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Improving Cardiac Rehabilitation Session Attendance: A Randomised Controlled Trial

This study has been completed.
Information provided by:
NHS Greater Glasgow and Clyde Identifier:
First received: August 10, 2009
Last updated: April 22, 2010
Last verified: August 2009
Cardiac rehabilitation (CR) programmes typically offer patients with heart disease a long-term programme of medical evaluation, exercise, education and counseling. National guidelines have recognized the positive impact that attendance at CR can have following heart attacks, angina and other heart problems. Patients who attend such a programme have been shown to have reduced health problems. Despite this, research suggests that the use of these services is poor and that the majority of patients eligible for these programmes do not continue to attend after their first class. A range of factors have been associated with non-adherence to CR, including psychological factors such as people's beliefs about their illness. For example, patients with high levels of perceived control over their illness after a heart attack appear to be more likely to attend CR classes than those with low levels of perceived control. Such findings suggest that changing patients' illness beliefs, specifically those associated with illness control and illness consequences, could help to increase adherence to CR programmes. Increased adherence to CR could improve health outcomes for patients with cardiac illnesses. The present study is therefore investigating the effectiveness of a one-session psychological intervention, based on a theory called the Self-Regulatory Model, in altering beliefs about illness among patients starting cardiac rehabilitation. Participants will be randomly assigned to a treatment or a non-treatment group. It is hoped that those who receive the treatment session will attend more CR classes.

Condition Intervention
Cardiac Rehabilitation Behavioral: Psychological Intervention Session

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Primary Purpose: Health Services Research
Official Title: Improving Cardiac Rehabilitation Session Attendance Using the Self-Regulatory Model and Motivational Interviewing: A Randomised Controlled Trial

Resource links provided by NLM:

Further study details as provided by NHS Greater Glasgow and Clyde:

Primary Outcome Measures:
  • CR Adherence [ Time Frame: Approximately 3-months after recruitment ]
    Number of cardiac rehabilitation classes attended in total.

Secondary Outcome Measures:
  • Illness Perceptions Questionnaire-Revised Scores [ Time Frame: 3-months after consent ]
    Eight sub-scale scores obtained. Sub-scales include; Illness consequences, Illness Control, Treatment Control, Illness Identity, Emotional Representation, Illness Cause, Illness Coherence, Timeline Cyclical. Minimum and Maximum scores vary for each sub-scale.

Enrollment: 31
Study Start Date: November 2008
Study Completion Date: August 2009
Primary Completion Date: August 2009 (Final data collection date for primary outcome measure)
Intervention Details:
    Behavioral: Psychological Intervention Session
    One-off session aimed at changing participants beliefs around illness control and consequences, applied using a motivational interviewing style.

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All

Inclusion Criteria:

  • Attending first cardiac rehabilitation class at one of three hospital sites
  • Participants had to be over 18

Exclusion Criteria:

  • Unable to read and understand English information sheet and consent form
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00956657

United Kingdom
Southern General Hospital
Glasgow, United Kingdom
Stobhill Infirmary
Glasgow, United Kingdom
Victoria Infirmary
Glasgow, United Kingdom
Sponsors and Collaborators
NHS Greater Glasgow and Clyde
Principal Investigator: Gavin H Taylor, MA (Hons) NHS Greater Glasgow & Clyde
  More Information

Responsible Party: Gavin Taylor, Clinical Psychologist, NHS Greater Glasgow & Clyde Identifier: NCT00956657     History of Changes
Other Study ID Numbers: 08/S0710/65
Study First Received: August 10, 2009
Results First Received: March 11, 2010
Last Updated: April 22, 2010

Keywords provided by NHS Greater Glasgow and Clyde:
Randomised Controlled Trial
Patient Participation processed this record on September 21, 2017