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January 1, 2020Rehabilitation Process and OutcomeOpen Access

Interventions offered shortly after phase II cardiac rehabilitation may help patients maintain physical activity, based on a systematic review of 19 randomized controlled trials with varying methods.

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Why the study?

Although physical activity in cardiac rehabilitation phase II decreases readmissions and mortality, adherence tends to decline several months after completion.

Do interventions designed to maintain or increase physical activity post-cardiac rehabilitation phase II improve physical activity adherence in patients with CAD, MI, CABG, or PCI?

Population

Patients with MI, CABG, CAD, or PCI post-CRII across 19 randomized controlled trials

Comparison

Interventions to maintain or increase physical activity post-CRII vs comparators

Design

Systematic review of 19 randomized control trials

Key result

Interventions offered shortly after phase II cardiac rehabilitation may help patients maintain physical activity, based on a systematic review of 19 randomized controlled trials with varying methods.

Authors

HGHelen GrahamKPKathy Prue-OwensJKJessica B. Kirby

Discussion

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Overview

May support post-phase II activity maintenance in CAD; extends heterogeneous RCTs but requires standardized trials.

Study Design

Type

Systematic Review

Structured PICO

Do interventions designed to maintain or increase physical activity post-cardiac rehabilitation phase II improve physical activity adherence in patients with CAD, MI, CABG, or PCI?

P
Population
Individuals diagnosed with myocardial infarction (MI), coronary artery bypass graft (CABG), coronary artery disease (CAD), and percutaneous coronary intervention (PCI) who have completed cardiac rehabilitation phase II (CRII)
I
Intervention
Interventions designed to maintain or increase physical activity post-CRII
O
Outcome
Maintenance or increase of physical activity post-CRII

Interventions implemented shortly after phase II cardiac rehabilitation, particularly those using cognitive-behavioral models, may help patients maintain physical activity, though high-quality standardized trials are needed.

Limitations

  • Lack of quality research
  • Lack of studies in older adults (70 years and older)
  • Small and non-diverse samples
  • Variation in methods and outcomes
  • Need for more quality research
  • Lack of research in older adults (70 years and older)
  • Variation in methods and outcomes preventing meta-analysis

Cite This Study

Graham et al. (2020) conducted a systematic review in Myocardial infarction, CABG, CAD, and PCI post-cardiac rehabilitation phase II. Physical activity maintenance interventions was evaluated on Maintenance or increase of physical activity. Interventions offered shortly after phase II cardiac rehabilitation may help patients maintain physical activity, based on a systematic review of 19 randomized controlled trials with varying methods.

synapsesocial.com/papers/6a1d9c807328fa9a742fc149https://doi.org/10.1177/1179572720941833
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