Cardiac Rehabilitation for Young People
Research type
Research Study
Full title
Cardiac Rehabilitation for Young People: A Single-Blind Randomised Acceptability and Feasibility Study of an Integrated Physical and Mental Health Approach
IRAS ID
319134
Contact name
Lora Capobianco
Contact email
Sponsor organisation
Greater Manchester Mental Health NHS Foundation Trust
ISRCTN Number
ISRCTN50031147
Duration of Study in the UK
2 years, 11 months, 31 days
Research summary
Background: Heart problems are amongst the most common physical illnesses in children and young people (CYP)and are linked to increased physical and psychological difficulties overprotection from caregivers and healthcare providers and reduced quality of life. While adults are offered cardiac rehabilitation (CR) after a heart problem, CYP with heart problems are not.
Improving health behaviours in people with heart problems is vital, improves quality of life and reduces additional illnesses (i.e obesity, diabetes). Approximately 1 in 3 CYP with heart problems have anxiety and/or depression so it is also important to support their mental health. One way to do this is to develop and test the acceptability and feasibility of a trial of CR consisting of exercise with mental health support for CYP.
A talking based therapy called metacognitive therapy (MCT) has been shown to be effective in treating anxiety and depression in CYP and adults in mental health settings, and in adult CR. MCT techniques might be delivered as part of a CYP CR programme.
Aims:
1) Develop a CR programme for CYP with heart problems.
2) To see what CYP, parents and clinicians think of CR and see if it is achievable to deliver CR in children’s cardiac services
3) To gather important information to know how to run a larger randomised controlled trial of CR in heart services (i.e. can we recruit families, will they complete the questionnaires).Design: We will ask CYP, caregivers and healthcare professionals about their experience of living with and managing heart problems, in developing the content and format of the CR programme.
We will then conduct a randomized feasibility study. Patients will be randomly allocated to either: (1) usual care; or (2) CR using exercise, education and MCT techniques.
Participants will complete questionnaires at baseline, 3-month and 6-month follow up. Information about CYPs medical and mental health outcomes will be collected.
REC name
North West - Greater Manchester East Research Ethics Committee
REC reference
22/NW/0367
Date of REC Opinion
23 Jan 2023
REC opinion
Further Information Favourable Opinion