Improving Cardiac Rehabilitation Session Attendance: A Randomised Controlled Trial

NCT00956657 | Completed Results

• 1 other identifier: 08/S0710/65
• Study Type: interventional
• Target: 31
• Locations: 1 country
• Sites: 3

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.

Conditions

Cardiac Rehabilitation

Keywords

Randomised Controlled Trial; Adherence; Patient Participation

Outcome Measures

Primary Outcomes (1)

• CR Adherence

  Number of cardiac rehabilitation classes attended in total.

  Approximately 3-months after recruitment

Secondary Outcomes (1)

• Illness Perceptions Questionnaire-Revised Scores

  3-months after consent

Interventions

Psychological Intervention Session BEHAVIORAL

One-off session aimed at changing participants beliefs around illness control and consequences, applied using a motivational interviewing style.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

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

Sponsors & Collaborators

• NHS Greater Glasgow and Clyde: lead

Study Sites (3)

Southern General Hospital

Glasgow, United Kingdom

Location

Stobhill Infirmary

Glasgow, United Kingdom

Location

Victoria Infirmary

Glasgow, United Kingdom

Location

MeSH Terms

Conditions

Patient Participation

Condition Hierarchy (Ancestors)

Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Limitations and Caveats

The small sample size of this study does not allow definitive conclusions to be drawn about the success or failure or this intervention approach.

Results Point of Contact

• Title: Gavin H. Taylor, Clinical Psychologist
• Organization: NHS Greater Glasgow & Clyde

gavin.taylor@ggc.scot.nhs.uk

0141 211 2134

Study Officials

• Gavin H Taylor, MA (Hons)

  NHS Greater Glasgow & Clyde

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: August 10, 2009
• First Posted: August 11, 2009
• Study Start: November 1, 2008
• Primary Completion: August 1, 2009
• Study Completion: August 1, 2009
• Last Updated: May 12, 2010
• Results First Posted: May 12, 2010

Record last verified: 2009-08

Locations

GB (3)