April 1, 2012Applied Physiology Nutrition and Metabolism
Adherence to a cardiac rehabilitation home program model of care: a comparison to a well-established traditional on-site supervised program
Key result
A home program model of cardiac rehabilitation yielded similar mean attendance (p=0.21) and completion rates (p=0.22) compared to a traditional on-site program.
Why the study?
Does a home program model of cardiac rehabilitation improve adherence compared to a traditional on-site program in cardiac rehabilitation patients?
Population
200 consecutively enrolled patients participating in cardiac rehabilitation
Comparison
Home program (HP) model of cardiac rehabilitation vs Traditional on-site program model of cardiac…
Design
Cohort
Follow-up
6 months
Authors
Discussion
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Implication
Home-based cardiac rehabilitation shows similar adherence to on-site programs; this Level 3 cohort study leaves open the need for randomized confirmation.
Study Design
Type
Cohort (n=200)
Structured PICO
Does a home program model of cardiac rehabilitation improve adherence compared to a traditional on-site program in cardiac rehabilitation patients?
P
Population
200 consecutively enrolled patients participating in either a home program or traditional on-site cardiac rehabilitation program, evaluated retrospectively at 6 months.
E
Exposure
Home program (HP) model of cardiac rehabilitation
C
Comparator
Traditional on-site program (TP) model of cardiac rehabilitation
O
Outcome
Adherence, defined as attendance to prescheduled contacts or on-site visits in each respective cohort
Main Result
p-value: p=0.21
A home-based cardiac rehabilitation program yields similar adherence, completion rates, and cardiovascular fitness gains compared to a traditional on-site program, making it a suitable alternative for patients facing barriers to on-site participation.
Cite This Study
Scane et al. (2012) conducted a cohort in Cardiac rehabilitation (n=200). Home program (HP) model of cardiac rehabilitation vs. Traditional on-site program (TP) model was evaluated on Adherence, defined as attendance to prescheduled contacts or on-site visits (p=0.21). A home program model of cardiac rehabilitation yielded similar mean attendance (p=0.21) and completion rates (p=0.22) compared to a traditional on-site program.