The effects of comprehensive home-based cardiac rehabilitation versus usual care in patients with ischemic heart disease in Iran: Study protocol for a multicenter randomized controlled trial
Background: Cardiovascular diseases are the leading causes of mortality all around the world. Patients with Ischemic heart disease (IHD) are at an increased risk of ischemic events; therefore, secondary prevention measures should continue for these patients. Although Cardiac rehabilitation (CR) is o...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | International Journal of Preventive Medicine |
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| Online Access: | http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2022;volume=13;issue=1;spage=4;epage=4;aulast=Okati-Aliabad |
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| author | Hassan Okati-Aliabad Alireza Ansari- Moghaddam Hamidreza Roohafza Mahdi Mohammadi Leila Vakili Mohammad Hadi Abbasi Hossein Heidari Gholamreza Masoudy Safoura Yazdekhasti Masoumeh Sadeghi |
| author_facet | Hassan Okati-Aliabad Alireza Ansari- Moghaddam Hamidreza Roohafza Mahdi Mohammadi Leila Vakili Mohammad Hadi Abbasi Hossein Heidari Gholamreza Masoudy Safoura Yazdekhasti Masoumeh Sadeghi |
| author_sort | Hassan Okati-Aliabad |
| collection | DOAJ |
| description | Background: Cardiovascular diseases are the leading causes of mortality all around the world. Patients with Ischemic heart disease (IHD) are at an increased risk of ischemic events; therefore, secondary prevention measures should continue for these patients. Although Cardiac rehabilitation (CR) is one of the secondary prevention measures for IHD patients which has favorable clinical outcomes, only 50% of patients are referred and among them, a small percentage attends CR. Therefore, other strategies should be considered, one of which is home-based cardiac rehabilitation. Methods: A multicenter, parallel-group randomized controlled trial has been conducting in three hospitals in Isfahan and patients have been assigned into a 1:1 ratio for the evaluation of the effectiveness of home-based cardiac rehabilitation versus usual care. Psycho-educational consultation based on the Health Action Process Approach including heart-healthy diet, stress management, lifestyle changes, smoking cessation, and physical activity has been performed. Primary outcomes, including the quality of life, psychological and smoking status, body mass index, blood pressure, blood cholesterol level, and physical activity level have been measured at 6 months after the randomization and intervention. One year after the intervention, primary and secondary outcomes, including cardiovascular events, the frequency of hospital admissions, and the death rates due to cardiovascular reasons will be assessed. Conclusion: HBCR program can increase patient accessibility to CR services its implantation can be reduce burden IHD. |
| first_indexed | 2024-04-11T17:57:35Z |
| format | Article |
| id | doaj.art-73671da5c0bd45ccb266e95e9966518b |
| institution | Directory Open Access Journal |
| issn | 2008-7802 2008-8213 |
| language | English |
| last_indexed | 2024-04-11T17:57:35Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Preventive Medicine |
| spelling | doaj.art-73671da5c0bd45ccb266e95e9966518b2022-12-22T04:10:37ZengWolters Kluwer Medknow PublicationsInternational Journal of Preventive Medicine2008-78022008-82132022-01-011314410.4103/ijpvm.IJPVM_492_20The effects of comprehensive home-based cardiac rehabilitation versus usual care in patients with ischemic heart disease in Iran: Study protocol for a multicenter randomized controlled trialHassan Okati-AliabadAlireza Ansari- MoghaddamHamidreza RoohafzaMahdi MohammadiLeila VakiliMohammad Hadi AbbasiHossein HeidariGholamreza MasoudySafoura YazdekhastiMasoumeh SadeghiBackground: Cardiovascular diseases are the leading causes of mortality all around the world. Patients with Ischemic heart disease (IHD) are at an increased risk of ischemic events; therefore, secondary prevention measures should continue for these patients. Although Cardiac rehabilitation (CR) is one of the secondary prevention measures for IHD patients which has favorable clinical outcomes, only 50% of patients are referred and among them, a small percentage attends CR. Therefore, other strategies should be considered, one of which is home-based cardiac rehabilitation. Methods: A multicenter, parallel-group randomized controlled trial has been conducting in three hospitals in Isfahan and patients have been assigned into a 1:1 ratio for the evaluation of the effectiveness of home-based cardiac rehabilitation versus usual care. Psycho-educational consultation based on the Health Action Process Approach including heart-healthy diet, stress management, lifestyle changes, smoking cessation, and physical activity has been performed. Primary outcomes, including the quality of life, psychological and smoking status, body mass index, blood pressure, blood cholesterol level, and physical activity level have been measured at 6 months after the randomization and intervention. One year after the intervention, primary and secondary outcomes, including cardiovascular events, the frequency of hospital admissions, and the death rates due to cardiovascular reasons will be assessed. Conclusion: HBCR program can increase patient accessibility to CR services its implantation can be reduce burden IHD.http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2022;volume=13;issue=1;spage=4;epage=4;aulast=Okati-Aliabadcardiac rehabilitationcoronary diseaseexercisehome-based |
| spellingShingle | Hassan Okati-Aliabad Alireza Ansari- Moghaddam Hamidreza Roohafza Mahdi Mohammadi Leila Vakili Mohammad Hadi Abbasi Hossein Heidari Gholamreza Masoudy Safoura Yazdekhasti Masoumeh Sadeghi The effects of comprehensive home-based cardiac rehabilitation versus usual care in patients with ischemic heart disease in Iran: Study protocol for a multicenter randomized controlled trial International Journal of Preventive Medicine cardiac rehabilitation coronary disease exercise home-based |
| title | The effects of comprehensive home-based cardiac rehabilitation versus usual care in patients with ischemic heart disease in Iran: Study protocol for a multicenter randomized controlled trial |
| title_full | The effects of comprehensive home-based cardiac rehabilitation versus usual care in patients with ischemic heart disease in Iran: Study protocol for a multicenter randomized controlled trial |
| title_fullStr | The effects of comprehensive home-based cardiac rehabilitation versus usual care in patients with ischemic heart disease in Iran: Study protocol for a multicenter randomized controlled trial |
| title_full_unstemmed | The effects of comprehensive home-based cardiac rehabilitation versus usual care in patients with ischemic heart disease in Iran: Study protocol for a multicenter randomized controlled trial |
| title_short | The effects of comprehensive home-based cardiac rehabilitation versus usual care in patients with ischemic heart disease in Iran: Study protocol for a multicenter randomized controlled trial |
| title_sort | effects of comprehensive home based cardiac rehabilitation versus usual care in patients with ischemic heart disease in iran study protocol for a multicenter randomized controlled trial |
| topic | cardiac rehabilitation coronary disease exercise home-based |
| url | http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2022;volume=13;issue=1;spage=4;epage=4;aulast=Okati-Aliabad |
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