Evaluation of an Introductory Videotape Intervention to Improve Cardiac Rehabilitation Participation

Evaluation of an Introductory Videotape Intervention to Improve Cardiac Rehabilitation Participation, the CR$P-2 Pilot Study.

The purpose of this study is to determine whether a pre-discharge videotape introducing the concept and benefit of a Cardiac Rehabiliation & Secondary Prevention (CRSP) program will increase intent to participate in a CRSP program in post myocardial infarction, unstable angina, coronary artery bypass surgery, or coronary angioplasty patients.

There is compelling evidence that a comprehensive CR program comprising the delivery of lifestyle modifying education will reduce mortality, morbidity and improve quality of life in patients following myocardial infarction, unstable angina, angioplasty or coronary artery bypass. However less than 20% of eligible patients participate in CRSP programs. This study will look at a method of potentially improving enrollment and adherence to a CRSP program. Patients will be randomized into two groups. One group will complete a survey and view a videotape introducing the concept of a CRSP program. The second group will be requested to complete a survey only, but will not be exposed to the videotape. It is expected that the patients who view the videotape will be more likely to express intent to participate in CRSP versus those patients who do not view the videotape.

Number of patients who continue to adhere to the 6-month CRSP program beyond the initial expressed intent to participate.

Inclusion Criteria: Admission to hospital for MI, UA, PTCA or CABS Exclusion Criteria: Inability to provide written informed consent or complete the survey for any reason Previous CRSP participation Patients who are scheduled to undergo coronary artery bypass surgery within 3 months following the index hospital discharge Patients with an inability to exercise due to musculoskeletal problems or previous stroke