A web-monitored exercise-based cardiac rehabilitation program increased the proportion of cardiovascular risk factor targets achieved at 6 months compared to usual care (75% vs 59%, P=0.029).
Cohort (n=53)
Does a web-monitored exercise-based cardiac rehabilitation maintenance program improve functional capacity and secondary prevention targets in low- to moderate-risk CHD patients?
A web-based home cardiac rehabilitation maintenance program is feasible and improves adherence to cardiovascular risk targets compared to usual care in CHD patients.
Absolute Event Rate: 75% vs 59%
p-value: p=0.029
BACKGROUND: Although cardiac rehabilitation (CR) is cost- effective in improving the health of patients with coronary heart disease (CHD), less than half of eligible CHD patients attend a CR program. Innovative web-based technologies might improve CR delivery and utilization. We assessed the feasibility and impact on functional capacity and secondary prevention targets of a long-term web-monitored exercise-based CR maintenance program. METHODS: Low- to moderate-risk CHD patients were recruited at discharge from inpatient CR after a coronary event or revascularization. We developed an interactive web-based platform for secure home individual access control, monitoring, and validation of exercise training. Of 86 eligible patients, 26 consented to participate in the study intervention (IG). Using a quasi-experimental design, we recruited in parallel 27 eligible patients, unavailable for regular web monitoring, who consented to a follow-up visit as usual care (UC). RESULTS: Among IG, active daily data transmission was 100% during month 1, 88% at month 3, and 81% at 6 months, with sustained improvement in self-reported physical activity beginning with the first week after discharge from inpatient CR (2467 1854-3554 MET-min/wk) to month 3 (3411 1981-5347 MET-min/wk, P = .019). Both groups showed favorable changes over time in lipid profile, ventricular function, distance walked in 6 min, and quality of life. At 6 mo, IG achieved a significantly higher proportion of cardiovascular risk factor targets than UC (75 ± 20% vs 59 ± 30%, P = .029). CONCLUSIONS: Our web-based home CR maintenance program was feasible, well-accepted, and effective in improving physical activity during 6 mo and achieved higher overall adherence to cardiovascular risk targets than UC.
Torri et al. (Wed,) conducted a cohort in Coronary heart disease (n=53). Web-monitored exercise-based cardiac rehabilitation maintenance program vs. Usual care was evaluated on Proportion of cardiovascular risk factor targets achieved (p=0.029). A web-monitored exercise-based cardiac rehabilitation program increased the proportion of cardiovascular risk factor targets achieved at 6 months compared to usual care (75% vs 59%, P=0.029).