Women’s Health Behaviors and Psychosocial Well-Being by Cardiac Rehabilitation Program Model: A Randomized Controlled Trial
| dc.contributor.author | Midence, Liz | |
| dc.contributor.author | Arthur, Heather M. | |
| dc.contributor.author | Oh, Paul | |
| dc.contributor.author | Stewart, Donna Eileen | |
| dc.contributor.author | Grace, Sherry | |
| dc.date.accessioned | 2021-02-04T19:53:37Z | |
| dc.date.available | 2021-02-04T19:53:37Z | |
| dc.date.issued | 2016-08 | |
| dc.description.abstract | Background: Cardiac rehabilitation (CR) is associated with significantly lower mortality and improved psychosocial well-being. However, women are less likely to participate than men. This trial tested whether participation in women-only CR results in better health behaviors and psychosocial outcomes versus other models. Methods: CR4HER was a single-blind, 3 parallel-arm, randomized trial. Low-risk cardiac patients were recruited from 6 sites in Ontario. Consenting participants completed surveys assessing health behaviors (physical activity, diet, medication adherence, smoking) and psychosocial well-being(social support, quality of life, depressive symptoms)and wore pedometers for 7 days. Following intake assessment, eligible participants were randomized to mixed-sex, women-only or home-based CR. Participants were mailed follow-up surveys and pedometers6 months later. Results: 169 patients were randomized, and 116 (68.6%) were retained. Self-reported physical activity increased among women in mixed-sex and women-only CR (per-protocol and as-treated, ps<.05). Diet improved among women in women-only CR (as-treated, p<.05). Quality of life improved among women inmixed-sex (per-protocol and as-treated, ps<.05)and women-only CR(per-protocol, p<.05; as-treated, p<.01). Post-test, women inmixed-sex CR had higher anxious symptoms versus those in women-only (per-protocol, p=.017), and those who in mixed-sex CR had higher depressive symptoms versus those in women-only (as-treated, p=.001). Analyses adjusted for confounding variables revealed no significant differences in any outcome by model. Post-hoc equivalency tests were computed on a per protocol basis, and all outcomes were equivalent by model. Conclusion: Behavioral and psychosocial outcomes were largely equivalent regardless of model, however women-only programs may confer an advantage for anxiety and depressive symptoms. | en_US |
| dc.identifier.citation | Canadian Journal of Cardiology. Volume 32, Issue 8, August 2016, Pages 956-962 | en_US |
| dc.identifier.issn | 0828-282X | |
| dc.identifier.uri | https://doi.org/10.1016/j.cjca.2015.10.007 | en_US |
| dc.identifier.uri | http://hdl.handle.net/10315/38091 | |
| dc.language.iso | en | en_US |
| dc.publisher | Elsevier | en_US |
| dc.rights | © <2016>. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ | en_US |
| dc.rights | Attribution-NoDerivatives 4.0 International | * |
| dc.rights.article | https://www.sciencedirect.com/science/article/abs/pii/S0828282X15014968 | en_US |
| dc.rights.journal | https://www.sciencedirect.com/journal/canadian-journal-of-cardiology | en_US |
| dc.rights.publisher | https://www.sciencedirect.com/ | en_US |
| dc.rights.uri | http://creativecommons.org/licenses/by-nd/4.0/ | * |
| dc.title | Women’s Health Behaviors and Psychosocial Well-Being by Cardiac Rehabilitation Program Model: A Randomized Controlled Trial | en_US |
| dc.title.alternative | Short Title: Women’s Outcomes by CR Model: an RCT | en_US |
| dc.type | Article | en_US |