Promotion of Home-Based Exercise Training as Secondary Prevention of Coronary Heart Disease

Torri, Anna; Panzarino, Claudia; Scaglione, Anna; Modica, Maddalena; Bordoni, Bruno; Redaelli, Raffaella; Maria, Renata De; Ferratini, Maurizio

doi:10.1097/hcr.0000000000000316

Cited by 11 publications

(5 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Long-term HE was superior to traditional hospital-based cardiac rehabilitation among the hospital group in terms of VO 2max and PA, which was more beneficial for postoperative recovery 129 . Network-based family cardiac rehabilitation procedures were feasible and effective in improving the PA of patients with CAD 130 …”

Section: Resultsmentioning

confidence: 94%

Exercise as a prescription for patients with various diseases

Luan

Tian

Zhang

et al. 2019

Journal of Sport and Health Science

301

205

View full text Add to dashboard Cite

HighlightsExercise can be used as an active intervention for the rehabilitation of various diseases.Exercise therapy could exert positive effects on alleviating the symptoms and improving the physical performance of patients who suffer from these diseases.Exercise prescriptions could provide guidance for patients to engage in suitable physical activities to promote rehabilitation and physical function.

show abstract

Section: Resultsmentioning

confidence: 94%

Exercise as a prescription for patients with various diseases

Luan

Tian

Zhang

et al. 2019

Journal of Sport and Health Science

301

205

View full text Add to dashboard Cite

show abstract

“…Despite the widespread need for rehabilitation after acute myocardial infarction and technological innovations in this space, wearable device-based rehabilitation solutions are still being studied for evidence to support their adoption and use, though recent developments have significantly advanced this area of research [23][24][25][26]. The development of a user-centered platform that is acceptable to patients and can impact key clinical or patient-reported outcomes will likely be a critical component of the clinical adoption of tele-CR [14].…”

Section: Introductionmentioning

confidence: 99%

MI-PACE Home-Based Cardiac Telerehabilitation Program for Heart Attack Survivors: Usability Study

et al. 2021

View full text Add to dashboard Cite

Background Cardiac rehabilitation programs, consisting of exercise training and disease management interventions, reduce morbidity and mortality after acute myocardial infarction. Objective In this pilot study, we aimed to developed and assess the feasibility of delivering a health watch–informed 12-week cardiac telerehabilitation program to acute myocardial infarction survivors who declined to participate in center-based cardiac rehabilitation. Methods We enrolled patients hospitalized after acute myocardial infarction at an academic medical center who were eligible for but declined to participate in center-based cardiac rehabilitation. Each participant underwent a baseline exercise stress test. Participants received a health watch, which monitored heart rate and physical activity, and a tablet computer with an app that displayed progress toward accomplishing weekly walking and exercise goals. Results were transmitted to a cardiac rehabilitation nurse via a secure connection. For 12 weeks, participants exercised at home and also participated in weekly phone counseling sessions with the nurse, who provided personalized cardiac rehabilitation solutions and standard cardiac rehabilitation education. We assessed usability of the system, adherence to weekly exercise and walking goals, counseling session attendance, and disease-specific quality of life. Results Of 18 participants (age: mean 59 years, SD 7) who completed the 12-week telerehabilitation program, 6 (33%) were women, and 6 (33%) had ST-elevation myocardial infarction. Participants wore the health watch for a median of 12.7 hours (IQR 11.1, 13.8) per day and completed a median of 86% of exercise goals. Participants, on average, walked 121 minutes per week (SD 175) and spent 189 minutes per week (SD 210) in their target exercise heart rate zone. Overall, participants found the system to be highly usable (System Usability Scale score: median 83, IQR 65, 100). Conclusions This pilot study established the feasibility of delivering cardiac telerehabilitation at home to acute myocardial infarction survivors via a health watch–based program and telephone counseling sessions. Usability and adherence to health watch use, exercise recommendations, and counseling sessions were high. Further studies are warranted to compare patient outcomes and health care resource utilization between center-based rehabilitation and telerehabilitation.

show abstract

“…In Asia, there were 6 (20%) studies conducted in China [ 19 , 21 , 27 , 28 , 32 , 36 , 42 ], 3% (n=1) from Singapore [ 23 ], 3% (n=1) from the Republic of Korea [ 25 ], 3% (n=1) from Indonesia [ 39 ], and 3% (n=1) from Pakistan [ 31 ]. In Europe, 7% (n=2) of studies were conducted in the United Kingdom [ 18 , 40 ], 3% (n=1) in Italy [ 44 ], 3% (n=1) in the Netherlands [ 22 ], 3% (n=1) in Belgium [ 29 ], and 3% (n=1) across multiple European countries [ 41 ]. Two (7%) studies were conducted in North America, namely, the United States [ 37 ] and Canada [ 24 ].…”

Section: Resultsmentioning

confidence: 99%

“…Self-monitoring was implemented by setting and tracking goals [ 18 , 24 , 40 ], monitoring physical activities [ 26 , 27 , 29 , 30 , 34 , 44 ], glucose monitoring [ 19 ], heart rate monitoring [ 27 , 42 ], monitoring of cardiovascular risk factors [ 45 ], blood pressure monitoring [ 21 , 32 ], step counting with a pedometer [ 26 ], and medication adherence using electronic pill bottles [ 37 ]. Different messages were tailored for different user groups.…”

Section: Resultsmentioning

confidence: 99%

Persuasive Systems Design Trends in Coronary Heart Disease Management: Scoping Review of Randomized Controlled Trials

Agyei,

Ekpezu,

Oinas-Kukkonen

2024

JMIR Cardio

View full text Add to dashboard Cite

Background Behavior change support systems (BCSSs) have the potential to help people maintain healthy lifestyles and aid in the self-management of coronary heart disease (CHD). The Persuasive Systems Design (PSD) model is a framework for designing and evaluating systems designed to support lifestyle modifications and health behavior change using information and communication technology. However, evidence for the underlying design principles behind BCSSs for CHD has not been extensively reported in the literature. Objective This scoping review aims to identify existing health BCSSs for CHD, report the characteristics of these systems, and describe the persuasion context and persuasive design principles of these systems based on the PSD framework. Methods Using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines, 3 digital databases (Scopus, Web of Science, and MEDLINE) were searched between 2010 to 2022. The major inclusion criteria for studies were in accordance with the PICO (Population, Intervention, Comparison, and Outcome) approach. Results Searches conducted in the databases identified 1195 papers, among which 30 were identified as eligible for the review. The most interesting characteristics of the BCSSs were the predominant use of primary task support principles, followed by dialogue support and credibility support and the sparing use of social support principles. Theories of behavior change such as the Social Cognitive Theory and Self-Efficacy Theory were used often to underpin these systems. However, significant trends in the use of persuasive system features on par with behavior change theories could not be established from the reviewed studies. This points to the fact that there is still no theoretical consensus on how best to design interventions to promote behavior change in patients with CHD. Conclusions Our results highlight key software features for designing BCSSs for the prevention and management of CHD. We encourage designers of behavior change interventions to evaluate the techniques that contributed to the success of the intervention. Future research should focus on evaluating the effectiveness of the interventions, persuasive design principles, and behavior change theories using research methodologies such as meta-analysis.

show abstract

Promotion of Home-Based Exercise Training as Secondary Prevention of Coronary Heart Disease

Abstract: Our web-based home CR maintenance program was feasible, well-accepted, and effective in improving physical activity during 6 mo and achieved higher overall adherence to cardiovascular risk targets than UC.

Cited by 11 publications

References 21 publications

Exercise as a prescription for patients with various diseases

Exercise as a prescription for patients with various diseases

MI-PACE Home-Based Cardiac Telerehabilitation Program for Heart Attack Survivors: Usability Study

Persuasive Systems Design Trends in Coronary Heart Disease Management: Scoping Review of Randomized Controlled Trials

Contact Info

Product

Resources

About