The Efficacy and Economics of Exercise Maintenance Post-Cardiac Rehabilitation

Summary

The purpose of this study is to develop a new intervention to improve the transition of patients from structured, supervised exercise to self-managed home- or approved community-based exercise programs in an effort to increase maintenance of exercise behaviour post cardiac rehabilitation (CR). The goal of the study is that those receiving the intervention will engage in at least 30 minutes of physical activity at a moderate or vigorous intensity 5 or more days per week, 26, 52 and 78 weeks after CR compared to those in the usual care group. The new intervention will be delivered by trained exercise facilitators (physiotherapists or exercise specialists) and will make use of: small group counseling teleconferences (5 sessions); personal telephone contacts (3 sessions), and community program demonstrations that would facilitate linkages between patients and approved community programs known as Heart Wise Exercise programs available in Ottawa and Toronto. The trial will be conducted at the Minto Prevention and Rehabilitation Centre at the University of Ottawa Heart Institute and the Cardiovascular Rehabilitation and Prevention Centre at the University Health Network (Peter Munk Cardiac Centre \[PMCC\] and Toronto Rehabilitation Institute \[TRI\]) sites. The study has a target enrollment of 604 participants.

Conditions

• Coronary Artery Disease

Interventions

BEHAVIORAL

Exercise Facilitator Intervention

The 50 week intervention includes 5 small group counseling teleconferences, 3 personal telephone calls and Heart Wise Exercise program demonstrations. During the teleconferences and personal telephone calls, the facilitator discusses the importance of exercise. Participants review their activity diaries, identify barriers to exercise maintenance experienced to date and brainstorm solutions as a group. In addition, the facilitator conducts community program demonstrations at Heart Wise Exercise program locations in Ottawa and Toronto for interested participants.

Sponsors & Collaborators

• Heart and Stroke Foundation of Ontario

  collaborator OTHER

• Ottawa Heart Institute Research Corporation

  lead OTHER

Principal Investigators

• Robert Reid, MBA, PhD · Ottawa Heart Institute Research Corporation

• Sherry Grace, PhD · Peter Munk Cardiac Centre

• Andrew Pipe, MD · Ottawa Heart Institute Research Corporation

• Caroline Chessex, MD, MSc · Peter Munk Cardiac Centre

• Chris Blanchard, PhD · Dalhousie University

• Murray Krahn, MD, MSc · University of Toronto, Toronto Health Economics and Technology Assessment Collaborative

• Doug Manuel, MD · Institute for Clinical Evaluative Sciences

• Kori Kingsbury, MSN, MPA · Cardiac Care Network of Ontario

• Jennifer Harris, BSc, PT · Ottawa Heart Institute Research Corporation

• Kerri-Anne Mullen, MSc · Institute for Clinical Evaluative Sciences

• Amy Mark, PhD · Ottawa Heart Institute Research Corporation

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2012-10-31

Primary Completion

2018-03-31

Completion

2018-07-31

Countries

• Canada

Study Locations