Yeddung Gauar (Good Heart): Feasibility of an Aboriginal and Torres Strait Islander female Cardiac Rehabilitation program delivered in a non-Indigenous health service.
Dr Nicole Freene
20 participants
Jun 14, 2018
Interventional
Conditions
Summary
Cardiovascular disease (CVD) is diagnosed in almost half of Indigenous Australians 55 years and over, and is the largest cause of premature deaths in this population. It is widely recognised that cardiac rehabilitation (CR) decreases mortality, improves risk profiles, decreases hospital admissions, increases medication adherence and improves quality of life in those diagnosed with CVD. The aim of this study is to evaluate the feasibility of a female only Aboriginal and Torres Strait Islander CR program in a non-Indigenous health service setting. It will evaluate both the combination of improving access to a CR service; and improving health workforce cultural safety through implementation of an 18-week program of weekly CR sessions consisting of 1 hour of exercise and 30 minutes of education delivered by a multidisciplinary team, including an Indigenous Health Worker. Data will be collected from participants at baseline, and at every sixth session attended. Assessment of health professionals’ cultural awareness and safety pre and post program will be evaluated via a questionnaire. Feasibility measures will include recruitment of participants, adherence to the CR program, drop-out rates and Qualitative data collection from both participants and health professionals will be analysed at the end of the program.
Eligibility
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Interventions
An 18-week mixed methods feasibility study will be conducted, with weekly CR sessions consisting of 1 hour of exercise and 30 minutes of education delivered by a multidisciplinary team, including an Indigenous Health Worker. Participants will be recruited from a variety of settings, with the aim to recruit a minimum of 20 participants. Attendance will be flexible, aiming for participants to complete 6 sessions and attendance checklists will be completed for every session. Participants will be re-assessed after every sixth session attended and can continue attending the program following this, if desired. The Aboriginal Community Bus will be utilised to bring participants to and from the University of Canberra’s Faculty of Health Clinics. This will be coordinated by the projects Research Assistant and the IHW. The main aim of the exercise sessions will be to increase cardiovascular fitness by exercising large muscle groups. Sessions will be run as a group circuit class, supervised by a physiotherapist and/or exercise physiologist and will be individually tailored for each of the participants based on pre assessments. The exercise sessions will include a 10 minute warm up and cool down and 40 minutes of aerobic exercise including upper limb resistance excises, lower limb strengthening, overground/treadmill walking and stationary cycling. Intensity of the exercise will be assessed via the Borg RPE Scale. Members of the multi-disciplinary team will conduct educational lectures to increase participant knowledge of their CVD condition and increase self-management skills for risk factor management. The education sessions/lectures will cover; cardiac anatomy and physiology; cardiac risk factors, modification and management of symptoms; how to deal with stress, anxiety and depression; cardiac medications; benefits of exercise and physical activity; and nutrition advice. This information will be delivered in a flexible, nonthreatening manner using Indigenous resources from the National Heart Foundation.
Locations(2)
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ACTRN12618000581268