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

Brough C, Boyce S, Houchen-Wolloff L, Sewell L, Singh S - J. Med. Internet Res. (2014)

Bottom Line: Uptake for CR remains poor, despite the ongoing evidence demonstrating its benefits.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).

View Article: PubMed Central - HTML - PubMed

Affiliation: Centre for Exercise and Rehabilitation Science, University Hospitals of Leicester NHS Trust, Leicester, United Kingdom. christopher.brough@uhl-tr.nhs.uk.

ABSTRACT

Background: 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.

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Related in: MedlinePlus

Reading material section.
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figure2: Reading material section.

Mentions: AYH (Figure 1) is an interactive Web-based CR program that offers comprehensive secondary prevention education together with access to CR specialists via a private messaging facility. It was developed by CR specialists and patients who shaped and informed the final product, at the University Hospitals of Leicester NHS Trust. The program is password protected; each participant was given their own unique password to access the AYH program. All participants were able to record and monitor their exercises, and participate with interactive, secondary prevention advice to promote healthy lifestyle changes and reduce risk factors for CHD, via the website (Figure 2).


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

Brough C, Boyce S, Houchen-Wolloff L, Sewell L, Singh S - J. Med. Internet Res. (2014)

Reading material section.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4259912&req=5

figure2: Reading material section.
Mentions: AYH (Figure 1) is an interactive Web-based CR program that offers comprehensive secondary prevention education together with access to CR specialists via a private messaging facility. It was developed by CR specialists and patients who shaped and informed the final product, at the University Hospitals of Leicester NHS Trust. The program is password protected; each participant was given their own unique password to access the AYH program. All participants were able to record and monitor their exercises, and participate with interactive, secondary prevention advice to promote healthy lifestyle changes and reduce risk factors for CHD, via the website (Figure 2).

Bottom Line: Uptake for CR remains poor, despite the ongoing evidence demonstrating its benefits.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).

View Article: PubMed Central - HTML - PubMed

Affiliation: Centre for Exercise and Rehabilitation Science, University Hospitals of Leicester NHS Trust, Leicester, United Kingdom. christopher.brough@uhl-tr.nhs.uk.

ABSTRACT

Background: 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.

Show MeSH
Related in: MedlinePlus