Type

Conference Proceedings

Authors

Roselien Buys
Kieran Moran
Catherine Woods
Werner Budts
Deirdre Walsh
Petros Daras
Dewar Finley
Dimitris Filos
Ioanna Chouvarda
Clare McDermott
and 5 others

Subjects

Physiotherapy & Sport

Topics
design rationale cardiovascular rehabilitation the european union trial sports sciences ehealth training and testing randomized controlled trial cardiovascular rehabilitation e health health cost effectiveness rehabilitation technology

Technology-enabled cardiac rehabilitation through PATHway. Design and rationale for the investigation of its feasibility, clinical effectiveness and cost-effectiveness (2016)

Abstract Background Exercise-based cardiac rehabilitation (CR) favorable and independently alters the clinical course of cardiovascular diseases resulting in a significant reduction in all-cause and cardiac mortality. However, only 15-30% of all eligible patients participate in a phase 2 ambulatory program. Uptake rates of community based programs following phase 2 CR are even lower and adherence to long-term CR is extremely poor. Newer care models, involving programs that are delivered remotely such as telehealth programs, show considerable promise for increasing adherence. In this view, PATHway (Physical Activity Towards Health) is being developed and needs to be evaluated on feasibility and potential clinical benefit. Methods In a multicentre randomized controlled pilot trial, 120 patients (m/f, age 40-80yrs) completing a phase 2 ambulatory CR program will be randomized on a 1:1 basis to PATHway or usual care. PATHway involves a complex comprehensive, internet-enabled, sensor-based home CR platform. It consists of several modules with an exercise module as the core component. PATHway provides individualized heart rate monitored exercise programs (exerclasses and exergames) as the basis upon which to provide additionally a personalized, comprehensive lifestyle intervention program (managing exercise, smoking, diet, stress, alcohol use). The control group will receive normal care. Study outcomes will be assessed at baseline, 3 months and 6 months. The primary outcome is the change in active energy expenditure. Secondary outcomes include health-related fitness (cardiopulmonary endurance capacity, muscle strength, body composition), vascular health (vascular stiffness and endothelial function), cardiovascular risk score, health-related quality of life, patient satisfaction, healthcare costs and safety. Intervention feasibility will be assessed via participant and stakeholder debrief. Discussion This study investigates the feasibility of the PATHway system in supporting patients to maintain a physically active lifestyle, and investigates its short-term effectiveness on cardiovascular health. It has the potential to further extend the provision of poorly accessible, hospital-based rehabilitation programs to effective, cost-effective delivery models in the community. This project has received funding from the European Union’s Horizon 2020 Framework Programme for Research and Innovation Action under Grant Agreement no.643491. PATHway: Technology enabled behavioural change as a pathway towards better self-management of CVD (www.pathway2health.eu/).
Collections Ireland -> Dublin City University -> Subject = Medical Sciences: Health
Ireland -> Dublin City University -> Status = Published
Ireland -> Dublin City University -> Status = Submitted
Ireland -> Dublin City University -> DCU Faculties and Centres = DCU Faculties and Schools: Faculty of Science and Health
Ireland -> Dublin City University -> Subject = Medical Sciences: Sports sciences
Ireland -> Dublin City University -> DCU Faculties and Centres = Research Initiatives and Centres: INSIGHT Centre for Data Analytics
Ireland -> Dublin City University -> DCU Faculties and Centres = Research Initiatives and Centres
Ireland -> Dublin City University -> Publication Type = Conference or Workshop Item
Ireland -> Dublin City University -> DCU Faculties and Centres = DCU Faculties and Schools
Ireland -> Dublin City University -> Subject = Medical Sciences
Ireland -> Dublin City University -> DCU Faculties and Centres = DCU Faculties and Schools: Faculty of Science and Health: School of Health and Human Performance

Full list of authors on original publication

Roselien Buys, Kieran Moran, Catherine Woods, Werner Budts, Deirdre Walsh, Petros Daras, Dewar Finley, Dimitris Filos, Ioanna Chouvarda, Clare McDermott and 5 others

Experts in our system

1
Roselien Buys
Dublin City University
Total Publications: 11
 
2
Kieran Moran
Dublin City University
Total Publications: 135
 
3
Catherine Woods
Dublin City University
Total Publications: 50
 
4
Werner Budts
Dublin City University
 
5
Deirdre Walsh
Dublin City University
Total Publications: 41
 
6
Petros Daras
Dublin City University
Total Publications: 17
 
7
Dimitris Filos
Dublin City University
 
8
Ioanna Chouvarda
Dublin City University
 
9
Clare M. McDermott
Dublin City University
Total Publications: 5