Home-based telerehabilitation is not inferior to a centre-based program in patients with chronic heart failure: a randomised trial

Hwang, Rita; Bruning, Jared; Morris, Norman; Mandrusiak, Allison; Russell, Trevor

doi:10.1016/j.jphys.2017.02.017

Cited by 188 publications

(436 citation statements)

References 28 publications

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“…30 Hwang et al enrolled 53 participants with HF into either home-based or conventional CR and found no significant difference with respect to the 6-minute-walk performance test. 31 Similarly, Moholdt and colleagues evaluated differences in oxygen (O2) uptake and HRQoL between facility-based and home-based CR and found no difference between groups in either O2 uptake and HRQoL. 32 A meta-analysis of 17 RCTs that included 2172 patients found no significant differences in mortality, major acute CVD events, exercise capacity, and most other markers of CV health when comparing home-based versus center-based CR.…”

Section: Modes Of Delivering Etmentioning

confidence: 99%

Impact of cardiac rehabilitation and exercise training programs in coronary heart disease

Kachur

Chongthammakun

Lavie

et al. 2017

Progress in Cardiovascular Diseases

129

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Section: Modes Of Delivering Etmentioning

confidence: 99%

Impact of cardiac rehabilitation and exercise training programs in coronary heart disease

Kachur

Chongthammakun

Lavie

et al. 2017

Progress in Cardiovascular Diseases

129

View full text Add to dashboard Cite

“…This telerehabilitation program within the randomised controlled trial consisted of a 12-week group-based exercise and education intervention delivered into the patient's home twice weekly using an online videoconferencing platform (Hwang et al, 2017a). Results verified the primary research hypothesis that the change in distance on the 6 minute walk test (6MWD) from baseline to the end of the rehabilitation program in the telerehabilitation group was not inferior to the control group.…”

Section: Telerehabilitation Interventionmentioning

confidence: 57%

Providing Heart Failure Rehabilitation in the Home via Telerehabilitation

Hwang

Bruning

Mandrusiak

et al. 2016

Heart, Lung and Circulation

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Exercise is effective for patients with chronic heart failure (CHF). Despite this, many patients are unable to access traditional exercise-based rehabilitation programs for various reasons, such as transport difficulties and program availability. Telerehabilitation, in which telecommunication technologies are used to provide rehabilitation at a distance, is an alternative approach which may overcome some of these barriers.The current literature suggests that telerehabilitation is effective in patients with cardiopulmonary diseases. However the majority of studies focus on phone-based interventions, so there is a need for more studies on the use of video-based telerehabilitation programs. Video-based telerehabilitation is a new approach which enables patients to exercise in the comfort of their homes, whilst maintaining synchronous audiovisual communication. This approach enables the clinician to watch patients performing the exercises and to provide real-time feedback and modification as required, as well as facilitate the development of rapport between the clinician and patients, and peer support amongst patients. Video-based telerehabilitation also presents a potential way to conduct remote assessment of functional exercise capacity.This thesis aimed to explore a new service delivery model for providing heart failure exercise-based rehabilitation programs. The thesis commences with a systematic review of telerehabilitation in patients with cardiopulmonary diseases (Study 1, Paper 1). The next study aimed to determine the suitability of the timed up and go test (TUGT) as an outcome measurement in heart failure rehabilitation programs (Study 2, Paper 2). In addition, the validity and reliability of telerehabilitation assessments of functional tests including the TUGT were examined in patients with CHF (Study 3, Paper 3). A randomised controlled trial determined the feasibility and effectiveness of a home-based heart failure telerehabilitation program compared with a traditional centre-based program (Study 4, Paper 4). A mixed methods study was also conducted to determine patient experiences and perspectives related to a heart failure telerehabilitation program (Study 5, Paper 5).Based on the systematic review of 11 studies, telerehabilitation appears to be a promising alternative to traditional centre-based programs in patients with cardiopulmonary diseases. In particular, telerehabilitation has been shown to improve exercise capacity and quality of life in these patient groups and has higher adherence rates compared with traditional centre-based programs.iii However, suitable outcome measures that can be administered via telerehabilitation are required. A possible outcome measure is the TUGT, which is a quick and easy-to-administer functional test.However prior to using the TUGT as an outcome measure in telerehabilitation studies, it was first important to validate its use in both face-to-face and telerehabilitation environments. The TUGT demonstrated excellent test-retest reliability in patients with C...

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“…Emma Thomas 1 , Robyn Gallagher 2 and Sherry L Grace 3,4 To the Editor The paper by Yeo et al 1 makes the case for continuing cardiac rehabilitation (CR) during COVID-19, asserting that there is 'no better time than now for CR providers to explore and implement methods to improve or supplement existing programs'. In a time where conventionally-delivered programmes are being forced to close, some are considering the opportunity to transition towards (or expand) digital health formats.…”

Section: Future-proofing Cardiac Rehabilitation: Transitioning Servicmentioning

confidence: 99%

“…However, it must be mentioned that there is much more to learn about what makes mHealth applications appealing and how these interventions can be used for long-term cardiovascular disease management. 3 Videoconferencing offers the additional advantage of enabling providers to see and hear their patients (and vice versa); it can enable you to develop a therapeutic rapport, get a sense of a patient's health and well-being, supervise exercise remotely (either through videoconferencing software demonstrated by Hwang et al 4 or via a bespoke telerehabilitation platform and remote monitoring devices demonstrated by Maddison et al 5 ) and provide feedback and support, as well as share screens and files for educational and counselling purposes and to illustrate required actions. Videoconferencing also allows for groups, 3 therefore enhancing efficiency and providing the opportunity for participants to share experiences.…”

Section: Future-proofing Cardiac Rehabilitation: Transitioning Servicmentioning

confidence: 99%

Future-proofing cardiac rehabilitation: Transitioning services to telehealth during COVID-19

Thomas

Gallagher

Grace

2020

European Journal of Preventive Cardiology

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Home-based telerehabilitation is not inferior to a centre-based program in patients with chronic heart failure: a randomised trial

Abstract: ACTRN12613000390785. [Hwang R, Bruning J, Morris NR, Mandrusiak A, Russell T (2017) Home-based telerehabilitation is not inferior to a centre-based program in patients with chronic heart failure: a randomised trial. Journal of Physiotherapy 63: 101-107].

Cited by 188 publications

References 28 publications

Impact of cardiac rehabilitation and exercise training programs in coronary heart disease

Impact of cardiac rehabilitation and exercise training programs in coronary heart disease

Providing Heart Failure Rehabilitation in the Home via Telerehabilitation

Future-proofing cardiac rehabilitation: Transitioning services to telehealth during COVID-19

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