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DOI: 10.1055/s-0033-1355345
Wirksamkeit von Zielvereinbarungen für die Phase III der kardiologischen Rehabilitation – Erste Ergebnisse der CARO-PRE-Studie
Improvement of Health Related Behaviour in Cardiac Rehabilitation: The Influence of Goal Setting – First Results of The CARO-PRE StudyPublication History
eingereicht: 14 May 2013
angenommen: 15 August 2013
Publication Date:
14 October 2013 (online)
![](https://www.thieme-connect.de/media/physmed/201305/lookinside/thumbnails/10.1055-s-0033-1355345-1.jpg)
Zusammenfassung
Fragestellung:
Zielsetzung der Studie war die Überprüfung der Wirksamkeit von Zielvereinbarungen bei kardiologischen Rehabilitanden.
Material und Methoden:
Die randomisierte, kontrollierte Studie umfasste 1390 Patienten, davon 687 in der Kontrollgruppe (KG) und 703 in der Interventionsgruppe (IG). Messzeitpunkte waren Beginn der Rehabilitation und 6 Monate danach. Primäre- bzw. sekundäre Outcome-Kriterien bezogen sich auf das Gesundheitsverhalten (Ernährung, körperliche Aktivität, Rauchen) und physiologische Schutz- und Risikofaktoren (Blutfette, Blutdruck, Blutzucker, BMI).
Ergebnisse:
In der IG verbesserte sich das Ernährungsverhalten signifikant (p=0,049), es nahmen mehr Rehabilitanden an Herzgruppen teil (p=0,001) und es zeigte sich beim BMI ein positiver Effekt für die adipösen Patienten. Keine Unterschiede ergaben sich hinsichtlich des Rauchstatus.
Diskussion und Schlussfolgerung:
Mittelfristig ließ sich eine positive Wirkung der Zielvereinbarung auf das Gesundheitsverhalten zeigen, die Analyse der 12-Monats-Katamnese steht noch aus.
Abstract
Purpose:
Purpose of this study was to evaluate a goal setting concept cardiac rehabilitation.
Material and Methods:
1390 patients took part in the randomised controlled study, 687 were in the control group (CG) and 703 in the intervention group (IG). 2 measurement points were analysed; baseline and 6 months after rehabilitation. Primary outcome was health related behaviour (smoking, nutrition, physical activity); secondary outcomes were physiological risk factors (blood lipids, blood pressure, blood sugar, weight).
Results:
Analysis showed significant differences betweeen both groups regarding the healthy nutrition, while the IG showed a more healthy behavior (p=0.049). Furthermore, the participation rate for coronary sport was higher in the IG (p=0.001). Detailed analysis of the BMI revealed a positive effect for the obese patients in IG.
Discussion and Conclusion:
The intervention showed positive middle-term effects regarding nutrition and physical activity as well as a positive influence on weight in the IG. No effect was found for smoking. Analysis of the long-term effects is still outstanding.
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