Cardiac Rehabilitation, Coronary Disease, Exercise Test, Physical Exertion, Physical Therapy
Conditions
Brief summary
The 6-minute walk test is a test of physical performance in physiotherapy with lungs and heart patients (Pollentier 2010). However, only 8 and 11% of patients in everyday test situations report a score of 7 or higher on a scale of 0-10 for effort (Jehn 2009). This study is intended to explore, based on grounded theory, why the majority of patients do not assess themselves according to the almost maximum performance.
Interventions
During the stay, a study visit is arranged with the patient after the 6-minute walk test has been performed. This consists of filling out the questionnaire and an interview, which lasts about 45-60 minutes. This is carried out by the investigator on at least 5 subjects. After each interview, a list of influencing factors is kept. If new aspects continue to appear in the 5th interview, the interviews are continued (up to a maximum of the 10th subject). If no new aspects appear in the interviews from number 6 onwards, the interviews are discontinued and no further patients are recruited. The conversations are recorded with an audio recording.
OTHERFocus Group
The focus group is carried out first in order to identify influencing variables that may be relevant for the interview (duration 60-90 minutes).
Sponsors
Klinik Barmelweid
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
55 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* Patients with coronary artery disease undergoing in-patient cardiovascular rehabilitation; over 55 years of age. Patients underwent a 6-minute walk test with assessment of the intensity of the exercise
Exclusion criteria
* no understanding of the German language * Patients would not be able to perform a 6-minute walk test, e. g. surgery on the large joints of the lower extremities, unstable heart disease or predominant neurological symptoms.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| semi-structured interview about reasons, that could influence the rating of patients | during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks | Patients were asked in a semi-structured interview about other reasons, that could influence their rating. |
| reasons, what might patients influence for ratings of patients given from physical therapist | with the beginning of the study within 4 weeks, before the patients' questionnaire and interview | physical therapists identify reasons in a focus group, that influence the patients. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Patients' exertion and performance limit | during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks | open questions |
| Patients' safety during the six-minute-walking test | during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks | numeric rating scale 0-10 (more likely no = 0; more likely yes = 10) |
| Patients' experience with the conduction of the six-minute-walking test | during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks | nominal scale (yes-partly-no) |
| Patients' sportiness | during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks | numeric rating scale 0-10 (more likely no = 0; more likely yes = 10) |
| Experience of maximal exertion of activity in the past | during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks | 4-point nominal scale (weekly to several years ago) |
| Patients' performance limit before and after the heart disease | during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks | numeric rating scale 0-10 (more likely no = 0; more likely yes = 10) |
| Patients' honesty of the statement of effort | during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks | nominal scale (yes-no) |
Countries
Switzerland
Outcome results
None listed