Role of the intelligent exercise rehabilitation management system on adherence of cardiac rehabilitation in patients with coronary heart disease: a randomised controlled crossover study protocol

Abstract

IntroductionThe benefits of cardiac rehabilitation (CR) on the reduction of cardiac and all-cause mortality are well documented. However, adherence remains suboptimal in China. It is clear that traditional CR does not meet the needs of many eligible patients and innovation is required to improve its application. Home-based CR (HBCR) is a cost-effective method that may be a valuable alternative for many individuals in China. In HBCR, it is often difficult to maintain an exercise intensity that is both effective and within safe limits, factors that are essential for patient safety. Mobile health interventions have the potential to overcome these obstacles and may be efficacious in improving adherence. The purpose of this study is to evaluate whether an Intelligent Exercise Rehabilitation Management System (IERMS)-based HBCR could improve adherence to CR and to assess the effects on exercise capacity, mental health, self-efficacy, quality of life and lifestyle-related risk factors.Methods and analysisWe propose a single-blinded, two-arm, randomised controlled crossover study of 70 patients with coronary heart disease (CHD). Participants will be randomly assigned in a 1:1 ratio to one of the two groups. Patients in group 1 will receive the IERMS intervention together with usual care for the first 6 weeks and usual care for the last 6 weeks, while patients assigned to group 2 will receive usual care for the first 6 weeks and will use IERMS in the last 6 weeks. The primary outcome is adherence to the programme and secondary outcomes include exercise capacity, psychological well-being, quality of life, self-efficacy and lifestyle-related risk factors. All secondary outcomes will be measured at baseline, 6 weeks and 12 weeks.Ethics and disseminationThis study has been approved by the Human Research Ethics Committee of the School of Nursing, Jilin University (HREC 2019120901). The results will be published in peer-reviewed journals and at conferences.Trial registration numberChiCTR1900028182; Pre-results.

Effects of different brisk walking intensities on adherence and cardiorespiratory endurance of cardiac rehabilitation among patients with CHD after PCI: protocol for a randomised controlled trial

“…Many clinical trials devoted to improve participation and adherence rate have been introduced, such as telerehabilitation programmes with the help of social media. 31–33 Social media, which include Twitter, Instagram, YouTube and WeChat, is well accepted in public. Hence, an activity with benefit to patients with CHD health status supervised by professionals through social media would be promising.…”

“…Therefore, it is a health priority to explore a CR exercise programme that combined with more common daily activities. Many clinical trials devoted to improve participation and adherence rate have been introduced, such as telerehabilitation programmes with the help of social media 31–33. Social media, which include Twitter, Instagram, YouTube and WeChat, is well accepted in public.…”

Effects of Remotely Supervised Physical Activity on Health Profile in Frail Older Adults: A Randomized Controlled Trial Protocol

“…The intelligent exercise rehabilitation management system (IERMS) was designed and developed by the research group independently ( Xu et al, 2020 ). It is an integrating evaluation, guidance, monitoring, and feedback of an integrated intelligent motion rehabilitation management system.…”

Lower-Limb Perfusion and Cardiovascular Physiology Are Significantly Improved in Non-Healthy Aged Adults by Regular Home-Based Physical Activities—An Exploratory Study

“…Home-based health programs are not a novelty regarding conventional supervised therapeutics, although systematic reviews are scarce and primarily focused on specific conditions [17][18][19][20]. Nevertheless, several studies and trials have confirmed the interest and effectiveness of home-based health programs in cardiovascular rehabilitation [7,[21][22][23][24].…”