Improving Cardiac Rehabilitation Session Attendance: A Randomised Controlled Trial

Not Applicable

Completed

• Conditions: Cardiac Rehabilitation

• Registration Number: NCT00956657
• Lead Sponsor: NHS Greater Glasgow and Clyde

Brief Summary

Cardiac rehabilitation (CR) programmes typically offer patients with heart disease a long-term programme of medical evaluation, exercise, education and counseling. National guidelines have recognized the positive impact that attendance at CR can have following heart attacks, angina and other heart problems. Patients who attend such a programme have been shown to have reduced health problems. Despite this, research suggests that the use of these services is poor and that the majority of patients eligible for these programmes do not continue to attend after their first class. A range of factors have been associated with non-adherence to CR, including psychological factors such as people's beliefs about their illness. For example, patients with high levels of perceived control over their illness after a heart attack appear to be more likely to attend CR classes than those with low levels of perceived control. Such findings suggest that changing patients' illness beliefs, specifically those associated with illness control and illness consequences, could help to increase adherence to CR programmes. Increased adherence to CR could improve health outcomes for patients with cardiac illnesses. The present study is therefore investigating the effectiveness of a one-session psychological intervention, based on a theory called the Self-Regulatory Model, in altering beliefs about illness among patients starting cardiac rehabilitation. Participants will be randomly assigned to a treatment or a non-treatment group. It is hoped that those who receive the treatment session will attend more CR classes.

Detailed Description

Not available

Study Timeline

• Study Start: 2008-11
• Status Verified: 2009-08
• Primary Completion: 2009-08
• Study Completion: 2009-08
• Study First Submitted: 2009-08-10
• Study First Submitted QC: 2009-08-10
• Study First Posted: 2009-08-11
• Results First Submitted: 2010-03-11
• Results First Submitted QC: 2010-04-22
• Last Update Submitted: 2010-04-22
• Results First Posted: 2010-05-12
• Last Update Posted: 2010-05-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 31

Inclusion Criteria

• Attending first cardiac rehabilitation class at one of three hospital sites
• Participants had to be over 18

Exclusion Criteria

• Unable to read and understand English information sheet and consent form

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
CR Adherence	Approximately 3-months after recruitment	Number of cardiac rehabilitation classes attended in total.

Secondary Outcome Measures

Name	Time	Method
Illness Perceptions Questionnaire-Revised Scores	3-months after consent	Eight sub-scale scores obtained. Sub-scales include; Illness consequences, Illness Control, Treatment Control, Illness Identity, Emotional Representation, Illness Cause, Illness Coherence, Timeline Cyclical. Minimum and Maximum scores vary for each sub-scale.

Trial Locations

Locations (3)

Southern General Hospital; 🇬🇧 Glasgow, United Kingdom

Stobhill Infirmary; 🇬🇧 Glasgow, United Kingdom

Victoria Infirmary; 🇬🇧 Glasgow, United Kingdom