Determinants of Progression From Phase III to IV Cardiac Rehabilitation

NCT05784272 | Recruiting

• 1 other identifier: IRAS: 322092
• Study Type: observational
• Target: 90
• Locations: 1 country
• Sites: 3

Brief Summary

This study will determine the limiting factors in progression from phase III to IV cardiac rehabilitation in underepresented populations (as defined by the National Audit of Cardiac Rehab, NACR). This will be done by recruiting participants from phase III cardiac rehab programmes and issuing questionnaires (either a non-initiator questionnire, or an initiator questionnaire based on if the participant is intiating into phase IV cardiac rehab. The questionnaires will assess reasons for/against progression as well as collecting some demographic and data indicative of socioeconomic status. Semi-structured interviews will then be conducted to assess reasons/barriers for progression to phase IV in a convenience sample of both initiators and non-initiators.

Conditions

Cardiovascular Diseases

Keywords

Cardiovascular; Rehabilitation; Underepresented groups

Outcome Measures

Primary Outcomes (1)

• Questionnaires

  The questionnaires issued to all participants, these will collect qualitative and quantitative data.

  These will be distributed to participants approximately 2 weeks after Informed consent is obtained

Secondary Outcomes (1)

• Semi-structured interviews

  Within 2 weeks of return of the individual particiant's questionnaire response

Study Arms (2)

Initiators

These will be the participants who initiate into phase IV cardiac reahb

Non-initiators

These will be the participants who do not initiate into phase IV cardiac reahb

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All of those participating in phase III cardiac rehabilitation from underepresented populations

You may qualify if:

• Those participating in phase III cardiac rehabilitation and nearing successful completion of the programme
• Subjects capable of giving informed consent
• \>18 years old
• Clinically stable
• Successful completion of an NHS commissioned hospital or community based phase III programme
• Belong to one of the groups being investigated: Underrepresented groups based on the NACR report, i.e. females and ethnic minorities (defined as all people except those in the "White" ethnic group in Great Britain) (22)

You may not qualify if:

• Unstable/uncontrolled coronary heart disease
• Those presenting with any significant comorbidities or contraindications to exercise testing or training in accordance with the American College of Sports Medicine (11)

Sponsors & Collaborators

• Manchester Metropolitan University: lead
• British Heart Foundation: collaborator

Study Sites (3)

Aneurin Bevan University Hospital

Caerleon, Gwent, NP18 3XQ, United Kingdom

NOT YET RECRUITING

Leeds Teaching Hospitals NHS Trust

Leeds, LS9 7TF, United Kingdom

RECRUITING

Stockport NHS Foundation Trust

Stockport, SK2 7JE, United Kingdom

NOT YET RECRUITING

Related Publications (23)

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  BACKGROUND

• Dibben G, Faulkner J, Oldridge N, Rees K, Thompson DR, Zwisler AD, Taylor RS. Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane Database Syst Rev. 2021 Nov 6;11(11):CD001800. doi: 10.1002/14651858.CD001800.pub4.

  PMID: 34741536 BACKGROUND

• Thomas RJ, King M, Lui K, Oldridge N, Pina IL, Spertus J; American Association of Cardiovascular and Pulmonary Rehabilitation/American College of Cardiology/American Heart Association Cardiac Rehabilitation/Secondary Prevention Performance Measures Writing Committee. AACVPR/ACC/AHA 2007 performance measures on cardiac rehabilitation for referral to and delivery of cardiac rehabilitation/secondary prevention services. Circulation. 2007 Oct 2;116(14):1611-42. doi: 10.1161/CIRCULATIONAHA.107.185734. Epub 2007 Sep 20. No abstract available.

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• Thomas RJ, King M, Lui K, Oldridge N, Pina IL, Spertus J, Bonow RO, Estes NA 3rd, Goff DC, Grady KL, Hiniker AR, Masoudi FA, Radford MJ, Rumsfeld JS, Whitman GR; AACVPR; ACC; AHA; American College of Chest Physicians; American College of Sports Medicine; American Physical Therapy Association; Canadian Association of Cardiac Rehabilitation; European Association for Cardiovascular Prevention and Rehabilitation; Inter-American Heart Foundation; National Association of Clinical Nurse Specialists; Preventive Cardiovascular Nurses Association; Society of Thoracic Surgeons. AACVPR/ACC/AHA 2007 performance measures on cardiac rehabilitation for referral to and delivery of cardiac rehabilitation/secondary prevention services endorsed by the American College of Chest Physicians, American College of Sports Medicine, American Physical Therapy Association, Canadian Association of Cardiac Rehabilitation, European Association for Cardiovascular Prevention and Rehabilitation, Inter-American Heart Foundation, National Association of Clinical Nurse Specialists, Preventive Cardiovascular Nurses Association, and the Society of Thoracic Surgeons. J Am Coll Cardiol. 2007 Oct 2;50(14):1400-33. doi: 10.1016/j.jacc.2007.04.033. No abstract available.

  PMID: 17903645 BACKGROUND

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  PMID: 18496316 BACKGROUND

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  PMID: 22206636 BACKGROUND

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  PMID: 28878950 BACKGROUND

• NACR. Quality and Outcomes Report 2019.

  BACKGROUND

• Ozemek C, Squires RW. Enrollment and Adherence to Early Outpatient and Maintenance Cardiac Rehabilitation Programs. J Cardiopulm Rehabil Prev. 2021 Nov 1;41(6):367-374. doi: 10.1097/HCR.0000000000000645.

  PMID: 34727555 BACKGROUND

• Brawner CA, Girdano D, Ehrman JK, Keteyian SJ. Association Between Phase 3 Cardiac Rehabilitation and Clinical Events. J Cardiopulm Rehabil Prev. 2017 Mar;37(2):111-118. doi: 10.1097/HCR.0000000000000201.

  PMID: 27676465 BACKGROUND

• Dohnke B, Nowossadeck E, Muller-Fahrnow W. Motivation and participation in a phase III cardiac rehabilitation programme: an application of the health action process approach. Res Sports Med. 2010 Oct;18(4):219-35. doi: 10.1080/15438627.2010.510032.

  PMID: 21058208 BACKGROUND

• American College of Sports Medicine. (2022). Guidelines for Exercise Testing and Prescription (G. Ligouri, Ed.; Eleventh). Wolters Kluwer.

  BACKGROUND

• Beswick AD, Rees K, Griebsch I, Taylor FC, Burke M, West RR, Victory J, Brown J, Taylor RS, Ebrahim S. Provision, uptake and cost of cardiac rehabilitation programmes: improving services to under-represented groups. Health Technol Assess. 2004 Oct;8(41):iii-iv, ix-x, 1-152. doi: 10.3310/hta8410.

  PMID: 15461879 BACKGROUND

• Karmali KN, Davies P, Taylor F, Beswick A, Martin N, Ebrahim S. Promoting patient uptake and adherence in cardiac rehabilitation. Cochrane Database Syst Rev. 2014 Jun 25;(6):CD007131. doi: 10.1002/14651858.CD007131.pub3.

  PMID: 24963623 BACKGROUND

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  BACKGROUND

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• Ethnic diversity in politics and public life - House of Commons Library. (n.d.). Retrieved October 10, 2022, from https://commonslibrary.parliament.uk/research-briefings/sn01156/

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  BACKGROUND

MeSH Terms

Conditions

Cardiovascular Diseases

Central Study Contacts

Stefan Birkett, PhD

CONTACT

07788520742; S.Birkett@mmu.ac.uk

Jay Railton-Sowerby, BSc (Hons)

CONTACT

07792147780; Jay.Railton-Sowerby@stu.mmu.ac.uk

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior Lecturer in Cardiovascular Rehabilitation

Study Record Dates

• First Submitted: March 13, 2023
• First Posted: March 24, 2023
• Study Start: March 1, 2024
• Primary Completion: December 1, 2024
• Study Completion: December 1, 2024
• Last Updated: March 13, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

GB (3)