title: Initial efficacy of a cardiac rehabilitation transition program: Cardiac TRUST.
abstract: The purpose of this pilot study was to test the initial efficacy, feasibility, and safety of a specially designed postacute care transitional rehabilitation intervention for cardiac patients. Cardiac Transitional Rehabilitation Using Self-Management Techniques (Cardiac TRUST) is a family-focused intervention that includes progressive low-intensity walking and education in self-management skills to facilitate recovery following a cardiac event. Using a randomized two-group design, exercise self-efficacy, steps walked, and participation in an outpatient cardiac rehabilitation (CR) program were compared in a sample of 38 older adults (17 Cardiac TRUST, 21 usual care). At discharge from postacute care, the intervention group trended toward higher levels of self-efficacy for exercise outcomes than the usual care group. During the 6 weeks following discharge, the intervention group had greater attendance in outpatient CR and a trend toward more steps walked during the first week. The feasibility of the intervention was better for the home health care participants than for those in the skilled nursing facility. The provision of CR during postacute care has the potential to bridge the gap in transitional services from hospitalization to outpatient CR for these patients at high risk for future cardiac events. Further evidence of the efficacy of Cardiac TRUST is warranted.
authors.affiliation: Case Western Reserve University, Cleveland, OH, USA. mad15@case.edu
authors.forename: Mary A
authors.initials: MA
authors.lastname: Dolansky
authors.forename: Melissa D
authors.initials: MD
authors.lastname: Zullo
authors.forename: Rebecca S
authors.initials: RS
authors.lastname: Boxer
authors.forename: Shirley M
authors.initials: SM
authors.lastname: Moore
mesh_terms: D000368:Aged; D003266:Continuity of Patient Care; D005240:Feasibility Studies; D006331:Heart Diseases / Q000534:rehabilitation*; D006801:Humans; D010865:Pilot Projects; D014481:United States
references.citation: J Cardiopulm Rehabil. 2005 May-Jun;25(3):173-6
references.pmid: 15931022
references.citation: Ann Behav Med. 2003 Aug;26(1):1-7
references.pmid: 12867348
references.citation: Int J Geriatr Psychiatry. 2000 Nov;15(11):1021-7
references.pmid: 11113982
references.citation: J Gen Intern Med. 2004 Jul;19(7):747-53
references.pmid: 15209588
references.citation: J Chronic Dis. 1987;40(5):373-83
references.pmid: 3558716
references.citation: Qual Life Res. 2008 Dec;17(10):1239-46
references.pmid: 18850327
references.citation: West J Nurs Res. 2008 Mar;30(2):163-80
references.pmid: 17607054
references.citation: Cochrane Database Syst Rev. 2000;(4):CD001800
references.pmid: 11034729
references.citation: J Pers Assess. 1990 Winter;55(3-4):610-7
references.pmid: 2280326
references.citation: Prev Sci. 2004 Sep;5(3):185-96
references.pmid: 15470938
references.citation: Clin Rehabil. 2002 Aug;16(5):541-52
references.pmid: 12194625
references.citation: Res Gerontol Nurs. 2009 Jan;2(1):12-9
references.pmid: 20077989
references.citation: Rehabil Nurs. 2011 Mar-Apr;36(2):47-53, 82
references.pmid: 21473560
references.citation: Med Sci Sports Exerc. 1982;14(5):377-81
references.pmid: 7154893
references.citation: Arch Intern Med. 1999 Oct 25;159(19):2357-60
references.pmid: 10547176
references.citation: J Cardiovasc Nurs. 2010 Jul-Aug;25(4):342-9
references.pmid: 20539168
references.citation: J Psychiatr Res. 1982-1983;17(1):37-49
references.pmid: 7183759
references.citation: J Nurs Meas. 2004 Winter;12(3):235-47
references.pmid: 16138727
references.citation: Rehabil Nurs. 2008 Mar-Apr;33(2):73-81
references.pmid: 18330386