Impact on Physical Activity of Coronary Patients in Phase 3 of a Therapeutic Consolidation Educational Program Involving a Patient Partner Associated With a Healthcare Professional.

Moderate-to-sustained physical activity in the Experimental Group,Moderate-to-sustained physical activity in Controls

Following myocardial infarction, cardiac rehabilitation has undeniable benefits on criteria
 such as cardiovascular mortality and coronary recurrence. Cardiac rehabilitation consists of
 3 phases:
 
 1. immediate post-acute, in a cardiology department,
 
 2. active cardiac rehabilitation for several weeks under medical supervision as an
 inpatient or outpatient,
 
 3. Resumption of active life by the patient. Indeed, one of the major aims of secondary
 prevention is long-term adherence to physical activity.However, only 20% to 40% of
 coronary patients remain physically active at 6 months or 1 year, and the effects of
 Phase 2 cardiac rehabilitation are not maintained. Managing to maintain at least a
 moderate level of physical activity after Phase 2 of CR is a major objective.
 
 Various interventions (booklets, applications, activity programs, motivational talks led by
 healthcare professionals have been tested and compared with the usual care in Phase 3 cardiac
 rehabilitation. An effect seems to exist on the level of physical activity reported, but with
 a significant evaluation bias. This study aims to use accelerometry to evaluate the 6-month
 efficacy of the therapeutic education program for consolidation in phase 3 of Cardiovascular
 Rehabilitation involving a patient partner and a caregiver on moderate-to-sustained physical
 activity ( 3 METs) in coronary patients on Phase 3 of cardiac rehabilitation compared with
 usual rehabilitation management.