Please use this identifier to cite or link to this item:
http://hdl.handle.net/1942/25712
Title: | Cardiac telerehabilitation: A novel cost-efficient care delivery strategy that can induce long-term health benefits | Authors: | FREDERIX, Ines SOLMI, Francesca Piepoli, Massimo F. DENDALE, Paul |
Issue Date: | 2017 | Publisher: | SAGE PUBLICATIONS LTD | Source: | EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY, 24(16), p. 1708-1717 | Abstract: | Background: Finding innovative and cost-efficient care strategies that induce long-term health benefits in cardiac patients constitutes a big challenge today. The aim of this Telerehab III follow-up study was to assess whether a 6-month additional cardiac telerehabilitation programme could induce long-term health benefits and remain cost-efficient after the tele-intervention ended. Methods and results: A total of 126 cardiac patients first completed the multicentre, randomised controlled telerehabilitation trial (Telerehab III, time points t(0) to t(1)). They consequently entered the follow-up study (t(1)) with evaluations 2 years later (t(2)). A quantitative analysis of peak aerobic capacity (VO2 peak, primary endpoint), international physical activity questionnaire self-reported physical activity and HeartQoL quality of life (secondary endpoints) was performed. The incremental cost-effectiveness ratio was calculated. Even though a decline in VO2 peak (248ml/[min*kg] at t(1) and 226ml/[min*kg] at t(2); P <= 0.001) was observed within the tele-intervention group patients; overall they did better than the no tele-intervention group (P=0.032). Dividing the incremental cost (-(sic)878/patient) by the differential incremental quality-adjusted life years (QALYs) (0.22 QALYs) yielded an incremental cost-effectiveness ratio of -(sic)3993/QALY. Conclusions: A combined telerehabilitation and centre-based programme, followed by transitional telerehabilitation induced persistent health benefits and remained cost-efficient up to 2 years after the end of the intervention. A partial decline of the benefits originally achieved did occur once the tele-intervention ended. Healthcare professionals should reflect on how innovative cost-efficient care models could be implemented in standard care. Future research should focus on key behaviour change techniques in technology-based interventions that enable full persistence of long-term behaviour change and health benefits. | Notes: | [Frederix, Ines; Dendale, Paul] Hasselt Univ, Fac Med & Life Sci, Hasselt, Belgium. [Frederix, Ines; Dendale, Paul] Jessa Hosp, Dept Cardiol, Stadsomvaart 11, B-3500 Hasselt, Belgium. [Frederix, Ines] Univ Antwerp, Fac Med & Hlth Sci, Antwerp, Belgium. [Solmi, Francesca] Hasselt Univ, Inst Biostat & Stat Bioinformat, Hasselt, Belgium. [Piepoli, Massimo F.] Saliceto da Polichirurg Hosp AUSL Piacenza, Heart Failure Unit, Piacenza, Italy. | Keywords: | telerehabilitation; telemedicine; eHealth; cost-effectiveness; rehabilitation; cardiac rehabilitation;Telerehabilitation; telemedicine; eHealth; cost-effectiveness; rehabilitation; cardiac rehabilitation | Document URI: | http://hdl.handle.net/1942/25712 | ISSN: | 2047-4873 | e-ISSN: | 2047-4881 | DOI: | 10.1177/2047487317732274 | ISI #: | 000414300500005 | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2018 |
Appears in Collections: | Research publications |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
eurjpc1708.pdf Restricted Access | Published version | 526.33 kB | Adobe PDF | View/Open Request a copy |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.