Health Coaching to Promote Physical Activity for Coronary Heart Disease Prevention

Not Applicable

• Conditions: Coronary Disease; Atherosclerosis
• Interventions: Behavioral: Health coaching; Other: Usual care

• Registration Number: NCT01089842
• Lead Sponsor: Corporacion Parc Tauli

Brief Summary

The purpose of this study is to evaluate the efficacy of motivational interviewing-based coaching to increase physical activity to achieve guidelines recommendations for cardiovascular disease prevention.

Detailed Description

Cardiovascular diseases are the main cause of death in developed countries. Epidemiological studies have shown that a sedentary lifestyle is associated with an increased risk of cardiovascular diseases, mainly related to classical risk factors (obesity, diabetes, hypertension). International guidelines recommend, because of that, a minimum of 30 minutes per day at least 5 days per week of moderate physical activity for primary and secondary cardiovascular disease prevention.

Physical inactivity is an increasing public health problem in developed countries. It is known that clinical advice has a poor efficacy to increase levels of physical activity on individuals and new strategies need to be developed.

Coaching is a strategy of personal help that is being widely and successfully used in business world. It consists of an structured and individualized process of assistance to people to promote cognitive changes needed to achieve behavioural changes. It can be a complementary method to information and sanitary education emphasizing on consciousness and responsibility of the patient and is now starting to be used in medical practice. The purpose of the study is to define usefulness of an strategy based on coaching techniques to promote physical activity practice and healthy lifestyle on individuals with known coronary heart disease or cardiovascular risk factors.

Study Timeline

• Study Start: 2009-06
• Status Verified: 2010-02
• Study First Submitted: 2010-03-18
• Study First Submitted QC: 2010-03-18
• Last Update Submitted: 2010-03-18
• Study First Posted: 2010-03-19
• Last Update Posted: 2010-03-19
• Primary Completion: 2011-06
• Study Completion: 2012-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 262

Inclusion Criteria

• Patients wiht coronary risk factors or known ischaemic heart disease defined as sedentary (<600MET-min/week).

Exclusion Criteria

• Bundle branch block or pacemaker rhythm
• Limitation or contraindication to moderate physical activity (fast walking)
• Unstable clinical situation
• Communication difficulties due to language or sensorial deficiencies.
• Lack of informed consent

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Health coaching	Health coaching	-
Control	Usual care	-

Primary Outcome Measures

Name	Time	Method
Patients achieving recommended physical activity (>600 MET-minute/week)	6 months	Physical activity will be measured using the International Physical Activity Questionnaire (IPAQ)

Secondary Outcome Measures

Name	Time	Method
Cost-efficacy of coaching	6 months	Cost-efficacy will be measured using SF-12v2 quality of life questionnaire
Improvement on functional capacity	6 months	Exercise treadmill Bruce test will be used to assess cardiovascular fitness and compare functional capacity before and after intervention

Trial Locations

Locations (1)

Hospital de Sabadell; 🇪🇸 Sabadell, Barcelona, Spain