Long-term exercise effects after cardiac telerehabilitation in patients with coronary artery disease: 1-year follow-up results of the randomized study

Baťalík, Ladislav; Dosbaba, Filip; Hartman, Martin; Konečný, Vladimír; Batalikova, Katerina; Špinar, Jindřich

doi:10.23736/s1973-9087.21.06653-3

Cited by 40 publications

(87 citation statements)

References 31 publications

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“…Home-based programs are a safe and effective alternative for low and moderate-risk patients [ 42 , 43 ]. With the advancement of technologies, home-based CR is buttressed, which is also the subject of current research in the Czech Republic [ 44 , 45 , 46 ]. This is timely given the current global situation with the COVID-19 pandemic; through telerehabilitation, participants can still receive all CR components [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

Validity and Reliability of the Cardiac Rehabilitation Barriers Scale in the Czech Republic (CRBS-CZE): Determination of Key Barriers in East-Central Europe

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Filáková

Hnatiak

et al. 2021

IJERPH

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Cardiovascular rehabilitation (CR) is an effective secondary preventive model of care. However, the use of CR is insufficient, and the reasons for this are not well-characterized in East-Central Europe. This prospective observational study psychometrically validated the recently translated Cardiac Rehabilitation Barriers Scale for the Czech language (CRBS-CZE) and identified the main CR barriers. Consecutive cardiac in/out-patients were approached from January 2020 for 18 months, of whom 186 (89.9%) consented. In addition to sociodemographic characteristics, participants completed the 21-item CRBS-CZE (response options 1–5, with higher scores representing greater barriers), and their CR utilization was tracked. Forty-five (24.2%) participants enrolled in CR, of whom 42 completed the CRBS a second time thereafter. Factor analysis revealed four factors, consistent with other CRBS translations. Internal reliability was acceptable for all but one factor (Cronbach’s alpha range = 0.44–0.77). Mean total barrier scores were significantly higher in non-enrollers (p < 0.001), decreased from first and second administration in these enrollers (p < 0.001), and were lower in CR completers (p < 0.001), supporting criterion validity. There were also significant differences in barrier scores by education, geography, tobacco use, among other variables, further supporting validity. The biggest barriers to enrolment were distance, work responsibilities, lack of time, transportation problems, and comorbidities; and the greatest barriers to adherence were distance and travel. Several items were considered irrelevant at first and second administration. Other barriers included wearing a mask during the COVID-19 pandemic. The study demonstrated sufficient validity and reliability of CRBS-CZE, which supports its use in future research.

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Section: Discussionmentioning

confidence: 99%

Validity and Reliability of the Cardiac Rehabilitation Barriers Scale in the Czech Republic (CRBS-CZE): Determination of Key Barriers in East-Central Europe

Winnige

Filáková

Hnatiak

et al. 2021

IJERPH

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“…22 Rapid development in information and communication technologies may help overcome the barriers to CR. [23][24][25] Telerehabilitation is proposed as a feasible, 26 27 safe and cost-effective intervention, 28 29 leading to longterm improvement of CVD risk factors, reduced healthcare costs and increased CR participation adherence. 30 Recent systematic reviews advocate to the use of telehealth interventions as an adjunct to CR [31][32][33] for the continuance of CR through pandemic circumstances.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Efficacy, efficiency and safety of a cardiac telerehabilitation programme using wearable sensors in patients with coronary heart disease: the TELEWEAR-CR study protocol

et al. 2022

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IntroductionExercise-based cardiac rehabilitation (CR) is a beneficial tool for the secondary prevention of cardiovascular diseases with, however, low participation rates. Telerehabilitation, intergrading mobile technologies and wireless sensors may advance the cardiac patients’ adherence. This study will investigate the efficacy, efficiency, safety and cost-effectiveness of a telerehabilitation programme based on objective exercise telemonitoring and evaluation of cardiorespiratory fitness.Methods and analysisA supervised, parallel-group, single-blind randomised controlled trial will be conducted. A total of 124 patients with coronary disease will be randomised in a 1:1 ratio into two groups: intervention telerehabilitation group (TELE-CR) (n=62) and control centre-based cardiac rehabilitation group (CB-CR) (n=62). Participants will receive a 12-week exercise-based rehabilitation programme, remotely monitored for the TELE-CR group and standard supervised for the CB-CR group. All participants will perform aerobic training at 70% of their maximal heart rate, as obtained from cardiopulmonary exercise testing (CPET) for 20 min plus 20 min for strengthening and balance training, three times per week. The primary outcomes will be the assessment of cardiorespiratory fitness, expressed as peak oxygen uptake assessed by the CPET test and the 6 min walk test. Secondary outcomes will be the physical activity, the safety of the exercise intervention (number of adverse events that may occur during the exercise), the quality of life, the training adherence, the anxiety and depression levels, the nicotine dependence and cost-effectiveness. Assessments will be held at baseline, end of intervention (12 weeks) and follow-up (36 weeks).Ethics and disseminationThe study protocol has been reviewed and approved by the Ethics Committee of the University of Thessaly (1108/1-12-2021) and by the Ethics Committee of the General University Hospital of Larissa (3780/31-01-2022). The results of this study will be disseminated through manuscript publications and conference presentations.Trial registration numberNCT05019157.

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“…8,9 Pacient dosáhl 200metrové vzdálenosti za 115 sekund při maximální dosažené srdeční frekvenci (TF) 125 tepů/min. Míru vnímaného vyčerpání (RPE) na Borgově stupnici (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) udával na stupni 15. Další chronotropní charakteristiky ze zátěžového testu udává tabulka 1.…”

Section: Kazuistikaunclassified

(Home-based remote cardiovascular rehabilitation in a patient after coronary intervention during COVID-19 pandemic - a case study)

Mináriková¹,

Felšőci²

2022

Cor Vasa

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Kardiovaskulární rehabilitace (KR) poskytuje multidisciplinární management v sekundární prevenci kardiovaskulárních chorob. V roce 2020 bylo hlavním zájmem udržení veřejného zdraví během pandemie covidu-19 a neexistovala jasná doporučení, jak postupovat při KR II. fáze. V této kazuistice popisujeme průběh alternativní KR formou vzdáleně vedené telerehabilitace. Sledovaný pacient byl 12 týdnů monitorován na dálku s následnou roční observací. Byly vyhodnoceny časové řady se srovnáním kardiorespirační zdatnosti a tělesného složení. Výsledky vzdáleně vedené KR a dlouhodobé observace vedly k očekávanému významnému zlepšení kardiorespirační zdatnosti o 12,7 %. Naše kazuistika naznačuje, jak poskytovat alternativní KR v situaci, kdy nejsou k dispozici přesné zátěžové testy a přímý dohled.

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Long-term exercise effects after cardiac telerehabilitation in patients with coronary artery disease: 1-year follow-up results of the randomized study

Cited by 40 publications

References 31 publications

Validity and Reliability of the Cardiac Rehabilitation Barriers Scale in the Czech Republic (CRBS-CZE): Determination of Key Barriers in East-Central Europe

Validity and Reliability of the Cardiac Rehabilitation Barriers Scale in the Czech Republic (CRBS-CZE): Determination of Key Barriers in East-Central Europe

Efficacy, efficiency and safety of a cardiac telerehabilitation programme using wearable sensors in patients with coronary heart disease: the TELEWEAR-CR study protocol

(Home-based remote cardiovascular rehabilitation in a patient after coronary intervention during COVID-19 pandemic - a case study)

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