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Title
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Telerehab III : a multi-center randomized, controlled trial investigating the long-term effectiveness of a comprehensive cardiac telerehabilitation program - rationale and study design
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Author
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Abstract
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| Background: Telerehabilitation has been proposed as an adjunct/alternative to standard center-based cardiac rehabilitation. Two recent systematic reviews showed non-inferiority and/or superiority of this remote approach for cardiac rehabilitation. However, these trials focused only on one core component of cardiac rehabilitation and telemonitoring, rather than implementing a more comprehensive approach. The aim of Telerehab III is to investigate the long-term effectiveness of the addition of a patient-tailored, internet-based telerehabilitation program implementing multiple cardiac rehabilitation core components and using both telemonitoring and telecoaching strategies to standard cardiac rehabilitation. Methods/Design: In this prospective, multi-center randomized, controlled trial 140 patients with coronary artery disease and/or chronic heart failure patients will be recruited between February 2013 and February 2015. Patients will be randomized 1: 1 to an intervention group (receiving an internet-based telerehabilitation program in addition to standard cardiac rehabilitation) or to standard cardiac rehabilitation alone. The mean follow-up is at least 6 months. The primary endpoint is peak oxygen consumption (VO2 peak). Secondary endpoints include measured and self-reported daily physical activity, cardiovascular risk factor control, health-related quality of life, days lost due to (non) cardiovascular rehospitalizations and time to first (non) cardiovascular rehospitalization. A clinical event committee blinded to treatment allocation assesses causes of rehospitalizations. Discussion: Telerehab III will be one of the first studies to examine the added value of a more comprehensive cardiac telerehabilitation program, focusing on multiple cardiac rehabilitation core components. It has the potential to augment current standard center-based cardiac rehabilitation practices and to be used as a model for other disease prevention programs. |
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Language
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English
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Source (journal)
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BMC cardiovascular disorders. - London
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Publication
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London
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2015
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ISSN
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1471-2261
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DOI
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10.1186/S12872-015-0021-5
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Volume/pages
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15
(2015)
, 8 p.
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Article Reference
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29
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ISI
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000354509900001
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Pubmed ID
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25948479
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Medium
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E-only publicatie
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Full text (Publisher's DOI)
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Full text (open access)
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