Evidence map›Paper›PMID 27481858›Full record

SynthesisThe British journal of general practice : the journal of the Royal College of General Practitioners2016

Behaviour change techniques in home-based cardiac rehabilitation: a systematic review.

Neil Heron, Frank Kee, Michael Donnelly, Christopher Cardwell, Mark A Tully, Margaret E Cupples

Registry-linked trialAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in The British journal of general practice : the journal of the Royal College of General Practitioners, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02712385 (Stroke Prevention Rehabilitation Intervention Trial of Exercise - SPRITE - A Feasibility and Pilot Study), which is not on this map. Cited by 37 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 11 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02712385 nacompletednot on this map

Stroke Prevention Rehabilitation Intervention Trial of Exercise - SPRITE - A Feasibility and Pilot Study

TypeinterventionalSponsorQueen's University, BelfastRan2016 to 2018Enrolled40ConditionsCerebrovascular DisordersArms'The Healthy Brain Rehabilitation Manual', Pedometer, Usual care, Telephone follow-up
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 11 syntheses or guidelines pooled it.

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  3. Home-based versus centre-based cardiac rehabilitation.The Cochrane database of systematic reviews · 2023
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  12. Rehabilitation of patients after transient ischaemic attack or minor stroke: pilot feasibility randomised trial of a home-based prevention programme.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Neil HeronNIHR clinical academic fellow in GP/sport and exercise medicine, Centre for Public Health, School of Medicine, Dentistry and Biomedical Science, Queen's University, Belfast; and The UK Clinical Research Collaboration, Centre of Excellence for Public Health (Northern Ireland), Institute of Clinical Science B, Royal Victoria Hospital, Belfast, UK.
Frank KeeCentre for Public Health, School of Medicine, Dentistry and Biomedical Science, Queen's University, Belfast; and The UK Clinical Research Collaboration, Centre of Excellence for Public Health (Northern Ireland), Institute of Clinical Science B, Royal Victoria Hospital, Belfast, UK.
Michael DonnellyCentre for Public Health, School of Medicine, Dentistry and Biomedical Science, Queen's University, Belfast; and The UK Clinical Research Collaboration, Centre of Excellence for Public Health (Northern Ireland), Institute of Clinical Science B, Royal Victoria Hospital, Belfast, UK.
Christopher CardwellCentre for Public Health, School of Medicine, Dentistry and Biomedical Science, Queen's University, Belfast; and The UK Clinical Research Collaboration, Centre of Excellence for Public Health (Northern Ireland), Institute of Clinical Science B, Royal Victoria Hospital, Belfast, UK.
Mark A TullyCentre for Public Health, School of Medicine, Dentistry and Biomedical Science, Queen's University, Belfast; and The UK Clinical Research Collaboration, Centre of Excellence for Public Health (Northern Ireland), Institute of Clinical Science B, Royal Victoria Hospital, Belfast, UK.
Margaret E CupplesCentre for Public Health, School of Medicine, Dentistry and Biomedical Science, Queen's University, Belfast; and The UK Clinical Research Collaboration, Centre of Excellence for Public Health (Northern Ireland), Institute of Clinical Science B, Royal Victoria Hospital, Belfast, UK.

Funding

Medical Research Council MR/K023241/1
6 · The paper itself

Abstract

backgroundCardiac rehabilitation (CR) programmes offering secondary prevention for cardiovascular disease (CVD) advise healthy lifestyle behaviours, with the behaviour change techniques (BCTs) of goals and planning, feedback and monitoring, and social support recommended. More information is needed about BCT use in home-based CR to support these programmes in practice.

aimTo identify and describe the use of BCTs in home-based CR programmes. DESIGN AND

settingRandomised controlled trials of home-based CR between 2005 and 2015 were identified by searching MEDLINE(®), Embase, PsycINFO, Web of Science, and Cochrane Database.

methodReviewers independently screened titles and abstracts for eligibility. Relevant data, including BCTs, were extracted from included studies. A meta-analysis studied risk factor change in home-based and comparator programmes.

resultsFrom 2448 studies identified, 11 of good methodological quality (10 on post-myocardial infarction, one on heart failure, 1907 patients) were included. These reported the use of 20 different BCTs. Social support (unspecified) was used in all studies and goal setting (behaviour) in 10. Of the 11 studies, 10 reported effectiveness in reducing CVD risk factors, but one study showed no improvement compared to usual care. This study differed from effective programmes in that it didn't include BCTs that had instructions on how to perform the behaviour and monitoring, or a credible source.

conclusionSocial support and goal setting were frequently used BCTs in home-based CR programmes, with the BCTs related to monitoring, instruction on how to perform the behaviour, and credible source being included in effective programmes. Further robust trials are needed to determine the relative value of different BCTs within CR programmes.

Indexed as

Behavior TherapyHome Care ServicesSecondary PreventionCardiac RehabilitationCardiovascular DiseasesHumansPractice Guidelines as TopicRandomized Controlled Trials as TopicSocial Supportcoronary artery bypass graftingGPsheart failuremyocardial infarctionreview, systematicsecondary prevention

Identifiers

PMID27481858
PMCPMC5033311

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.