Heart up! RCT protocol to increase physical activity in cardiac patients who report hopelessness: Amended for the COVID-19 pandemic.
Heart up! RCT protocol to increase physical activity in cardiac patients who report hopelessness: Amended for the COVID-19 pandemic.
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DOI：
10.1002/nur.22106
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发表时间：
2021-04
影响因子：
2
通讯作者：
DeVon HA
中科院分区：
文献类型：
--
作者：
Dunn SL;Robbins LB;Tintle NL;Collins EG;Bronas UG;Goodyke MP;Luong A;Gutierrez-Kapheim M;DeVon HA
缺血性心脏病（IHD）患者的绝望与体力活动（PA）减少、不良事件和死亡增加相关。在医院心脏康复和家庭环境中，IHD患者的PA发生率仍然较低。虽然研究人员已经研究了增加IHD患者PA的策略，但缺乏专门针对报告绝望的IHD患者的干预措施。我们描述了NIH资助的随机对照试验的方案，该试验旨在确定6周干预的有效性（Heart Up！）以促进报告绝望的IHD患者的PA增加。参与者（n = 225）被随机分为三组：（1）来自护士的动机社会支持（MSS），（2）来自护士的MSS加上重要的其他支持（SOS），或（3）注意力控制。目的是：（1）测试6周MSS和MSS + SOS对增加中度至剧烈PA的平均每日分钟数的有效性;（2）确定中度至剧烈PA的变化对绝望的影响;（3）确定感知的社会支持和动机（运动自我调节）是否介导了对PA的干预效果。迄今为止，共有69名参与者参加了培训。研究人员一致且准确地使用了该方案。我们应对COVID-19大流行带来的方案挑战，并采取措施保持对干预措施的忠实性。这项研究的结果可以通过促进重要PA目标的自我管理来改变对报告绝望的IHD患者的护理，这些目标可以有助于改善健康结果。
Hopelessness is associated with decreased physical activity (PA) and increased adverse events and death in patients with ischemic heart disease (IHD). Rates of PA in patients with IHD continue to be low in both hospital‐based cardiac rehabilitation and home settings. While researchers have investigated strategies to increase PA among patients with IHD, interventions to promote PA specifically in IHD patients who report hopelessness are lacking. We describe the protocol for a NIH‐funded randomized controlled trial designed to establish the effectiveness of a 6‐week intervention (Heart Up!) to promote increased PA in IHD patients who report hopelessness. Participants (n = 225) are randomized to one of three groups: (1) motivational social support (MSS) from a nurse, (2) MSS from a nurse plus significant other support (SOS), or (3) attention control. Aims are to: (1) test the effectiveness of 6 weeks of MSS and MSS with SOS on increasing mean minutes per day of moderate to vigorous PA; (2) determine the effects of change in moderate to vigorous PA on hopelessness; and (3) determine if perceived social support and motivation (exercise self‐regulation) mediate the effects of the intervention on PA. A total of 69 participants have been enrolled to date. The protocol has been consistently and accurately used by research personnel. We address the protocol challenges presented by the COVID‐19 pandemic and steps taken to maintain fidelity to the intervention. Findings from this study could transform care for IHD patients who report hopelessness by promoting self‐management of important PA goals that can contribute to better health outcomes.
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DOI：
10.1097/00005768-199805000-00021
发表时间：
1998-05-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
Freedson, PS;Melanson, E;Sirard, J
通讯作者：
Sirard, J
影响因子：
3.5
作者：
De Smedt, Delphine;Clays, Els;De Bacquer, Dirk
通讯作者：
De Bacquer, Dirk
DOI：
10.1097/00008483-200605000-00007
发表时间：
2006-05-01
期刊：
Journal of cardiopulmonary rehabilitation
影响因子：
--
作者：
Dunn, Susan L;Corser, William;Holmes-Rovner, Margaret
通讯作者：
Holmes-Rovner, Margaret
影响因子：
37.8
作者：
Burke LE;Ma J;Azar KM;Bennett GG;Peterson ED;Zheng Y;Riley W;Stephens J;Shah SH;Suffoletto B;Turan TN;Spring B;Steinberger J;Quinn CC;American Heart Association Publications Committee of the Council on Epidemiology and Prevention, Behavior Change Committee of the Council on Cardiometabolic Health, Council on Cardiovascular and Stroke Nursing, Council on Functional Genomics and Translational Biology, Council on Quality of Care and Outcomes Research, and Stroke Council
通讯作者：
American Heart Association Publications Committee of the Council on Epidemiology and Prevention, Behavior Change Committee of the Council on Cardiometabolic Health, Council on Cardiovascular and Stroke Nursing, Council on Functional Genomics and Translational Biology, Council on Quality of Care and Outcomes Research, and Stroke Council
DOI：
10.1136/bmj.b5631
发表时间：
2010-01-19
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Dalal HM;Zawada A;Jolly K;Moxham T;Taylor RS
通讯作者：
Taylor RS