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Title: Biophysical and psychosocial wellbeing in adolescents with congenital heart disease : a structured programme of intervention and assessment
Author: Morrison, Margaret Louise
ISNI:       0000 0004 2722 2092
Awarding Body: Queen's University Belfast
Current Institution: Queen's University Belfast
Date of Award: 2011
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Ability to exercise is an important quality of life measure and indicator of physical health. Recently, exercise training has emerged as a method of improving activity and psychological health in some patient groups. Many patients with CHD are now adolescents; this time of personal development may be an ideal opportunity to introduce positive lifestyle changes. This study aimed to ascertain if motivational techniques and a structured exercise program could increase activity and improve wellbeing. Patients aged 12-20 years were identified using the Northern Ireland regional database (HeartSuite). Participants completed standard psychological questionnaires and underwent evaluation of exercise ability (formal exercise stress testing and measurement of free-living activity using an ActiGraph accelerometer). Following randomisation the intervention group attended an activity day and received a personal exercise programme. The control group received their usual level of care. Patients were followed up at six months for reassessment and results obtained were analysed using parametric methods. One hundred and forty three patients (mean age 15.6 years) consented to participate, 86 were male (60%) and 105 had major CHD (73%). Psychological health appeared well preserved at baseline. On formal exercise testing, complex patients performed worse at peak exercise. However, patients with major CHD had significantly higher activity counts. One hundred and one patients (71%) attended for reassessment. There was a significant increase in duration of exercise test (Pillai's Trace 5.34 (p 0.023)) and average activity counts per minute (Pillai's Trace 46.55 (p <0.001)) for the intervention group at reassessment. The intervention group also had a trend toward improved mood and self esteem. Exercise training significantly improves peak exercise capacity and free-living activity in this group. Increased activity also appears to have a positive effect on self-esteem and mood parameters. Future interventions targeted around this area may considerably improve outcomes for this population.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (M.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available