2.50
Hdl Handle:
http://hdl.handle.net/10755/161376
Type:
Presentation
Title:
Feasibility of a Home-Based Cardiac Rehabilitation Intervention
Abstract:
Feasibility of a Home-Based Cardiac Rehabilitation Intervention
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2004
Author:Yates, Bernice, RN, PhD
Title:Associate Dean of Research
Contact Address:Stress 985330, Nebraska Medical Center, Omaha, NE, 68198-5330 , USA
Co-Authors:Jan Atwood, PhD, RN, FAAN, Professor; Scott Shurmur, PhD, Associate Professor; Julie Stoner, PhD, Assistant Professor; Joseph Norman, PhD, Associate Professor; Mark Williams, PhD, Professor; Kaye Stanek-Krogstrand, PhD, Associate Professor
Traditional cardiac rehabilitation (CR) has been found to improve functional capacity and quality of life and to reduce mortality and morbidity in cardiac patients. However, only 11-20% of cardiac patients, nationally, enroll in CR Programs after their cardiac event. The primary objective of this feasibility study is to obtain pilot data for a larger study to test whether home-based CR (Home-CR) is at least as effective as traditional CR (Trad-CR) for cardiac patients, 40-80 years of age, in their functional capacity, quality of life, adherence to secondary prevention guidelines, and self-efficacy. Bandura’s Social Cognitive Theory is the theoretical perspective guiding the study. Research Design: The design for the study is a randomized, controlled, community-based, equivalency trial. The Home-CR consists of two individualized counseling sessions about secondary prevention guidelines (RN), exercise prescription (Exercise Specialist), and dietary counseling (Dietitian) and regular telephone calls to monitor the participant’s progress. Baseline data collection occurs at 3 weeks post hospital discharge (coincides with the start of CR), at 3 months (end of CR), and 6 months. Findings: To date, 23 subjects were enrolled in the study. Preliminary results indicate that groups were equivalent in levels of functional capacity (VO2 max) at the end of CR (Mean VO2=1620.83 and 1719.17 in Trad-CR and Home-CR groups respectively); and 3 months later (Mean VO2=1644.33 and 2041.5 in Trad-CR and Home-CR groups). Also, groups were equivalent in quality of life scores (SF-36) at baseline, 3 and 6 months. Analysis of the adherence and self-efficacy variables are underway. If Home-CR is established as effective as Trad-CR, it will provide an alternate method of delivering CR that will reach more of the cardiovascular patient population than is served currently by Trad-CR programs.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleFeasibility of a Home-Based Cardiac Rehabilitation Interventionen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161376-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Feasibility of a Home-Based Cardiac Rehabilitation Intervention </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Yates, Bernice, RN, PhD </td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Dean of Research</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Stress 985330, Nebraska Medical Center, Omaha, NE, 68198-5330 , USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Jan Atwood, PhD, RN, FAAN, Professor; Scott Shurmur, PhD, Associate Professor; Julie Stoner, PhD, Assistant Professor; Joseph Norman, PhD, Associate Professor; Mark Williams, PhD, Professor; Kaye Stanek-Krogstrand, PhD, Associate Professor </td></tr><tr><td colspan="2" class="item-abstract">Traditional cardiac rehabilitation (CR) has been found to improve functional capacity and quality of life and to reduce mortality and morbidity in cardiac patients. However, only 11-20% of cardiac patients, nationally, enroll in CR Programs after their cardiac event. The primary objective of this feasibility study is to obtain pilot data for a larger study to test whether home-based CR (Home-CR) is at least as effective as traditional CR (Trad-CR) for cardiac patients, 40-80 years of age, in their functional capacity, quality of life, adherence to secondary prevention guidelines, and self-efficacy. Bandura&rsquo;s Social Cognitive Theory is the theoretical perspective guiding the study. Research Design: The design for the study is a randomized, controlled, community-based, equivalency trial. The Home-CR consists of two individualized counseling sessions about secondary prevention guidelines (RN), exercise prescription (Exercise Specialist), and dietary counseling (Dietitian) and regular telephone calls to monitor the participant&rsquo;s progress. Baseline data collection occurs at 3 weeks post hospital discharge (coincides with the start of CR), at 3 months (end of CR), and 6 months. Findings: To date, 23 subjects were enrolled in the study. Preliminary results indicate that groups were equivalent in levels of functional capacity (VO2 max) at the end of CR (Mean VO2=1620.83 and 1719.17 in Trad-CR and Home-CR groups respectively); and 3 months later (Mean VO2=1644.33 and 2041.5 in Trad-CR and Home-CR groups). Also, groups were equivalent in quality of life scores (SF-36) at baseline, 3 and 6 months. Analysis of the adherence and self-efficacy variables are underway. If Home-CR is established as effective as Trad-CR, it will provide an alternate method of delivering CR that will reach more of the cardiovascular patient population than is served currently by Trad-CR programs. </td></tr></table>en_GB
dc.date.available2011-10-26T23:20:21Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:20:21Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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