Physical Activity after Cardiac EventS (PACES): a group education programme with subsequent text message support designed to increase physical activity in individuals with diagnosed coronary heart disease: a randomised controlled trial
Aim To assess the effectiveness of a low-cost pragmatic intervention (structured education and ongoing text message support) to increase daily physical activity in participants 12–48 months after a coronary heart disease cardiac event (myocardial infarction, angina or acute coronary syndrome) diagno...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2021-02-01
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| Series: | Open Heart |
| Online Access: | https://openheart.bmj.com/content/8/1/e001351.full |
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| _version_ | 1850193729678213120 |
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| author | Melanie J Davies Kamlesh Khunti Laura J Gray Thomas Yates Helen Dallosso Samuel Seidu Alex V Rowlands Patrick J Highton Louisa Y Herring Sally Schreder Emily J Smith Ghazala Waheed Ian Hudson |
| author_facet | Melanie J Davies Kamlesh Khunti Laura J Gray Thomas Yates Helen Dallosso Samuel Seidu Alex V Rowlands Patrick J Highton Louisa Y Herring Sally Schreder Emily J Smith Ghazala Waheed Ian Hudson |
| author_sort | Melanie J Davies |
| collection | DOAJ |
| description | Aim To assess the effectiveness of a low-cost pragmatic intervention (structured education and ongoing text message support) to increase daily physical activity in participants 12–48 months after a coronary heart disease cardiac event (myocardial infarction, angina or acute coronary syndrome) diagnosis.Methods A single-centre randomised controlled trial of 291 adults randomised to a structured education programme (n=145) or usual care (n=146). The programme consisted of two 2.5 hour sessions delivered 2 weeks apart, followed by supplementary text message support. The GENEActiv accelerometer assessed the primary outcome at 12 months (change in overall physical activity (expressed in milli gravitational (mg) units) from baseline). Secondary outcomes included anthropometric, physical function, cardiovascular, biochemical and patient-reported outcome measures. Linear regression was used to compare outcome measures between groups on a modified intention-to-treat basis.Results Participants’ mean age was 66.5±9.7 years, 84.5% males, 82.5% white British and 15.5% south Asian. At 12 months, there was no difference between the groups in terms of change in overall physical activity (−0.23 mg (95% CI −1.22 to 0.75), p=0.64) and the programme was well accepted (88% attendance). Exploratory analyses showed that average moderate to vigorous physical activity (MVPA) levels increased in individuals not meeting physical activity guidelines (≥150 min per week) on enrolment compared with those who did, by 8 minutes per day (8.04 (95% CI 0.99 to 15.10), p=0.03).Conclusion The programme was well attended but showed no change in physical activity levels. Results show high baseline MVPA levels and suggest that Physical Activity after Cardiac EventS education may benefit cardiac patients not currently meeting activity guidelines.Trial registration number ISRCTN91163727. |
| format | Article |
| id | doaj-art-c2bae14ca5ee4fe3bfa5d0071b6e64a2 |
| institution | OA Journals |
| issn | 2053-3624 |
| language | English |
| publishDate | 2021-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | Open Heart |
| spelling | doaj-art-c2bae14ca5ee4fe3bfa5d0071b6e64a22025-08-20T02:14:11ZengBMJ Publishing GroupOpen Heart2053-36242021-02-018110.1136/openhrt-2020-001351Physical Activity after Cardiac EventS (PACES): a group education programme with subsequent text message support designed to increase physical activity in individuals with diagnosed coronary heart disease: a randomised controlled trialMelanie J Davies0Kamlesh Khunti1Laura J Gray2Thomas Yates3Helen Dallosso4Samuel Seidu5Alex V Rowlands6Patrick J Highton7Louisa Y Herring8Sally Schreder9Emily J Smith10Ghazala Waheed11Ian Hudson12professorDiabetes Research Centre, University of Leicester, Leicester, UKDepartment of Health Sciences, University of Leicester, Leicester, UKDiabetes Research Centre, College of Life Sciences, University of Leicester, Leicester, UKLeicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester, UKDiabetes Research Centre, College of Life Sciences, University of Leicester, Leicester, UK3 Diabetes Research Centre, University of Leicester, Leicester, UK5 NIHR Applied Research Collaboration East Midlands, University Hospitals of Leicester NHS Trust, Leicester, UKLeicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester, UKLeicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester, UKInstitute of Psychological Research, De Montfort University, Leicester, UKLeicester Clinical Trials Unit, University of Leicester, Leicester, UKGlenfield Hospital, University Hospitals of Leicester NHS Trust, Leicester, UKAim To assess the effectiveness of a low-cost pragmatic intervention (structured education and ongoing text message support) to increase daily physical activity in participants 12–48 months after a coronary heart disease cardiac event (myocardial infarction, angina or acute coronary syndrome) diagnosis.Methods A single-centre randomised controlled trial of 291 adults randomised to a structured education programme (n=145) or usual care (n=146). The programme consisted of two 2.5 hour sessions delivered 2 weeks apart, followed by supplementary text message support. The GENEActiv accelerometer assessed the primary outcome at 12 months (change in overall physical activity (expressed in milli gravitational (mg) units) from baseline). Secondary outcomes included anthropometric, physical function, cardiovascular, biochemical and patient-reported outcome measures. Linear regression was used to compare outcome measures between groups on a modified intention-to-treat basis.Results Participants’ mean age was 66.5±9.7 years, 84.5% males, 82.5% white British and 15.5% south Asian. At 12 months, there was no difference between the groups in terms of change in overall physical activity (−0.23 mg (95% CI −1.22 to 0.75), p=0.64) and the programme was well accepted (88% attendance). Exploratory analyses showed that average moderate to vigorous physical activity (MVPA) levels increased in individuals not meeting physical activity guidelines (≥150 min per week) on enrolment compared with those who did, by 8 minutes per day (8.04 (95% CI 0.99 to 15.10), p=0.03).Conclusion The programme was well attended but showed no change in physical activity levels. Results show high baseline MVPA levels and suggest that Physical Activity after Cardiac EventS education may benefit cardiac patients not currently meeting activity guidelines.Trial registration number ISRCTN91163727.https://openheart.bmj.com/content/8/1/e001351.full |
| spellingShingle | Melanie J Davies Kamlesh Khunti Laura J Gray Thomas Yates Helen Dallosso Samuel Seidu Alex V Rowlands Patrick J Highton Louisa Y Herring Sally Schreder Emily J Smith Ghazala Waheed Ian Hudson Physical Activity after Cardiac EventS (PACES): a group education programme with subsequent text message support designed to increase physical activity in individuals with diagnosed coronary heart disease: a randomised controlled trial Open Heart |
| title | Physical Activity after Cardiac EventS (PACES): a group education programme with subsequent text message support designed to increase physical activity in individuals with diagnosed coronary heart disease: a randomised controlled trial |
| title_full | Physical Activity after Cardiac EventS (PACES): a group education programme with subsequent text message support designed to increase physical activity in individuals with diagnosed coronary heart disease: a randomised controlled trial |
| title_fullStr | Physical Activity after Cardiac EventS (PACES): a group education programme with subsequent text message support designed to increase physical activity in individuals with diagnosed coronary heart disease: a randomised controlled trial |
| title_full_unstemmed | Physical Activity after Cardiac EventS (PACES): a group education programme with subsequent text message support designed to increase physical activity in individuals with diagnosed coronary heart disease: a randomised controlled trial |
| title_short | Physical Activity after Cardiac EventS (PACES): a group education programme with subsequent text message support designed to increase physical activity in individuals with diagnosed coronary heart disease: a randomised controlled trial |
| title_sort | physical activity after cardiac events paces a group education programme with subsequent text message support designed to increase physical activity in individuals with diagnosed coronary heart disease a randomised controlled trial |
| url | https://openheart.bmj.com/content/8/1/e001351.full |
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