Cha Geunyeong, Chung Misook L, Heebner Nicholas R, Bronas Ulf G, Biddle Martha J, Lin Chin-Yen, Kang JungHee, Wu Jia-Rong, Thompson Jessica H, Thapa Ashmita, Moser Debra K
College of Nursing, University of Kentucky, 751 Rose Street, Lexington, KY 40536, United States.
College of Health Science, University of Kentucky, Sports Medicine Research Institute, 720 Sports Center Drive, Lexington, KY 40506, United States.
Contemp Clin Trials Commun. 2024 Jun 4;40:101320. doi: 10.1016/j.conctc.2024.101320. eCollection 2024 Aug.
Physical activity (PA) is essential following an acute cardiac event. Cardiac rehabilitation (CR) is commonly prescribed, and PA after CR is recommended. Because of age-related changes in functional ability and multi-comorbidity, many older cardiac patients struggle to continue performing PA at home after CR. Depressive symptoms and anxiety are prevalent in cardiac patients and associated with poor self-care, including lack of daily PA. Yoga has been demonstrated to improve psychological and physical health outcomes in cardiac patients, but it is unknown whether yoga, modified for older CR patients - Gentle Yoga - is beneficial in managing psychological distress and maintaining PA following phase II CR. Our specific aims are to:1) determine the feasibility and acceptability of a modified gentle yoga intervention delivered via video conferencing for older cardiac patients; 2) compare, at 3-month follow-up, the effects and determine effect sizes of a gentle yoga intervention versus control on psychological health and physical health.
We are conducting a 2-group (intervention versus control) randomized controlled pilot study. The intervention is a 12-week gentle yoga program delivered via video conference. Short-term effects will be evaluated at 3-month.
This study is designed to be suited for older cardiac patients who would not have access to supervised PA opportunities after facility-based CR to enhance PA. This study will provide data about the feasibility and acceptability of the protocol for older cardiac patients and will offer effect sizes to determine sample size for a fully powered randomized controlled trial.
急性心脏事件后进行身体活动（PA）至关重要。通常会开具心脏康复（CR）处方，并且建议在CR后进行PA。由于功能能力的年龄相关变化和多种合并症，许多老年心脏病患者在CR后难以在家中继续进行PA。抑郁症状和焦虑在心脏病患者中很普遍，并且与包括缺乏日常PA在内的自我护理不佳有关。瑜伽已被证明可改善心脏病患者的心理和身体健康结果，但针对老年CR患者改良的瑜伽——舒缓瑜伽——在管理心理困扰和维持II期CR后的PA方面是否有益尚不清楚。我们的具体目标是：1）确定通过视频会议为老年心脏病患者提供改良舒缓瑜伽干预的可行性和可接受性；2）在3个月随访时比较舒缓瑜伽干预与对照对心理健康和身体健康的影响并确定效应大小。
我们正在进行一项两组（干预组与对照组）随机对照试验研究。干预是通过视频会议提供的为期12周的舒缓瑜伽计划。短期效果将在3个月时进行评估。
本研究旨在适用于在基于机构的CR后无法获得有监督的PA机会以增强PA的老年心脏病患者。本研究将提供有关该方案对老年心脏病患者的可行性和可接受性的数据，并将提供效应大小以确定全效随机对照试验的样本量。
