Cardiac Rehabilitation in the United Kingdom

Bethell, Hugh; Turner, Sally; Evans, Julia; Rose, Laura J.

doi:10.1097/00008483-200103000-00008

Cited by 111 publications

(112 citation statements)

References 9 publications

Supporting

Mentioning

109

Contrasting

Order By: Relevance

“…Hence, 28% of the participants randomised to the centre-based rehabilitation did not commence CR. This is a lower level of nonparticipation than reported for the UK as a whole, 36,146 which suggests that we had a more motivated group of participants than would occur outside a trial setting. The trial was largely set in a deprived inner-city location with a high proportion of ethnic minorities, particularly of South Asian origin.…”

Section: Generalisabilitymentioning

confidence: 69%

“…Surveys from the UK show levels of participation between 14 and 43%. 7,[36][37][38][39] Similarly low uptake rates are reported from Australia, 40 New Zealand, 41 the USA [42][43][44] and France. 45 Of those patients who do attend hospital CR, the drop-out rates from exercise programmes generally range from 20% in the first 3 months to 50% at 6 months to 1 year, but can be as high as 87% by 1 year.…”

Section: Overall Uptake Ratesmentioning

confidence: 92%

“…The study had no upper age limit and the participants had a mean age of 61 years, which is similar to that reported in the survey undertaken by the British Association of Cardiac Rehabilitation. 36 The hospital-based programmes in our study were representative of those provided in England by a national survey. 26 Our programmes lasted from 6 to 12 weeks, which is similar to the 4-12 weeks identified by the survey, and consisted of 9-24 sessions, again comparing well with the 6-24 sessions found in the survey.…”

Section: Generalisabilitymentioning

confidence: 99%

See 2 more Smart Citations

The Birmingham Rehabilitation Uptake Maximisation Study (BRUM). Home-based compared with hospital-based cardiac rehabilitation in a multi-ethnic population: cost-effectiveness and patient adherence

Jolly¹,

Taylor²,

Gy³

et al. 2007

Health Technol Assess

171

262

View full text Add to dashboard Cite

Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email.Paying by official purchase order You can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. HTA The Birmingham Rehabilitation Uptake Maximisation Study (BRUM NIHR Health Technology Assessment ProgrammeT he Health Technology Assessment (HTA) programme, now part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the costs, effectiveness and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined to include all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care, rather than settings of care. The research findings from the HTA Programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA Programme is needs-led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects. First is the commissioned route. Suggestions for research are actively sought from people working in the NHS, the public and consumer groups and professional bodies such as royal colleges and NHS trusts. These suggestions are carefully prioritised by panels of independent experts (including NHS service users). The HTA Programme then commissions the research by competitive tender. Secondly, the HTA Programme provides grants for cl...

show abstract

Section: Generalisabilitymentioning

confidence: 69%

Section: Overall Uptake Ratesmentioning

confidence: 92%

Section: Generalisabilitymentioning

confidence: 99%

See 1 more Smart Citation

The Birmingham Rehabilitation Uptake Maximisation Study (BRUM). Home-based compared with hospital-based cardiac rehabilitation in a multi-ethnic population: cost-effectiveness and patient adherence

Jolly¹,

Taylor²,

Gy³

et al. 2007

Health Technol Assess

171

262

View full text Add to dashboard Cite

show abstract

“…With finite health care resources, hospital or health centre exercise may not always be viable or available on an on-going basis. In addition the UK has seen an increased provision of rehabilitation programmes for people with long term conditions within local leisure or community centres; most notably cardiac 29 and pulmonary 30 rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

The effects of a 12-week leisure centre-based, group exercise intervention for people moderately affected with multiple sclerosis: a randomized controlled pilot study

et al. 2011

View full text Add to dashboard Cite

Objective: To establish the effects of a twelve week, community based, group exercise intervention for people moderately affected with Multiple Sclerosis (MS) (Extended Disability Status Score 5-6.5). Design: Randomised controlled pilot trialSetting: Two community leisure centres.Participants: 32 subjects with MS were randomised into an intervention or control group. Intervention:The intervention group received twelve weeks of twice weekly, 60 minute group exercise sessions, which included mobility, balance and resistance exercises. The control group received usual care. Main Outcome measures:An assessor blinded to group allocation assessed participants at baseline, after eight weeks and after twelve weeks (i.e after the intervention period). The primary outcome measure was 25 Foot Walk time (T25FW), secondary outcomes assessed walking endurance, balance, physical function, leg strength, body mass index, activity levels, fatigue, anxiety and depression, quality of life and goal attainment. ResultsThe intervention led to an improvement in all outcome measures. Physical activity results showed a significant group effect (p<0.001) and interaction effect (p=0.009), post hoc analysis revealed this was significant at week eight (p<0.001) and week twelve (p=0.005).Balance confidence results showed a significant group effect (p=0.001). Good effect sizes were found for activity levels (d=1.05), dynamic balance (d=0.80), perceived balance (d=0.94) and leg strength (d=1.33). Conclusion:Although further research is required, the results of the study suggest that community based group exercise classes are a feasible option for people moderately affected with MS, and offer benefits such as improved physical activity levels, balance and leg strength.3

show abstract

“…For example, patients admitted following a MI or a scheduled admission for cardiac surgery may be invited to attend cardiac rehabilitation programmes which are predominantly delivered on an outpatient basis following hospital discharge [10]. Usually these are hospital or community group-based programmes lasting approximately 6-12 weeks provided by a multidisciplinary team incorporating exercise, education, secondary prevention advice and risk factor management [10]. Home-based services are available in some locations and include domiciliary visits by health professionals and telephone contact [10].…”

Section: Introductionmentioning

confidence: 99%

Cardiac rehabilitation for heart failure: Do older people want to attend and are they referred?

Buttery

Carr‐White

Martin

et al. 2014

European Geriatric Medicine

View full text Add to dashboard Cite

Cardiac Rehabilitation in the United Kingdom

Abstract: In the UK, between 14% and 23% of infarct patients, between 33% and 56% of CABG patients, and between 6% and 10% of PTCA patients are enrolled into CR programs.

Cited by 111 publications

References 9 publications

The Birmingham Rehabilitation Uptake Maximisation Study (BRUM). Home-based compared with hospital-based cardiac rehabilitation in a multi-ethnic population: cost-effectiveness and patient adherence

The Birmingham Rehabilitation Uptake Maximisation Study (BRUM). Home-based compared with hospital-based cardiac rehabilitation in a multi-ethnic population: cost-effectiveness and patient adherence

The effects of a 12-week leisure centre-based, group exercise intervention for people moderately affected with multiple sclerosis: a randomized controlled pilot study

Cardiac rehabilitation for heart failure: Do older people want to attend and are they referred?

Contact Info

Product

Resources

About