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Multicenter randomized controlled trial of a home walking intervention after outpatient cardiac rehabilitation on health-related quality of life in women

Johnson, Natalie A., Lim, Lynette L-Y. and Bowe, Steven J. 2009, Multicenter randomized controlled trial of a home walking intervention after outpatient cardiac rehabilitation on health-related quality of life in women, European journal of preventative cardiology, vol. 16, no. 5, pp. 633-637, doi: 10.1097/HJR.0b013e32832e8eba.

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Title Multicenter randomized controlled trial of a home walking intervention after outpatient cardiac rehabilitation on health-related quality of life in women
Author(s) Johnson, Natalie A.
Lim, Lynette L-Y.
Bowe, Steven J.ORCID iD for Bowe, Steven J. orcid.org/0000-0003-3813-842X
Journal name European journal of preventative cardiology
Volume number 16
Issue number 5
Start page 633
End page 637
Total pages 5
Publisher Sage
Place of publication London, Eng.
Publication date 2009-10
ISSN 1741-8275
Summary BACKGROUND: Poor health-related quality of life (HRQL) has been shown to be predictive of adverse outcomes in cardiac patients. As women with coronary heart disease have been shown to have lower HRQL than men with coronary heart disease, women are at greater risk of a poor clinical outcome. This study tested the effect of a 12-week home walking intervention after completion of outpatient cardiac rehabilitation (OCR) on HRQL and maintenance of physical activity among women. DESIGN: Multicenter two-group randomized trial. METHODS: After completion of OCR, participants were randomly allocated to the intervention or usual care groups. The outcomes were HRQL (assessed using the MacNew Heart Disease HRQL instrument) and self-reported physical activity (assessed using the Stages of Change model of exercise behavior) at 3, 6, and 12 months after OCR. RESULTS: Seventy-two women were randomized to the intervention and 81 to usual care. Attrition was greater in the treatment group (13 vs. 1%). HRQL scores increased relative to the base level in both arms and were significantly higher in the intervention group at 6 months, but not at 3 or 12 months. Maintenance of physical activity declined over time in both groups, however, this decline was significantly reduced among women in the intervention group. CONCLUSION: HRQL improved in both groups, but seemed to increase earlier among women in the intervention group. As maintenance of physical activity was higher among women in the intervention group, this minimal intervention could be used to facilitate women's progression from supervised to independent exercise.
Language eng
DOI 10.1097/HJR.0b013e32832e8eba
Field of Research 110299 Cardiorespiratory Medicine and Haematology not elsewhere classified
1102 Cardiovascular Medicine And Haematology
Socio Economic Objective 920103 Cardiovascular System and Diseases
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2009, The European Society of Cardiology
Persistent URL http://hdl.handle.net/10536/DRO/DU:30080780

Document type: Journal Article
Collection: Faculty of Health
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