Comparing two methods of rehabilitation for risk factor modification after a cardiac event.

Bernice C. Yates, Birgit M. Heeren, Sev M. Keller, Sangeeta Agrawal, Julie A. Stoner, Carol Ott

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Because fewer than half of cardiac patients in the United States enroll in cardiac rehabilitation (CR) programs, there is a critical need to test alternative strategies of delivering CR services. This study tested whether a home-based CR (home-CR) program was at least as effective as traditional-CR (trad-CR) in the modification of coronary heart disease risk factors from the beginning of CR (baseline) to 2 and 4 months later. A repeated measures non-inferiority quasi-experimental design was used to examine changes in risk factors. Participants selected which CR program, traditional versus home-based, in which to participate: 37 patients chose trad-CR and 24 patients chose home-CR. The following indicators of risk factors were measured: smoking, blood pressure, frequency of aerobic exercise, cholesterol, amount of dietary fat, frequency of anger, body mass index (BMI), and waist circumference. Home-CR was found to be as effective as trad-CR in modification of cardiac risk factors including BMI, waist circumference, blood pressure, frequency of aerobic exercise, total cholesterol, and a low fat diet. Home-CR was not as effective as trad-CR in reducing the frequency of anger. These findings provide support for an alternative method of delivering cardiac rehabilitation services.

Original languageEnglish (US)
Pages (from-to)15-22
Number of pages8
JournalRehabilitation nursing : the official journal of the Association of Rehabilitation Nurses
Volume32
Issue number1
DOIs
Publication statusPublished - Jan 1 2007

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ASJC Scopus subject areas

  • Nursing(all)
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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