Efficacy and Adherence Rates of a Novel Community-Informed Virtual World-Based Cardiac Rehabilitation Program: Protocol for the Destination Cardiac Rehab Randomized Controlled Trial.
Efficacy and Adherence Rates of a Novel Community-Informed Virtual World-Based Cardiac Rehabilitation Program: Protocol for the Destination Cardiac Rehab Randomized Controlled Trial.
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DOI：
10.1161/jaha.123.030883
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发表时间：
2023-12-05
影响因子：
5.4
通讯作者：
中科院分区：
文献类型：
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作者：
心脏康复（CR）服务的创新重组对于减少障碍和改善不同人群的服务仍然至关重要。 Destination Cardiac Rehab 是一项基于虚拟世界技术的新型 CR 计划，通过虚拟世界平台 Second Life 提供，该计划之前作为传统中心 CR 的延伸表现出很高的可接受性。本研究旨在评估基于虚拟世界的 CR 计划与在社区知情的实施科学框架内基于中心的 CR 计划的有效性和依从性。使用非劣效性、混合 1 型有效性实施、随机对照试验，将从美国 6 个不同地理位置的 CR 中心招募 150 名患有符合条件的心血管事件的患者。参与者将按 1:1 的比例随机分配到 12 周目的地心脏康复组或中心 CR 对照组。主要功效结果是基于美国心脏协会 Life's Essential 8 的 3 个月和 6 个月时的综合心血管健康评分。遵守结果包括参加 CR 会议和参加锻炼课程。组建了一个多元化的患者/护理人员/利益相关者咨询委员会，以指导招募、实施和传播计划，并将研究结果纳入背景。机构审查委员会批准的随机对照试验将在 3 年内连续 3 波/年将患者纳入干预组（或对照组）并随机分配到干预组（或对照组）。结果将在数据收集和分析完成后发布。 Destination Cardiac Rehab 随机对照试验测试了一种创新且具有潜在可扩展性的模型，以增强 CR 参与并促进健康公平。我们的研究结果将为有效的虚拟 CR 计划的使用提供信息，以扩大对不同患者群体的公平访问。网址：https://www.clinicaltrials.gov；唯一标识符：NCT05897710。
Innovative restructuring of cardiac rehabilitation (CR) delivery remains critical to reduce barriers and improve access to diverse populations. Destination Cardiac Rehab is a novel virtual world technology‐based CR program delivered through the virtual world platform, Second Life, which previously demonstrated high acceptability as an extension of traditional center‐based CR. This study aims to evaluate efficacy and adherence of the virtual world–based CR program compared with center‐based CR within a community‐informed, implementation science framework. Using a noninferiority, hybrid type 1 effectiveness‐implementation, randomized controlled trial, 150 patients with an eligible cardiovascular event will be recruited from 6 geographically diverse CR centers across the United States. Participants will be randomized 1:1 to either the 12‐week Destination Cardiac Rehab or the center‐based CR control groups. The primary efficacy outcome is a composite cardiovascular health score based on the American Heart Association Life's Essential 8 at 3 and 6 months. Adherence outcomes include CR session attendance and participation in exercise sessions. A diverse patient/caregiver/stakeholder advisory board was assembled to guide recruitment, implementation, and dissemination plans and to contextualize study findings. The institutional review board–approved randomized controlled trial will enroll and randomize patients to the intervention (or control group) in 3 consecutive waves/year over 3 years. The results will be published at data collection and analyses completion. The Destination Cardiac Rehab randomized controlled trial tests an innovative and potentially scalable model to enhance CR participation and advance health equity. Our findings will inform the use of effective virtual CR programs to expand equitable access to diverse patient populations. URL: https://www.clinicaltrials.gov; Unique identifier: NCT05897710.
新型的基于世界的虚拟心脏康复计划，以扩大对人口不足的人群的机会：患者的观点。
DOI：
10.1016/j.jaccas.2022.05.027
发表时间：
2022-07-20
期刊：
JACC. Case reports
影响因子：
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作者：
Content, Virginia G;Abraham, Helayna M;Kaihoi, Brian H;Olson, Thomas P;Brewer, LaPrincess C
通讯作者：
Brewer, LaPrincess C
影响因子：
1.7
作者：
Brewer LC;Kaihoi B;Zarling KK;Squires RW;Thomas R;Kopecky S
通讯作者：
Kopecky S