Abstract
Objective
Evaluate user experiences of an exercise-based cardiac telerehabilitation intervention
(REMOTE-CR) that provided near universal access to real-time remote coaching and behavioral
support from exercise specialists.
Design
Secondary analysis (12-week follow-up) of a parallel group, single blind, randomized
controlled noninferiority trial (ACTRN12614000843651).
Setting
Community-based cardiac rehabilitation.
Participants
Adults (N=162) with coronary heart disease who were eligible for outpatient cardiac
rehabilitation. Eighty-two of 162 trial participants were randomized to receive REMOTE-CR;
67 completed usability and acceptability assessment at 12-week follow-up.
Intervention
REMOTE-CR comprised 12 weeks of individualized exercise prescription, real-time physiological
monitoring, coaching, and behavioral support, delivered via a bespoke telerehabilitation
platform.
Outcomes
Ease of use, satisfaction with the technology platform and intervention content, and
demand for real-world implementation as an alternative to traditional center-based
programs were assessed at 12-week follow-up.
Results
Components of usability and acceptability were positively evaluated by most participants
(44-66 of 67, 66%-99%). Fifty-eight of 67 (87%) would choose REMOTE-CR if it was available
as a usual care service, primarily because it provides convenient and flexible access
to real-time individualized support from exercise specialists. Technology challenges
were rare and had little effect on user experiences or demand for REMOTE-CR.
Conclusions
REMOTE-CR can extend the reach and impact of existing cardiac rehabilitation services
by overcoming traditional participation barriers while preserving expert oversight.
Adoption of emerging technologies should be accelerated to support dynamic, engaging,
individualized intervention delivery models, but optimizing overall cardiac rehabilitation
participation rates will require multiple delivery models that are tailored to satisfy
diverse participant preferences.
Keywords
List of abbreviations:
CHD (coronary heart disease), exCR (exercise-based cardiac rehabilitation)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: August 01, 2018
Footnotes
Supported by the Auckland Medical Research Foundation (AMRF), New Zealand (grant no. 1113020); AMRF did not influence the study design, conduct, analysis, interpretation or reporting, or decision to submit this manuscript for publication.
Disclosures: Jonathan Rawstorn, Ralph Maddison, Nicholas Gant, Ian Warren, and Andrew Meads contributed to the design and development of the REMOTE-CR technology platform. The other authors have nothing to disclose.
Clinical Trial Registration No.: ACTRN12614000843651.
Identification
Copyright
© 2018 by the American Congress of Rehabilitation Medicine
