Improving Cardiac Rehabilitation Participation in Women and Men
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 1,035
- 试验地点
- 2
- 主要终点
- Attendance at initial CR orientation appointment within 2 months of index hospital discharge
研究概览
简要总结
The purpose of this study is to determine the effect of a pre-discharge written personal endorsement to the patient by the patient's attending cardiologist or cardiac surgeon (MD endorsement) to take part in the Cardiac Rehabilitation and Secondary Prevention (CR) program, in addition to the standard CR referral, compared to the standard CR referral alone, on CR program enrollment within 2 months of index hospital discharge following admission for myocardial infarction, unstable angina, coronary angioplasty, or coronary artery bypass.
详细描述
There is compelling evidence that a comprehensive CR program comprising the delivery of lifestyle modifying education will reduce mortality, morbidity and improve quality of life in patients following myocardial infarction, angioplasty or, coronary artery bypass. However, less than 20% of eligible patients participate in CR programs. This study will look at a method of potentially improving enrollment and adherence to a CR program. It is expected that patients who receive the MD-endorsed referral will be more likely to attend the initial Orientation appointment and more closely adhere to the 6-month comprehensive CR program, as compared to the patients who receive a standard CR referral alone.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patient is admitted to hospital for myocardial infarction (MI), unstable angina (UA), percutaneous transluminal coronary angioplasty (PTCA), or coronary artery bypass surgery (CABS)
- •Patient resides within 1 hour driving time from London
排除标准
- •Inability to provide written informed consent or complete survey due to language or cognitive difficulties
- •Previous cardiac rehabilitation participation
- •Patient scheduled to undergo PTCA or CABS within two months following the index hospital discharge
- •Inability to exercise due to musculoskeletal problems or previous or current stroke
结局指标
主要结局
Attendance at initial CR orientation appointment within 2 months of index hospital discharge
时间窗: 3 months
次要结局
- Impact of MD endorsement on number of patients attending CR program(3 months)
- Number of patients who continue to adhere to the 6-month CR program beyond the initial CR orientation appointment(8 months)
- Impact of other patient variables and how they influence participation in a CR program(8 months)
研究者
Neville Suskin
Principal Investigator
Lawson Health Research Institute