Cargando…
Home-based telehealth exercise training program in Chinese patients with heart failure: A randomized controlled trial
BACKGROUND: Homed-based exercise training via telehealth is an effective method for cardiac rehabilitation in patients with heart failure (HF). However, little is known about the effects of telehealth exercise training among patients with HF in China. DESIGN: A randomized controlled design with repe...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6392598/ https://www.ncbi.nlm.nih.gov/pubmed/30170422 http://dx.doi.org/10.1097/MD.0000000000012069 |
_version_ | 1783398508182634496 |
---|---|
author | Peng, Xingchen Su, Yonglin Hu, Zhonghua Sun, Xiye Li, Xiaoping Dolansky, Mary A. Qu, Moying Hu, Xiaolin |
author_facet | Peng, Xingchen Su, Yonglin Hu, Zhonghua Sun, Xiye Li, Xiaoping Dolansky, Mary A. Qu, Moying Hu, Xiaolin |
author_sort | Peng, Xingchen |
collection | PubMed |
description | BACKGROUND: Homed-based exercise training via telehealth is an effective method for cardiac rehabilitation in patients with heart failure (HF). However, little is known about the effects of telehealth exercise training among patients with HF in China. DESIGN: A randomized controlled design with repeated measures was adopted in this study. OBJECTIVE: To examine the effect of our telehealth exercise training program on health outcomes in patients with HF in China. METHODS: A total of 98 participants were randomly allocated to an experimental group (n = 49) and control group (n = 49) from January 2014 to February 2015 in a teaching hospital in Chengdu, People's Republic of China. Participants in the experimental group underwent an 8-week home-based telehealth exercise training program, including 32 exercise training sessions, with regular telephone or instant messaging follow-ups and consultations. Participants in the control group received usual care. The outcome variables used in this study were the Minnesota Living with Heart Failure Questionnaire, 6-minute walking distance (6MWD), resting heart rate (HR), Hospital Anxiety and Depression Scale, left ventricular ejection fraction (LVEF), and the New York Heart Association (NYHA) classification. Data were collected at baseline, post-test (2 months after discharge), and 4 months post-test (6 months after discharge). Repeated measures ANOVA was used to examine the effects of groups, changes over time, and interaction of time and group with the above variables. RESULTS: Statistically significant improvements were observed in the experimental group regarding quality of life (QOL) and 6MWD compared to the control group post-test. Significant improvements in QOL, 6MWD, and resting HR were sustained for 4 months post-test. However, no significant improvements were observed regarding the NYHA classification, LVEF, anxiety, and depression at either the post-test or 4-month post-test follow-ups. No patients experienced any significant complications or adverse outcomes during the program. CONCLUSIONS: The results reveal that telehealth exercise training is an effective alternative method for cardiac rehabilitation, especially under the conditions in China. |
format | Online Article Text |
id | pubmed-6392598 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-63925982019-03-15 Home-based telehealth exercise training program in Chinese patients with heart failure: A randomized controlled trial Peng, Xingchen Su, Yonglin Hu, Zhonghua Sun, Xiye Li, Xiaoping Dolansky, Mary A. Qu, Moying Hu, Xiaolin Medicine (Baltimore) Research Article BACKGROUND: Homed-based exercise training via telehealth is an effective method for cardiac rehabilitation in patients with heart failure (HF). However, little is known about the effects of telehealth exercise training among patients with HF in China. DESIGN: A randomized controlled design with repeated measures was adopted in this study. OBJECTIVE: To examine the effect of our telehealth exercise training program on health outcomes in patients with HF in China. METHODS: A total of 98 participants were randomly allocated to an experimental group (n = 49) and control group (n = 49) from January 2014 to February 2015 in a teaching hospital in Chengdu, People's Republic of China. Participants in the experimental group underwent an 8-week home-based telehealth exercise training program, including 32 exercise training sessions, with regular telephone or instant messaging follow-ups and consultations. Participants in the control group received usual care. The outcome variables used in this study were the Minnesota Living with Heart Failure Questionnaire, 6-minute walking distance (6MWD), resting heart rate (HR), Hospital Anxiety and Depression Scale, left ventricular ejection fraction (LVEF), and the New York Heart Association (NYHA) classification. Data were collected at baseline, post-test (2 months after discharge), and 4 months post-test (6 months after discharge). Repeated measures ANOVA was used to examine the effects of groups, changes over time, and interaction of time and group with the above variables. RESULTS: Statistically significant improvements were observed in the experimental group regarding quality of life (QOL) and 6MWD compared to the control group post-test. Significant improvements in QOL, 6MWD, and resting HR were sustained for 4 months post-test. However, no significant improvements were observed regarding the NYHA classification, LVEF, anxiety, and depression at either the post-test or 4-month post-test follow-ups. No patients experienced any significant complications or adverse outcomes during the program. CONCLUSIONS: The results reveal that telehealth exercise training is an effective alternative method for cardiac rehabilitation, especially under the conditions in China. Wolters Kluwer Health 2018-08-21 /pmc/articles/PMC6392598/ /pubmed/30170422 http://dx.doi.org/10.1097/MD.0000000000012069 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nd/4.0 This is an open access article distributed under the Creative Commons Attribution-NoDerivatives License 4.0, which allows for redistribution, commercial and non-commercial, as long as it is passed along unchanged and in whole, with credit to the author. http://creativecommons.org/licenses/by-nd/4.0 |
spellingShingle | Research Article Peng, Xingchen Su, Yonglin Hu, Zhonghua Sun, Xiye Li, Xiaoping Dolansky, Mary A. Qu, Moying Hu, Xiaolin Home-based telehealth exercise training program in Chinese patients with heart failure: A randomized controlled trial |
title | Home-based telehealth exercise training program in Chinese patients with heart failure: A randomized controlled trial |
title_full | Home-based telehealth exercise training program in Chinese patients with heart failure: A randomized controlled trial |
title_fullStr | Home-based telehealth exercise training program in Chinese patients with heart failure: A randomized controlled trial |
title_full_unstemmed | Home-based telehealth exercise training program in Chinese patients with heart failure: A randomized controlled trial |
title_short | Home-based telehealth exercise training program in Chinese patients with heart failure: A randomized controlled trial |
title_sort | home-based telehealth exercise training program in chinese patients with heart failure: a randomized controlled trial |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6392598/ https://www.ncbi.nlm.nih.gov/pubmed/30170422 http://dx.doi.org/10.1097/MD.0000000000012069 |
work_keys_str_mv | AT pengxingchen homebasedtelehealthexercisetrainingprograminchinesepatientswithheartfailurearandomizedcontrolledtrial AT suyonglin homebasedtelehealthexercisetrainingprograminchinesepatientswithheartfailurearandomizedcontrolledtrial AT huzhonghua homebasedtelehealthexercisetrainingprograminchinesepatientswithheartfailurearandomizedcontrolledtrial AT sunxiye homebasedtelehealthexercisetrainingprograminchinesepatientswithheartfailurearandomizedcontrolledtrial AT lixiaoping homebasedtelehealthexercisetrainingprograminchinesepatientswithheartfailurearandomizedcontrolledtrial AT dolanskymarya homebasedtelehealthexercisetrainingprograminchinesepatientswithheartfailurearandomizedcontrolledtrial AT qumoying homebasedtelehealthexercisetrainingprograminchinesepatientswithheartfailurearandomizedcontrolledtrial AT huxiaolin homebasedtelehealthexercisetrainingprograminchinesepatientswithheartfailurearandomizedcontrolledtrial |