A group-mediated cognitive behavioral physical activity intervention improved perceived mental health more favorably than traditional cardiac rehabilitation in women with low baseline values.
RCT (n=147)
randomized
Does a group-mediated cognitive behavioral physical activity intervention program improve health-related quality of life compared to a traditional cardiac rehabilitation program in older adults eligible for cardiac rehabilitation?
A group-mediated cognitive behavioral physical activity intervention may offer greater improvements in perceived mental health measures for women with low baseline values compared to traditional cardiac rehabilitation.
BACKGROUND: Regular physical activity has been consistently related to improvements in health- related quality of life (HRQL) in older adults. Nevertheless, systematic investigations of the influence of exercise therapy on older men and women enrolled in cardiac rehabilitation remain sparse. PURPOSE: The primary purpose of this investigation was to compare the effects of a group-mediated cognitive behavioral physical activity intervention program (GMCB) to a traditional cardiac rehabilitation program (CRP) with regard to changes in HRQL in a community-dwelling sample of older adults. METHODS: This randomized clinical trial assigned 147 participants who were eligible for inclusion in cardiac rehabilitation to the GMCB or traditional CRP arms. Changes in HRQL at 3 and 12 months were assessed using the Short Form-36 (SF-36) from the Medical Outcomes Study. RESULTS: Mixed-model analyses yielded significant Baseline x Gender x Treatment interactions for the self-reported mental health component and the Vitality subscale of the SF-36. Decomposition of these interactions revealed that men in both exercise therapy groups and women in the GMCB treatment with low baseline values demonstrated more favorable improvements in the HRQL perceived mental health measures than women in the CRP treatment. CONCLUSIONS: Improvements in HRQL among older adults enrolled in cardiac rehabilitation differ as a function of treatment, gender, and initial mental health status. Results are discussed in terms of the implications for the design of future physical activity interventions among older adults with cardiovascular disease and the measurement of their HRQL.
Focht et al. (Mon,) conducted a rct in cardiovascular disease requiring cardiac rehabilitation (n=147). Group-mediated cognitive behavioral physical activity intervention program (GMCB) vs. Traditional cardiac rehabilitation program (CRP) was evaluated on Changes in health-related quality of life (HRQL) at 3 and 12 months using the Short Form-36 (SF-36). A group-mediated cognitive behavioral physical activity intervention improved perceived mental health more favorably than traditional cardiac rehabilitation in women with low baseline values.