Life after cardiac rehabilitation; the benefits of a community-based physical activity program

Hanson, Coral; Neubeck, Lis; Dodd-Reynolds, Caroline

Abstract

Background: On completion of cardiac rehabilitation (CR), participants may be directed to community-based physical activity programs for those with chronic conditions. There is limited data to determine additional benefits of these programs supplemental to CR.
Methods: Using longitudinal data from the 24-week Northumberland Exercise Referral Scheme (2009-2015), we examined uptake, 12-week adherence and 24-week completion. Pre and post-program self-reported physical activity levels, body mass index and waist circumference were explored via repeated measures analyses. Participant drop-out and satisfaction questionnaire data were examined to explore barriers and facilitators of attendance.
Outcomes: Of 11,233 referrals made by healthcare professionals, 830 (7.4%) had completed CR. For this group, uptake was 85.2% (n=707). Of those who started, 77.4% (n=547) were 12-week adherers and 66.5% (n=470) were 24-week completers. Physical activity levels increased (baseline=30.6% active, final=44.5% active; p < 0.001). There were decreases in body mass index (baseline=28.2 (SD4.8) kg/m2, final=27.9 (SD4.5) kg/m2; p < 0.05) and waist circumference (baseline=100.5 (SD12.8) cm, final=99.1 (SD12.5) cm; p < 0.001). Staff and social support, improved confidence, fitness and health were facilitators of adherence, while poor health, lack of time, and lack of motivation were barriers.
Implications for practice: Cardiac rehabilitation completers can be successfully integrated into exercise programs for other chronic conditions. To promote adherence, attention should be given to encouraging social interaction and maximising staff support. Provision should consider how to re-engage with those who suffer from episodes of ill health.
Conclusion: A community-based physical activity program led to significant positive changes in cardiovascular risk factors beyond those achieved on CR completion.

• Presentation Conference Type: Presentation / Talk
• Conference Name: 27th Annual Scientific Meeting of the Australian Cardiovascular Health and Rehabilitation Association
• Start Date: Aug 7, 2017
• End Date: Aug 9, 2017
• Deposit Date: Mar 4, 2021
• Public URL: http://researchrepository.napier.ac.uk/Output/2748911