Research Topics
| Alexander M ClarkSummaryAffiliation: University of Alberta Country: Canada Publications
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Detail Information
Publications
Peer support to promote physical activity after completion of centre-based cardiac rehabilitation: evaluation of access and effectsAlexander 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...- A qualitative systematic review of influences on attendance at cardiac rehabilitation programs after referralAlexander 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... - Understanding help-seeking decisions in people with heart failure: a qualitative systematic reviewAlexander 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... - Effective communication and ethical consent in decisions related to ICDsAlexander 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... - Healthy diet in Canadians of low socioeconomic status with coronary heart disease: Not just a matter of knowledge and choiceAlexander 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... 
A meta-analysis of randomized control trials of home-based secondary prevention programs for coronary artery diseaseAlexander 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...- Understanding and promoting effective self-care during heart failureAlexander 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... - Patient and informal caregivers' knowledge of heart failure: necessary but insufficient for effective self-careAlexander 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... - 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... - Complex critical realism: tenets and application in nursing researchAlexander 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... - The future of management programmes for heart failureAlexander M Clark
Faculty of Nursing, University of Alberta, Edmonton, AB T6R 2RG, Canada
Lancet 372:784-6. 2008 - 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... - The complex nature of informal care in home-based heart failure managementAlexander 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... - Promoting participation in cardiac rehabilitation: patient choices and experiencesAlexander 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... - A realist study of the mechanisms of cardiac rehabilitationAlexander 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... - A qualitative study of the contribution of pharmacists to heart failure management in ScotlandAlexander M Clark
Faculty of Nursing, University of Alberta, 3rd Floor, Clinical Science Building, Edmonton, Canada
Pharm World Sci 27:453-8. 2005.... - Socioeconomic status and cardiovascular disease: risks and implications for careAlexander M Clark
University of Alberta, Alberta, Edmonton, AB T6R2R6, Canada
Nat Rev Cardiol 6:712-22. 2009.... - A critical realist approach to understanding and evaluating heart health programmesAlexander 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... - "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 CanadaNicole 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... - Design matters in secondary prevention: individualization and supervised exercise improves the effectiveness of cardiac rehabilitationAlexander 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... - Secondary prevention programmes for coronary heart disease: a meta-regression showing the merits of shorter, generalist, primary care-based interventionsAlexander 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... - Participation in community-based exercise maintenance programs after completion of hospital-based cardiac rehabilitation: a mixed-method studyAlexander 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... - Meta-analysis: secondary prevention programs for patients with coronary artery diseaseAlexander M Clark
University of Alberta Evidence-based Practice Center, Edmonton, Alberta, Canada
Ann Intern Med 143:659-72. 2005..CONCLUSIONS: A wide variety of secondary prevention programs improve health outcomes in patients with coronary disease... 
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 remodelingMark 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...- A meta-review of evidence on heart failure disease management programs: the challenges of describing and synthesizing evidence on complex interventionsLori 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... - Home-based secondary prevention programs for patients with coronary artery disease: a meta-analysis of effects on anxietyTodd 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... - 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 performedMark 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)... - Meta-analysis of aerobic interval training on exercise capacity and systolic function in patients with heart failure and reduced ejection fractionsMark J Haykowsky
Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada Electronic address
Am J Cardiol 111:1466-9. 2013..29%, 95% confidence interval -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 not the LVEF at rest... - Getting the message across: opportunities and obstacles in effective communication in hypertension careEmily 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... - It starts with access! A grounded theory of family members working to get through critical illnessVirginia 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... - Attaining adequate consent for the use of electronic patient records: an opt-out strategy to reconcile individuals' rights and public benefitAlexander 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... - 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.... - Preparing for change in the secondary prevention of coronary heart disease: a qualitative evaluation of cardiac rehabilitation within a region of ScotlandAlexander 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... - Patients' experiences of disruptions associated with post-stroke dysarthriaSylvia 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... - 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