Improving attendance at cardiac rehabilitation: a randomized controlled trial

ISRCTN ISRCTN12160517
DOI https://doi.org/10.1186/ISRCTN12160517
Secondary identifying numbers N/A
Submission date
06/07/2011
Registration date
08/08/2011
Last edited
10/02/2016
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Phase III cardiac rehabilitation is a program of supervised exercise, relaxation and education for people with heart disease. It improves fitness and reduces the likelihood of future heart attacks, but attendance rates are low. We set out to increase the proportion of people attending cardiac rehabilitation using a specially designed invitation letter and supportive leaflet, using wording that theoretically should encourage people to attend.

Who can participate?
People were recruited to the study while in hospital following a heart attack or heart surgery.

What does the study involve?
Participants are randomly allocated to either receive either the new letter or the previously used letter. Similarly, participants are randomly allocated to receive the new leaflet or not. We then count how many of each group attend cardiac rehabilitation.

What are the possible benefits and risks of participating?
There were no risks to participants.

Where is the study run from?
Aberdeen Royal Infirmary (UK)

When is the study starting and how long is it expected to run for?
January 2007 to December 2008

Who is funding the study?
University of Aberdeen (UK)

Who is the main contact?
During the study: Dr Sultan Mosleh (s.m.mosleh@abdn.ac.uk)
After study completion: Dr Neil Campbell (n.campbell@abdn.ac.uk)

Contact information

Dr Sultan Mosleh
Scientific

University of Aberdeen
Centre of Academic Primary Care
Polwarth Building
Foresterhill
Aberdeen
AB25 2ZD
United Kingdom

Study information

Study design2x2 factorial design single centre blind randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleEffectiveness of theory based interventions to improve attendance at cardiac rehabilitation: a randomized controlled trial
Study objectivesA theory-based invitation letter and leaflet will increase attendance at phase III cardiac rehabilitation above that attained by the usual invitation letter
Ethics approval(s)Grampian Research Ethics Committee,17/11/2006, ref: 06/S0802/119
Health condition(s) or problem(s) studiedCoronary heart disease. Specifically post myocardial infarction and post cardiac surgery.
Intervention1. Letter of invitation to cardiac rehabilitation designed with theory based wording
2. Supportive leaflet to accompany letter of invitation to cardiac rehabilitation designed with theory based wording
3. The control was the previously used letter of invitation to cardiac rehabilitation
Intervention typeOther
Primary outcome measureAttendance at least one session of a Phase III CR programme
Secondary outcome measures1. To identify the factors associated with CR attendance
2. The independent measures of CR attendance were determined by a baseline self-report questionnaire which covered socio-demographical and medical factors, Hospital Anxiety and Depression Scale (HAD) (Zigmond and Snaith, 1983), Theory of Planned Behaviour (TPB) scale (Blanchard et al, 2002; Blanchard et al, 2003) and Illness Perception questionnaire (Weinman et al. 1996)
Overall study start date01/01/2007
Completion date31/12/2008

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants412 patients were required in total to enable comparison between all of the four cells, or 206 to enable two-group comparisons (theoretical letter vs. the standard letter, or leaflet vs. no leaflet)
Key inclusion criteriaConsecutive patients who were admitted with myocardial infarction (MI) or post cardiac surgery between January 2007 and December 2007 at Aberdeen Royal Infirmary were invited to participate in the study if they were referred to the cardiac rehabilitation (CR) programme in the city of Aberdeen or the area of Aberdeenshire.
Key exclusion criteria1. Patients who had not had MI
2. Patients who were terminally ill
3. Patients who had cardiac valve stenosis
4. Patients who had arrhythmia
5. Patients who abuse alcohol or drugs
6. Patients who are mentally or physically disabled
7. Those referred to the CR programme from out of Aberdeen area
Date of first enrolment01/01/2007
Date of final enrolment31/12/2008

Locations

Countries of recruitment

  • Scotland
  • United Kingdom

Study participating centre

University of Aberdeen
Aberdeen
AB25 2ZD
United Kingdom

Sponsor information

University of Aberdeen (UK)
University/education

Research and Innovation
University of Aberdeen
King's College
Aberdeen
AB24 3FX
Scotland
United Kingdom

Phone +44 (0)1224 272000
Email res-innov@abdn.ac.uk
Website http://www.abdn.ac.uk/
ROR logo "ROR" https://ror.org/016476m91

Funders

Funder type

University/education

University of Aberdeen
Private sector organisation / Universities (academic only)
Alternative name(s)
ABDN
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/09/2009 Yes No

Editorial Notes

10/02/2016: Plain English summary added.
30/11/2015: Publication reference added.