Health Coaching to Promote Physical Activity for Coronary Heart Disease Prevention

Corporacion Parc Tauli

Status: Unknown

Conditions: Coronary Disease; Atherosclerosis

Treatments: Behavioral: Health coaching; Other: Usual care

Study type: Interventional

Funder types: Other

Identifiers

NCT01089842

CIR08/034 (Other Grant/Funding Number)

PI08/90182

Details and patient eligibility

About

The purpose of this study is to evaluate the efficacy of motivational interviewing-based coaching to increase physical activity to achieve guidelines recommendations for cardiovascular disease prevention.

Full description

Cardiovascular diseases are the main cause of death in developed countries. Epidemiological studies have shown that a sedentary lifestyle is associated with an increased risk of cardiovascular diseases, mainly related to classical risk factors (obesity, diabetes, hypertension). International guidelines recommend, because of that, a minimum of 30 minutes per day at least 5 days per week of moderate physical activity for primary and secondary cardiovascular disease prevention.

Physical inactivity is an increasing public health problem in developed countries. It is known that clinical advice has a poor efficacy to increase levels of physical activity on individuals and new strategies need to be developed.

Coaching is a strategy of personal help that is being widely and successfully used in business world. It consists of an structured and individualized process of assistance to people to promote cognitive changes needed to achieve behavioural changes. It can be a complementary method to information and sanitary education emphasizing on consciousness and responsibility of the patient and is now starting to be used in medical practice. The purpose of the study is to define usefulness of an strategy based on coaching techniques to promote physical activity practice and healthy lifestyle on individuals with known coronary heart disease or cardiovascular risk factors.

Enrollment: 262 estimated patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients wiht coronary risk factors or known ischaemic heart disease defined as sedentary (<600MET-min/week).

Exclusion criteria

• Bundle branch block or pacemaker rhythm
• Limitation or contraindication to moderate physical activity (fast walking)
• Unstable clinical situation
• Communication difficulties due to language or sensorial deficiencies.
• Lack of informed consent

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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262 participants in 2 patient groups

Health coaching

Experimental group

Treatment:

Behavioral: Health coaching

Control

No Intervention group

Treatment:

Other: Usual care