A randomized controlled trial to evaluate utilization of physical activity recommendations among patients of cardiovascular healthcare centres in Eastern Slovakia: study design and rationale of the AWATAR study

Autor: Alena Buková, Aurel Zelko, Sijmen A. Reijneveld, Peter Kolarcik, Jitse P. van Dijk, Ivan Majercak, Peter Bakalár, Jana Potocnikova
Přispěvatelé: Public Health Research (PHR)
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Adult
Male
medicine.medical_specialty
Slovakia
ENDOTHELIAL FUNCTION
BLOOD-PRESSURE
COMPETITIVE SPORTS
030204 cardiovascular system & hematology
Exercise prescription
SECONDARY PREVENTION
law.invention
RESISTANT HYPERTENSION
03 medical and health sciences
Study Protocol
0302 clinical medicine
Randomized controlled trial
law
Health care
Epidemiology
medicine
Journal Article
Aerobic exercise
Humans
030212 general & internal medicine
Medical prescription
MEDICATION ADHERENCE
CARDIAC REHABILITATION
Aged
ESC STUDY-GROUP
business.industry
Public health
lcsh:Public aspects of medicine
Public Health
Environmental and Occupational Health
lcsh:RA1-1270
POTENTIALLY ARRHYTHMOGENIC CONDITIONS
Middle Aged
Cardiovascular disease
Exercise Therapy
Cardiovascular Diseases
Research Design
Physical therapy
Patient Compliance
Female
Biostatistics
AEROBIC EXERCISE
business
Digital exercise prescription tool
Zdroj: BMC Public Health, 18(1):454. BMC
BMC Public Health, Vol 18, Iss 1, Pp 1-10 (2018)
BMC Public Health
ISSN: 1471-2458
Popis: BACKGROUND: Guidelines on modifiable risk factors regarding cardiological patients are poorly implemented in clinical practice perhaps due to low health literacy. Several digital tools for improving lifestyle and behavioural intervention were developed. Our primary aim is to evaluate the effectiveness of a digital exercise prescription tool on the adherence to physical activity recommendations among patients with cardiovascular diseases.METHODS: A randomized controlled trial will be realized in cooperation with Cardiovascular Health Centres in Eastern Slovakia. Patients recruited through their cardiologists, will be randomised at 1:1 ratio to the three-months' experimental condition or control condition. The experimental group will receive standard lifestyle consultation leading to individually optimized prescription of physical activity. The control group will receive standard, usual-cardio-care lifestyle counselling, also in the domain of physical activity. The digital system will be used for optimized exercise prescription. The primary outcome is a change in the patient's adherence to exercise recommendations. Data will be collected in both groups prior to consultation and after 3 months.DISCUSSION: This study protocol presents background and design of a randomized control trial to investigate the effectiveness of a digital system-provide exercise prescription tool on the adherence to physical activity recommendations. An optimized exercise prescription that better reflects patient's diagnosis, comorbidities and medication can have a significant impact on secondary prevention of cardiovascular disease. This trial can provide important evidence about the effectiveness of digital exercise guidance in everyday practice of cardiovascular healthcare.TRIAL REGISTRATION: The study was registered on 1st November, 2017 and is available online at ClinicalTrials.gov (ID: NCT03329053 ).
Databáze: OpenAIRE
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