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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients over 55 Years with coronary heart disease | Questionnaire and semistructured Interview 45 -60 minutes |
| |
| physical therapists working with patients with coronary heart disease | Focus group 60 -90 minutes |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Questionnaire, Interview | Other | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| 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. | 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. | with the beginning of the study within 4 weeks, before the patients' questionnaire and interview |
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| Measure | Description | Time Frame |
|---|---|---|
| Patients' experience with the conduction of the six-minute-walking test | nominal scale (yes-partly-no) | during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks |
| Patients' honesty of the statement of effort |
Inclusion Criteria:
Exclusion Criteria:
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patients from the department of cardiology in the rehabilitation centre of Klinik Barmelweid AG,
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| Name | Affiliation | Role |
|---|---|---|
| Gilbert Büsching | Klinik Barmelweid AG | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Klinik Barmelweid AG | Barmelweid | Canton of Aargau | 5017 | Switzerland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19618202 | Background | Jehn M, Halle M, Schuster T, Hanssen H, Weis M, Koehler F, Schmidt-Trucksass A. The 6-min walk test in heart failure: is it a max or sub-maximum exercise test? Eur J Appl Physiol. 2009 Oct;107(3):317-23. doi: 10.1007/s00421-009-1128-0. Epub 2009 Jul 18. | |
| 20467515 | Background | Pollentier B, Irons SL, Benedetto CM, Dibenedetto AM, Loton D, Seyler RD, Tych M, Newton RA. Examination of the six minute walk test to determine functional capacity in people with chronic heart failure: a systematic review. Cardiopulm Phys Ther J. 2010 Mar;21(1):13-21. |
| Label | URL |
|---|---|
| Nationaler Verein für Qualitätsentwicklung in Spitälern und Kliniken. ANQ; Nationaler Vergleichsbericht 2018 - Kardiale Rehabilitation \[Internet\]. Messergebnisse Rehabilitation. 2018 \[zitiert 7. Dezember 2020\]. | View source |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Jun 4, 2025 | |
| Reset | Jun 18, 2025 |
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|
| Focus Group | Other | The focus group is carried out first in order to identify influencing variables that may be relevant for the interview (duration 60-90 minutes). |
|
nominal scale (yes-no)
| during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks |
| Patients' exertion and performance limit | open questions | during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks |
| Patients' safety during the six-minute-walking test | numeric rating scale 0-10 (more likely no = 0; more likely yes = 10) | during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks |
| Patients' performance limit before and after the heart disease | numeric rating scale 0-10 (more likely no = 0; more likely yes = 10) | during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks |
| Patients' sportiness | numeric rating scale 0-10 (more likely no = 0; more likely yes = 10) | during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks |
| Experience of maximal exertion of activity in the past | 4-point nominal scale (weekly to several years ago) | during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jun 4, 2025 | Jun 18, 2025 |
| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
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| ID | Term |
|---|---|
| D011795 | Surveys and Questionnaires |
| D007407 | Interviews as Topic |
| D017144 | Focus Groups |
| ID | Term |
|---|---|
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |
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