Document Detail

Utilization of the internet to deliver cardiac rehabilitation at a distance: a pilot study.
MedLine Citation:
PMID:  17603835     Owner:  NLM     Status:  MEDLINE    
Less than 25% of eligible patients attend cardiac rehabilitation programs (CRP), with geographical proximity being a predominant barrier. Therefore, we undertook a pilot study to assess the feasibility and safety of using the Internet as a medium for delivery of an interactive "virtual" CRP (vCRP) to patients at a distance. Fifteen patients on the waiting list for a local hospital-based CRP were randomized to either an Internet-based vCRP or observational control. The vCRP consisted of on-line intake forms, one-on-one chat sessions with a nurse, dietitian, and exercise specialist, downloadable exercise heart rate monitoring, education and data monitoring of blood pressure, weight, and glucose. Participants were assessed for exercise capacity, risk factors, and lifestyle behaviors at baseline and at 12 weeks. Those in the vCRP logged onto the Internet-based CRP an average of 4.2 times per week. There were no adverse events in the vCRP participants. The vCRP group significantly improved their HDL-C, triglycerides, total cholesterol:HDL-C ratio, exercise capacity as assessed in metabolic equivalents, weekly physical activity, and exercise specific self-efficacy (p < 0.05). There were no significant improvements in the control group. Improvements in the vCRP group were similar to historical controls in a standard CRP. Feedback from exit interviews of the vCRP participants was unanimously positive. This Internet-based CRP resulted in clinically significant improvements in risk factors and exercise capacity similar to that of a standard CRP. The high user acceptance indicated that this program may have the potential to effectively manage patients who do not have access to traditional hospital-based CRP.
Amber Zutz; Andrew Ignaszewski; Joanna Bates; Scott A Lear
Related Documents :
1768995 - Survey of exercise and dietary knowledge and behaviour in persons with type ii diabetes.
22569195 - Transthoracic detection of coronary flow in left and right coronary descending arteries...
11409225 - Effects of home versus supervised exercise for patients with intermittent claudication.
22297805 - Influence of exercise on airway epithelia in cystic fibrosis: a review.
16179955 - Pharmacodynamic study of procaterol hydrochloride dry powder inhaler: evaluation of pha...
24612285 - Exhaled breath condensate ph decreases during exercise-induced bronchoconstriction.
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Telemedicine journal and e-health : the official journal of the American Telemedicine Association     Volume:  13     ISSN:  1530-5627     ISO Abbreviation:  Telemed J E Health     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-07-02     Completed Date:  2007-09-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100959949     Medline TA:  Telemed J E Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  323-30     Citation Subset:  IM    
School of Kinesiology, Simon Fraser University, Burnaby, British Columbia, Canada.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
British Columbia
Cardiovascular Diseases / rehabilitation*
Delivery of Health Care
Exercise Tolerance
Health Services Accessibility
Internet / utilization*
Middle Aged
Motor Activity
Pilot Projects
Program Evaluation
Remote Consultation*
Risk Factors
Treatment Outcome*
User-Computer Interface*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Teleophthalmology-based rural eye care in India.
Next Document:  A deployable telemedicine capability in support of humanitarian operations.