Accepted for/Published in: JMIR Research Protocols
Date Submitted: Jul 7, 2021
Date Accepted: Aug 11, 2021
Delivering Cardiac Rehabilitation Exercise Virtually: A Protocol for a Pilot Trial to Evaluate the ECME-CR Digital Health Platform.
ABSTRACT
Background:
Exercise-based cardiac rehabilitation is recognized as a core component of cardiovascular disease management and has been shown to reduce all-cause and cardiovascular mortality and reduce the risk of hospital readmission following a cardiac event. However, despite this, the uptake of, and long-term adherence to, cardiac rehabilitation exercise is poor. Delivering cardiac rehabilitation exercise virtually, allowing patients to participate from their own homes, may be an alternative approach that could enhance uptake and increase adherence.
Objective:
To assess the feasibility of delivering a virtual cardiac rehabilitation exercise program supported by the ECME-CR platform.
Methods:
A sample of convenience (n=20) of participants eligible to participate in community-based cardiac rehabilitation exercise will be recruited. Participants will be randomized to one of two study groups. Both study groups will perform the same exercise program, consisting of twice-weekly sessions of 60 minutes each, over an eight-week intervention period. Participants in the intervention group will partake in virtually-delivered cardiac rehabilitation exercise classes in their own home. The virtual exercise classes will be delivered to participants using a videoconferencing platform. Participants in the control group will attend the research center for their cardiac rehabilitation exercise classes. Intervention group participants will receive the ECME-CR digital health platform for monitoring during the class and during the intervention period. Outcomes will be assessed at baseline and following the eight-week intervention period. The primary outcome will be exercise capacity as assessed using a six-minute walking test. Other outcome measures will include heart rate, blood pressure, weight, percentage body fat, muscle strength, and self-reported quality of life. Semi-structured interviews will also be conducted with a subset of participants to explore their experiences of using the digital platform.
Results:
Participant recruitment and data collection will begin in July 2021, and it is anticipated that the study results will be available for dissemination in spring 2022.
Conclusions:
This pilot trial will inform the design of a randomized controlled trial which will assess the clinical effectiveness of the ECME-CR digital health platform.
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