PMID- 24958737
OWN - NLM
STAT- MEDLINE
DCOM- 20160411
LR  - 20220330
IS  - 2047-4881 (Electronic)
IS  - 2047-4873 (Linking)
VI  - 22
IP  - 8
DP  - 2015 Aug
TI  - The minimum clinically important improvement in the incremental shuttle walk test 
      following cardiac rehabilitation.
PG  - 972-8
LID - 10.1177/2047487314540840 [doi]
AB  - BACKGROUND: The aim was to establish the minimum clinically important difference 
      (MCID) in the incremental shuttle walk test (ISWT) following cardiac 
      rehabilitation. DESIGN: This was a service evaluation, utilising anchor- and 
      distribution-based methods. METHODS: Two hundred and twenty patients performed an 
      ISWT following a six-week cardiac rehabilitation programme comprising supervised 
      aerobic exercise, secondary prevention education and a home exercise programme. 
      PRIMARY OUTCOME: Patient perception of change in ISWT distance following cardiac 
      rehabilitation. After completing cardiac rehabilitation, subjects were asked to 
      identify, from a five-point Likert scale, their perceived change in exercise 
      performance (range: from 'better' to 'worse'). Two distribution-based methods 
      were also employed (standard deviation (SD) and effect size). The agreement 
      between all measures was observed. RESULTS: Mean (SD) age was 65.0 (10.5) years, 
      body mass index 28.4 (5.1), 170 male. The baseline ISWT was 390.8 (173.1) metres 
      (m), which increased to 456.0 (186.7) m (mean change 65.2 (95% confidence 
      interval 55.4-74.9) m after cardiac rehabilitation (p < 0.001)). In those rating 
      their exercise tolerance as 'slightly better', the mean improvement was 70.0 (95% 
      confidence interval 51.5-88.5) m. The SD method yielded a minimum clinically 
      important difference value of 36.65 m and the effect size for the change was 
      0.38. The agreement between the patients' perception of change and 
      distribution-based methods was poor. CONCLUSIONS: The minimum clinically 
      important difference for the ISWT following cardiac rehabilitation is 70 m. This 
      patient-reported value is a more sensitive measure and has poor agreement with 
      distribution-based estimates. This value may help clinicians interpret ISWT 
      change in patients, help researchers estimate sample size and aid comparison 
      between studies, when the ISWT is the primary outcome.
CI  - (c) The European Society of Cardiology 2014.
FAU - Houchen-Wolloff, Linzy
AU  - Houchen-Wolloff L
AD  - Centre for Exercise and Rehabilitation Science (CERS), Respiratory Biomedical 
      Research Unit (BRU), University Hospitals of Leicester NHS Trust, UK 
      Linzy.Houchen@uhl-tr.nhs.uk.
FAU - Boyce, Sally
AU  - Boyce S
AD  - Centre for Exercise and Rehabilitation Science (CERS), Respiratory Biomedical 
      Research Unit (BRU), University Hospitals of Leicester NHS Trust, UK.
FAU - Singh, Sally
AU  - Singh S
AD  - Centre for Exercise and Rehabilitation Science (CERS), Respiratory Biomedical 
      Research Unit (BRU), University Hospitals of Leicester NHS Trust, UK.
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20140623
PL  - England
TA  - Eur J Prev Cardiol
JT  - European journal of preventive cardiology
JID - 101564430
SB  - IM
MH  - Aged
MH  - Exercise Test/*methods
MH  - Exercise Therapy/*methods
MH  - *Exercise Tolerance
MH  - Female
MH  - Health Knowledge, Attitudes, Practice
MH  - Heart Diseases/diagnosis/physiopathology/psychology/*rehabilitation
MH  - *Home Care Services
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Patient Education as Topic
MH  - Predictive Value of Tests
MH  - Recovery of Function
MH  - Reproducibility of Results
MH  - Secondary Prevention/*methods
MH  - Time Factors
MH  - Treatment Outcome
MH  - *Walking
OTO - NOTNLM
OT  - Rehabilitation
OT  - exercise
OT  - exercise test
OT  - outcome assessment
OT  - walking
EDAT- 2014/06/25 06:00
MHDA- 2016/04/12 06:00
CRDT- 2014/06/25 06:00
PHST- 2014/02/26 00:00 [received]
PHST- 2014/06/03 00:00 [accepted]
PHST- 2014/06/25 06:00 [entrez]
PHST- 2014/06/25 06:00 [pubmed]
PHST- 2016/04/12 06:00 [medline]
AID - 2047487314540840 [pii]
AID - 10.1177/2047487314540840 [doi]
PST - ppublish
SO  - Eur J Prev Cardiol. 2015 Aug;22(8):972-8. doi: 10.1177/2047487314540840. Epub 
      2014 Jun 23.