Physical Activity after Cardiac EventS (PACES): a group education programme with subsequent text message support designed to increase physical activity in individuals with diagnosed coronary heart disease: a randomised controlled trial
| Autor: | Alex V. Rowlands, Louisa Y. Herring, Patrick J. Highton, Samuel Seidu, Laura J. Gray, Kamlesh Khunti, Helen Dallosso, Emily J Smith, Thomas Yates, Melanie J. Davies, Ian Hudson, Sally Schreder, Ghazala Waheed |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
Acute coronary syndrome medicine.medical_specialty Physical fitness Coronary Disease 030204 cardiovascular system & hematology law.invention Angina Coronary artery disease 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Randomized controlled trial law medicine Humans Diseases of the circulatory (Cardiovascular) system risk factors 030212 general & internal medicine Myocardial infarction Exercise Aged Retrospective Studies Text Messaging education business.industry public health Attendance Correction Anthropometry medicine.disease cardiac rehabilitation RC666-701 Physical therapy Female Cardiology and Cardiovascular Medicine business Health Care Delivery Economics and Global Health Care coronary artery disease Follow-Up Studies |
| Zdroj: | Open Heart Open Heart, Vol 8, Iss 1 (2021) |
| ISSN: | 2053-3624 |
| Popis: | AimTo assess the effectiveness of a low-cost pragmatic intervention (structured education and ongoing text message support) to increase daily physical activity in participants 12–48 months after a coronary heart disease cardiac event (myocardial infarction, angina or acute coronary syndrome) diagnosis.MethodsA single-centre randomised controlled trial of 291 adults randomised to a structured education programme (n=145) or usual care (n=146). The programme consisted of two 2.5 hour sessions delivered 2 weeks apart, followed by supplementary text message support. The GENEActiv accelerometer assessed the primary outcome at 12 months (change in overall physical activity (expressed in milli gravitational (mg) units) from baseline). Secondary outcomes included anthropometric, physical function, cardiovascular, biochemical and patient-reported outcome measures. Linear regression was used to compare outcome measures between groups on a modified intention-to-treat basis.ResultsParticipants’ mean age was 66.5±9.7 years, 84.5% males, 82.5% white British and 15.5% south Asian. At 12 months, there was no difference between the groups in terms of change in overall physical activity (−0.23 mg (95% CI −1.22 to 0.75), p=0.64) and the programme was well accepted (88% attendance). Exploratory analyses showed that average moderate to vigorous physical activity (MVPA) levels increased in individuals not meeting physical activity guidelines (≥150 min per week) on enrolment compared with those who did, by 8 minutes per day (8.04 (95% CI 0.99 to 15.10), p=0.03).ConclusionThe programme was well attended but showed no change in physical activity levels. Results show high baseline MVPA levels and suggest that Physical Activity after Cardiac EventS education may benefit cardiac patients not currently meeting activity guidelines.Trial registration numberISRCTN91163727. |
| Databáze: | OpenAIRE |
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