Article

OBJECTIVE: To evaluate effects of participant-selected music on older adults'
achievement of activity levels recommended in the physical activity guidelines
following cardiac rehabilitation. DESIGN: A parallel group randomized controlled
trial with measurements at Weeks 0, 6 and 26.
SETTING: A multisite outpatient
rehabilitation programme of a publicly funded metropolitan health service.
SUBJECTS: Adults aged 60 years and older who had completed a cardiac
rehabilitation programme. INTERVENTIONS: Experimental participants selected music
to support walking with guidance from a music therapist. Control participants
received usual care only. MAIN MEASURES: The primary outcome was the proportion
of participants achieving activity levels recommended in physical activity
guidelines. Secondary outcomes compared amounts of physical activity, exercise
capacity, cardiac risk factors, and exercise self-efficacy. RESULTS: A total of
56 participants, mean age 68.2 years (SD = 6.5), were randomized to the
experimental ( n = 28) and control groups ( n = 28). There were no differences
between groups in proportions of participants achieving activity recommended in
physical activity guidelines at Week 6 or 26. Secondary outcomes demonstrated
between-group differences in male waist circumference at both measurements (Week
6 difference -2.0 cm, 95% CI -4.0 to 0; Week 26 difference -2.8 cm, 95% CI -5.4
to -0.1), and observed effect sizes favoured the experimental group for amounts
of physical activity (d = 0.30), exercise capacity (d = 0.48),
and blood pressure
(d = -0.32). CONCLUSIONS: Participant-selected music did not increase the
proportion of participants achieving recommended amounts of physical activity,
but may have contributed to exercise-related benefits.

Langue : ANGLAIS