Remote maintenance cardiac rehabilitation (MAINTAIN): A protocol for a randomised feasibility study.
Remote maintenance cardiac rehabilitation (MAINTAIN): A protocol for a randomised feasibility study.
复制标题
DOI：
10.1177/20552076231152176
复制
发表时间：
2023-01
期刊：
影响因子：
3.9
通讯作者：
McGregor, Gordon
中科院分区：
文献类型：
--
作者：
Denton, Francesca;Waddell, Alexander;Kite, Chris;Hesketh, Katie;Atkinson, Lou;Cocks, Matthew;Jones, Helen;Randeva, Harpal;Davenport, Nathan;Powell, Richard;Clark, Cain;Kyrou, Ioannis;Harwood, Amy E.;McGregor, Gordon
关键词：
对于在中心监督下完成心脏康复治疗的冠心病 (CHD) 患者来说，长期坚持锻炼的情况往往较差。本研究的目的是评估使用可穿戴设备进行远程处方、交付和监测的心脏康复干预的可行性，以支持在心脏康复维持期间长期坚持锻炼和身体活动。完成心脏康复后，30 名患有 CHD 的参与者将在为期 12 个月的可行性随机对照试验 (RCT) 中被随机 (1:1) 分配到干预组 (n = 15) 或常规护理组 (n = 15)。干预措施将包括运动咨询、通过可穿戴活动监视器使用生物识别反馈提供个性化运动处方、通过签到进行定期监测以及为期 6 个月的反馈短信。参与者将在基线（完成心脏康复后）以及随机分组后 3、6 和 12 个月进行评估。主要结果将是可行性，包括资格、招募、依从性和可接受性的评估。次要结果包括运动能力、体育活动行为、心血管疾病风险和生活质量。半结构化访谈将在随机化后 3、6 和 12 个月（以及退出者）进行，以探讨研究干预和程序的可接受性。将向那些拒绝参与的人提供一份调查问卷。 MAINTAIN 研究将评估未来进行最终多中心随机对照试验的可行性，该试验对已完成心脏康复的先心病患者进行远程处方和监测的长期 mHealth 维持运动计划与常规护理的比较。 ClinicalTrials.gov，NCT05292287。注册于 22/03/2022
Long-term adherence to exercise is often poor for people with coronary heart disease (CHD) who have completed supervised, centre-based cardiac rehabilitation. The aim of this study is to assess the feasibility of a remotely prescribed, delivered and monitored cardiac rehabilitation intervention using a wearable device to support long-term adherence to exercise and physical activity during maintenance of cardiac rehabilitation. After completing cardiac rehabilitation, 30 participants with CHD, will be randomised (1:1) to an intervention (n = 15) or a usual care group (n = 15) in a 12-month feasibility randomised controlled trial (RCT). The intervention will comprise of an exercise consultation, personalised exercise prescription delivered via a wearable activity monitor using biometric feedback, regular monitoring via check-ins, and feedback text-messages for 6-months. Participants will be assessed at baseline (following completion of cardiac rehabilitation) and at three-, six-, and 12-months post-randomisation. The primary outcome will be feasibility, including assessment of eligibility, recruitment, adherence, and acceptability. Secondary outcomes will include exercise capacity, physical activity behaviours, cardiovascular disease risk and quality of life. Semi-structured interviews will be conducted at three-, six-, and 12-months post-randomisation (and with those who drop-out) to explore the acceptability of the study intervention and procedures. A questionnaire will be offered to those who decline participation. The MAINTAIN study will evaluate the feasibility of conducting a future definitive multi-centre RCT testing a remotely prescribed and monitored long-term mHealth maintenance exercise programme, versus usual care, for people with CHD who have completed cardiac rehabilitation. ClinicalTrials.gov, NCT05292287. Registered on 22/03/2022
登录
查看更多内容
影响因子：
5.7
作者：
Dorresteijn, Johannes A. N.;Visseren, Frank L. J.;van der Graaf, Yolanda
通讯作者：
van der Graaf, Yolanda
影响因子：
3.7
作者：
Aadland E;Ylvisåker E
通讯作者：
Ylvisåker E
影响因子：
2.5
作者：
Bugge, Carol;Williams, Brian;Sinclair, Lesley
通讯作者：
Sinclair, Lesley
DOI：
10.1097/01.hjr.0000086303.28200.50
发表时间：
2003-10-01
期刊：
European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology
影响因子：
--
作者：
Giannuzzi, P;Mezzani, A;Veress, G
通讯作者：
Veress, G
影响因子：
3.5
作者：
Herdman, M.;Gudex, C.;Lloyd, A.;Janssen, M. F.;Kind, P.;Parkin, D.;Bonsel, G.;Badia, X.
通讯作者：
Badia, X.