Alexander M Clark

Summary

Affiliation: University of Alberta
Country: Canada

Publications

  1. doi request reprint Factors influencing participation in cardiac rehabilitation programmes after referral and initial attendance: qualitative systematic review and meta-synthesis
    Alexander M Clark
    Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
    Clin Rehabil 27:948-59. 2013
  2. doi request reprint Factors influencing referral to cardiac rehabilitation and secondary prevention programs: a systematic review
    Alexander M Clark
    Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
    Eur J Prev Cardiol 20:692-700. 2013
  3. doi request reprint What are the components of complex interventions in healthcare? Theorizing approaches to parts, powers and the whole intervention
    Alexander M Clark
    Faculty of Nursing, University of Alberta, Edmonton Clinic Health Academy, Edmonton, Alberta, Canada T6G 1C9
    Soc Sci Med 93:185-93. 2013
  4. doi request reprint Peer support to promote physical activity after completion of centre-based cardiac rehabilitation: evaluation of access and effects
    Alexander M Clark
    University of Alberta, Edmonton Clinic Health Academy, Canada
    Eur J Cardiovasc Nurs 11:388-95. 2012
  5. doi request reprint A qualitative systematic review of influences on attendance at cardiac rehabilitation programs after referral
    Alexander M Clark
    Faculty of Nursing, University of Alberta, Edmonton, Canada
    Am Heart J 164:835-45.e2. 2012
  6. doi request reprint Understanding help-seeking decisions in people with heart failure: a qualitative systematic review
    Alexander M Clark
    University of Alberta, Edmonton, AB, Canada T6G2G3
    Int J Nurs Stud 49:1582-97. 2012
  7. doi request reprint Effective communication and ethical consent in decisions related to ICDs
    Alexander M Clark
    Faculty of Nursing, University of Alberta, Level 3 CSB, Edmonton, AB TG3 2G3, Canada
    Nat Rev Cardiol 8:694-705. 2011
  8. doi request reprint Patient and informal caregivers' knowledge of heart failure: necessary but insufficient for effective self-care
    Alexander M Clark
    Faculty of Nursing, Level 3 CSB, University of Alberta, Edmonton, AB, Canada T6R 2R6
    Eur J Heart Fail 11:617-21. 2009
  9. doi request reprint What is the strength of evidence for heart failure disease-management programs?
    Alexander M Clark
    University of Alberta, Level 3, Clinical Sciences Building, Edmonton, Alberta T6G 2G3, Canada
    J Am Coll Cardiol 54:397-401. 2009
  10. doi request reprint Socioeconomic status and cardiovascular disease: risks and implications for care
    Alexander M Clark
    University of Alberta, Alberta, Edmonton, AB T6R2R6, Canada
    Nat Rev Cardiol 6:712-22. 2009

Detail Information

Publications39

  1. doi request reprint Factors influencing participation in cardiac rehabilitation programmes after referral and initial attendance: qualitative systematic review and meta-synthesis
    Alexander M Clark
    Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
    Clin Rehabil 27:948-59. 2013
    ..Greater participation in cardiac rehabilitation improves morbidity and mortality in people with coronary heart disease, but little is understood of patients' decisions to participate...
  2. doi request reprint Factors influencing referral to cardiac rehabilitation and secondary prevention programs: a systematic review
    Alexander M Clark
    Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
    Eur J Prev Cardiol 20:692-700. 2013
    ..To develop evidence-based interventions to promote referral, the complex factors and processes influencing referral need to be better understood...
  3. doi request reprint What are the components of complex interventions in healthcare? Theorizing approaches to parts, powers and the whole intervention
    Alexander M Clark
    Faculty of Nursing, University of Alberta, Edmonton Clinic Health Academy, Edmonton, Alberta, Canada T6G 1C9
    Soc Sci Med 93:185-93. 2013
    ....
  4. doi request reprint Peer support to promote physical activity after completion of centre-based cardiac rehabilitation: evaluation of access and effects
    Alexander M Clark
    University of Alberta, Edmonton Clinic Health Academy, Canada
    Eur J Cardiovasc Nurs 11:388-95. 2012
    ..This study compared the characteristics of patients choosing to join a peer support program to promote use of physical activity and assessed its effects on physical activity...
  5. doi request reprint A qualitative systematic review of influences on attendance at cardiac rehabilitation programs after referral
    Alexander M Clark
    Faculty of Nursing, University of Alberta, Edmonton, Canada
    Am Heart J 164:835-45.e2. 2012
    ..Although age, sex, and social factors are common predictors of attendance, to increase attendance rates after referral, the complex range of factors and processes influencing attendance needs to be better understood...
  6. doi request reprint Understanding help-seeking decisions in people with heart failure: a qualitative systematic review
    Alexander M Clark
    University of Alberta, Edmonton, AB, Canada T6G2G3
    Int J Nurs Stud 49:1582-97. 2012
    ..To understand the process of help-seeking among heart failure patients from the perspectives of patients, caregivers and health professionals...
  7. doi request reprint Effective communication and ethical consent in decisions related to ICDs
    Alexander M Clark
    Faculty of Nursing, University of Alberta, Level 3 CSB, Edmonton, AB TG3 2G3, Canada
    Nat Rev Cardiol 8:694-705. 2011
    ..In the future, use of standardized checklists or decision aids based on a clear understanding of the principles underlying key topics could support this process...
  8. doi request reprint Patient and informal caregivers' knowledge of heart failure: necessary but insufficient for effective self-care
    Alexander M Clark
    Faculty of Nursing, Level 3 CSB, University of Alberta, Edmonton, AB, Canada T6R 2R6
    Eur J Heart Fail 11:617-21. 2009
    ..We aimed to examine the individual and contextual factors perceived by patients and their informal caregivers' to influence their willingness and capacity to undertake effective HF self-care...
  9. doi request reprint What is the strength of evidence for heart failure disease-management programs?
    Alexander M Clark
    University of Alberta, Level 3, Clinical Sciences Building, Edmonton, Alberta T6G 2G3, Canada
    J Am Coll Cardiol 54:397-401. 2009
    ..Although trials and meta-analyses continue to have potential to generate useful evidence, a more specific evidence base is needed to support the development of effective programs for different populations and settings...
  10. doi request reprint Socioeconomic status and cardiovascular disease: risks and implications for care
    Alexander M Clark
    University of Alberta, Alberta, Edmonton, AB T6R2R6, Canada
    Nat Rev Cardiol 6:712-22. 2009
    ....
  11. ncbi request reprint A meta-analysis of randomized control trials of home-based secondary prevention programs for coronary artery disease
    Alexander M Clark
    Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
    Eur J Cardiovasc Prev Rehabil 17:261-70. 2010
    ..Home-based programs have become more common and may be more accessible or preferable to some patients. This review compared the benefits and costs of home-based programs with usual care and cardiac rehabilitation...
  12. doi request reprint Healthy diet in Canadians of low socioeconomic status with coronary heart disease: Not just a matter of knowledge and choice
    Alexander M Clark
    Faculty of Nursing, University of Alberta, Edmonton, AB, Canada
    Heart Lung 40:156-63. 2011
    ..Having use of a vehicle also promoted access to dietary support from physicians and cardiac rehabilitation...
  13. ncbi request reprint Understanding and promoting effective self-care during heart failure
    Alexander M Clark
    Faculty of Nursing, Level 3 CSB, University of Alberta, Edmonton, AB, Canada, T6R 2R6
    Curr Treat Options Cardiovasc Med 12:1-9. 2010
    ..Depression, if present, should be addressed with antidepressants (sertraline and citalopram), cognitive behavioral therapy, and regular exercise. HF disease management programs should be offered if available...
  14. ncbi request reprint The potential of nursing to reduce the burden of heart failure in rural Canada: what strategies should nurses prioritize?
    Alexander M Clark
    Level 3 CSB, Faculty of Nursing, University of Alberta, Edmonton, AB T6R 2G3
    Can J Cardiovasc Nurs 18:40-6. 2008
    ..It will also be vital to increase the nursing capacity regarding specialist roles for CHF management...
  15. doi request reprint Complex critical realism: tenets and application in nursing research
    Alexander M Clark
    Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
    ANS Adv Nurs Sci 31:E67-79. 2008
    ..To outline the main tenets of critical realism (CR), its use, and future application in nursing...
  16. ncbi request reprint A realist study of the mechanisms of cardiac rehabilitation
    Alexander M Clark
    Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
    J Adv Nurs 52:362-71. 2005
    ..The aim of this paper is to report patients' experiences of cardiac rehabilitation and perceptions of the mechanisms and contexts influencing its long-term effectiveness...
  17. ncbi request reprint A qualitative study of the contribution of pharmacists to heart failure management in Scotland
    Alexander M Clark
    Faculty of Nursing, University of Alberta, 3rd Floor, Clinical Science Building, Edmonton, Canada
    Pharm World Sci 27:453-8. 2005
    ....
  18. ncbi request reprint A critical realist approach to understanding and evaluating heart health programmes
    Alexander M Clark
    University of Alberta, Edmonton, Canada
    Health (London) 11:513-39. 2007
    ..Finally, a practical example of how a critical realist approach can guide research into secondary prevention programmes is provided...
  19. doi request reprint The complex nature of informal care in home-based heart failure management
    Alexander M Clark
    Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
    J Adv Nurs 61:373-83. 2008
    ..This paper is a report of a study to examine the complexities of informal caregiving for people with chronic heart failure...
  20. doi request reprint The future of management programmes for heart failure
    Alexander M Clark
    Faculty of Nursing, University of Alberta, Edmonton, AB T6R 2RG, Canada
    Lancet 372:784-6. 2008
  21. ncbi request reprint Promoting participation in cardiac rehabilitation: patient choices and experiences
    Alexander M Clark
    Faculty of Nursing, University of Alberta, Alberta, Edmonton, Canada
    J Adv Nurs 47:5-14. 2004
    ..Little research has examined patients' decisions about attendance...
  22. doi request reprint "If he gives in, he will be gone...": the influence of work and place on experiences, reactions and self-care of heart failure in rural Canada
    Nicole Freydberg
    Faculty of Nursing, University of Alberta, Clinical Sciences Building, Edmonton, Alberta, Canada
    Soc Sci Med 70:1077-83. 2010
    ..Accounts of HF and its self-care were grounded in work and place-related dimensions of the rural setting. Approaches and interventions related to chronic disease must engage with place and work-related dimensions of context...
  23. doi request reprint Design matters in secondary prevention: individualization and supervised exercise improves the effectiveness of cardiac rehabilitation
    Alexander M Clark
    Faculty of Nursing, University of Alberta, Edmonton, Canada
    Eur J Cardiovasc Prev Rehabil 18:761-9. 2011
    ..To examine the effects of these characteristics, this study compared an individualized cardiac rehabilitation programme to a standardized programme and examined what factors contributed most to programme effects...
  24. doi request reprint Participation in community-based exercise maintenance programs after completion of hospital-based cardiac rehabilitation: a mixed-method study
    Alexander M Clark
    University of Alberta, Edmonton, Ontario, Canada
    J Cardiopulm Rehabil Prev 31:42-6. 2011
    ..To understand the characteristics associated with participation in community-based exercise maintenance programs in patients with coronary heart disease (CHD) after completion of hospital-based cardiac rehabilitation in Scotland...
  25. doi request reprint Home-based secondary prevention programs for patients with coronary artery disease: a meta-analysis of effects on anxiety
    Todd McClure
    Faculty of Nursing, School of Public Health, University of Alberta, Edmonton, Alberta, Canada
    J Cardiopulm Rehabil Prev 33:59-67. 2013
    ..Despite the benefits of home-based CAD prevention interventions on quality of life and atherosclerotic risk factors, the efficacy of home-based programs in reducing patient anxiety is unknown...
  26. ncbi request reprint Secondary prevention programmes for coronary heart disease: a meta-regression showing the merits of shorter, generalist, primary care-based interventions
    Alexander M Clark
    Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
    Eur J Cardiovasc Prev Rehabil 14:538-46. 2007
    ..The aim of this study was to determine which programme characteristics influence the effectiveness of secondary prevention programmes for Coronary Heart Disease...
  27. pmc A meta-analysis of the effects of exercise training on left ventricular remodeling following myocardial infarction: start early and go longer for greatest exercise benefits on remodeling
    Mark Haykowsky
    University of Alberta, Edmonton, Canada
    Trials 12:92. 2011
    ..The effects of variations in exercise training on left ventricular (LV) remodeling in patients shortly after myocardial infarction (MI) are important but poorly understood...
  28. ncbi request reprint Meta-analysis: secondary prevention programs for patients with coronary artery disease
    Alexander M Clark
    University of Alberta Evidence Based Practice Center, Edmonton, Alberta, Canada
    Ann Intern Med 143:659-72. 2005
    ..Although supervised exercise programs reduce mortality in survivors of myocardial infarction, the effects of other types of cardiac secondary prevention programs are unknown...
  29. doi request reprint Meta-analysis of aerobic interval training on exercise capacity and systolic function in patients with heart failure and reduced ejection fractions
    Mark J Haykowsky
    Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada
    Am J Cardiol 111:1466-9. 2013
    ..29%, 95% confidence intervalĀ -0.7% to 7.28%). In conclusion, in clinically stable patients with heart failure with reduced ejection fraction, INT is more effective than MCT for improving peak Vo2 but notĀ the LVEF at rest...
  30. pmc A meta-review of evidence on heart failure disease management programs: the challenges of describing and synthesizing evidence on complex interventions
    Lori A Savard
    University of Alberta, Edmonton, AB, Canada
    Trials 12:194. 2011
    ..Despite favourable results from past meta-analyses, some recent large trials have not found heart failure (HF) disease management programs to be beneficial. To explore reasons for this, we evaluated evidence from existing meta-analyses...
  31. pmc Critical realism: a practical ontology to explain the complexities of smoking and tobacco control in different resource settings
    Dunsi Oladele
    School of Public Health, University of Alberta, Edmonton, Alberta, Canada
    Glob Health Action 6:19303. 2013
    ..Any intervention or program/policy that is transposed from one country to another or one setting to another is complex...
  32. ncbi request reprint A meta-analysis of the effect of exercise training on left ventricular remodeling in heart failure patients: the benefit depends on the type of training performed
    Mark J Haykowsky
    Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada
    J Am Coll Cardiol 49:2329-36. 2007
    ..The aim of this study was to determine the effect of exercise training and type of exercise (aerobic vs. strength vs. combined training) on left ventricular (LV) remodeling in heart failure (HF)...
  33. doi request reprint Getting the message across: opportunities and obstacles in effective communication in hypertension care
    Emily P Jolles
    Department of Medicine, Division of Nephrology and Immunology, University of Alberta, Edmonton, Alberta, Canada
    J Hypertens 30:1500-10. 2012
    ..To improve communication, hypertension care programs could benefit from better communication training, more team-based approaches, and flexible tools based on information technology...
  34. ncbi request reprint Attaining adequate consent for the use of electronic patient records: an opt-out strategy to reconcile individuals' rights and public benefit
    Alexander M Clark
    Faculty of Nursing, University of Alberta, Edmonton, Canada, and Department of Cardiology, Royal Alexandria Hospital, Paisley, UK
    Public Health 119:1003-10. 2005
    ..Simultaneously, the population was provided with easy and equally available opportunities to opt-out of inclusion...
  35. doi request reprint It starts with access! A grounded theory of family members working to get through critical illness
    Virginia Vandall-Walker
    Athabasca University, Athabasca, Alberta, Canada
    J Fam Nurs 17:148-81. 2011
    ..Critical care nurses are exhorted to support family members in their work by removing barriers to patient, staff, and information access and to partnering opportunities...
  36. ncbi request reprint More data, better data or improved evidence translation: What will improve cardiovascular outcomes?
    Alexander M Clark
    University of Alberta, Edmonton, Alberta, Canada TR62G3
    Int J Cardiol 155:347-9. 2012
    ....
  37. ncbi request reprint Preparing for change in the secondary prevention of coronary heart disease: a qualitative evaluation of cardiac rehabilitation within a region of Scotland
    Alexander M Clark
    Division of Sports Medicine, Department of Medicine and Therapeutics, University of Glasgow, UK
    J Adv Nurs 39:589-98. 2002
    ..Based on change theory, this study examined the dynamics, strengths and weaknesses of an existing programme in a Scottish region which was due to undergo the changes suggested by guidelines...
  38. ncbi request reprint The American Cancer Society, American Diabetes Association, and American Heart Association joint statement on preventing cancer, cardiovascular disease, and diabetes: where are the social determinants?
    Alexander M Clark
    Diabetes Care 27:3024. 2004
  39. doi request reprint Patients' experiences of disruptions associated with post-stroke dysarthria
    Sylvia Dickson
    Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, UK
    Int J Lang Commun Disord 43:135-53. 2008
    ..The available literature focuses mainly on the perceptions of others or includes groups of mixed aetiologies...