PURPOSE: In Australia, patient adherence to physical activity after a cardiac rehabilitation program (CRP) is poor. This study evaluated the efficacy of a pedometer-based intervention to increase physical activity after CRP. METHODS:Patients (n = 110) who had attended a CRP were randomized into an intervention or a control group. The 6-week intervention included self-monitored physical activity using a pedometer and step calendar and 2 behavioral counseling and goal-setting sessions. Self-reported physical activity and psychosocial status were collected at baseline, 6 weeks, and 6 months. Participant exercise capacity was measured using a gas exchange analysis system. RESULTS: Study groups were not significantly different at baseline, except for occupation. At 6 weeks and 6 months, improvements in total physical activity sessions (P = .002 and P = .016, respectively), walking minutes (P = .013, 6 weeks only), and walking sessions (P < .001 and P = .035) in the intervention group were significantly greater than those in the control group after adjusting for baseline differences. At 6 months, total physical activity minutes in the intervention group also increased significantly more than those in the control group (P = .044). These self-reported behavioral changes were corroborated by improvements in cardiorespiratory fitness at 6 months in the intervention group (P = .01). There were also significant improvements in psychosocial health at 6 weeks and 6 months in the intervention group. CONCLUSION: The pedometer-based intervention was successful in increasing physical activity in cardiac patients after a CRP. This intervention could be given to patients to promote adherence to physical activity guidelines after a CRP, particularly in centers where maintenance programs are not available.
RCT Entities:
PURPOSE: In Australia, patient adherence to physical activity after a cardiac rehabilitation program (CRP) is poor. This study evaluated the efficacy of a pedometer-based intervention to increase physical activity after CRP. METHODS:Patients (n = 110) who had attended a CRP were randomized into an intervention or a control group. The 6-week intervention included self-monitored physical activity using a pedometer and step calendar and 2 behavioral counseling and goal-setting sessions. Self-reported physical activity and psychosocial status were collected at baseline, 6 weeks, and 6 months. Participant exercise capacity was measured using a gas exchange analysis system. RESULTS: Study groups were not significantly different at baseline, except for occupation. At 6 weeks and 6 months, improvements in total physical activity sessions (P = .002 and P = .016, respectively), walking minutes (P = .013, 6 weeks only), and walking sessions (P < .001 and P = .035) in the intervention group were significantly greater than those in the control group after adjusting for baseline differences. At 6 months, total physical activity minutes in the intervention group also increased significantly more than those in the control group (P = .044). These self-reported behavioral changes were corroborated by improvements in cardiorespiratory fitness at 6 months in the intervention group (P = .01). There were also significant improvements in psychosocial health at 6 weeks and 6 months in the intervention group. CONCLUSION: The pedometer-based intervention was successful in increasing physical activity in cardiac patients after a CRP. This intervention could be given to patients to promote adherence to physical activity guidelines after a CRP, particularly in centers where maintenance programs are not available.
Authors: Bernardine M Pinto; Michael G Goldstein; George D Papandonatos; Nancy Farrell; Peter Tilkemeier; Bess H Marcus; John F Todaro Journal: Am J Prev Med Date: 2011-09 Impact factor: 5.043
Authors: Janice Sangster; Susan Furber; Margaret Allman-Farinelli; Marion Haas; Philayrath Phongsavan; Andy Mark; Adrian Bauman Journal: BMC Cardiovasc Disord Date: 2010-04-08 Impact factor: 2.298
Authors: Lindsey Anderson; David R Thompson; Neil Oldridge; Ann-Dorthe Zwisler; Karen Rees; Nicole Martin; Rod S Taylor Journal: Cochrane Database Syst Rev Date: 2016-01-05