J. Med. Internet Res. - Evaluating the interactive web-based program, activate your heart, for cardiac rehabilitation patients: a pilot study.


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CKGROUND: Conventional cardiac rehabilitation (CR) programs are traditionally based on time-constrained, structured, group-based programs, usually set in hospitals or leisure centers. Uptake for CR remains poor, despite the ongoing evidence demonstrating its benefits. Additional alternative forms of CR are needed. An Internet-based approach may offer an alternative mode of delivering CR that may improve overall uptake. Activate Your Heart (AYH) is a Web-based CR program that has been designed to support individuals with coronary heart disease (CHD).OBJECTIVE: The aim of this pilot study was to observe the outcome for participants following the AYH program.METHODS: We conducted a prospective observational trial, recruiting low-risk patients with CHD. Measures of exercise, exercise capacity, using the Incremental Shuttle Walk Test (ISWT), dietary habits, and psychosocial well-being were conducted by a CR specialist at baseline and at 8 weeks following the Web-based intervention.RESULTS: We recruited 41 participants; 33 completed the program. We documented significant improvements in the ISWT distance (mean change 49.69 meters, SD 68.8, P<.001), and Quality of Life (QOL) (mean change 0.28, SD 0.4, P<.001). Dietary habits improved with an increased proportion of patients consuming at least 5 portions of fruit and vegetables per day, (22 [71%] to 29 [94%] P=.01) and an increased proportion of patients consuming at least 2 portions of oily fish per week (14 [45%] to 21 [68%], P=.01). We did not detect changes in anxiety and depression scores or exercise behavior.CONCLUSIONS: We observed important improvements in exercise capacity, QOL, and dietary habits in a group of participants following a Web-based CR program. The program may offer an alternative approach to CR. A mobile version has been developed and we need to conduct further trials to establish its value compared to supervised CR.

Resumo Limpo

ckground convent cardiac rehabilit cr program tradit base timeconstrain structur groupbas program usual set hospit leisur center uptak cr remain poor despit ongo evid demonstr benefit addit altern form cr need internetbas approach may offer altern mode deliv cr may improv overal uptak activ heart ayh webbas cr program design support individu coronari heart diseas chdobject aim pilot studi observ outcom particip follow ayh programmethod conduct prospect observ trial recruit lowrisk patient chd measur exercis exercis capac use increment shuttl walk test iswt dietari habit psychosoci wellb conduct cr specialist baselin week follow webbas interventionresult recruit particip complet program document signific improv iswt distanc mean chang meter sd p qualiti life qol mean chang sd p dietari habit improv increas proport patient consum least portion fruit veget per day p increas proport patient consum least portion oili fish per week p detect chang anxieti depress score exercis behaviorconclus observ import improv exercis capac qol dietari habit group particip follow webbas cr program program may offer altern approach cr mobil version develop need conduct trial establish valu compar supervis cr

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