The remote exercise monitoring trial for exercise-based cardiac rehabilitation (REMOTE-CR): a randomised controlled trial protocol

BMC Public Health

Nicholas Gant⁴  Yannan Jiang¹  Ian Warren⁵  Jocelyne Benatar³  Ralph Stewart³  Robyn Whittaker¹  Anna Rolleston²  Jonathan C Rawstorn⁴  Ralph Maddison¹ 

[1] National Institute for Health Innovation, University of Auckland, Private Bag 92019, Auckland 1142, New Zealand;The Cardiac Clinic, Tauranga, Bay of Plenty, New Zealand;Department of Cardiology, Auckland City Hospital, Auckland, New Zealand;Department of Sport and Exercise Science, University of Auckland, Auckland, New Zealand;Department of Computer Science, University of Auckland, Auckland, New Zealand

关键词: App;    Smartphone;    Coronary heart disease;    Peak oxygen uptake;    Exercise training;    Remote sensing technology;    Telemonitoring;    mHealth;   

Others  :  1122871
DOI  :  10.1186/1471-2458-14-1236

 received in 2014-10-29, accepted in 2014-11-04,  发布年份 2014

【 摘 要 】

Background

Exercise is an essential component of contemporary cardiac rehabilitation programs for the secondary prevention of coronary heart disease. Despite the benefits associated with regular exercise, adherence with supervised exercise-based cardiac rehabilitation remains low. Increasingly powerful mobile technologies, such as smartphones and wireless physiological sensors, may extend the capability of exercise-based cardiac rehabilitation by enabling real-time exercise monitoring for those with coronary heart disease. This study compares the effectiveness of technology-assisted, home-based, remote monitored exercise-based cardiac rehabilitation (REMOTE) to standard supervised exercise-based cardiac rehabilitation in New Zealand adults with a diagnosis of coronary heart disease.

Methods/Design

A two-arm, parallel, non-inferiority, randomised controlled trial will be conducted at two sites in New Zealand. One hundred and sixty two participants will be randomised at a 1:1 ratio to receive a 12-week program of technology-assisted, home-based, remote monitored exercise-based cardiac rehabilitation (intervention), or an 8-12 program of standard supervised exercise-based cardiac rehabilitation (control).

The primary outcome is post-treatment maximal oxygen uptake (V̇O₂max). Secondary outcomes include cardiovascular risk factors (blood lipid and glucose concentrations, blood pressure, anthropometry), self-efficacy, intentions and motivation to be active, objectively measured physical activity, self-reported leisure time exercise and health-related quality of life. Cost information will also be collected to compare the two modes of delivery. All outcomes are assessed at baseline, post-treatment, and 6 months, except for V̇O₂max, blood lipid and glucose concentrations, which are assessed at baseline and post-treatment only.

Discussion

This novel study will compare the effectiveness of technology-supported exercise-based cardiac rehabilitation to a traditional supervised approach. If the REMOTE program proves to be as effective as traditional cardiac rehabilitation, it has potential to augment current practice by increasing access for those who cannot utilise existing services.

Trial registration

Australian New Zealand Clinical Trials Registry

Study ID number: ACTRN12614000843651. Registered 7 August 2014

【 授权许可】

   
2014 Maddison et al.; licensee BioMed Central Ltd.

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