6 To examine the effectiveness of psychological outcomes in cardiovascular patients using an internet-based cardiac rehabilitation application compared with a conventional cardiac rehabilitation programme or a combination of both
Year: 2023
Type: conference-abstract
Abstract: Background Traditional cardiac rehabilitation (TCR) is typically delivered in group-based hospital settings. However, despite continuing evidence-based benefits, uptake remains poor, and a menu of options to help overcome associated barriers are required. Web-based CR (WB-CR) may offer an alternative mode of delivery, to help improve overall uptake for individuals with coronary heart disease (CHD). Aim To compare the effectiveness of TCR programme, a web-based group using the myHeart app (WB-CR), and a group using a combination of both (COMBI-CR). Methods A three-way study was conducted via recruiting and randomising low-moderate risk Participants with CHD TCR, COMBI-CR and WB-CR groups. Measures of HRQOL, anxiety and depression using the Dartmouth Co-op and Hospital Anxiety and Depression Scale (HADs), were obtained in each group by a CR specialist at baseline and after 8 weeks of intervention. Outcomes were analysed within, and between groups using Statistical Package for the Social Sciences (Version 28). Results A total of 57 participants were recruited and 54 completed the 8-weeks intervention. Significant improvements in HRQOL scores (Dartmouth Co-op) were reported in TCR (-5.5 points (Confidence Interval [CI], -8.3-2.87, p<.001), COMBI-CR (-4.4 points, CI, -6.9-1.9, p=.001) and WB-CR (-3.9 points, CI, -5.9-1.9, p=<.001); and anxiety scores significantly improved in WB-CR (-1.12 points (CI, -2.04-0.19, p=.021), compared to no significance in TCR or COMBI-CR. No significant changes were detected in depression scores across all three groups. Conclusion This study observed significant improvements in HRQOL, with no difference between TCR, COMBI-CR and WB-CR. All three approaches may offer favourable options for CHD patients. Although small enhancements were reported in HADs, only WB-CR found significance; further supporting the use of digital health. Future studies with a broadened inclusion criterion to further analyse psychological differences in depression, anxiety and segmental HRQOL are required. TCR, COMBI-CR and WB-CR may offer comparable beneficial psychological outcomes for CHD patients.
Source: Abstracts
Authors: Francesca D’angelo, Charlotte Smith
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4387401235