Pedometer feedback, alone or with motivational messaging, significantly increased daily steps compared to usual care (2957 and 3150 vs 264 steps/d; P<.01) in phase III cardiac rehab patients.
RCT (n=99)
Does pedometer feedback increase daily physical activity in phase III cardiac rehabilitation participants?
Pedometer feedback with individualized goals significantly increases daily steps compared to usual care or motivational messaging alone in phase III cardiac rehabilitation patients.
Absolute Event Rate: 2957% vs 264%
p-value: p=<.01
PURPOSE: To determine the effects of individually tailored interventions designed to increase physical activity (PA) in cardiac patients. METHODS: A total of 99 (77 men and 22 women, 61.5 ± 10.7 yr) patients entering a phase III cardiac rehabilitation program completed a 12-wk PA intervention. Patients were randomized to usual care (UC, time-based recommendation), pedometer feedback (PF), newsletter-based motivational messaging (MM), or PF + MM. Both PF groups were given a goal of increasing steps/d by 10% of individual baseline value each week. If the goal for the week was not reached, the same goal was used for the next week. Physical activity was assessed for 7 d before beginning and after completing the program. The change in steps/d, moderate to vigorous intensity PA minutes, and sedentary time were compared among intervention groups. RESULTS: Average change in steps/d was found to be significantly greater (P < .01) in the PF (2957 ± 3185) and the PF + MM (3150 ± 3007) compared with UC (264 ± 2065) and MM (718 ± 2415) groups. No group experienced changes in moderate to vigorous intensity PA time and only the PF intervention group decreased sedentary time (baseline 470.2 ± 77.1 to postintervention 447.8 ± 74.9 min/d, P = .01). CONCLUSION: The findings from this study demonstrate that using PF was superior to the usual time-based PA recommendations and to newsletter-based MM in patients starting a phase III CR program. Cardiac rehabilitation programs are encouraged to implement PA feedback with individualized PA goals in order to support the increase in PA.
Ozemek et al. (Tue,) conducted a rct in Phase III cardiac rehabilitation (n=99). Pedometer feedback (PF) with or without motivational messaging (MM) vs. Usual care (time-based recommendation) or newsletter-based motivational messaging was evaluated on Change in steps/d (p=<.01). Pedometer feedback, alone or with motivational messaging, significantly increased daily steps compared to usual care (2957 and 3150 vs 264 steps/d; P<.01) in phase III cardiac rehab patients.