Optimising Secondary Prevention and Quality of Life in Early Cardiac Rehabilitation
试验速览
- 阶段
- 不适用
- 入组人数
- 498
- 试验地点
- 6
- 主要终点
- Reasons people attend early cardiac rehabilitation (quantitative method).
研究概览
简要总结
The primary aim of this research is to explore the adherence and drop-out from early cardiac rehabilitation (CR), to inform interventions to support patient's adherence to CR and facilitate maintenance. The secondary aim is to understand which aspects of CR are essential for improving health-related quality of life in the short and long-term. This research will comprise four stages adopting a mixed-methods, quasi-experimental, repeated measures design.
详细描述
This study will explore the attitudes of patients and healthcare practitioners towards the components of CR (diet, smoking, and medication) and their relationship with improving patients' perceived health and wellbeing. We will apply user-centred approaches by working with patients and other stakeholders to develop the best solutions that help patients to adhere to relevant health behaviour changes. The proposed study will use a mix of surveys and interviews. This will conclude with a two-day workshop with patients and health care professionals to come up with recommendations for improving adherence to CR.
Stage 1: A bespoke survey has been designed to examine the perceptions of patients and health care professionals. The survey will include questions around, CR referral, uptake and adherence rates. Factors that hinder and improve attendance to CR will be explored. Surveys will be distributed amongst CR patients across six centres in the United Kingdom: Sheffield, London, North of England, Scotland, Wales, and Northern Ireland. The aim is to collect survey responses from 498 patients.
Stage 2: Qualitative interviews will be carried out with both patients and professionals. Topics will include factors that improve or hinder attendance and completion of CR. In addition, factors in CR which assist with improving quality of life will be explored. This will provide a more in-depth understanding of challenges to attendance identified in study 1. Up to 10 patients from each site will be interviewed, plus up to 20 health care professionals across all sites.
Stage 3: Up to 30 participants recruited across regions will be invited to take part in a two-day workshop. The two-day co-design workshop will involve patients, clinicians, CR providers, and researchers. The aim is to develop recommendations and approaches to improving attendance and completion of CR. This will include improvements to existing CR.
Study Conduct, Participant identification, inclusion, and exclusion
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Other
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
- 未提供
排除标准
- 未提供
结局指标
主要结局
Reasons people attend early cardiac rehabilitation (quantitative method).
时间窗: Start of cardiac rehabilitation
Using a pre-developed questionnaire.
Attendance to early cardiac rehabilitation
时间窗: End of cardiac rehabilitation ~ 8 weeks.
Measured by number of patients referred to cardiac rehabilitation and proportion who take up cardiac rehabilitation.
Reasons people adhere to early cardiac rehabilitation (quantitative method).
时间窗: End of cardiac rehabilitation ~ 8 weeks
Using a pre-developed questionnaire.
Reasons people drop-out of cardiac rehabilitation (quantitative method).
时间窗: 6 months after completion of cardiac rehabilitation
Using a pre-developed questionnaire.
Reasons people adhere to cardiac rehabilitation (qualitative method).
时间窗: End of cardiac rehabilitation ~ 8 weeks
Using a semi-structured qualitative interview.
Reasons people adhere to components of cardiac rehabilitation in the long term (qualitative method).
时间窗: 6 months after completion of cardiac rehabilitation
Using a semi-structured qualitative interview.
Reasons people adhere to core components of cardiac rehabilitation (quantitative method).
时间窗: 6 months after completion of cardiac rehabilitation
Using a pre-developed questionnaire.
Drop-out of early cardiac rehabilitation (quantitative method)
时间窗: End of cardiac rehabilitation ~ 8 weeks.
Drop-out will be defined as attending less than 50% of sessions.
Reasons people drop-out of early cardiac rehabilitation (qualitative method)
时间窗: End of cardiac rehabilitation ~ 8 weeks.
Using a semi-structured qualitative interview.
次要结局
- Patient perceptions on which components of cardiac rehabilitation improve health related quality of life (quantitative method).(6 months after completion of cardiac rehabilitation)
- Patient perceptions on which components of cardiac rehabilitation improve health related quality of life (qualitative method).(6 months after completion of cardiac rehabilitation)
- Professional perspectives of supporting adherence to core components of cardiac rehabilitation (qualitative method).(Within 5 months from study start date.)
研究者
Simon Nichols
Senior Research Fellow
Sheffield Hallam University