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Completed

NCT Number: NCT00336830

Improving Cardiac Rehabilitation Participation in Women and Men

The purpose of this study is to determine the effect of a pre-discharge written personal endorsement to the patient by the patient's attending cardiologist or cardiac surgeon (MD endorsement) to take part in the Cardiac Rehabilitation and Secondary Prevention (CR) program, in addition to the standard CR referral, compared to the standard CR referral alone, on CR program enrollment within 2 months of index hospital discharge following admission for myocardial infarction, unstable angina, coronary angioplasty, or coronary artery bypass.

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Key information

Conditions

Myocardial Infarction Angina Pectoris Angina, Unstable Cardiovascular Diseases Chest Pain Coronary Disease Heart Diseases Infarction Ischemia Myocardial Ischemia Necrosis Neurologic Manifestations Pain Pathologic Processes Pathological Conditions, Signs and Symptoms Signs and Symptoms Unstable Angina Vascular Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

London Health Sciences Centre

London, Ontario, N6A 5A5, Canada

About this study

There is compelling evidence that a comprehensive CR program comprising the delivery of lifestyle modifying education will reduce mortality, morbidity and improve quality of life in patients following myocardial infarction, angioplasty or, coronary artery bypass. However, less than 20% of eligible patients participate in CR programs. This study will look at a method of potentially improving enrollment and adherence to a CR program. It is expected that patients who receive the MD-endorsed referral will be more likely to attend the initial Orientation appointment and more closely adhere to the 6-month comprehensive CR program, as compared to the patients who receive a standard CR referral alone.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patient is admitted to hospital for myocardial infarction (MI), unstable angina (UA), percutaneous transluminal coronary angioplasty (PTCA), or coronary artery bypass surgery (CABS)
  • Patient resides within 1 hour driving time from London

Exclusion criteria

  • Inability to provide written informed consent or complete survey due to language or cognitive difficulties
  • Previous cardiac rehabilitation participation
  • Patient scheduled to undergo PTCA or CABS within two months following the index hospital discharge
  • Inability to exercise due to musculoskeletal problems or previous or current stroke

Treatment and study plan

MD-endorsed Cardiac Rehabilitation referral

Behavioral

Note to patient with general description of the Cardiac Rehabilitation program with signature and strong recommendation from attending physician.

Other names: MD endorsed referral to Cardiac Rehabilitation

Standard Cardiac Rehabilitation referral

Behavioral

Note to patient with general description of the Cardiac Rehabilitation program without signature or recommendation from attending physician.

Other names: Standard Referral to Cardiac Rehabilitation

Primary outcomes

  1. Attendance at initial CR orientation appointment within 2 months of index hospital discharge

    Time frame: 3 months

Secondary outcomes

  1. Impact of MD endorsement on number of patients attending CR program

    Time frame: 3 months

  2. Number of patients who continue to adhere to the 6-month CR program beyond the initial CR orientation appointment

    Time frame: 8 months

  3. Impact of other patient variables and how they influence participation in a CR program

    Time frame: 8 months

Sponsors and collaborators

Lead sponsor

London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's

Other

Collaborators

  • AstraZeneca
  • Canadian Institutes of Health Research (CIHR)

Registry information

Important dates

Study start
2003
Primary completion
2007
Study completion
2009
First posted
Jun 14, 2006
Registry last updated
Mar 27, 2014

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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