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The role of a behavioural medicine intervention in physiotherapy for the effects of rehabilitation outcomes in exercise-based cardiac rehabilitation (ECRA) - the study protocol of a randomised, controlled trial.
- Source :
- BMC Cardiovascular Disorders; 5/25/2017, Vol. 17, p1-8, 8p, 1 Diagram
- Publication Year :
- 2017
-
Abstract
- <bold>Background: </bold>To help patients with coronary artery disease (CAD) benefit from the positive health effects attained by exercise-based cardiac rehabilitation (CR), adherence to these programmes according to international guidelines is important. Strategies to increase adherence to exercise-based CR are mainly an unexplored area. The objective of this study is to investigate the effects of a behavioural medicine intervention in physiotherapy, containing goal-setting, self-monitoring and feedback, with the aim of improving rehabilitation outcomes for exercise-based CR, compared with usual care.<bold>Methods: </bold>This is a randomised, controlled trial. A total of 160 patients with CAD will be included consecutively at the Coronary Care Unit at a university hospital in Sweden. Patients are randomised 1:1 using sealed envelopes to usual care or a behavioural medicine intervention in physiotherapy, in addition to usual care for 4 months. Outcome assessment at baseline, 4 and 12 months includes submaximal aerobic capacity (primary outcome), exercise adherence, muscle endurance, level of physical activity, biomarkers, anxiety and depression, health-related quality of life, patient enablement and self-efficacy (secondary outcomes).<bold>Discussion: </bold>This is the first study to evaluate the role of an integrated behavioural medicine intervention in exercise-based CR in the effects of rehabilitation outcomes. The results of this study will provide valuable information about the effect of these interventions in exercise-based CR and it has the potential to inform and assist in further treatment in secondary prevention for patients with CAD.<bold>Trial Registration: </bold>The study include all items from the World Health Organization Trial Registration Data Set.<bold>Trial Registration Number: </bold>NCT02895451, 2016-08-16, retrospectively registered. [ABSTRACT FROM AUTHOR]
- Subjects :
- CORONARY heart disease treatment
HEART diseases
CARDIAC rehabilitation
PATIENT self-monitoring
RANDOMIZED controlled trials
AEROBIC capacity
PHYSICAL therapy
DIAGNOSIS
EXERCISE therapy
ACADEMIC medical centers
ADAPTABILITY (Personality)
BEHAVIOR therapy
COMPARATIVE studies
CORONARY care units
CORONARY disease
EXPERIMENTAL design
GOAL (Psychology)
HEALTH attitudes
HEALTH behavior
RESEARCH methodology
MEDICAL cooperation
RESEARCH protocols
MENTAL health
PATIENT compliance
QUALITY of life
RESEARCH
HEALTH self-care
SELF-efficacy
TIME
PATIENT participation
EVALUATION research
TREATMENT effectiveness
EXERCISE tolerance
PSYCHOLOGY
Subjects
Details
- Language :
- English
- ISSN :
- 14712261
- Volume :
- 17
- Database :
- Complementary Index
- Journal :
- BMC Cardiovascular Disorders
- Publication Type :
- Academic Journal
- Accession number :
- 123254049
- Full Text :
- https://doi.org/10.1186/s12872-017-0557-7