Remotely Monitored and Coached Cardiac Rehabilitation Northern Sweden (RECREATION)

Umeå University

Status: Enrolling

Conditions: Heart Defects, Congenital

Treatments: Behavioral: REMOTE-CR; Other: Control

Study type: Interventional

Funder types: Other

Identifiers

NCT03479957

RemoteCR SWE

Details and patient eligibility

About

Supervised exercise is an essential component of contemporary center-based cardiac rehabilitation (CR) programs. Despite the proven effectiveness, uptake and adherence to supervised exercise-based CR (exCR) remains suboptimal (approximately 50%), especially in rural and remote areas of Sweden. The main reasons for low participation rate in centre-based exCR are different accessibility barriers i.e. long distances, transportation problems or employment commitments. In this randomised clinical trial, the overall aim is to evaluate the effectiveness of, home-based, remotely monitored and coached exCR using the REMOTE-CR system compared to home-based exCR based on individualized information regarding current exercise recommendations but without monitoring and coaching (usual care) to improve exercise capacity. Our hypothesis is that remotely monitored and coached exCR will improve exercise capacity to a greater extent than home-based exCR without monitoring and coaching (usual care).

Enrollment: 90 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Scheduled appointment with physiotherapist for follow-up after cardiac event: ----Myocardial Infarction (MI)
• Per cutaneous coronary intervention (PCI) due to MI or angina pectoris
• Open heart surgery due to coronary artery disease or valvar disease
• Living in the catchment area of Heart centre, University Hospital of Umeå.

Exclusion criteria

• Clinically unstable
• Postoperative infection
• Comorbidity affecting ability to participate in exCR

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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90 participants in 2 patient groups

REMOTE-CR

Experimental group

Description:

Remotely monitored and coached exercise training in real time using the REMOTE-CR system. The patients randomized to remotely monitored exercise can either work out with self-selected activities e.g. Nordic-walking, cycling, skiing or participate in supervised exercise session via video link.

Treatment:

Behavioral: REMOTE-CR

Usual care

Other group

Description:

The patients randomized to be controls will receive individualized information and instructions regarding current exercise recommendations but will not be monitored or coached during their exercise sessions (usual care).

Treatment:

Other: Control