Health Coaching to Promote Physical Activity for Coronary Heart Disease Prevention
Recruitment status was: Recruiting
|Coronary Disease Atherosclerosis||Behavioral: Health coaching Other: Usual care|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Investigator)
Primary Purpose: Prevention
|Official Title:||Randomized Clinical Trial to Assess the Efficacy and Cost-efficacy of Health Coaching to Promote Physical Activity in Secondary Prevention of Coronary Heart Disease|
- Patients achieving recommended physical activity (>600 MET-minute/week) [ Time Frame: 6 months ]Physical activity will be measured using the International Physical Activity Questionnaire (IPAQ)
- Cost-efficacy of coaching [ Time Frame: 6 months ]Cost-efficacy will be measured using SF-12v2 quality of life questionnaire
- Improvement on functional capacity [ Time Frame: 6 months ]Exercise treadmill Bruce test will be used to assess cardiovascular fitness and compare functional capacity before and after intervention
|Study Start Date:||June 2009|
|Estimated Study Completion Date:||January 2012|
|Estimated Primary Completion Date:||June 2011 (Final data collection date for primary outcome measure)|
|Experimental: Health coaching||
Behavioral: Health coaching
Coaching based advice will be performed by previously trained nurses. Intervention will be directed to increase physical activity to achieve levels recommended on guidelines. Patients will receive one session per month during 6 months. Time for each session is estimated on 10 to 20 minutes. Sessions will be mostly carried out by phone, although physical attendance or internet services can also be used.
|No Intervention: Control||
Other: Usual care
Patients on control group will receive usual assistance, including physical activity counselling by their treating physician.
Cardiovascular diseases are the main cause of death in developed countries. Epidemiological studies have shown that a sedentary lifestyle is associated with an increased risk of cardiovascular diseases, mainly related to classical risk factors (obesity, diabetes, hypertension). International guidelines recommend, because of that, a minimum of 30 minutes per day at least 5 days per week of moderate physical activity for primary and secondary cardiovascular disease prevention.
Physical inactivity is an increasing public health problem in developed countries. It is known that clinical advice has a poor efficacy to increase levels of physical activity on individuals and new strategies need to be developed.
Coaching is a strategy of personal help that is being widely and successfully used in business world. It consists of an structured and individualized process of assistance to people to promote cognitive changes needed to achieve behavioural changes. It can be a complementary method to information and sanitary education emphasizing on consciousness and responsibility of the patient and is now starting to be used in medical practice. The purpose of the study is to define usefulness of an strategy based on coaching techniques to promote physical activity practice and healthy lifestyle on individuals with known coronary heart disease or cardiovascular risk factors.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01089842
|Contact: Joan R Gumafirstname.lastname@example.org|
|Hospital de Sabadell||Recruiting|
|Sabadell, Barcelona, Spain, 08208|
|Principal Investigator:||Joan R Guma||Corporacion Parc Tauli|