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November 28, 2014BMC Public HealthOpen Access

The remote exercise monitoring trial for exercise-based cardiac rehabilitation (REMOTE-CR): a randomised controlled trial protocol

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Why the study?

Does a 12-week program of technology-assisted, home-based, remote monitored exercise-based cardiac rehabilitation improve post-treatment maximal oxygen uptake in adults with coronary heart disease compared to standard supervised cardiac rehabilitation?

Population

162 adults with a diagnosis of coronary heart disease in New Zealand

Comparison

12-week program of technology-assisted… vs 8-12 week program of standard supervised…

Design

Other, 1:1 ratio

Follow-up

6 months

Authors

RMRalph MaddisonJRJonathan C RawstornARAnna Rolleston

Discussion

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Overview

This protocol outlines a randomized controlled trial to determine if technology-assisted, home-based cardiac rehabilitation is non-inferior to standard supervised programs in improving maximal oxygen uptake.

Key Points

  • To evaluate whether a technology-assisted, home-based remote monitored exercise program is non-inferior to standard supervised cardiac rehabilitation in adults with coronary heart disease.
  • Two-arm, parallel, non-inferiority randomized controlled trial protocol across two sites in New Zealand (ACTRN12614000843651).
  • One hundred sixty-two participants (N=162) randomized 1:1 to a 12-week home-based remote exercise monitoring intervention or an 8–12 week standard supervised exercise control.
  • The primary outcome is maximal oxygen uptake (V̇O2max) post-treatment, with secondary measures including lipid profiles, glucose, blood pressure, physical activity, and quality of life assessed through 6 months.
  • Protocol paper: primary outcome of post-treatment V̇O2max to be evaluated for non-inferiority between remote and standard supervised rehabilitation.
  • Secondary outcomes including blood pressure, lipid profiles, and health-related quality of life will be compared at baseline, post-treatment, and 6-month follow-up.
  • Cost-effectiveness and healthcare resource utilization will be analyzed to establish feasibility as an alternative delivery model.

Structured PICO

Does a 12-week program of technology-assisted, home-based, remote monitored exercise-based cardiac rehabilitation improve post-treatment maximal oxygen uptake in adults with coronary heart disease compared to standard supervised cardiac rehabilitation?

P
Population
162 adults with a diagnosis of coronary heart disease in New Zealand
I
Intervention
12-week program of technology-assisted, home-based, remote monitored exercise-based cardiac rehabilitation (REMOTE)
C
Comparator
8-12 week program of standard supervised exercise-based cardiac rehabilitation
O
Outcome
Post-treatment maximal oxygen uptake (V̇O2max)surrogate

This protocol outlines a randomized controlled trial to determine if technology-assisted, home-based cardiac rehabilitation is non-inferior to standard supervised programs in improving maximal oxygen uptake.

Cite This Study

Maddison et al. (2014) studied this question.

synapsesocial.com/papers/6a101be64fb650da4ffef3cfhttps://doi.org/10.1186/1471-2458-14-1236
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1ACSM’s New Preparticipation Health Screening Recommendations from ACSM’s Guidelines for Exercise Testing and Prescription, Ninth Edition2013 · 1,840 citations
  2. 2Prediction of Long-Term Prognosis in 12 169 Men Referred for Cardiac Rehabilitation2002 · 656 citations
  3. 3Does barrier efficacy mediate the gender-exercise adherence relationship during phase II cardiac rehabilitation?2002 · 58 citations
  4. 4Forecasting the Future of Cardiovascular Disease in the United States2011 · 3,249 citations
  5. 5Borg's Perceived Exertion and Pain Scales1998 · 402 citations