PACES
Study title
A group education programme with subsequent text message support designed to increase physical activity in individuals with diagnosed coronary heart disease: a randomised controlled trial (PACES study)
Background
Cardiovascular disease (CVD) is the single greatest cause of death in the Western world. Following a CVD event such as a heart attack, patients are far more likely to experience a further event unless there are interventions to target risk factors such as physical inactivity, obesity, diabetes, hypertension, hyperlipidaemia and smoking. The PACES study has therefore developed a structured education programme with text message support over a 12-month follow-up period aimed at increasing daily physical activity.
Study Aims
The study aims to implement a structured education programme with text-message support over 12 months and identify whether delivery of the programme to individuals with a history of a cardiac event would be an effective and cost-effective strategy for increasing walking.
Study Summary
This is a single-centre 2-arm parallel 12-month RCT of patients aged 18 years or older who are 12-48 months post-diagnosis of a cardiac event (myocardial infarction, angina or acute coronary syndrome). It compares a structured disease management education programme, delivered as a group education programme followed by text message support, with usual care, both supported by a detailed information leaflet. The primary outcome is physical activity at 12 months measured using a wrist-worn accelerometer.
Study Progress
The study has successfully recruited to target and collection of follow-up is complete. Data analysis is ongoing and a paper is being prepared for publication.
Funding and Sponsorship
The study is funded by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care East Midlands (CLAHRC EM), now recommissioned as the NIHR Applied Research Collaboration East Midlands (ARC_EM) and the East Midlands Academic Health Science network. The study is sponsored by the University of Leicester.
Study Publications
Herring LY, Dallosso H, Chatterjee S, Bodicoat D, Schreder S, Khunti K et al. Physical Activity after Cardiac EventS (PACES) – a group education programme with subsequent text-message support designed to increase physical activity in individuals with diagnosed coronary heart disease: study protocol for a randomised controlled trial. Trials. 2018;19:537
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6172802/pdf/13063_2018_Article_2923.pdf
Research Team
Principal investigator – Prof Melanie Davies
Project Manager – Dr Louisa Herring (louisa.herring@uhl-tr.nhs.uk)
ISRCTN Registry ISRCTN 91163727. https://doi.org/10.1186/ISRCTN91163727