Improving Cardiac Rehabilitation Participation in Women and Men

Lawson Health Research Institute

Status and phase: Completed; Phase 3

Conditions: Unstable Angina; Myocardial Infarction; Coronary Disease

Treatments: Behavioral: Standard Cardiac Rehabilitation referral; Behavioral: MD-endorsed Cardiac Rehabilitation referral

Study type: Interventional

Funder types: Other; Industry

Identifiers

NCT00336830

CIHR 56926 (Other Grant/Funding Number)

R-02-037

Details and patient eligibility

About

The purpose of this study is to determine the effect of a pre-discharge written personal endorsement to the patient by the patient's attending cardiologist or cardiac surgeon (MD endorsement) to take part in the Cardiac Rehabilitation and Secondary Prevention (CR) program, in addition to the standard CR referral, compared to the standard CR referral alone, on CR program enrollment within 2 months of index hospital discharge following admission for myocardial infarction, unstable angina, coronary angioplasty, or coronary artery bypass.

Full description

There is compelling evidence that a comprehensive CR program comprising the delivery of lifestyle modifying education will reduce mortality, morbidity and improve quality of life in patients following myocardial infarction, angioplasty or, coronary artery bypass. However, less than 20% of eligible patients participate in CR programs. This study will look at a method of potentially improving enrollment and adherence to a CR program. It is expected that patients who receive the MD-endorsed referral will be more likely to attend the initial Orientation appointment and more closely adhere to the 6-month comprehensive CR program, as compared to the patients who receive a standard CR referral alone.

Enrollment: 1,035 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patient is admitted to hospital for myocardial infarction (MI), unstable angina (UA), percutaneous transluminal coronary angioplasty (PTCA), or coronary artery bypass surgery (CABS)
• Patient resides within 1 hour driving time from London

Exclusion criteria

• Inability to provide written informed consent or complete survey due to language or cognitive difficulties
• Previous cardiac rehabilitation participation
• Patient scheduled to undergo PTCA or CABS within two months following the index hospital discharge
• Inability to exercise due to musculoskeletal problems or previous or current stroke

Trial design

1,035 participants in 2 patient groups

Usual Care

Active Comparator group

Description:

Comparator without MD endorsement of Cardiac Rehabilitation

Treatment:

Behavioral: Standard Cardiac Rehabilitation referral

MD Endorsment of CR

Experimental group

Description:

Provided with MD endorsement of participation in Cardiac Rehabilitation

Treatment:

Behavioral: MD-endorsed Cardiac Rehabilitation referral