Abstract
Guiraud T, Granger R, Gremeaux V, Bousquet M, Richard L, Soukarié L, Babin T, Labrunée
M, Sanguignol F, Bosquet L, Golay A, Pathak A. Telephone support oriented by accelerometric
measurements enhances adherence to physical activity recommendations in noncompliant
patients after a cardiac rehabilitation program.
Objective
To assess the efficacy of a strategy, based on telephone support oriented by accelerometer
measurements, on the adherence to physical activity (PA) recommendations in cardiac
patients not achieving PA recommendations.
Design
Prospective and randomized study.
Setting
A cardiac rehabilitation program (CRP) at a clinic.
Participants
Stable, noncompliant cardiac (coronary artery disease, heart failure, post–cardiovascular
surgery) patients (weekly moderate-intensity PA <150min) were randomly assigned to
an intervention group (n=19) or a control group (n=10).
Interventions
The intervention group wore an accelerometer for 8 weeks. Every 15 days, feedback
and support were provided by telephone. The control group wore the accelerometer during
the 8th week of the intervention only.
Main Outcome Measures
Active energy expenditure (EE) (in kilocalories) and the time spent doing light, moderate,
or intense PA (minutes per week).
Results
In the intervention group, the time spent at moderate-intensity PA increased from
95.6±80.7 to 137.2±87.5min/wk between the 1st and 8th week (P=.002), with 36.8% of the sample achieving the target amount of moderate-intensity PA.
During the 8th week, the EE averaged 543.7±144.1kcal and 266.7±107.4kcal in the intervention
group and control group, respectively (P=.004).
Conclusions
Telephone support based on accelerometer recordings appeared to be an effective strategy
to improve adherence to PA in noncompliant patients. This intervention could be implemented
after a CRP as an inexpensive, modern, and easy-to-use strategy.
Key Words
List of Abbreviations:
ANOVA (analysis of variance), CRP (cardiac rehabilitation program), EE (energy expenditure), MET (metabolic equivalent), PA (physical activity)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: July 18, 2012
Footnotes
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.
Reprints are not available from the author.
In-press corrected proof published online on Sep 11, 2012, at www.archives-pmr.org.
Identification
Copyright
© 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
