercise for 3 months after the program via accelerometers and questionnaires.

1. Rachel Askett,
Sammi Turchet,
Alysha Zandarin
TRAINING WITH HEART:
THE IMPACT OF LANGUAGE USED BY HEALTH
PROFESSIONALS ON EXERCISE PROGRAM COMPLIANCE OF
FEMALE CLIENTS IN CARDIAC REHABILITATION PROGRAMS

2. ◼ The purpose of this study is to understand the impact of the language used by the
healthcare professional during on-site supervised Heart Wise Exercise sessions on
the client’s exercise adherence after completion of the program
◼ Hypothesis: Transformational leaders will increase the probability of exercise
adherence for female cardiac rehabilitation patients after being discharged from
the on-site Heart Wise Exercise Program as opposed to neutral leadership
▪ Transformational Leadership:
▪ Valuable, positive changes to individuals and social systems
▪ Progress followers to leaders
▪ Introduce four elements
▪ Neutral Training:
▪ Style of stating the required exercises without intrapersonal relations
PURPOSE

3. LITERATURE REVIEW
Community based exercise programs
have been shown to be successful in a
cardiac rehabilitation setting
Women are 36% less likely to enroll, are less active if they participate
and are more likely to dropout after starting a program
Literature Gap
How does leadership of
community based programs
affect female exercise
adherence after program
completion?
Transformational Leaders
Build trust, enhance
motivation, and transcend
short-term goals while
focusing on higher order
intrinsic needs

4. Method Types
Follow-up qualitative questionnaire to support a
quantitative study
Study Population
Women with cardiovascular disease
Participating in on-site Heart Wise Exercise Program
Sampling
Purposeful Sampling
Program Structure
Control group and experimental group chosen at
random
Experimental group Health Professionals: trained in
transformational leadership
Control group Health Professionals: remain neutral
METHODS
Data Collection
Begins when discharged from
program
RT6 accelerometer
Track caloric expenditure for
3 months
1000-1500 kcal per week
Questionnaire after
completion
Population 1200
Sample 291
Confidence Level 95%
Confidence Interval 5

5. CONCLUSION
IMPLICATIONS/ LIMITATIONS/ ETHICAL CONSIDERATIONS
Limitations
 Potential for high dropout rates
 Given the exercise program for free
 Aware they are being monitored
 Measure of intensity and accuracy
Implications
 Quantitative results
 Do they adhere to exercise?
 These results will inform future training
workshops to improve leadership of Heart Wise
Exercise Health Professionals
 Secondary qualitative research
 Obtained through questionnaires currently used
by Heart Wise
 Data meant to inform future research
Ethical Considerations
 Consent must be clear
 Research Ethics Board Approval
 Vulnerable population
 Heart Wise Exercise Bias

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