Alpha 2.0

» Articles » PMID: 37224162

The Effects of an Integrated Exercise and Cardiovascular Health Education Programme on Community-dwelling Older Adults at Risk of Atherosclerotic Cardiovascular Diseases: A Study Protocol for a Randomised Controlled Trial

Overview

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2023 May 24

PMID 37224162

Authors

Authors

Flora M W Lo

Eliza M L Wong

Ka Yan Ho

Affiliations

Affiliations

Soon will be listed here.

Abstract

Background: Although older adults are at an increased risk of atherosclerotic cardiovascular disease (ASCVD), the effect of an integrated exercise and cardiovascular health education programme based on self-efficacy theory has not been well investigated among older adults. This study aims at examining the effect of this programme on community-dwelling older adults at risk of ASCVD concerning physical activity level, exercise self-efficacy and ASCVD risk profile.

Methods: A parallel two-arm randomised controlled trial with pretest-posttest design will be performed among 190 Chinese community-dwelling adults aged 60 or above in elderly community centres of the Guangdong-Hong Kong-Macao Greater Bay Area. Eligible participants will be randomised by computerised generation. Experimental group will receive a 12-week integrated exercise and cardiovascular health education programme, which comprises a one-hour group-based health education talk conducted at Week 1, a booklet, a lecture video, a tailor-made exercise video, and a booster intervention by text messaging starting from Week 1 to Week 12. Control group will receive placebo intervention including a talk on basic health issues, a lecture video and corresponding leaflet. The outcomes will be investigated through self-report questionnaires and physiological evaluations at baseline, Week 12, Week 24, and Week 36. Physical activity level, exercise self-efficacy and ASCVD risk profile will be assessed, with physical activity level at Week 24 considered the primary outcome. The main intervention effect (group differences on continuous outcome variables) will be examined via Generalized Estimating Equations with identity link.

Discussion: This study findings will provide clues to the effect of the integrated exercise and cardiovascular health education programme, which is theoretically underpinned with self-efficacy theory, in older adults at risk of ASCVD. It will also enhance the quality of community health education by providing insight into the effective teaching strategies targeting older adults.

Trial Registration: This study has been registered on ChinicalTrial.gov (Trial ID: NCT05434273).

Citing Articles

Shift Work as a Cardiovascular Disease Risk Factor: A Narrative Review.

Wong R, Crane A, Sheth J, Mayrovitz H Cureus. 2023; 15(6):e41186.

PMID: 37525789 PMC: 10387224. DOI: 10.7759/cureus.41186.

References

1.

Wu C, Chang A . Application of a theoretical framework to foster a cardiac-diabetes self-management programme. Int Nurs Rev. 2014; 61(3):336-43. DOI: 10.1111/inr.12104. View

2.

Picorelli A, Pereira L, Pereira D, Felicio D, Sherrington C . Adherence to exercise programs for older people is influenced by program characteristics and personal factors: a systematic review. J Physiother. 2014; 60(3):151-6. DOI: 10.1016/j.jphys.2014.06.012. View

3.

Van Poppel M, Chinapaw M, Mokkink L, van Mechelen W, Terwee C . Physical activity questionnaires for adults: a systematic review of measurement properties. Sports Med. 2010; 40(7):565-600. DOI: 10.2165/11531930-000000000-00000. View

4.

Craig C, Marshall A, Sjostrom M, Bauman A, Booth M, Ainsworth B . International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003; 35(8):1381-95. DOI: 10.1249/01.MSS.0000078924.61453.FB. View

5.

Room J, Hannink E, Dawes H, Barker K . What interventions are used to improve exercise adherence in older people and what behavioural techniques are they based on? A systematic review. BMJ Open. 2017; 7(12):e019221. PMC: 5736048. DOI: 10.1136/bmjopen-2017-019221. View

6.

Jeng C, Braun L . Bandura's self-efficacy theory: a guide for cardiac rehabilitation nursing practice. J Holist Nurs. 1994; 12(4):425-36. DOI: 10.1177/089801019401200411. View

7.

Cavill N, Foster C . Enablers and barriers to older people's participation in strength and balance activities: A review of reviews. J Frailty Sarcopenia Falls. 2020; 3(2):105-113. PMC: 7155318. DOI: 10.22540/JFSF-03-105. View

8.

Faul F, Erdfelder E, Lang A, Buchner A . G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007; 39(2):175-91. DOI: 10.3758/bf03193146. View

9.

Han C, Liu F, Yang X, Chen J, Li J, Cao J . Ideal cardiovascular health and incidence of atherosclerotic cardiovascular disease among Chinese adults: the China-PAR project. Sci China Life Sci. 2018; 61(5):504-514. DOI: 10.1007/s11427-018-9281-6. View

10.

Schwebel F, Larimer M . Using text message reminders in health care services: A narrative literature review. Internet Interv. 2018; 13:82-104. PMC: 6112101. DOI: 10.1016/j.invent.2018.06.002. View

11.

Peiris C, van Namen M, ODonoghue G . Education-based, lifestyle intervention programs with unsupervised exercise improve outcomes in adults with metabolic syndrome. A systematic review and meta-analysis. Rev Endocr Metab Disord. 2021; 22(4):877-890. PMC: 7968142. DOI: 10.1007/s11154-021-09644-2. View

12.

. [Guideline on the assessment and management of cardiovascular risk in China]. Zhonghua Yu Fang Yi Xue Za Zhi. 2019; 53(1):13-35. DOI: 10.3760/cma.j.issn.0253-9624.2019.01.004. View

13.

Brokaw S, Carpenedo D, Campbell P, Butcher M, Furshong G, Helgerson S . Effectiveness of an Adapted Diabetes Prevention Program Lifestyle Intervention in Older and Younger Adults. J Am Geriatr Soc. 2015; 63(6):1067-74. DOI: 10.1111/jgs.13428. View

14.

Peyman N, Shahedi F, Abdollahi M, Doosti H, Zadehahmad Z . Impact of Self-Efficacy Strategies Education on Self-Care Behaviors among Heart Failure Patients. J Tehran Heart Cent. 2020; 15(1):6-11. PMC: 7360864. View

15.

Connelly D, Thomas B, Cliffe S, Perry W, Smith R . Clinical utility of the 2-minute walk test for older adults living in long-term care. Physiother Can. 2010; 61(2):78-87. PMC: 2792234. DOI: 10.3138/physio.61.2.78. View

16.

Xu F, Letendre J, Bekke J, Beebe N, Mahler L, Lofgren I . Impact of a program of Tai Chi plus behaviorally based dietary weight loss on physical functioning and coronary heart disease risk factors: a community-based study in obese older women. J Nutr Gerontol Geriatr. 2015; 34(1):50-65. DOI: 10.1080/21551197.2014.1003672. View

17.

Rivera-Torres S, Fahey T, Rivera M . Adherence to Exercise Programs in Older Adults: Informative Report. Gerontol Geriatr Med. 2019; 5:2333721418823604. PMC: 6343518. DOI: 10.1177/2333721418823604. View

18.

Deng H, Macfarlane D, Neil Thomas G, Lao X, Jiang C, Cheng K . Reliability and validity of the IPAQ-Chinese: the Guangzhou Biobank Cohort study. Med Sci Sports Exerc. 2008; 40(2):303-7. DOI: 10.1249/mss.0b013e31815b0db5. View

19.

Pan W . Akaike's information criterion in generalized estimating equations. Biometrics. 2001; 57(1):120-5. DOI: 10.1111/j.0006-341x.2001.00120.x. View

20.

Mozaffarian D, Benjamin E, Go A, Arnett D, Blaha M, Cushman M . Heart Disease and Stroke Statistics-2016 Update: A Report From the American Heart Association. Circulation. 2015; 133(4):e38-360. DOI: 10.1161/CIR.0000000000000350. View