Making cardiac rehabilitation more available and affordable

Lavie, Carl J.; Kachur, Sergey; Milani, Richard V.

doi:10.1136/heartjnl-2018-313762

Cited by 12 publications

(11 citation statements)

References 9 publications

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“…Two interventions (HEART and TEXT ME) are likely to be cost-effective (18,28), whereas REMOTE-CR showed significant cost savings compared with standard center-based exercise delivery (21). Collectively, this body of evidence supports the utility of mHealth for augmenting existing services for people with coronary heart disease and may go some way to address some of the limitations associated with the current standard cardiac rehabilitation delivery model (29).…”

Section: Mhealth Programs In Clinical Populationsmentioning

confidence: 74%

mHealth Interventions for Exercise and Risk Factor Modification in Cardiovascular Disease

Maddison

Rawstorn

Islam

et al. 2019

Exercise and Sport Sciences Reviews

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Section: Mhealth Programs In Clinical Populationsmentioning

confidence: 74%

mHealth Interventions for Exercise and Risk Factor Modification in Cardiovascular Disease

Maddison

Rawstorn

Islam

et al. 2019

Exercise and Sport Sciences Reviews

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“…While there is substantial evidence for the benefits of exercise-based rehabilitation in high-resource settings,15–18 the study, delivery and implementation of evidence-based rehabilitation in low-resourced settings are poorly understood. Hence, it is important to determine a minimalistic yet effective rehabilitation intervention and accompanying research methodology to optimise the (cost) benefits and sustainability of rehabilitation services in a low-resource setting 19. An effective, evidence-based, rehabilitation paradigm, specifically for resource-limited settings, is essential in terms of attaining United Nations’ sustainable development goal 3 ‘Ensure healthy lives and promote well-being for all at all ages’ in the context of an NCD epidemic 20.…”

Section: Introductionmentioning

confidence: 99%

Patient-centred rehabilitation for non-communicable disease in a low-resource setting: study protocol for a feasibility and proof-of-concept randomised clinical trial

et al. 2019

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IntroductionNon-communicable diseases (NCDs) are the leading cause of death globally. Even though NCD disproportionally affects low-to-middle income countries, these countries including South Africa, often have limited capacity for the prevention and control of NCDs. The standard evidence-based care for the long-term management of NCDs includes rehabilitation. However, evidence for the effectiveness of rehabilitation for NCDs originates predominantly from high-income countries. Despite the disproportionate disease burden in low-resourced settings, and due to the complex context and constraints in these settings, the delivery and study of evidence-based rehabilitation treatment in a low-resource setting is poorly understood. This study aims to test the design, methodology and feasibility of a minimalistic, patient-centred, rehabilitation programme for patients with NCD specifically designed for and conducted in a low-resource setting.Methods and analysisStable patients with cancer, cardiovascular disease, chronic respiratory disease and/or diabetes mellitus will be recruited over the course of 1 year from a provincial day hospital located in an urban, low-resourced setting (Bishop Lavis, Cape Town, South Africa). A postponed information model will be adopted to allocate patients to a 6-week, group-based, individualised, patient-centred rehabilitation programme consisting of multimodal exercise, exercise education and health education; or usual care (ie, no care). Outcomes include feasibility measures, treatment fidelity, functional capacity (eg, 6 min walking test), physical activity level, health-related quality of life and a patient-perspective economic evaluation. Outcomes are assessed by a blinded assessor at baseline, postintervention and 8-week follow-up. Mixed-method analyses will be conducted to inform future research.Ethics and disseminationThis study has been approved by the Health Research and Ethics Council, Stellenbosch University (M17/09/031). Information gathered in this research will be published in peer-reviewed journals, presented at national and international conferences, as well as local stakeholders.Trial registration numberPACTR201807847711940; Pre-results.

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“…6 Programme and medication costs were lower for the telemedicine CR with no difference in hospitalisation costs. Lavie, Kachur and Milani7 congratulate the authors on this study and comment that “Certainly, more comprehensive Remote-CR models, including home, internet and community-based programmes, are needed to provide alternatives to conventional, medically supervised, facility-based Standard-CR. The time has come to ‘re-brand and re-invigorate’ “…”

mentioning

confidence: 99%

Heartbeat: Time to switch from aortic valve area to aortic valve index?

Otto

2019

Heart

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Making cardiac rehabilitation more available and affordable

Cited by 12 publications

References 9 publications

mHealth Interventions for Exercise and Risk Factor Modification in Cardiovascular Disease

mHealth Interventions for Exercise and Risk Factor Modification in Cardiovascular Disease

Patient-centred rehabilitation for non-communicable disease in a low-resource setting: study protocol for a feasibility and proof-of-concept randomised clinical trial

Heartbeat: Time to switch from aortic valve area to aortic valve index?

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