Key result
Adding pedometer-based, face-to-face group counseling to standard cardiac rehabilitation did not significantly improve moderate-to-vigorous physical activity (difference 0.24%, P=0.349).
Why the study?
Do advanced and extended behavioral cardiac rehabilitation interventions improve physical activity and sedentary behavior in patients with ACS?
Population
731 patients with acute coronary syndrome (ACS)
Comparison
3 months of standard cardiac rehabilitation with… vs 3 months of standard cardiac rehabilitation
Design
RCT, Randomized to 3 groups (CR-only, CR+F, CR+T)
Follow-up
18 months
Authors
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Does not support adding pedometer-based counseling to standard cardiac rehabilitation; challenges extended behavioral interventions for MVPA in ACS.
RCT (n=731)
randomized
Do advanced and extended behavioral cardiac rehabilitation interventions improve physical activity and sedentary behavior in patients with ACS?
Mean Difference: 0.24
p-value: p=0.349
Adding pedometer-based, face-to-face group physical activity counseling to standard cardiac rehabilitation increases daily step count and prolonged moderate-to-vigorous physical activity in ACS patients.
Hoeve et al. (2018) conducted an RCT in Acute Coronary Syndrome (ACS) (n=731). Standard CR with pedometer-based face-to-face counseling (CR+F) or telephonic counseling (CR+T) vs. Standard CR (CR-only) was evaluated on Moderate-to-vigorous intensity physical activity (MVPA) (between-group difference 0.24%, p=0.349). Adding pedometer-based, face-to-face group counseling to standard cardiac rehabilitation did not significantly improve moderate-to-vigorous physical activity (difference 0.24%, P=0.349).
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