Effects of home-based training with telemonitoring guidance in low to moderate risk patients entering cardiac rehabilitation: short-term results of the FIT@Home study

Kraal, Jos J.; Peek, Niels; Marle, M. Elske van den Akker-van; Kemps, Hareld

doi:10.1177/2047487314552606

Cited by 101 publications

(214 citation statements)

References 24 publications

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“…A aderência ao treinamento foi semelhante entre os grupos 15 , no entanto alguns estudos 16,18 indicam que a RC Home-based com orientação por telemonitorização tem efeitos que proporcionam melhor aderência a RC, já Lusignan et al 19 apontam que a telemonitorização aumenta a aderência a medicação.…”

Section: Discussionunclassified

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Avaliação Do Uso Da Telessaúde Aplicada a Reabilitação Cardíaca: Revisão Sistemática

2017

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| Introduction:The use of telehealth can be performed in different health areas with a focus on prevention, treatment and follow-up. Objective: To verify the use of telehealth for better adherence and change in lifestyle in individuals who perform homebased cardiac rehabilitation. Method: A systematic review of the literature was carried out. We selected scientific articles classified as randomized clinical trials, using databases (BVS, Pubmed, PEDro), with the following strategy: telemedicine and cardiac rehabilitation and home-based and lifestyle and their respective terms in the Portuguese language, to search for articles. Results: Twenty-four studies were found that, after analysis, 7 studies were selected according to the theme in question, including 1,716 participants of both sexes, who were evaluated after using Telehealth for better adherence and change in lifestyle in rehabilitation Heart-based. Conclusion: The use of telehealth as a tool in home-based RC programs improves the adherence, clinical aspects and lifestyle of patients with cardiovascular diseases. RESUMO | Introdução:A utilização do telessaúde pode ser realizado em distintas áreas da saúde com foco na prevenção, tratamentos e acompanhamento. Objetivo: Verificar o uso da Telessaúde para melhor aderência e mudança no estilo de vida em indivíduos que realizam reabilitação cardíaca homebased. Método: Foi realizada uma pesquisa com de revisão sistemática da literatura. Foram selecionados artigos científicos classificados como ensaios clínicos randomizados, utilizando bases de dados (BVS, Pubmed, PEDro), com a seguinte estratégia: telemedicine and rehabilitation cardiac and homebased and lifestyle e seus respectivos termos na língua portuguesa, para a busca dos artigos. A pesquisa foi conduzida conforme a metodologia PRISMA. Resultados: Foram encontrados vinte e quatro estudos, que após análise, foram selecionados sete estudos de acordo com a temática em questão, incluiu 1.716 participantes de ambos os sexos, que foram avaliados após o uso da Telessaúde para melhor aderência e mudança no estilo de vida na reabilitação cardíaca home-based. Conclusão: O uso da Telessaúde como ferramenta em programas de RC home-based melhora a aderência, os aspectos clínicos e o estilo de vida de pacientes com doenças cardiovasculares.Palavras-chave: Telemedicina. Medicina física e reabilitação. Estilo de vida.Como citar este artigo: Junior AAP, de Carvalho T, Silva CI. Avaliação do uso da telessaúde aplicada a reabilitação cardíaca: revisão sistemática.

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“…O que se confirmam em por outros estudos que encontraram melhora em no controle de vários fatores de risco para DCV 13,15,17,18 .…”

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Avaliação Do Uso Da Telessaúde Aplicada a Reabilitação Cardíaca: Revisão Sistemática

2017

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“…Moreover home-based CR is safe and effective, especially in the area of short-term exercise capacity. 7 Home-based, well-known environment may effectively motivate patients, and simultaneously improve their independence compared with inpatient therapy and care.…”

Section: Current Evidencesmentioning

confidence: 99%

“…1 Current research showed home-based cardiac telerehabilitation as safe and effective in improving short-term exercise capacity, but novel telemonitoring techniques should support also its long-term effects on physical fitness depending on age, gender, etc. 7 Large scale prospective randomized studies should show equal efficacy of the cardiac telerehabilitation compared to the traditional face-to-face rehabilitation programs. Detailed standards and guidelines, useful for compartmental studies purposes, should be developed.…”

Section: Directions Of Further Researchmentioning

confidence: 99%

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Cardiac Telerehabilitation - Current State and Clinical Perspectives

Mikołajewska¹,

Mikołajewski²

2014

Heart Res Open J

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Effect of Smartphone-Enabled Health Monitoring Devices vs Regular Follow-up on Blood Pressure Control Among Patients After Myocardial Infarction

et al. 2020

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IMPORTANCESmart technology via smartphone-compatible devices might improve blood pressure (BP) regulation in patients after myocardial infarction. OBJECTIVES To investigate whether smart technology in clinical practice can improve BP regulation and to evaluate the feasibility of such an intervention. DESIGN, SETTING, AND PARTICIPANTS This study was an investigator-initiated, single-center, nonblinded, feasibility, randomized clinical trial conducted at the Department of Cardiology of the Leiden University Medical Center between May 2016 and December 2018. Two hundred patients, who were admitted with either ST-segment elevation myocardial infarction or non-ST-segment acute coronary syndrome, were randomized in a 1:1 fashion between follow-up groups using smart technology and regular care. Statistical analysis was performed from January 2019 to March 2019. INTERVENTIONSFor patients randomized to regular care, 4 physical outpatient clinic visits were scheduled in the year following the initial event. In the intervention group, patients were given 4 smartphone-compatible devices (weight scale, BP monitor, rhythm monitor, and step counter). In addition, 2 in-person outpatient clinic visits were replaced by electronic visits. MAIN OUTCOMES AND MEASURESThe primary outcome was BP control. Secondary outcomes, as a parameter of feasibility, included patient satisfaction (general questionnaire and smart technology-specific questionnaire), measurement adherence, all-cause mortality, and hospitalizations for nonfatal adverse cardiac events. RESULTSIn total, 200 patients (median age, 59.7 years [interquartile range, 52.9-65.6 years]; 156 men [78%]) were included, of whom 100 were randomized to the intervention group and 100 to the control group. After 1 year, 79% of patients in the intervention group had controlled BP vs 76% of patients in the control group (P = .64). General satisfaction with care was the same between groups (mean [SD] scores, 82.6 [14.1] vs 82.0 [15.1]; P = .88). The all-cause mortality rate was 2% in both groups (P > .99). A total of 20 hospitalizations for nonfatal adverse cardiac events occurred (8 in the intervention group and 12 in the control group). Of all patients, 32% sent in measurements each week, with 63% sending data for more than 80% of the weeks they participated in the trial. In the intervention group only, 90.3% of patients were satisfied with the smart technology intervention. CONCLUSIONS AND RELEVANCEThese findings suggest that smart technology yields similar percentages of patients with regulated BP compared with the standard of care. Such an intervention (continued)

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Effects of home-based training with telemonitoring guidance in low to moderate risk patients entering cardiac rehabilitation: short-term results of the FIT@Home study

Abstract: This analysis shows that HT with telemonitoring guidance has similar short-term effects on exercise capacity and quality of life as CT in CR patients.

Cited by 101 publications

References 24 publications

Avaliação Do Uso Da Telessaúde Aplicada a Reabilitação Cardíaca: Revisão Sistemática

Avaliação Do Uso Da Telessaúde Aplicada a Reabilitação Cardíaca: Revisão Sistemática

Cardiac Telerehabilitation - Current State and Clinical Perspectives

Effect of Smartphone-Enabled Health Monitoring Devices vs Regular Follow-up on Blood Pressure Control Among Patients After Myocardial Infarction

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