Rutger W. M. Brouwers|Jos J. Kraal|Simone Traa|Ruud F. Spee|Laurence M. L. C. Oostveen|Hareld Kemps
Effects of cardiac telerehabilitation in patients with coronary artery disease using a personalised patient-centred web application: protocol for the SmartCare-CAD randomised controlled trial
Radboud University Nijmegen|Máxima Medisch Centrum|Máxima Medisch Centrum|Radboud University Nijmegen|Máxima Medisch Centrum|Radboud University Nijmegen|Máxima Medisch Centrum|Radboud University Nijmegen|Máxima Medisch Centrum|Radboud University Nijmegen|Máxima Medisch Centrum|Radboud University Nijmegen
cardiac rehabilitation beneficial effects morbidity mortality patients coronary artery disease vastly underutilised shortterm improvements often sustained telerehabilitation potential overcome barriers superiority convincingly demonstrated yet may due insufficient focus behavioural change development patients selfmanagement skills moreover potentially beneficial communication methods internet video consultation rarely used hypothesise compared centrebased cardiac rehabilitation cardiac telerehabilitation using evidencebased behavioural change strategies modern communication methods ondemand coaching result improved selfmanagement skills sustainable behavioural change translates higher physical activity levels costeffective waythis randomised controlled trial compares cardiac telerehabilitation centrebased cardiac rehabilitation patients coronary artery disease randomise 300 patients entering cardiac rehabilitation centrebased cardiac rehabilitation control group cardiac telerehabilitation intervention group core component intervention patientcentred web application enables patients adjust rehabilitation goals inspect training physical activity data share data caregivers use video consultation six supervised training sessions intervention group continues exercise training home wearing accelerometer heart rate monitor addition physical activity levels assessed accelerometer four days per week patients upload training physical activity data weekly receive feedback video consultation week completion rehabilitation programme ondemand coaching performed training adherence physical activity levels decline 50 primary outcome measure physical activity level assessed baseline three months twelve months calculated accelerometer heart rate data secondary outcome measures include physical fitness quality life anxiety depression patient empowerment patient satisfaction costeffectivenessthis study one first studies evaluating effects costs cardiac telerehabilitation intervention comprising combination modern technology evidencebased behavioural change strategies including relapse prevention hypothesise intervention superior effects exercise behaviour without exceeding costs traditional centrebased interventionnetherlands trial register ntr5156 registered 22 april 2015