OBJECTIVE: To evaluate the impact of a socio-cognitive intervention associated with a pedometer-based program on physical activity, cardiovascular risk factors and self-efficacy expectation during one year following an acute coronary syndrome. METHODS:Sixty-five subjects were randomized during hospitalization in an experimental or a usual care group. Average steps/day was measured every 3 months until one year following discharge. Other dependent variables were measured at baseline, 6 and 12 months follow-up. RESULTS: There were 32 patients in the experimental group and 33 patients in the usual care group. Group characteristics were comparable. At baseline, averages steps/day were similar between groups (5845±3246 vs. 6097±3055 steps/day; p=0.812). At 3-month follow-up, both groups increased their averages steps/day (p<0.05). This increase was higher in the experimental group (3388±844 vs. 1934±889 steps/day; p<0.001). At 12-month, interaction effects (group×time) in physical activity and waist circumference were different between groups (p<0.05), whereas self-efficacy expectation increased in both groups similarly (p<0.05). CONCLUSION: The intervention is useful to improve average steps/day and waist circumference during the first year following an acute coronary syndrome. PRACTICE IMPLICATIONS: This study supports development of the home-based cardiac rehabilitation program using socio-cognitive intervention associated with a pedometer after an acute coronary syndrome.
RCT Entities:
OBJECTIVE: To evaluate the impact of a socio-cognitive intervention associated with a pedometer-based program on physical activity, cardiovascular risk factors and self-efficacy expectation during one year following an acute coronary syndrome. METHODS: Sixty-five subjects were randomized during hospitalization in an experimental or a usual care group. Average steps/day was measured every 3 months until one year following discharge. Other dependent variables were measured at baseline, 6 and 12 months follow-up. RESULTS: There were 32 patients in the experimental group and 33 patients in the usual care group. Group characteristics were comparable. At baseline, averages steps/day were similar between groups (5845±3246 vs. 6097±3055 steps/day; p=0.812). At 3-month follow-up, both groups increased their averages steps/day (p<0.05). This increase was higher in the experimental group (3388±844 vs. 1934±889 steps/day; p<0.001). At 12-month, interaction effects (group×time) in physical activity and waist circumference were different between groups (p<0.05), whereas self-efficacy expectation increased in both groups similarly (p<0.05). CONCLUSION: The intervention is useful to improve average steps/day and waist circumference during the first year following an acute coronary syndrome. PRACTICE IMPLICATIONS: This study supports development of the home-based cardiac rehabilitation program using socio-cognitive intervention associated with a pedometer after an acute coronary syndrome.
Authors: Grace Dibben; James Faulkner; Neil Oldridge; Karen Rees; David R Thompson; Ann-Dorthe Zwisler; Rod S Taylor Journal: Cochrane Database Syst Rev Date: 2021-11-06
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Authors: Grace Olivia Dibben; Hasnain M Dalal; Rod S Taylor; Patrick Doherty; Lars Hermann Tang; Melvyn Hillsdon Journal: Heart Date: 2018-04-13 Impact factor: 5.994
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Authors: Charlotte Thorup; John Hansen; Mette Grønkjær; Jan Jesper Andreasen; Gitte Nielsen; Erik Elgaard Sørensen; Birthe Irene Dinesen Journal: J Med Internet Res Date: 2016-04-04 Impact factor: 5.428