Article

Many patients with coronary artery disease (CAD) fail to attend
cardiac rehabilitation following acute coronary events because they lack
motivation to exercise. Theory-based approaches to promote physical activity
among non-participants in cardiac rehabilitation are required.
DESIGN: A
randomized trial comparing physical activity levels at baseline, 6, and 12 months
between a motivational counselling (MC) intervention group and a usual care (UC)
control group. METHOD: One hundred and forty-one participants hospitalized with
acute coronary syndromes not planning to attend cardiac rehabilitation were
recruited at a single centre and randomized to either MC (n = 69) or UC (n = 72).
The MC intervention, designed from an ecological perspective, included one
face-to-face contact and eight telephone contacts with a trained physiotherapist
over a 52-week period. The UC group received written information about starting a
walking programme and brief physical activity advice from their attending
cardiologist. Physical activity was measured by: 7-day physical activity recall
interview; self-report questionnaire; and pedometer at baseline, 6, and 12 months
after randomization. RESULTS: Latent growth curve analyses, which combined all
three outcome measures into a single latent construct, showed that physical
activity increased more over time in the MC versus the UC group (micro(add) =
0.69, p < 0.05). CONCLUSION: Patients with CAD not participating in cardiac
rehabilitation receiving a theory-based motivational counselling intervention
were more physically active at follow-up than those receiving usual care. This
intervention may extend the reach of cardiac rehabilitation by increasing
physical activity in those disinclined to participate in structured programmes.

Langue : ANGLAIS

Tiré à part : OUI