Developing and evaluating an education programme aimed at increasingphysical activity in individuals with diagnosed coronary heart disease: arandomised controlled trial
What we are doing:
The aim of this study is to assess the effectiveness of an education programme delivered to participants 12 to 36 months after being diagnosed with coronary heart disease, to increase physical activity inorder to reduce subsequent risk of cardiovascular disease (CVD). An intervention has been developed which will consist of group structured education reinforced by text messaging. Patient-related outcome measures include satisfaction and wellbeing. The primary outcome is physical activity. Secondary outcomes include cardiovascular risk factors such as blood pressure, lipid profile and glucose levels.
Why are we doing it:
CVD is the single greatest cause of death in the Western world. Following a CVD event such as a heart attack, patients are far more likely to experience a further event unless there are interventions to target risk factors such as obesity, diabetes, hypertension, hyperlipidaemia and smoking. After a heart attack or other cardiac event, patients are offered a short period, usually 6 weeks, of intensive cardiac rehabilitation. Subsequently, risk factor management is carried out in primary care where it can be of variable quality and quantity. The optimal strategy for CVD risk reduction in these patients needs to be examined further before widespread national recommendations can be made.
What the benefits will be:
If proved effective, the programme would be a feasible, acceptable and cost-effective strategy for increasing physical activity levels in individuals with diagnosed coronary heart disease.