Effects of home-based training with telemonitoring guidance in low to moderate risk patients entering cardiac rehabilitation: short-term results of the FIT@Home study
Effects of home-based training with telemonitoring guidance in low to moderate risk patients entering cardiac rehabilitation: short-term results of the FIT@Home study
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DOI：
10.1177/2047487314552606
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发表时间：
2014-11-01
影响因子：
8.3
通讯作者：
Kemps, Hareld M. C.
中科院分区：
文献类型：
--
作者：
Kraal, Jos J.;Peek, Niels;Kemps, Hareld M. C.
家庭运动训练在心脏康复（CR）中具有提高CR摄取、降低成本和提高自我管理技能的潜力。FIT@Home研究在远程监测指导下评估基于家庭的CR，使用指导干预措施，包括行为改变战略，目的是保持对健康生活方式的坚持，并改善长期效果。在这项中期分析中，我们提供了FIT@Home研究中前50名患者的运动能力、生活质量和训练依从性的短期结果。设计研究设计为随机对照试验。方法将低至中危CR患者随机分为12周家庭培训（HT）组和12周中心培训（CT）组。在两组中，训练以70-85%的最大心率（HRmax）进行，每次45-60分钟，每周2-3次。HT组接受了三次有监督的训练，然后在他们的家庭环境中使用心率监测器进行训练。这些患者每周通过电话接受个别指导，培训数据上传到互联网上。CT程序是在物理治疗师的直接监督下进行的。在基线和12周时评估运动能力和健康相关生活质量。结果CT组（n=25）和HT组（n=25）在训练12周后的峰值摄氧量（峰值摄氧量）和生活质量均有显著改善（分别为10%和14%），组间无显著差异。HT组平均训练强度为HRmax的73.33.5%。各组之间的训练依从性相似。结论远程监护指导下的HT对CR患者的运动能力和生活质量的短期影响与CT相似。
Background Home-based exercise training in cardiac rehabilitation (CR) has the potential to improve CR uptake, decrease costs and increase self-management skills. The FIT@Home study evaluates home-based CR with telemonitoring guidance using coaching interventions including strategies for behavioural changes with the aim to maintain adherence to a healthy lifestyle and to improve long-term effects. In this interim analysis we provide short-term results on exercise capacity, quality of life and training adherence of the first 50 patients included in the FIT@Home study.Design The study design was a randomised controlled trial.Methods Low to moderate risk CR patients were randomised to a 12-week home-based training (HT) programme or a 12-week centre-based training (CT) programme. In both groups, training was performed at 70-85% of maximal heart rate (HRmax) for 45-60min, 2-3 times per week. The HT group received three supervised training sessions, before commencing training with a heart rate monitor in their home environment. These patients received individual coaching by telephone weekly, based on training data uploaded on the Internet. The CT programme was performed under the direct supervision of a physical therapist. Exercise capacity and health-related quality of life were assessed at baseline and at 12 weeks.Results CT (n=25) and HT (n=25) both showed a significant improvement in peak oxygen uptake (peak VO2) (10% and 14% respectively) and quality of life after 12 weeks of training, without significant between-group differences. The average training intensity of the HT group was 73.33.5% of HRmax. Training adherence was similar between groups.Conclusion This analysis shows that HT with telemonitoring guidance has similar short-term effects on exercise capacity and quality of life as CT in CR patients.