Improving Cardiac Rehabilitation Participation in Women and Men

Status

Completed

Phases

Phase 3

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT00336830

Enrollment

1035

Registered

2006-06-14

Start date

2003-05-31

Completion date

2009-12-31

Last updated

2014-03-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Coronary Disease, Myocardial Infarction, Unstable Angina

Keywords

Cardiac Rehabilitation, Improving Cardiac Rehabilitation Participation, coronary angioplasty, coronary artery bypass surgery

Brief summary

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.

Detailed description

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.

Interventions

BEHAVIORALMD-endorsed Cardiac Rehabilitation referral

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

BEHAVIORALStandard Cardiac Rehabilitation referral

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

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Masking

SINGLE (Subject)

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Yes

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

Design outcomes

Primary

Measure	Time frame
Attendance at initial CR orientation appointment within 2 months of index hospital discharge	3 months

Secondary

Measure	Time frame
Impact of MD endorsement on number of patients attending CR program	3 months
Number of patients who continue to adhere to the 6-month CR program beyond the initial CR orientation appointment	8 months
Impact of other patient variables and how they influence participation in a CR program	8 months

Countries

Canada

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026