دورية أكاديمية
Feasibility of telerehabilitation for heart failure patients inaccessible for outpatient rehabilitation
| العنوان: | Feasibility of telerehabilitation for heart failure patients inaccessible for outpatient rehabilitation |
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| المؤلفون: | Lundgren, Kari Margrethe, Langlo, Knut Asbjørn Rise, Salvesen, Øyvind, Zanaboni, Paolo, Cittanti, Elisa, Mo, Rune, Ellingsen, Øyvind, Dalen, Håvard, Aksetøy, Inger-Lise Aamot |
| بيانات النشر: | Wiley |
| سنة النشر: | 2023 |
| المجموعة: | University of Tromsø: Munin Open Research Archive |
| الوصف: | Aims Despite strong recommendations, outpatient cardiac rehabilitation is underused in chronic heart failure (CHF) patients. Possible barriers are frailty, accessibility, and rural living, which may be overcome by telerehabilitation. We designed a randomized, controlled trial to evaluate the feasibility of a 3-month real-time, home-based telerehabilitation, high-intensity exercise programme for CHF patients who are either unable or unwilling to participate in standard outpatient cardiac rehabilitation and to explore outcomes of self-efficacy and physical fitness at 3 months post-intervention. Methods and results CHF patients with reduced (≤40%), mildly reduced (41–49%), or preserved ejection fraction (≥50%) (n = 61) were randomized 1:1 to telerehabilitation or control in a prospective controlled trial. The telerehabilitation group (n = 31) received real-time, home-based, high-intensity exercise for 3 months. Inclusion criteria were (i) ≥18 years, (ii) New York Heart Association class II-III, stable on optimized medical therapy for >4 weeks, and (iii) N-terminal pro-brain natriuretic peptide >300 ng/L. All participants participated in a 2-day ‘Living with heart failure’ course. No other intervention beyond standard care was provided for controls. Outcome measures were adherence, adverse events, self-reported outcome measures, the general perceived self-efficacy scale, peak oxygen uptake (VO 2peak ) and a 6-min walk test (6MWT). The mean age was 67.6 (11.3) years, and 18% were women. Most of the telerehabilitation group (80%) was adherent or partly adherent. No adverse events were reported during supervised exercise. Ninety-six per cent (26/27) reported that they felt safe during real-time, home-based telerehabilitation, high-intensity exercise, and 96% (24/25) reported that, after the home-based supervised telerehabilitation, they were motivated to participate in further exercise training. More than half the population (15/26) reported minor technical issues with the videoconferencing software. 6MWT ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 2055-5822 |
| العلاقة: | ESC Heart Failure; Lundgren, Langlo, Salvesen, Zanaboni, Cittanti, Mo, Ellingsen, Dalen, Aksetøy. Feasibility of telerehabilitation for heart failure patients inaccessible for outpatient rehabilitation. ESC Heart Failure. 2023; FRIDAID 2149012; https://hdl.handle.net/10037/30419Test |
| DOI: | 10.1002/ehf2.14405 |
| الإتاحة: | https://doi.org/10.1002/ehf2.14405Test https://hdl.handle.net/10037/30419Test |
| حقوق: | Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) ; openAccess ; Copyright 2023 The Author(s) ; https://creativecommons.org/licenses/by-nc-nd/4.0Test |
| رقم الانضمام: | edsbas.9F64503D |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 20555822 |
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| DOI: | 10.1002/ehf2.14405 |