title: Innovative program to increase physical activity following an acute coronary syndrome: randomized controlled trial.
abstract: OBJECTIVE
  To evaluate the impact of a socio-cognitive intervention associated with a pedometer-based program on physical activity, cardiovascular risk factors and self-efficacy expectation during one year following an acute coronary syndrome.
  
  
  METHODS
  Sixty-five subjects were randomized during hospitalization in an experimental or a usual care group. Average steps/day was measured every 3 months until one year following discharge. Other dependent variables were measured at baseline, 6 and 12 months follow-up.
  
  
  RESULTS
  There were 32 patients in the experimental group and 33 patients in the usual care group. Group characteristics were comparable. At baseline, averages steps/day were similar between groups (5845±3246 vs. 6097±3055 steps/day; p=0.812). At 3-month follow-up, both groups increased their averages steps/day (p<0.05). This increase was higher in the experimental group (3388±844 vs. 1934±889 steps/day; p<0.001). At 12-month, interaction effects (group×time) in physical activity and waist circumference were different between groups (p<0.05), whereas self-efficacy expectation increased in both groups similarly (p<0.05).
  
  
  CONCLUSIONS
  The intervention is useful to improve average steps/day and waist circumference during the first year following an acute coronary syndrome.
  
  
  CONCLUSIONS
  This study supports development of the home-based cardiac rehabilitation program using socio-cognitive intervention associated with a pedometer after an acute coronary syndrome.
authors.affiliation: Faculty of Pharmacy, Laval University, Quebec, Canada.
authors.forename: Julie
authors.initials: J
authors.lastname: Houle
authors.forename: Odette
authors.initials: O
authors.lastname: Doyon
authors.forename: Nathalie
authors.initials: N
authors.lastname: Vadeboncoeur
authors.forename: Ginette
authors.initials: G
authors.lastname: Turbide
authors.forename: Ariel
authors.initials: A
authors.lastname: Diaz
authors.forename: Paul
authors.initials: P
authors.lastname: Poirier
mesh_terms: D054058:Acute Coronary Syndrome / Q000523:psychology / Q000534:rehabilitation*; D000368:Aged; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D004059:Diffusion of Innovation; D005080:Exercise Test / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D012307:Risk Factors; D055502:Secondary Prevention / Q000379:methods; D020377:Self Efficacy; D012959:Socioeconomic Factors; D016896:Treatment Outcome; D016138:Walking