Exploration of Possible Reasons for the Discrepancy Between Expectation and Indication of Subjective Perceived Exertions

Klinik Barmelweid16 enrolled

Overview

The 6-minute walk test is a test of physical performance in physiotherapy with lungs and heart patients (Pollentier 2010). However, only 8 and 11% of patients in everyday test situations report a score of 7 or higher on a scale of 0-10 for effort (Jehn 2009). This study is intended to explore, based on grounded theory, why the majority of patients do not assess themselves according to the almost maximum performance.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Coronary Disease Exercise Test Physical Exertion Cardiac Rehabilitation Physical Therapy

Interventions

During the stay, a study visit is arranged with the patient after the 6-minute walk test has been performed. This consists of filling out the questionnaire and an interview, which lasts about 45-60 minutes. This is carried out by the investigator on at least 5 subjects. After each interview, a list of influencing factors is kept. If new aspects continue to appear in the 5th interview, the interviews are continued (up to a maximum of the 10th subject). If no new aspects appear in the interviews from number 6 onwards, the interviews are discontinued and no further patients are recruited. The conversations are recorded with an audio recording.

Focus GroupOTHER

The focus group is carried out first in order to identify influencing variables that may be relevant for the interview (duration 60-90 minutes).

Eligibility

Sex: ALLMin age: 55 YearsMax age: 90 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients with coronary artery disease undergoing in-patient cardiovascular rehabilitation; over 55 years of age. Patients underwent a 6-minute walk test with assessment of the intensity of the exercise Exclusion Criteria: * no understanding of the German language * Patients would not be able to perform a 6-minute walk test, e. g. surgery on the large joints of the lower extremities, unstable heart disease or predominant neurological symptoms.

Outcomes

Primary Outcomes

semi-structured interview about reasons, that could influence the rating of patients

Patients were asked in a semi-structured interview about other reasons, that could influence their rating.

Time frame: during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks

reasons, what might patients influence for ratings of patients given from physical therapist

physical therapists identify reasons in a focus group, that influence the patients.

Time frame: with the beginning of the study within 4 weeks, before the patients' questionnaire and interview

Data from ClinicalTrials.gov

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