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September 12, 2024Contemporary Clinical Trials CommunicationsOpen Access

Feasibility and effectiveness of cardiac telerehabilitation for older adults with coronary heart disease: A pilot randomized controlled trial

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Key result

Cardiac telerehabilitation was feasible, safe, and effective in improving physical activity and healthy behaviors in older adults with coronary heart disease (P=0.008).

Why the study?

Cardiac telerehabilitation has comparable safety and efficacy to in-person rehabilitation, but its effectiveness, feasibility, and usability remain unclear in under-reported older adults with CHD.

Does a 12-week cardiac telerehabilitation intervention improve physical activity and healthy behaviors in older adults with coronary heart disease compared to standard of care?

Population

43 older adults (84 % males) with CHD

Comparison

12-week CTR intervention vs standard of care

Design

Pilot randomized controlled trial

Follow-up

12-week

Authors

JSJing Jing SuTung Wah CollegeAWArkers Kwan Ching WongHong Kong Polytechnic UniversityXHXi-Fei HeTongji University

Discussion

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Member takes

Overview

Supports CTR feasibility and efficacy in older adults with CHD; extends prior evidence to this underrepresented population.

Study Design

Type

RCT (n=43)

Structured PICO

Does a 12-week cardiac telerehabilitation intervention improve physical activity and healthy behaviors in older adults with coronary heart disease compared to standard of care?

P
Population
43 older adults (84% male) with coronary heart disease randomized to a 12-week cardiac telerehabilitation intervention or standard of care.
I
Intervention
12-week cardiac telerehabilitation (CTR) intervention including individualized in-person assessment, e-coaching sessions, and home CTR usage
C
Comparator
Standard of care
O
Outcome
Physical activity, healthy behaviors, feasibility, and safetypatient reported

Main Result

p-value: p=0.008

Cardiac telerehabilitation is a feasible and effective strategy to improve physical activity and healthy behaviors in older adults with coronary heart disease.

Limitations

  • Small sample size
  • Variation in individual cardiovascular risk factors
  • Need for full-scale RCT to determine effect on psychological symptoms, body weight, blood pressure, and quality of life

Cite This Study

Su et al. (2024) conducted an RCT in Coronary heart disease (n=43). Cardiac telerehabilitation vs. Standard of care was evaluated on Physical activity and healthy behaviors (p=0.008). Cardiac telerehabilitation was feasible, safe, and effective in improving physical activity and healthy behaviors in older adults with coronary heart disease (P=0.008).

synapsesocial.com/papers/6a86eff0f87adc0a02ca1c80https://doi.org/10.1016/j.conctc.2024.101365
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Also Consider

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

  1. 1Feasibility and effectiveness of cardiac telerehabilitation for older adults with coronary heart disease patients: a pilot randomized controlled trial2024
  2. 2Evaluation of the Effectiveness of a Cardiac Telerehabilitation Program in Chronic Heart Failure: Design and Rationale of the TELEREHAB-HF Study2025 · 3 citations
  3. 3Effects of cardiac telerehabilitation in patients with coronary artery disease using a personalised patient-centred web application: protocol for the SmartCare-CAD randomised controlled trial2017 · 66 citations
  4. 4Feasibility of home-based cardiac telerehabilitation: Results of TeleInterMed study2014 · 66 citations
  5. 5A randomized controlled clinical trial of cardiac telerehabilitation with a prolonged mobile care monitoring strategy after an acute coronary syndrome2021 · 42 citations