Document Detail


Utilization of the internet to deliver cardiac rehabilitation at a distance: a pilot study.
MedLine Citation:
PMID:  17603835     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Amber Zutz; Andrew Ignaszewski; Joanna Bates; Scott A Lear
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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    
Affiliation:
School of Kinesiology, Simon Fraser University, Burnaby, British Columbia, Canada.
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MeSH Terms
Descriptor/Qualifier:
British Columbia
Cardiovascular Diseases / rehabilitation*
Delivery of Health Care
Exercise Tolerance
Female
Health Services Accessibility
Humans
Internet / utilization*
Male
Middle Aged
Motor Activity
Pilot Projects
Program Evaluation
Remote Consultation*
Risk Factors
Safety
Treatment Outcome*
User-Computer Interface*

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


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