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Protocol of the “As du Coeur” study: a randomized controlled trial on physical activity maintenance in cardiovascular patients

BACKGROUND: Although the benefits of supervised physical activity programs in cardiac rehabilitation have been well documented, the amount of physical activity often drops quickly after the end of the supervised period. This trial (registered as ISRCTN77313697) will evaluate the effectiveness of an...

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Autores principales: Fournier, Marion, Radel, Rémi, Tifratene, Karim, Pradier, Christian, Fuch, Alain, Mossé, Philippe, Domerego, Jean-Jacques, Gal, Jocelyn, d’Arripe-Longueville, Fabienne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4994182/
https://www.ncbi.nlm.nih.gov/pubmed/27549590
http://dx.doi.org/10.1186/s12872-016-0325-0
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author Fournier, Marion
Radel, Rémi
Tifratene, Karim
Pradier, Christian
Fuch, Alain
Mossé, Philippe
Domerego, Jean-Jacques
Gal, Jocelyn
d’Arripe-Longueville, Fabienne
author_facet Fournier, Marion
Radel, Rémi
Tifratene, Karim
Pradier, Christian
Fuch, Alain
Mossé, Philippe
Domerego, Jean-Jacques
Gal, Jocelyn
d’Arripe-Longueville, Fabienne
author_sort Fournier, Marion
collection PubMed
description BACKGROUND: Although the benefits of supervised physical activity programs in cardiac rehabilitation have been well documented, the amount of physical activity often drops quickly after the end of the supervised period. This trial (registered as ISRCTN77313697) will evaluate the effectiveness of an experimental intervention based on habit formation theory applied to physical activity maintenance. METHODS/DESIGN: Cardiovascular patients (N = 56) will be individually randomized into two groups. Two supervised physical activity (SPA) sessions per week will be offered to the first group for 20 weeks. Progressively autonomous physical activity (PAPA) will be offered to the second group as follows: 10 weeks of the same supervised program as the SPA group followed by 10 more weeks in which one supervised session will be replaced by a strategy to build and sustain the habit of autonomous practice of physical activity. The primary outcome is the amount of physical activity measured by the International Physical Activity Questionnaire (IPAQ; Craig et al., Med Sci Sport Exercises 35(8):1381–95, 2003). To compensate for the limited capacity to recruit subjects, multiple IPAQ measurements will be made (at T0, T5, T7, T9 and T12 months after the start of the intervention) and analyzed using the mixed model approach. We will also assess changes in physical and physiological indicators, automaticity of the physical activity behavior, motivation and quality of life. Last, we will assess the cost-effectiveness for each type of program. DISCUSSION: If proven to be effective, the PAPA intervention, which requires fewer supervised sessions, should provide a cost-effective solution to the problem of physical activity maintenance in cardiac rehabilitation.
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spelling pubmed-49941822016-08-24 Protocol of the “As du Coeur” study: a randomized controlled trial on physical activity maintenance in cardiovascular patients Fournier, Marion Radel, Rémi Tifratene, Karim Pradier, Christian Fuch, Alain Mossé, Philippe Domerego, Jean-Jacques Gal, Jocelyn d’Arripe-Longueville, Fabienne BMC Cardiovasc Disord Study Protocol BACKGROUND: Although the benefits of supervised physical activity programs in cardiac rehabilitation have been well documented, the amount of physical activity often drops quickly after the end of the supervised period. This trial (registered as ISRCTN77313697) will evaluate the effectiveness of an experimental intervention based on habit formation theory applied to physical activity maintenance. METHODS/DESIGN: Cardiovascular patients (N = 56) will be individually randomized into two groups. Two supervised physical activity (SPA) sessions per week will be offered to the first group for 20 weeks. Progressively autonomous physical activity (PAPA) will be offered to the second group as follows: 10 weeks of the same supervised program as the SPA group followed by 10 more weeks in which one supervised session will be replaced by a strategy to build and sustain the habit of autonomous practice of physical activity. The primary outcome is the amount of physical activity measured by the International Physical Activity Questionnaire (IPAQ; Craig et al., Med Sci Sport Exercises 35(8):1381–95, 2003). To compensate for the limited capacity to recruit subjects, multiple IPAQ measurements will be made (at T0, T5, T7, T9 and T12 months after the start of the intervention) and analyzed using the mixed model approach. We will also assess changes in physical and physiological indicators, automaticity of the physical activity behavior, motivation and quality of life. Last, we will assess the cost-effectiveness for each type of program. DISCUSSION: If proven to be effective, the PAPA intervention, which requires fewer supervised sessions, should provide a cost-effective solution to the problem of physical activity maintenance in cardiac rehabilitation. BioMed Central 2016-08-22 /pmc/articles/PMC4994182/ /pubmed/27549590 http://dx.doi.org/10.1186/s12872-016-0325-0 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Study Protocol
Fournier, Marion
Radel, Rémi
Tifratene, Karim
Pradier, Christian
Fuch, Alain
Mossé, Philippe
Domerego, Jean-Jacques
Gal, Jocelyn
d’Arripe-Longueville, Fabienne
Protocol of the “As du Coeur” study: a randomized controlled trial on physical activity maintenance in cardiovascular patients
title Protocol of the “As du Coeur” study: a randomized controlled trial on physical activity maintenance in cardiovascular patients
title_full Protocol of the “As du Coeur” study: a randomized controlled trial on physical activity maintenance in cardiovascular patients
title_fullStr Protocol of the “As du Coeur” study: a randomized controlled trial on physical activity maintenance in cardiovascular patients
title_full_unstemmed Protocol of the “As du Coeur” study: a randomized controlled trial on physical activity maintenance in cardiovascular patients
title_short Protocol of the “As du Coeur” study: a randomized controlled trial on physical activity maintenance in cardiovascular patients
title_sort protocol of the “as du coeur” study: a randomized controlled trial on physical activity maintenance in cardiovascular patients
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4994182/
https://www.ncbi.nlm.nih.gov/pubmed/27549590
http://dx.doi.org/10.1186/s12872-016-0325-0
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