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Title: Examining the effects of a novel model of cardiac rehabilitation in reducing wait times and increasing adherence to behavior changes promoted by the program
Authors: Wanigasekara, Nilupama
Supervisor: Dr. Todd Duhamel (Institute of Cardiovascular Studies, St. Boniface General Hospital Research Centre. Department of Physiology, University of Manitoba)
Examining Committee: Medicine
Graduation Date: October 2012
Keywords: Medicine
Issue Date: 26-Nov-2012
Abstract: Cardiac rehabilitation (CR) is an effective secondary preventative strategy in patients who have undergone a cardiac event. Even so, some aspects of CR programming remain to be optimized. For example, some patients delay their enrollment in CR based on personal factors or delay their CR enrollment because of program factors. There is also evidence in the literature indicating that group dynamics within the CR peer cohort can contribute to increased adherence to a physically active lifestyle. Therefore, this project was designed to determine if a rolling, continuous entry CR program, where patients can enter CR soon after referral, is more effective than the traditional CR program for modifying outcomes. The student was provided an opportunity to learn how to recruit participants for a prospective, interventional study, to utilize accelerometers to objectively measure physical activity behaviour, assess functional walking capacity and to utilize a variety of validated measures to characterize changes in mood status (depression), anxiety and general health amongst a cohort of CR participants. The student participated in an interdisciplinary, collaborative research team and completed a clinical placement shadowing the health professionals who conduct medical screening and stress testing for all of the CR program clients as well as those allied health professionals who deliver the healthy living and education initiatives within the CR program. The objective for the project was to distinguish a difference between the traditional entry model (TRAD) and the continuous entry model (CONTIN).
Appears in Collection(s):Faculty of Medicine, B.Sc. (Med) Projects

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