Key result
Support Life Club participation linked to ~27.4-fold higher odds of cardiac rehabilitation adherence.
Why the study?
To describe the Support Life Club model for Phase II cardiac rehabilitation and evaluate its impact on adherence, completion rates, and clinical outcomes.
Does the addition of the Support Life Club program improve exercise adherence and clinical outcomes in patients receiving phase II cardiac rehabilitation?
Cohort (n=393)
No
Does the addition of the Support Life Club program improve exercise adherence and clinical outcomes in patients receiving phase II cardiac rehabilitation?
Odds Ratio: 27.385 (95% CI 10.2–73.6)
Absolute Event Rate: 72.5% vs 40.41%
p-value: p=0.000
Integrating a comprehensive social, educational, and communication-based support program into standard cardiac rehabilitation markedly improves program adherence and psychological well-being.
May support adjunctive social programs in cardiac rehab; hypothesis-generating and requires randomized confirmation before practice change.
Aim: To describe a new model, the Support Life Club (SLC), for participants of Phase II cardiac rehabilitation (CR) programs and to evaluate this model for adherence, completion rates, and clinical outcomes. Methods: This retrospective study involved 391 consecutive patients who participated in an outpatient CR program between September 2016 and May 2020. The intervention group (SLC) was comprised of 198 patients who participated in education, WeChat-based group activity as well as outdoor activities, while the control group (non-intervention) was comprised of 193 cases. All patients attended a 12-week supervised outpatient CR program (three sessions per week, each lasting 40min). The intervention and control groups were compared for completion rates, Cardiopulmonary Exercise Test (CPET) results, Six-minute Walk Test (6MWT) distances, and Patient Health Questionnaire-9 (PHQ-9) scores. Results: Patients in the intervention group attended at least 75% of the exercise training sessions more often than those in the control group (72.5% vs 40.41%, adjusted odds ratio (OR): 27.385; 95% CI: 10.2 to 73.6; P = 0.0000). Analysis of variance (2 × 2 ANOVA) revealed a significant group-by-time interaction in PHQ9 and 6MWT test results (p = 0.000). Conclusion: The addition of SLC to a cardiac rehabilitation program resulted in better outcomes for PHQ9 and 6MWT tests and may be a useful strategy to improve exercise adherence.
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Zhang et al. (2022) conducted a cohort in Cardiovascular disease requiring Phase II cardiac rehabilitation (n=393). Support Life Club (SLC) program vs. Standard outpatient cardiac rehabilitation program only was evaluated on Exercise adherence (completing at least 75% of assigned CR sessions) (adjusted OR 27.385, 95% CI 10.2-73.6, p=0.000). Participation in the Support Life Club was associated with a significantly higher rate of adherence to at least 75% of cardiac rehabilitation sessions compared to standard care (adjusted OR 27.385).
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