Evidence map›Paper›PMID 24434826›Full record

ArticleThe Journal of cardiovascular nursing

Effects of partners together in health intervention on physical activity and healthy eating behaviors: a pilot study.

Bernice C Yates, Joseph Norman, Jane Meza, Kaye Stanek Krogstrand, Susana Harrington, Scott Shurmur, Matthew Johnson, Karen Schumacher

Open access · greenAbstract read
In one paragraph

Article in The Journal of cardiovascular nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. What makes an intervention dyadic? Introducing the DYADIC meta-framework to Describe Your focAl Dyadic Intervention Components.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2026
    Article
  4. Association of healthy eating behaviours and comorbidity on quality of life among adults with beta-thalassemia major: a moderation analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
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  12. Moving in Sync: Hourly Physical Activity and Sedentary Behavior are Synchronized in Couples.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2020
    Article
  13. Article
  14. A Qualitative Study of Experiences of Participants in Cardiac Rehabilitation.Journal of cardiopulmonary rehabilitation and prevention · 2018
    Article
  15. Couples' Experiences With Healthy Lifestyle Behaviors After Cardiac Rehabilitation.Journal of cardiopulmonary rehabilitation and prevention · 2018
    Article
  16. Article
  17. Spousal Caregivers of Coronary Artery Bypass Surgery Patients: Differences between Caregivers with Low vs. High Caregiving Demands.Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Bernice C YatesBernice C. Yates, PhD, RN Professor, College of Nursing, University of Nebraska Medical Center, Omaha. Joseph Norman, PhD, PT Professor and Program Director of Physical Therapy, School of Allied Health Professions, University of Nebraska Medical Center, Omaha. Jane Meza, PhD Professor, College of Public Health, University of Nebraska Medical Center, Omaha. Kaye Stanek Krogstrand, PhD, RD Emeritus Associate Professor, Department of Nutrition and Health Sciences, University of Nebraska, Lincoln. Susana Harrington, APRN Cardiothoracic Surgery Nurse Practitioner, Nebraska Methodist Hospital, Omaha. Scott Shurmur, MD Associate Professor, Internal Medicine Division of Cardiology, College of Medicine, University of Nebraska Medical Center, Omaha. Matthew Johnson, MD Cardiologist, Bryan LGH Heart Institute, Lincoln, Nebraska. Karen Schumacher, PhD, RN Associate Professor, College of Nursing, University of Nebraska Medical Center, Omaha.
Joseph Norman
Jane Meza
Kaye Stanek Krogstrand
Susana Harrington
Scott Shurmur
Matthew Johnson
Karen Schumacher
Nebraska Medical Center · USBryan Health · USMethodist Hospital · USUniversity of Nebraska–Lincoln · US

Funding

Interdisciplinary Healthy Heart Center: Linking Rural Populations by TechnologyP20NR011404 · NINR · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI PULLEN, CAROL HALL · 2009 to 2013
$1.4M
Reducing Risk in Cardiac Rehabilitation: Partners Together in Health (PaTH) InterR15NR010923 · NINR · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI YATES, BERNICE · 2009 to 2009
$226k
NINR NIH HHS P20 NR011404NINR NIH HHS R15 NR010923
6 · The paper itself

Abstract

backgroundDespite proven efficacy of cardiac rehabilitation (CR) in helping patients initiate physical activity and healthy eating changes, less than 50% of CR participants maintain changes 6 months later.

objectiveThe objective of this feasibility study was to test the Partners Together in Health (PaTH) intervention versus usual care in improving physical activity and healthy eating behaviors in coronary artery bypass graft surgery patients and their spouses.

methodsAn experimental, 2-group (n = 17 couples/group), repeated-measures design was used. Coronary artery bypass surgery patients in both groups participated in phase II outpatient CR. Spouses in the PaTH group attended CR with the patient and were asked to make the same physical activity and healthy eating changes as patients did. Spouses in the usual care attended educational classes with patients. It was theorized that "2 persons would be better than 1" at making changes and sticking with them in the long-term. Physical activity behavior was measured using the Actiheart accelerometer; the activity biomarker was an exercise tolerance test. Eating behavior was measured using 3-day food records; the biomarker was the lipid profile. Data were collected at baseline (entrance in CR), at 3 months (post-CR), and at 6 months. Changes over time were examined using Mann-Whitney U statistics and effect sizes.

resultsThe PaTH intervention was successful primarily in demonstrating improved trends in healthy eating behavior for patients and spouses. No differences were found between the PaTH and usual care patients or spouses at 3 or 6 months in the number of minutes per week of physical activity. By 6 months, patients in both groups were, on average, below the national guidelines for PA recommendations (≥150 min/wk at >3 metabolic equivalents).

conclusionsThe couple-focused PaTH intervention demonstrated promise in offsetting the decline in dietary adherence typically seen 6 months after CR.

Indexed as

ExerciseAgedCoronary Artery BypassFeasibility StudiesFeeding BehaviorFemaleHealth BehaviorHealth PromotionHumansMaleMiddle AgedPatient CompliancePilot ProjectsQuality of LifeSpouses

Identifiers

PMID24434826
PMCPMC4098014
OpenAlexW2317856467

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.