scholarly journals Delivering Cardiac Rehabilitation Exercise Virtually Using a Digital Health Platform (ECME-CR): Protocol for a Pilot Trial

10.2196/31855 ◽  
2021 ◽  
Vol 10 (10) ◽  
pp. e31855
Author(s):  
Oonagh M Giggins ◽  
Julie Doyle ◽  
Suzanne Smith ◽  
Orla Moran ◽  
Shane Gavin ◽  
...  
Keyword(s):  
Cardiac Rehabilitation ◽  
Digital Health ◽  
Pilot Trial ◽  
Intervention Group ◽  
Exercise Program ◽  
Study Groups ◽  
Intervention Period ◽  
Study Results ◽  
Exercise Classes ◽  
Rehabilitation Exercise

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 (ie, allowing patients to participate from their own homes) may be an alternative approach that could enhance uptake and increase adherence. Objective The aim of this study is to assess the feasibility of delivering a virtual cardiac rehabilitation exercise program supported by the Eastern Corridor Medical Engineering – Cardiac Rehabilitation (ECME-CR) platform. Methods A convenience sample (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 8-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 8-week intervention period. The primary outcome will be exercise capacity as assessed using the 6-minute walk test. Other outcome measures will include heart rate, blood pressure, weight, percentage body fat, muscle strength, and self-reported quality of life. Semistructured 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 that will assess the clinical effectiveness of the ECME-CR digital health platform. International Registered Report Identifier (IRRID) PRR1-10.2196/31855

scholarly journals Delivering Cardiac Rehabilitation Exercise Virtually Using a Digital Health Platform (ECME-CR): Protocol for a Pilot Trial (Preprint)

2021 ◽  
Author(s):  
Oonagh M Giggins ◽  
Julie Doyle ◽  
Suzanne Smith ◽  
Orla Moran ◽  
Shane Gavin ◽  
...  
Keyword(s):  
Cardiac Rehabilitation ◽  
Digital Health ◽  
Pilot Trial ◽  
Intervention Group ◽  
Exercise Program ◽  
Study Groups ◽  
Intervention Period ◽  
Study Results ◽  
Exercise Classes ◽  
Rehabilitation Exercise

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 (ie, allowing patients to participate from their own homes) may be an alternative approach that could enhance uptake and increase adherence. OBJECTIVE The aim of this study is to assess the feasibility of delivering a virtual cardiac rehabilitation exercise program supported by the Eastern Corridor Medical Engineering – Cardiac Rehabilitation (ECME-CR) platform. METHODS A convenience sample (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 8-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 8-week intervention period. The primary outcome will be exercise capacity as assessed using the 6-minute walk test. Other outcome measures will include heart rate, blood pressure, weight, percentage body fat, muscle strength, and self-reported quality of life. Semistructured 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 that will assess the clinical effectiveness of the ECME-CR digital health platform. INTERNATIONAL REGISTERED REPORT PRR1-10.2196/31855

scholarly journals Digital Health Intervention Promoting Physical Activity in Older Adults Post Cardiac Rehabilitation: Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Linda G. Park ◽  
Abdelaziz Elnaggar ◽  
Sei J. Lee ◽  
Stephanie Merek ◽  
Thomas J. Hoffmann ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cardiac Rehabilitation ◽  
Usual Care ◽  
Exercise Capacity ◽  
Self Efficacy ◽  
Digital Health ◽  
Intervention Group ◽  
Mobile App ◽  
Group Differences ◽  
Cardiac Events

BACKGROUND Cardiac rehabilitation (CR) is an exercise-based program prescribed after cardiac events that is associated with improved physical, mental, and social functioning; however, many patients return to a sedentary lifestyle leading to deteriorating exercise capacity after discharge from CR. Physical activity (PA) is critical to avoid recurrence of cardiac events and mortality as well as maintaining functional capacity. Leveraging digital health strategies to increase adherence to PA is a promising approach. We sought to determine whether mobile health strategies (MOVN mobile app for self-monitoring, supportive push-through messages, and wearable activity tracker) would improve PA and exercise capacity over 2 months. OBJECTIVE The objectives of this study were to: 1) evaluate group differences in PA and exercise capacity; and 2) determine group differences in depression and self-efficacy to maintain exercise after CR. METHODS During the final week of outpatient CR, patients were randomized 1:1 to the intervention group or usual care. The intervention group downloaded the MOVN mobile app, received supportive push-through messages on motivation and secondary prevention of cardiovascular disease (CVD) 3 times per week, and wore a Fitbit Charge 2 to track steps. Participants in the usual care group wore a pedometer and recorded their daily steps in a diary. Data from the 6MWT and self-reported questionnaires were collected at baseline and 2 months. RESULTS We recruited 60 patients from 2 CR sites at a community hospital in Northern California. The mean age was 66.8 ± 8.6 and 22% were female; retention rate of 85%. Our results from 51 patients who completed follow up showed the intervention group had a statistically significant higher mean daily steps count compared to the control (8,860 vs. 6,633) (P = .021). There was no difference between groups for the 6MWT, depression, or self-efficacy to maintain exercise. CONCLUSIONS Our technology-based intervention using a mobile app, push-through messages, and Fitbit proposes a low-cost, pragmatic, and contemporary approach to promote physical activity and sustain exercise capacity after completing CR. This intervention addresses a major public health initiative to promote PA in patients with CVD with the potential to improve critical PA, clinical, and psychosocial outcomes. CLINICALTRIAL “Trial Registration: ClinicalTrials.gov NCT03446313”

scholarly journals The effect of exercise during hemodialysis on serum levels of albumin, calcium, phosphorus and parathyroid hormone: a randomized clinical trial

2021 ◽  
Vol 7 (1) ◽  
pp. e09-e09
Author(s):  
Alireza Dashtidehkordi ◽  
Nahid Shahgholian ◽  
Jaleh Sadeghian
Keyword(s):  
Clinical Trial ◽  
Parathyroid Hormone ◽  
Intervention Group ◽  
Exercise Program ◽  
Serum Levels ◽  
Study Groups ◽  
Blood Electrolytes ◽  
Before And After ◽  
Calcium Phosphorus ◽  
Systemic Problems

Introduction: Disorders in the levels of blood electrolytes are often considered as complications of kidney illnesses which are responsible for various systemic problems experienced by patients. Objectives: The aim of this study was to investigate the efficiency of an exercise program during hemodialysis on serum levels of biochemical factors such as albumin, calcium, phosphorus and intact parathyroid hormone (iPTH). Patients and Methods: Sixty patients undergoing hemodialysis were evaluated in the clinical trial. The patients in the intervention group pedaled on a stationary bicycle for one hour in every hemodialysis session for eight weeks. At the beginning of the study and at the end of it, the patients’ blood samples were sent to hospital’s laboratory to measure the levels of biochemical factors in blood. Data were analyzed by SPSS software. Results: The serum levels of electrolytes showed no significant improvement between the study groups before and after the exercise program (P>0.05). A significant improvement was observed after the program in serum phosphorus and iPTH (P=0.04). In contrast, serum albumin (P=0.3) and calcium (P=0.5) did not alter significantly after the exercise program. Conclusion: Exercise improved some biochemical factors of blood in the patients undergoing hemodialysis. Exercise is therefore a complementary procedure for these patients. Trial Registration: The trial protocol was approved in the Iranian Registry of Clinical Trial (#IRCT20150116020675N4; https://en.irct.ir/trial/50492, ethical code# IR.MUI.MED.REC.1399.212).

Abstract MP08: Targeted Healthy Food Incentives Influence Grocery Purchase Quality and Purchase of Targeted Foods: Results From the Randomized Controlled Crossover Smart Cart Study

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Maya K Vadiveloo ◽  
Haley W Parker ◽  
Xintong Guan ◽  
Stephen Atlas ◽  
Elie Perraud ◽  
...  
Keyword(s):  
Diet Quality ◽  
Pilot Trial ◽  
Intervention Group ◽  
Healthy Food ◽  
Dietary Quality ◽  
Control Group ◽  
Food Groups ◽  
Intervention Period ◽  
Loyalty Program ◽  
Grocery Purchase

Introduction: Incentives can increase healthy food purchases, but less is known about whether they improve dietary quality. The Smart Cart Study evaluated whether healthful food incentives based on customer preferences and purchase history increased grocery purchase quality and the proportion of spending on targeted foods. Hypothesis: Targeted incentives will increase grocery purchase quality as measured by the Grocery Purchase Quality Index- 2016 (GPQI) and percent spending on targeted healthful foods. Methods: Adults (n=224) who shopped at an independent supermarket for ≥50% of their groceries, participated in the store’s loyalty program, and completed study questionnaires were enrolled in summer 2018. All participants received a 5% loyalty card discount. The intervention group received targeted weekly coupons (~$10 value) with brief education to improve purchase quality for 13-weeks. A computerized study algorithm allocated targeted healthy food coupons to participants’ loyalty cards by using purchase history, dietary preferences, and diet quality. The control group received weekly brief education and occasional generic coupons. After a brief washout, the groups crossed over. GPQI-16 scores (range 0-75) were calculated from cumulative food purchasing data by comparing actual to recommended spending within 11 food groups, with higher scores reflecting higher purchase quality; % spending on targeted vs. all foods was also compared. Paired t-tests examined differences between groups. Results: Participants with extreme spending (i.e. top/bottom 1%) were excluded, leaving an analytic sample of 207 mostly white adults (95%), with mean age of 56 and 50% with household incomes ≥100K. The Table shows changes in GPQI-16 scores and % spending in the first 13-week intervention period, followed by the cross-over intervention period. Conclusions: Results from this pilot trial suggest that targeted healthy supermarket incentives are feasible and are promising tools to help improve diet quality and health.

Flexibility and Strength Measures in Children Participating in a Cardiac Rehabilitation Exercise Program

1988 ◽  
Vol 16 (2) ◽  
pp. 139-147 ◽  
Author(s):  
Barbara M. Koch ◽  
Frank M. Galioto ◽  
Paul Vaccaro ◽  
Jane Vaccaro ◽  
Phillip J. Buckenmeyer
Keyword(s):  
Cardiac Rehabilitation ◽  
Exercise Program ◽  
Rehabilitation Exercise

scholarly journals Smartphone App with an Accelerometer Enhances Patients’ Physical Activity Following Elective Orthopedic Surgery: A Pilot Study

Sensors ◽  
2020 ◽  
Vol 20 (15) ◽  
pp. 4317
Author(s):  
Hanneke C. van Dijk-Huisman ◽  
Anouk T.R. Weemaes ◽  
Tim A.E.J. Boymans ◽  
Antoine F. Lenssen ◽  
Rob A. de Bie
Keyword(s):  
Physical Activity ◽  
Functional Recovery ◽  
Orthopedic Surgery ◽  
Digital Health ◽  
Intervention Group ◽  
Exercise Program ◽  
Smartphone Application ◽  
Hospitalized Patients ◽  
Smartphone App ◽  
Control Group

Low physical activity (PA) levels are common in hospitalized patients. Digital health tools could be valuable in preventing the negative effects of inactivity. We therefore developed Hospital Fit; which is a smartphone application with an accelerometer, designed for hospitalized patients. It enables objective activity monitoring and provides patients with insights into their recovery progress and offers a tailored exercise program. The aim of this study was to investigate the potential of Hospital Fit to enhance PA levels and functional recovery following orthopedic surgery. PA was measured with an accelerometer postoperatively until discharge. The control group received standard physiotherapy, while the intervention group used Hospital Fit in addition to physiotherapy. The time spent active and functional recovery (modified Iowa Level of Assistance Scale) on postoperative day one (POD1) were measured. Ninety-seven patients undergoing total knee or hip arthroplasty were recruited. Hospital Fit use, corrected for age, resulted in patients standing and walking on POD1 for an average increase of 28.43 min (95% confidence interval (CI): 5.55–51.32). The odds of achieving functional recovery on POD1, corrected for the American Society of Anesthesiologists classification, were 3.08 times higher (95% CI: 1.14–8.31) with Hospital Fit use. A smartphone app combined with an accelerometer demonstrates the potential to enhance patients’ PA levels and functional recovery during hospitalization.

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