Conventional Rehabilitation Therapy Versus Telerehabilitation in Cardiac Patients: A Comparison of Motivation, Psychological Distress, and Quality of Life

Source: Spindler et al. 2019 - Pubmed ID: 30759761

Setting: Denmark, Healthcare centers and hospitals

Study design:

RCT

 

Follow-up: 12 months

Patient group:

Sample size:

Total: 151 (136)

IG: 69 (64)

CG: 67 (55)

 

Inclusion criteria:

  • Cardiovascular disease
Type of technology:

Home monitoring (Telemonitoring Teledi@Log)

  • Blood pressure monitor
  • Scales
  • Heart rate monitor
  • Digital step counter

Webpage (ActiveHeart)

  • Monitoring Health status
  • Education
  • Text and video
  • Communication
Intervention:

Intervention: Individualized telerehabilitation program to address lifestyle changes and improve self-care (Teledialog project). Patients were able to monitor their data at all times. Staff monitored the values twice a week and had contact with the participant if needed. Communication between healthcare staff, patients, and partners. Each patient received guidance in physical training, education in lifestyle changes

 

Duration: 3 months
Add on: NA

 

Control group: Conventional care

Clinical effect/ Patient safety:

Clinical effect:

  • Motivation→
  • Autonomous Motivation→
  • Psychological distress→
  • QoL→

 

Patient safety: NA

Patient experiences/ Staff experiences:

Patient experience: NA

 

Staff experience: NA

Costs and organization:

Investment:
Equipment

  • Active Heart
  • Blood pressure monitor
  • Scales
  • Heart rate monitor
  • Digital step counter
  • Tablet PC with a mobile network

 

Running:
Equipment

  • Active Heart
  • Blood pressure monitor
  • Scales
  • Heart rate monitor
  • Digital step counter
  • Tablet PC with a mobile network

Staff

  • Monitoring
  • Technical assistance control meeting
  • Patient education

 

Organization: NA

 

Health care utilization: NA

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Information

“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)