Increasing the medium-term clinical benefits of hospital-based cardiac rehabilitation by physical activity telemonitoring in coronary artery disease patients

Abstract

The study showed that, to maintain exercise tolerance and lower re-hospitalisation rate after hospital-based CR in CAD patients, a physical activity telemonitoring program might be an effective intervention.

eHealth in cardiovascular medicine: A clinical update

“…65 Furthermore, physical activity telemonitoring might be an effective intervention to increase the mediumterm clinical benefits of hospital-based CR. 66 Conclusions eHealth and telemedicine are rapidly evolving and will become an important component of today's medical care, but there is an important gap between technically driven progress and application-oriented research. Therefore, a great challenge for those involved in developing and implementing these new technologies will be to keep the main focus on patient's individual needs and not to be overwhelmed by the enormous speed of progress in technology and informatics and to carefully evaluate the evidence behind each new technology.…”

A Grounded Approach for Applying Behavior Change Techniques in Mobile Cardiac Tele-Rehabilitation

“…We need additional empirical work such as qualitative approaches that can generate the knowledge necessary to establish a starting point for design. Building from various evidences on using persuasive technology to target sustained behavior change [11][12][13], we analyzed different behavior change theories, bridged the gap between theory and practice based on relevance to the context, identified conceptual principles that can guide the design process and applied these in the context of telerehabilitation of CAD patients. In this paper, we first set the context by describing the different persuasive theories that were considered in this context and further introduce the principles we formulated by synthesizing evidences from existing literature.…”

Home-Based Rehabilitation With Telemonitoring Guidance for Patients With Coronary Artery Disease (Short-Term Results of the TRiCH Study): Randomized Controlled Trial (Preprint)

“…Patients received feedback by phone or e-mail once a week. These contact moments were used to 1) check for adverse events and injuries, 2) give feedback on performed exercise during the precedent week, 3) discuss the exercise program on duration, intensity and their preferred training modality, and 4) discuss adherence and barriers to adherence if necessary.…”

“…Yet, physical activity training comprises 30-50% (up to >70%) of all cardiac rehabilitation activities. Therefore, in this study physical activity tele-monitoring rather than telerehabilitation was assessed [3].…”

“…Secondary prevention of CVD (including coronary heart disease (CHD)) by means of cardiac rehabilitation (CR) is highly recommended by the European Society of Cardiology, the American Heart Association and the American College of Cardiology [2]. CR is now recognized as an essential part of contemporary CHD management that has significantly contributed to the observed reduction in cardiovascular mortality and disability by facilitating the adoption and adherence to healthy behaviors and promoting an active lifestyle [3]. However, the majority of patients fail to achieve secondary prevention targets in the long term [4].…”