Roy Kanbar, Aline H Saad, Imad F Btaiche
An elective course on career opportunities for pharmacy students
Currents in pharmacy teaching & learning
homebased cardiac rehabilitations crs digital technologies researched implemented replace augment complement traditional centerbased cr recent years considerable success one problem technologyenhanced homebased cr potentially address gap cardiac interventions formal cr programs netherlands countries eg australia patients cardiac interventions stay home 34 weeks without much support physicians often engage little physical activity pa homebased exercise program enabled digital technologies may help patients better prepare later centerbased cr programs potentially increasing uptake rate programs randomized controlled trial rct evaluate effectiveness homebased walking exercise program enhanced selftracking mobilebased coaching treatment condition comparing version program without technologies control condition added value digital technologies justified patients treatment group walk steps average primary outcome show better physical fitness bicycle ergometer test higher selfefficacy toward pa secondary outcomes based power analysis recruit 100 cardiac patients assign evenly 2 parallel groups eligible patients scheduled postanesthesia care unit know dutch language basic literacy using smartphones without medical conditions may increase risks associated pa facetoface meeting nurse practitioner patients prescribed 3week exercise program home 2 walking exercises per day increasing duration based national international guidelines tailored physical conditions cardiac intervention physical activities daily steps measured axivity ax3 accelerometer worn hip position patients treatment group also supported neo health one selftracking device mobile platform called heart angel monitored coached nurses study patients perform bicycle ergometer test return devices within 1 week addition 5 questionnaires sent patients emails assess selfefficacy toward pa psychological states exploratory analyses discharge end monitoring week 1 week study minimize bias randomization procedure performed introducing exercise program nurse practitioners blind experimental conditions point study protocol approved medical research ethics committees united february 26 2018 nl 6214210017r1751 end 2018 completed small pilot study 8 patients results based interviews app usage data suggest larger clinical trial targeted population feasible expect complete rct end 2021 statistical analyses follow results rct help us test hypothesized benefits selftracking mobilebased coaching cardiac patients homebased exercise programs dischargerehabilitation gap results positive costeffectiveness analysis performed based insights study inform translation technologyenhanced program clinical practice also note limitations trial discussion registered netherlands trial register nl8040 httpswwwtrialregisternltrial8040 prr110219616737