Home-Based Walking Exercise in Peripheral Artery Disease: 12-Month Follow-up of the Goals Randomized Trial
Home-Based Walking Exercise in Peripheral Artery Disease: 12-Month Follow-up of the Goals Randomized Trial
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DOI：
10.1161/jaha.113.000711
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发表时间：
2014-06-01
影响因子：
5.4
通讯作者：
Rejeski, W. Jack
中科院分区：
文献类型：
--
作者：
McDermott, Mary M.;Guralnik, Jack M.;Rejeski, W. Jack
Background-We studied whether a 6-month group-mediated cognitive behavioral (GMCB) intervention for peripheral artery disease (PAD) participants, which promoted home-based walking exercise, improved 6-minute walk and other outcomes at 12-month follow-up, 6 months after completing the intervention, compared to a control group.Methods and Results-We randomized PAD participants to a GMCB intervention or a control group. During phase I (months 1 to 6), the intervention used group support and self-regulatory skills during weekly on-site meetings to help participants adhere to home-based exercise. The control group received weekly on-site lectures on topics unrelated to exercise. Primary outcomes were measured at the end of phase I. During phase II (months 7 to 12), each group received telephone contact. Compared to controls, participants randomized to the intervention increased their 6-minute walk distance from baseline to 12-month follow-up, (from 355.4 to 381.9 m in the intervention versus 353.1 to 345.6 m in the control group; mean difference=+34.1 m; 95% confidence interval [CI]=+14.6, +53.5; P
