Ecologically Optimizing Exercise Maintenance in Men and Women Post-Cardiac Rehabilitation: Protocol for a Randomized Controlled Trial of Efficacy with Economics (ECO-PCR)
| dc.contributor.author | Reid, Robert | |
| dc.contributor.author | Blanchard, Chris M | |
| dc.contributor.author | Wooding, Evyanne | |
| dc.contributor.author | Harris, Jennifer | |
| dc.contributor.author | Krahn, Murray | |
| dc.contributor.author | Pipe, Andrew | |
| dc.contributor.author | Chessex, Caroline | |
| dc.contributor.author | Grace, Sherry | |
| dc.date.accessioned | 2021-02-01T21:17:44Z | |
| dc.date.available | 2021-02-01T21:17:44Z | |
| dc.date.issued | 2016-09 | |
| dc.description.abstract | Background: Exercise-based cardiac rehabilitation (CR) participation results in increased cardio-metabolic fitness, which is associated with reduced mortality. However, many graduates fail to maintain exercise post-program. ECO-PCR investigates the efficacy and cost-effectiveness of asocial ecologically-based intervention to increase long-term exercise maintenance following the completion of CR. Methods/Design: A three-site,2-group, parallel randomized controlled trial is underway.412 male and 192 female (N=604) supervised CR participants are being recruited just before CR graduation. Participants are randomized (1:1concealed allocation) to intervention or usual care. A50-week exercise facilitator intervention has been designed to assist CR graduates in the transition from structured, supervised exercise to self-managed home-or community-based (e.g., Heart Wise Exercise programs) exercise. The intervention consists of 8 telephone contacts over the 50 week period:3 individualand5 group. Assessments occur at CR graduation, and 26, 52 and 78 weeks post-randomization. The primary outcome is change in minutes of accelerometer-measured moderate to vigorous-intensity physical activity (MVPA)from CR graduation to52 weeks post-randomization. Secondary measures include exercise capacity, quality of life, and cardiovascular risk factors. Analyses will be undertaken based on intention-to-treat. For the primary outcome, an analysis of variance will be computed to test the change in minutes of MVPA in each group between CR graduation and 52week follow-up(2 [arm] x 2 [time]). Secondary objectives will be assessed using mixed-model repeated measures analyses to compare differences between groups over time. Mean costs and quality-adjusted life years for each arm will be estimated. | en_US |
| dc.description.sponsorship | Funding: This work has been supported by the Heart and Stroke Foundation of Canada [grant #G-14-0006126]. The funder has no role in the conduct of the study. | en_US |
| dc.identifier.citation | Contemporary Clinical Trials Volume 50, September 2016, Pages 116-123 | en_US |
| dc.identifier.issn | 1551-7144 | |
| dc.identifier.uri | https://doi.org/10.1016/j.cct.2016.07.008 | en_US |
| dc.identifier.uri | http://hdl.handle.net/10315/38084 | |
| dc.language.iso | en | en_US |
| dc.publisher | Elsevier | en_US |
| dc.rights | Elsevier Journals © <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/pii/S1551714416301082?via%3Dihub | en_US |
| dc.rights.journal | https://www.sciencedirect.com/journal/contemporary-clinical-trials | en_US |
| dc.rights.publisher | https://www.sciencedirect.com/ | en_US |
| dc.rights.uri | http://creativecommons.org/licenses/by-nd/4.0/ | * |
| dc.subject | exercise | en_US |
| dc.subject | physical | en_US |
| dc.subject | heart diseases | en_US |
| dc.subject | rehabilitation | en_US |
| dc.subject | health care economics | en_US |
| dc.title | Ecologically Optimizing Exercise Maintenance in Men and Women Post-Cardiac Rehabilitation: Protocol for a Randomized Controlled Trial of Efficacy with Economics (ECO-PCR) | en_US |
| dc.type | Article | en_US |