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Cochrane COVID-19 Study Register
Study record
Dunn 2021First Published: 2021 Jan 13Updated Date: 2021 Mar 15

Heart up! RCT protocol to increase physical activity in cardiac patients who report hopelessness: amended for the COVID-19 pandemic

  1. Study Type
  2. Interventional
  1. Study Aim
  2. Other
  1. Study Design
  2. Parallel/Crossover
  1. Intervention Assignment
  2. Randomised
  1. Population (3)
  2. Male and Female
  3. Ischemic Heart Disease
  4. Hopelessness
  1. Intervention (6)
  2. Motivational social support
  3. Nurse
  4. Significant other support
  1. Comparison (1)
  2. Attention Placebo Control
  1. Outcome (2)
  2. Increased Physical Activity
  3. Hopelessness
Reference record

Heart up! RCT protocol to increase physical activity in cardiac patients who report hopelessness: amended for the COVID-19 pandemic

Dunn SL, Robbins LB, Tintle NL, Collins EG, Bronas UG, Goodyke MP, Luong A, Gutierrez-Kapheim M, DeVon HA
Journal article
No Results
Hopelessness is associated with decreased physical activity (PA) and increased adverse events and death in patients with ischemic heart disease (IHD). Rates of PA in patients with IHD continue to be low in both hospital-based cardiac rehabilitation and home settings. While researchers have investigated strategies to increase PA among patients with IHD, interventions to promote PA specifically in IHD patients who report hopelessness are lacking. We describe the protocol for a NIH-funded randomized controlled trial designed to establish the effectiveness of a 6-week intervention (Heart Up!) to promote increased PA in IHD patients who report hopelessness. Participants (n = 225) are randomized to one of three groups: (1) motivational social support (MSS) from a nurse, (2) MSS from a nurse plus significant other support (SOS), or (3) attention control. Aims are to: (1) test the effectiveness of 6 weeks of MSS and MSS with SOS on increasing mean minutes per day of moderate to vigorous PA; (2) determine the effects of change in moderate to vigorous PA on hopelessness; and (3) determine if perceived social support and motivation (exercise self-regulation) mediate the effects of the intervention on PA. A total of 69 participants have been enrolled to date. The protocol has been consistently and accurately used by research personnel. We address the protocol challenges presented by the COVID-19 pandemic and steps taken to maintain fidelity to the intervention. Findings from this study could transform care for IHD patients who report hopelessness by promoting self-management of important PA goals that can contribute to better health outcomes