Delivering Cardiac Rehabilitation Exercise Virtually Using a Digital Health Platform (ECME-CR): Protocol for a Pilot Trial
BackgroundExercise-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 t...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2021-10-01
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| Series: | JMIR Research Protocols |
| Online Access: | https://www.researchprotocols.org/2021/10/e31855 |
| _version_ | 1827858931682115584 |
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| author | Oonagh M Giggins Julie Doyle Suzanne Smith Orla Moran Shane Gavin Nisanth Sojan Gordon Boyle |
| author_facet | Oonagh M Giggins Julie Doyle Suzanne Smith Orla Moran Shane Gavin Nisanth Sojan Gordon Boyle |
| author_sort | Oonagh M Giggins |
| collection | DOAJ |
| description |
BackgroundExercise-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.
ObjectiveThe 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.
MethodsA 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.
ResultsParticipant 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.
ConclusionsThis 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 |
| first_indexed | 2024-03-12T13:02:07Z |
| format | Article |
| id | doaj.art-1fb8f11a1441437faf170db0b84675d1 |
| institution | Directory Open Access Journal |
| issn | 1929-0748 |
| language | English |
| last_indexed | 2024-03-12T13:02:07Z |
| publishDate | 2021-10-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Research Protocols |
| spelling | doaj.art-1fb8f11a1441437faf170db0b84675d12023-08-28T19:29:24ZengJMIR PublicationsJMIR Research Protocols1929-07482021-10-011010e3185510.2196/31855Delivering Cardiac Rehabilitation Exercise Virtually Using a Digital Health Platform (ECME-CR): Protocol for a Pilot TrialOonagh M Gigginshttps://orcid.org/0000-0001-7748-5446Julie Doylehttps://orcid.org/0000-0003-4017-6329Suzanne Smithhttps://orcid.org/0000-0002-8486-7087Orla Moranhttps://orcid.org/0000-0001-5831-2021Shane Gavinhttps://orcid.org/0000-0002-4604-9067Nisanth Sojanhttps://orcid.org/0000-0002-0581-0673Gordon Boylehttps://orcid.org/0000-0002-4501-7469 BackgroundExercise-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. ObjectiveThe 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. MethodsA 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. ResultsParticipant 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. ConclusionsThis 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)PRR1-10.2196/31855https://www.researchprotocols.org/2021/10/e31855 |
| spellingShingle | Oonagh M Giggins Julie Doyle Suzanne Smith Orla Moran Shane Gavin Nisanth Sojan Gordon Boyle Delivering Cardiac Rehabilitation Exercise Virtually Using a Digital Health Platform (ECME-CR): Protocol for a Pilot Trial JMIR Research Protocols |
| title | Delivering Cardiac Rehabilitation Exercise Virtually Using a Digital Health Platform (ECME-CR): Protocol for a Pilot Trial |
| title_full | Delivering Cardiac Rehabilitation Exercise Virtually Using a Digital Health Platform (ECME-CR): Protocol for a Pilot Trial |
| title_fullStr | Delivering Cardiac Rehabilitation Exercise Virtually Using a Digital Health Platform (ECME-CR): Protocol for a Pilot Trial |
| title_full_unstemmed | Delivering Cardiac Rehabilitation Exercise Virtually Using a Digital Health Platform (ECME-CR): Protocol for a Pilot Trial |
| title_short | Delivering Cardiac Rehabilitation Exercise Virtually Using a Digital Health Platform (ECME-CR): Protocol for a Pilot Trial |
| title_sort | delivering cardiac rehabilitation exercise virtually using a digital health platform ecme cr protocol for a pilot trial |
| url | https://www.researchprotocols.org/2021/10/e31855 |
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