Impact of Pt Knowledge on TM Performance

NCT03852875 | Completed

• 1 other identifier: REB112887
• Study Type: interventional
• Target: 37
• Locations: 1 country
• Sites: 1

Brief Summary

The primary outcome of the Cardiac Rehabilitation (CR) program at St Joseph's Hospital is change in performance on an exercise stress test. Patients complete an exercise stress test when they enter and exit the CR program. An improvement in stress test performance reflects an improvement in physical fitness, but is also associated with better long-term health outcomes (e.g. reducing the chance of having to go back to hospital; lower likelihood of dying). While physical fitness has the strongest impact on stress test performance, other factors can also affect the test result. We expect that informing patients about their baseline stress test result will improve their exit treadmill performance. This intervention may be a simple and cost-effective method of increasing motivation among patients to do their best on the exit test

Conditions

Cardiac Rehabilitation; Stress Testing

Keywords

Cardiac Rehabilitation; Stress Testing; Education

Outcome Measures

Primary Outcomes (2)

• Change in METs

  Improvement in Treadmill Performance as expressed in TM-derived METs

  Intake assessment is at T=0 (baseline). Exit assessment is at approximately 6 months (exit)

• Change in VO2peak

  Improvement in Treadmill Performance as measured by metabolic testing (VO2 measurement) during Treadmill test

  Intake assessment is at T=0 (baseline). Exit assessment is at approximately 6 months (exit)

Study Arms (2)

Education

EXPERIMENTAL

Patients in the experimental arm will receive a 1-on-1 education session to review the their CR participation. As part of the discussion about their CR participation, these patients will also receive feedback on their intake exercise stress test.

Other: Education

Control

SHAM COMPARATOR

Patients in the Control arm will receive a 1-on-1 education session to review the their CR participation. As part of the discussion about their CR participation, these patients will NOT receive feedback on their intake exercise stress test.

Other: Control

Interventions

Education OTHER

Same

Education

Control OTHER

Same

Control

Eligibility Criteria

• Age: 19 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients who completing the St Joseph's Hospital CR Program
• Patients exiting the CR program with available results (ECG and metabolic) from their intake assessment
• Patients who are able to comprehend the educational intervention at their exit from CR
• Willing to participate in research and sign informed consent

You may not qualify if:

• Patients who decline participation
• CR patients without available results from intake assessment
• Patients who, based on the clinical judgement of the attending physician, have some transitory health issue (e.g. cold, infection, biomechanical issues) that may impact their performance on the TM test.
• Patients who are unable to perform the treadmill test

Sponsors & Collaborators

• London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's: lead

Study Sites (1)

St Joseph's Hospital

London, Ontario, N6A 4V2, Canada

Location

MeSH Terms

Interventions

Educational Status

Intervention Hierarchy (Ancestors)

Socioeconomic Factors; Population Characteristics

Study Officials

• Neville Suskin, MbCHb

  St Joseph's Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 13, 2018
• First Posted: February 25, 2019
• Study Start: March 15, 2019
• Primary Completion: August 30, 2021
• Study Completion: August 30, 2022
• Last Updated: March 17, 2023

Record last verified: 2023-03

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)