There was no significant between group difference in six-minute walk test distance .
Conclusions Our meta- analysis showed WPAM with exercise prescription or advice are superior to no device in improving CRF in the maintenance phase of CR and no cardiac adverse events were reported with WPAM use .
Our qualitative analysis showed evidence in favour of WPAM with exercise prescription or advice for both CRF and step count .
WPAM with exercise prescription or advice did not change sedentary time .
Background Physical activity ( PA ) is a component of cardiac rehabilitation ( CR ) .
However , life-long engagement in PA is required to maintain benefits gained .
Wearable PA monitoring devices ( WPAM ) are thought to increase PA .
There appear to be no review s which investigate the effect of WPAM in cardiac population s. We firstly aim ed to systematic ally review r and omised controlled trials within the cardiac population that investigated the effect WPAM had through the maintenance phase of CR .
We specifically examined the effect on cardiorespiratory fitness ( CRF ) , amount and intensity of daily PA , and sedentary time .
The patient education - Learning and Coping Strategies - improves adherence in cardiac rehabilitation (LC-REHAB): A randomised controlled trial.
BACKGROUND Despite proven benefits of cardiac rehabilitation ( CR ) , adherence to CR remains suboptimal . This trial aim ed to assess the impact of the patient education ' Learning and Coping Strategies ' ( LC ) on patient adherence to an eight-week CR program . METHODS 825 patients with ischaemic heart disease or heart failure were open label r and omised to either the LC arm ( LC plus CR ) or the control arm ( CR alone ) across three hospital units in Denmark . Both arms received same amount of training and education hours . LC consisted of individual clarifying interviews , participation of experienced patients as co-educators , situational , reflective and inductive teaching . The control arm received structured deductive teaching . The primary outcomes were patient adherence to at least 75 % of the exercise training or education sessions . We tested for subgroup effects on the primary outcomes using interaction terms . The primary outcomes were compared across arms using logistic regression . RESULTS More patients in the LC arm adhered to at least 75 % of the exercise training sessions than control ( 80 % versus 73 % , adjusted odds ratio (OR):1.48 ; 95 % CI:1.07 to 2.05 , P=0.018 ) and 75 % of education sessions ( 79 % versus 70 % , adjusted OR:1.61 , 1.17 to 2.22 , P=0.003 ) . Some evidence of larger effects of LC on adherence was seen for patients with heart failure , low education and household income . CONCLUSIONS Addition of LC strategies improved adherence in rehabilitation both in terms of exercise training and education . Patients with heart failure , low levels of education and household income appear to benefit most from this adherence promoting intervention . TRIAL REGISTRATION www . clinical trials.gov identifier NCT01668394
There was no significant between group difference in six-minute walk test distance .
Conclusions Our meta- analysis showed WPAM with exercise prescription or advice are superior to no device in improving CRF in the maintenance phase of CR and no cardiac adverse events were reported with WPAM use .
Our qualitative analysis showed evidence in favour of WPAM with exercise prescription or advice for both CRF and step count .
WPAM with exercise prescription or advice did not change sedentary time .
Background Physical activity ( PA ) is a component of cardiac rehabilitation ( CR ) .
However , life-long engagement in PA is required to maintain benefits gained .
Wearable PA monitoring devices ( WPAM ) are thought to increase PA .
There appear to be no review s which investigate the effect of WPAM in cardiac population s. We firstly aim ed to systematic ally review r and omised controlled trials within the cardiac population that investigated the effect WPAM had through the maintenance phase of CR .
We specifically examined the effect on cardiorespiratory fitness ( CRF ) , amount and intensity of daily PA , and sedentary time .