What does this research mean for the field?

A remotely delivered 8-week cardiac rehabilitation exercise program is not inferior to traditional center-based classes for improving exercise capacity in patients with coronary heart disease. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

June 14, 2022Open Access

Remotely Delivered Cardiac Rehabilitation Exercise for Coronary Heart Disease (Preprint)

Q: What is the clinical evidence from this study?

Study design: RCT. Population: Coronary Heart Disease (CHD) (n=21). Intervention: Remotely delivered CR exercise classes (ECME-CR platform) vs. In-person exercise classes. Primary outcome: Exercise capacity.

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Key result

Remote 8-week cardiac rehab proves non-inferior to center-based classes for improving exercise capacity in CHD.

n=21

Why the study?

Uptake of and adherence to recommended exercise-based CR for CHD remain poor globally, but whether remotely delivered classes using a digital platform are feasible and efficacious compared to center-based CR is unclear.

Does a remotely delivered cardiac rehabilitation exercise program improve exercise capacity in patients with coronary heart disease compared to an in-person program?

Population

21 participants with CHD (18 males; age 69.5 ± 7.3 years)

Comparison

Remotely delivered online CR exercise classes vs in-person CR exercise classes

Design

Pilot trial

Follow-up

8 weeks

Authors

OGOonagh M. GigginsDundalk Institute of Technology JDJulie DoyleDundalk Institute of Technology SSSuzanne SmithDundalk Institute of Technology

Discussion

Member takes

Implication

Supports remote cardiac rehabilitation to expand access for CHD patients; confirms noninferiority of digital delivery in an RCT.

Key Points

To evaluate the feasibility and efficacy of an 8-week remotely delivered cardiac rehabilitation exercise program using the ECME-CR digital platform compared with center-based delivery in patients with coronary heart disease.
Recruited 21 participants with coronary heart disease (n=21; 18 males; mean age 69.5 ± 7.3 years) and assigned them to either a remote intervention or an in-person control group.
Both groups completed an 8-week exercise program; intervention participants utilized the ECME-CR platform for remote classes, physiological monitoring, and self-management.
Exercise capacity was measured as the primary outcome at baseline and after completion of the 8-week intervention.
A total of 17 participants completed the study, with 8 participants in the intervention group and 9 participants in the control group.
Exercise capacity showed modest post-intervention improvements in both groups; however, these changes were not statistically significant within either group, and no significant differences were observed between the groups (numerical effect estimates were not reported).

Study Design

Type

RCT (n=21)

Structured PICO

Does a remotely delivered cardiac rehabilitation exercise program improve exercise capacity in patients with coronary heart disease compared to an in-person program?

Population

21 participants with coronary heart disease (18 males; age: 69.5 ± 7.3 years; height: 168.5 ± 7.2cm; weight: 88.7 ± 16.7kg)

Intervention

8-week remotely delivered cardiac rehabilitation exercise program using the ECME-CR digital platform for online classes, monitoring, and self-management

Comparator

8-week traditional in-person center-based cardiac rehabilitation exercise program

Outcome

Exercise capacity at 8 weekssurrogate

A remotely delivered 8-week cardiac rehabilitation exercise program using a digital platform appears feasible and not inferior to traditional center-based rehabilitation for improving exercise capacity in patients with coronary heart disease.

Cite This Study

Giggins et al. (2022) conducted an RCT in Coronary Heart Disease (CHD) (n=21). Remotely delivered CR exercise classes (ECME-CR platform) vs. In-person exercise classes was evaluated on Exercise capacity. A remotely delivered 8-week cardiac rehabilitation exercise program was not inferior to traditional center-based classes for improving exercise capacity in CHD participants.

synapsesocial.com/papers/6a17413f95fbca339c8d7523 https://doi.org/10.2196/preprints.40283

Topics

Coronary artery disease

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Remotely Delivered Cardiac Rehabilitation Exercise for Coronary Heart Disease (Preprint)

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Topics

Remotely Delivered Cardiac Rehabilitation Exercise for Coronary Heart Disease (Preprint)

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

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