Promotion of Home-Based Exercise Training as Secondary Prevention of Coronary Heart Disease: A Pilot Web-Based Intervention

Anna Torri, Claudia Panzarino, Anna Scaglione, Maddalena Modica, Bruno Bordoni, Raffaella Redaelli, Renata De Maria, Maurizio Ferratini

Research output: Contribution to journalArticle

Abstract

Background: Although cardiac rehabilitation (CR) is cost-effective in improving the health of patients with coronary heart disease (CHD), less than half of eligible CHD patients attend a CR program. Innovative web-based technologies might improve CR delivery and utilization. We assessed the feasibility and impact on functional capacity and secondary prevention targets of a long-Term web-monitored exercise-based CR maintenance program. Methods: Low-to moderate-risk CHD patients were recruited at discharge from inpatient CR after a coronary event or revascularization. We developed an interactive web-based platform for secure home individual access control, monitoring, and validation of exercise training. Of 86 eligible patients, 26 consented to participate in the study intervention (IG). Using a quasi-experimental design, we recruited in parallel 27 eligible patients, unavailable for regular web monitoring, who consented to a follow-up visit as usual care (UC). Results: Among IG, active daily data transmission was 100% during month 1, 88% at month 3, and 81% at 6 months, with sustained improvement in self-reported physical activity beginning with the first week after discharge from inpatient CR (2467 [1854-3554] MET-min/wk) to month 3 (3411 [1981-5347] MET-min/wk, P =.019). Both groups showed favorable changes over time in lipid profile, ventricular function, distance walked in 6 min, and quality of life. At 6 mo, IG achieved a significantly higher proportion of cardiovascular risk factor targets than UC (75 ± 20% vs 59 ± 30%, P =.029). Conclusions: Our web-based home CR maintenance program was feasible, well-Accepted, and effective in improving physical activity during 6 mo and achieved higher overall adherence to cardiovascular risk targets than UC.

Original languageEnglish
Pages (from-to)253-258
Number of pages6
JournalJournal of Cardiopulmonary Rehabilitation and Prevention
Volume38
Issue number4
DOIs
Publication statusPublished - Jul 1 2018

Fingerprint

Secondary Prevention
Coronary Disease
Exercise
Inpatients
Ventricular Function
Cardiac Rehabilitation
Research Design
Quality of Life
Technology
Lipids
Costs and Cost Analysis
Health

Keywords

  • cardiac rehabilitation
  • exercise training
  • secondary prevention
  • web-based technology

ASJC Scopus subject areas

  • Rehabilitation
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Promotion of Home-Based Exercise Training as Secondary Prevention of Coronary Heart Disease : A Pilot Web-Based Intervention. / Torri, Anna; Panzarino, Claudia; Scaglione, Anna; Modica, Maddalena; Bordoni, Bruno; Redaelli, Raffaella; De Maria, Renata; Ferratini, Maurizio.

In: Journal of Cardiopulmonary Rehabilitation and Prevention, Vol. 38, No. 4, 01.07.2018, p. 253-258.

Research output: Contribution to journalArticle

Torri, Anna ; Panzarino, Claudia ; Scaglione, Anna ; Modica, Maddalena ; Bordoni, Bruno ; Redaelli, Raffaella ; De Maria, Renata ; Ferratini, Maurizio. / Promotion of Home-Based Exercise Training as Secondary Prevention of Coronary Heart Disease : A Pilot Web-Based Intervention. In: Journal of Cardiopulmonary Rehabilitation and Prevention. 2018 ; Vol. 38, No. 4. pp. 253-258.
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AU - Bordoni, Bruno

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AB - Background: Although cardiac rehabilitation (CR) is cost-effective in improving the health of patients with coronary heart disease (CHD), less than half of eligible CHD patients attend a CR program. Innovative web-based technologies might improve CR delivery and utilization. We assessed the feasibility and impact on functional capacity and secondary prevention targets of a long-Term web-monitored exercise-based CR maintenance program. Methods: Low-to moderate-risk CHD patients were recruited at discharge from inpatient CR after a coronary event or revascularization. We developed an interactive web-based platform for secure home individual access control, monitoring, and validation of exercise training. Of 86 eligible patients, 26 consented to participate in the study intervention (IG). Using a quasi-experimental design, we recruited in parallel 27 eligible patients, unavailable for regular web monitoring, who consented to a follow-up visit as usual care (UC). Results: Among IG, active daily data transmission was 100% during month 1, 88% at month 3, and 81% at 6 months, with sustained improvement in self-reported physical activity beginning with the first week after discharge from inpatient CR (2467 [1854-3554] MET-min/wk) to month 3 (3411 [1981-5347] MET-min/wk, P =.019). Both groups showed favorable changes over time in lipid profile, ventricular function, distance walked in 6 min, and quality of life. At 6 mo, IG achieved a significantly higher proportion of cardiovascular risk factor targets than UC (75 ± 20% vs 59 ± 30%, P =.029). Conclusions: Our web-based home CR maintenance program was feasible, well-Accepted, and effective in improving physical activity during 6 mo and achieved higher overall adherence to cardiovascular risk targets than UC.

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