Exercise training characteristics in cardiac rehabilitation programmes: A cross-sectional survey of Australian practice

Bridget Abell, Paul Glasziou, Tom Briffa, Tammy Hoffmann

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Abstract

INTRODUCTION: Exercise training is a core component of cardiac rehabilitation (CR), however, little information exists regarding the specific exercise interventions currently provided for coronary heart disease in Australian practice. We aimed to analyse the current status of exercise-based CR services across Australia.

DESIGN: Cross-sectional survey.

METHODS: Australian sites offering exercise-based CR were identified from publically available directories. All sites were invited by email to participate in an online Survey Monkey questionnaire between October 2014 and March 2015, with reminders via email and phone follow-up. Questions investigated the demographics and format of individual programmes, as well as specific exercise training characteristics.

RESULTS: 297 eligible programmes were identified, with an 82% response rate. Most sites (82%) were based at hospital or outpatient centres, with home (15%), community (18%) or gym-based options (5%) less common. While CR was most often offered in a comprehensive format (72% of sites), the level of exercise intervention varied greatly among programmes. Most frequently, exercise was prescribed 1-2 times per week for 60 min over 7 weeks. Almost one-quarter (24%) had a sole practitioner supervising exercise, although the majority used a nurse/physiotherapist combination. Low to moderate exercise intensities were used in 60% of programmes, however, higher intensity prescriptions were not uncommon. Few sites (<6%) made use of technology, such as mobile phones or the internet, to deliver or support exercise training.

CONCLUSIONS: While advances have been made towards providing flexible and accessible exercise-based CR, much of Australia's service remains within traditional models of care. A continuing focus on service improvement and evidence-based care should, therefore, be considered a core aim of those providing exercise for CR in order to improve health service delivery and optimise outcomes for patients.

Original languageEnglish
Pages (from-to)e000374
JournalOpen Heart
Volume3
Issue number1
DOIs
Publication statusPublished - 2016

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Cross-Sectional Studies
Exercise
Cardiac Rehabilitation
Directories
Cell Phones
Physical Therapists
Internet
Health Services
Haplorhini
Prescriptions
Coronary Disease
Outpatients
Nurses
Demography
Technology

Cite this

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title = "Exercise training characteristics in cardiac rehabilitation programmes: A cross-sectional survey of Australian practice",
abstract = "INTRODUCTION: Exercise training is a core component of cardiac rehabilitation (CR), however, little information exists regarding the specific exercise interventions currently provided for coronary heart disease in Australian practice. We aimed to analyse the current status of exercise-based CR services across Australia.DESIGN: Cross-sectional survey.METHODS: Australian sites offering exercise-based CR were identified from publically available directories. All sites were invited by email to participate in an online Survey Monkey questionnaire between October 2014 and March 2015, with reminders via email and phone follow-up. Questions investigated the demographics and format of individual programmes, as well as specific exercise training characteristics.RESULTS: 297 eligible programmes were identified, with an 82{\%} response rate. Most sites (82{\%}) were based at hospital or outpatient centres, with home (15{\%}), community (18{\%}) or gym-based options (5{\%}) less common. While CR was most often offered in a comprehensive format (72{\%} of sites), the level of exercise intervention varied greatly among programmes. Most frequently, exercise was prescribed 1-2 times per week for 60 min over 7 weeks. Almost one-quarter (24{\%}) had a sole practitioner supervising exercise, although the majority used a nurse/physiotherapist combination. Low to moderate exercise intensities were used in 60{\%} of programmes, however, higher intensity prescriptions were not uncommon. Few sites (<6{\%}) made use of technology, such as mobile phones or the internet, to deliver or support exercise training.CONCLUSIONS: While advances have been made towards providing flexible and accessible exercise-based CR, much of Australia's service remains within traditional models of care. A continuing focus on service improvement and evidence-based care should, therefore, be considered a core aim of those providing exercise for CR in order to improve health service delivery and optimise outcomes for patients.",
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Exercise training characteristics in cardiac rehabilitation programmes : A cross-sectional survey of Australian practice. / Abell, Bridget; Glasziou, Paul; Briffa, Tom; Hoffmann, Tammy.

In: Open Heart, Vol. 3, No. 1, 2016, p. e000374.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Exercise training characteristics in cardiac rehabilitation programmes

T2 - A cross-sectional survey of Australian practice

AU - Abell, Bridget

AU - Glasziou, Paul

AU - Briffa, Tom

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PY - 2016

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N2 - INTRODUCTION: Exercise training is a core component of cardiac rehabilitation (CR), however, little information exists regarding the specific exercise interventions currently provided for coronary heart disease in Australian practice. We aimed to analyse the current status of exercise-based CR services across Australia.DESIGN: Cross-sectional survey.METHODS: Australian sites offering exercise-based CR were identified from publically available directories. All sites were invited by email to participate in an online Survey Monkey questionnaire between October 2014 and March 2015, with reminders via email and phone follow-up. Questions investigated the demographics and format of individual programmes, as well as specific exercise training characteristics.RESULTS: 297 eligible programmes were identified, with an 82% response rate. Most sites (82%) were based at hospital or outpatient centres, with home (15%), community (18%) or gym-based options (5%) less common. While CR was most often offered in a comprehensive format (72% of sites), the level of exercise intervention varied greatly among programmes. Most frequently, exercise was prescribed 1-2 times per week for 60 min over 7 weeks. Almost one-quarter (24%) had a sole practitioner supervising exercise, although the majority used a nurse/physiotherapist combination. Low to moderate exercise intensities were used in 60% of programmes, however, higher intensity prescriptions were not uncommon. Few sites (<6%) made use of technology, such as mobile phones or the internet, to deliver or support exercise training.CONCLUSIONS: While advances have been made towards providing flexible and accessible exercise-based CR, much of Australia's service remains within traditional models of care. A continuing focus on service improvement and evidence-based care should, therefore, be considered a core aim of those providing exercise for CR in order to improve health service delivery and optimise outcomes for patients.

AB - INTRODUCTION: Exercise training is a core component of cardiac rehabilitation (CR), however, little information exists regarding the specific exercise interventions currently provided for coronary heart disease in Australian practice. We aimed to analyse the current status of exercise-based CR services across Australia.DESIGN: Cross-sectional survey.METHODS: Australian sites offering exercise-based CR were identified from publically available directories. All sites were invited by email to participate in an online Survey Monkey questionnaire between October 2014 and March 2015, with reminders via email and phone follow-up. Questions investigated the demographics and format of individual programmes, as well as specific exercise training characteristics.RESULTS: 297 eligible programmes were identified, with an 82% response rate. Most sites (82%) were based at hospital or outpatient centres, with home (15%), community (18%) or gym-based options (5%) less common. While CR was most often offered in a comprehensive format (72% of sites), the level of exercise intervention varied greatly among programmes. Most frequently, exercise was prescribed 1-2 times per week for 60 min over 7 weeks. Almost one-quarter (24%) had a sole practitioner supervising exercise, although the majority used a nurse/physiotherapist combination. Low to moderate exercise intensities were used in 60% of programmes, however, higher intensity prescriptions were not uncommon. Few sites (<6%) made use of technology, such as mobile phones or the internet, to deliver or support exercise training.CONCLUSIONS: While advances have been made towards providing flexible and accessible exercise-based CR, much of Australia's service remains within traditional models of care. A continuing focus on service improvement and evidence-based care should, therefore, be considered a core aim of those providing exercise for CR in order to improve health service delivery and optimise outcomes for patients.

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DO - 10.1136/openhrt-2015-000374

M3 - Article

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SP - e000374

JO - Open Heart

JF - Open Heart

SN - 2053-3624

IS - 1

ER -