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DC Field | Value | Language |
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dc.contributor.author | FREDERIX, Ines | - |
dc.contributor.author | HANSEN, Dominique | - |
dc.contributor.author | CONINX, Karin | - |
dc.contributor.author | VANDERVOORT, Pieter | - |
dc.contributor.author | VANDIJCK, Dominique | - |
dc.contributor.author | HENS, Niel | - |
dc.contributor.author | Van Craenenbrouck, Emeline | - |
dc.contributor.author | Van Driessche, Niels | - |
dc.contributor.author | DENDALE, Paul | - |
dc.date.accessioned | 2015-09-04T10:56:32Z | - |
dc.date.available | 2015-09-04T10:56:32Z | - |
dc.date.issued | 2015 | - |
dc.identifier.citation | JOURNAL OF MEDICAL INTERNET RESEARCH, 17 (7) | - |
dc.identifier.issn | 1438-8871 | - |
dc.identifier.uri | http://hdl.handle.net/1942/19084 | - |
dc.description.abstract | Background Cardiac telerehabilitation has been introduced as an adjunct or alternative to conventional center-based cardiac rehabilitation to increase its long-term effectiveness. However, before large-scale implementation and reimbursement in current health care systems is possible, well-designed studies on the effectiveness of this new additional treatment strategy are needed. Objective The aim of this trial was to assess the medium-term effectiveness of an Internet-based, comprehensive, and patient-tailored telerehabilitation program with short message service (SMS) texting support for cardiac patients. Methods This multicenter randomized controlled trial consisted of 140 cardiac rehabilitation patients randomized (1:1) to a 24-week telerehabilitation program in combination with conventional cardiac rehabilitation (intervention group; n=70) or to conventional cardiac rehabilitation alone (control group; n=70). In the telerehabilitation program, initiated 6 weeks after the start of ambulatory rehabilitation, patients were stimulated to increase physical activity levels. Based on registered activity data, they received semiautomatic telecoaching via email and SMS text message encouraging them to gradually achieve predefined exercise training goals. Patient-specific dietary and/or smoking cessation advice was also provided as part of the telecoaching. The primary endpoint was peak aerobic capacity (VO2 peak). Secondary endpoints included accelerometer-recorded daily step counts, self-assessed physical activities by International Physical Activity Questionnaire (IPAQ), and health-related quality of life (HRQL) assessed by the HeartQol questionnaire at baseline and at 6 and 24 weeks. Results Mean VO2 peak increased significantly in intervention group patients (n=69) from baseline (mean 22.46, SD 0.78 mL/[min*kg]) to 24 weeks (mean 24.46, SD 1.00 mL/[min*kg], P<.01) versus control group patients (n=70), who did not change significantly (baseline: mean 22.72, SD 0.74 mL/[min*kg]; 24 weeks: mean 22.15, SD 0.77 mL/[min*kg], P=.09). Between-group analysis of aerobic capacity confirmed a significant difference between the intervention group and control group in favor of the intervention group (P<.001). At 24 weeks, self-reported physical activity improved more in the intervention group compared to the control group (P=.01) as did the global HRQL score (P=.01). Conclusions This study showed that an additional 6-month patient-specific, comprehensive telerehabilitation program can lead to a bigger improvement in both physical fitness (VO2 peak) and associated HRQL compared to center-based cardiac rehabilitation alone. These results are supportive in view of possible future implementation in standard cardiac care. | - |
dc.description.sponsorship | The authors would like to thank Kim Bonne (physiotherapist), Toon Alders (physiotherapist), and Jan Berger (physiotherapist) for their support in patient recruitment. We would also like to acknowledge Evi Theunissen (study nurse) for her contribution to patient inclusion and follow-up during study period and Steven Walscharts for his assistance in data interpretation and graphical designing of the figures. The Telerehab III trial was funded by a research grant from Flanders Care (grant number DEM2012-02-03) and from the Research Foundation Flanders (FWO; grant number: 1128915N). The authors/evaluators of the Telerehab III intervention are distinct from the intervention developers. | - |
dc.language.iso | en | - |
dc.rights | Copyright © Ines Frederix, Dominique Hansen, Karin Coninx, Pieter Vandervoort, Dominique Vandijck, Niel Hens, Emeline Van Craenenbroeck, Niels Van Driessche, Paul Dendale. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 23.07.2015. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included. | - |
dc.subject.other | telemedicine; eHealth; effectiveness; Internet | - |
dc.title | Medium-Term Effectiveness of a Comprehensive Internet-Based and Patient-Specific Telerehabilitation Program With Text Messaging Support for Cardiac Patients: Randomized Controlled Trial | - |
dc.type | Journal Contribution | - |
dc.identifier.issue | 7 | - |
dc.identifier.volume | 17 | - |
local.format.pages | 15 | - |
local.bibliographicCitation.jcat | A1 | - |
dc.description.notes | Corresponding Author: Ines Frederix, MD research doctorat Mobile Health Institute Faculty of Medicine & Life Sciences Hasselt University Building D Agoralaan Diepenbeek, 3590 Belgium Phone: 32 16583382 Fax:32 16583382 Email: ines.frederix [at] gmail.com | - |
local.type.refereed | Refereed | - |
local.type.specified | Article | - |
local.bibliographicCitation.artnr | e185 | - |
dc.identifier.doi | 10.2196/jmir.4799 | - |
dc.identifier.isi | 000358686600003 | - |
dc.identifier.url | http://www.jmir.org/2015/7/e185/ | - |
item.fulltext | With Fulltext | - |
item.contributor | FREDERIX, Ines | - |
item.contributor | HANSEN, Dominique | - |
item.contributor | CONINX, Karin | - |
item.contributor | VANDERVOORT, Pieter | - |
item.contributor | VANDIJCK, Dominique | - |
item.contributor | HENS, Niel | - |
item.contributor | Van Craenenbrouck, Emeline | - |
item.contributor | Van Driessche, Niels | - |
item.contributor | DENDALE, Paul | - |
item.accessRights | Restricted Access | - |
item.fullcitation | FREDERIX, Ines; HANSEN, Dominique; CONINX, Karin; VANDERVOORT, Pieter; VANDIJCK, Dominique; HENS, Niel; Van Craenenbrouck, Emeline; Van Driessche, Niels & DENDALE, Paul (2015) Medium-Term Effectiveness of a Comprehensive Internet-Based and Patient-Specific Telerehabilitation Program With Text Messaging Support for Cardiac Patients: Randomized Controlled Trial. In: JOURNAL OF MEDICAL INTERNET RESEARCH, 17 (7). | - |
item.validation | ecoom 2016 | - |
crisitem.journal.issn | 1438-8871 | - |
Appears in Collections: | Research publications |
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fc-xsltGalley-4799-62988-27-PB.pdf Restricted Access | Published version | 942.74 kB | Adobe PDF | View/Open Request a copy |
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