Heart failure & cardiomyopathies
Feasibility of Telerehabilitation for Heart Failure Patients Inaccessible for Outpatient Rehabilitation
Authors' conclusion
Home-based telerehabilitation was feasible in chronic heart failure patients inaccessible for outpatient cardiac rehabilitation.
Study context
- Population
- Chronic HF patients (reduced, mildly reduced or preserved EF; NYHA II–III; NT-proBNP >300 ng/L) unable or unwilling to attend outpatient cardiac rehabilitation
- Participants
- 61 patients
- Comparison
- Home-based telerehabilitation vs control
- Telerehabilitationn = 31
- Primary endpoint
- Feasibility (adherence, adverse events, self-reported outcome measures)
- Follow-up
- 3 months
Methodological detailsprospective, 1:1 randomisation, All participants attended a 2-day 'Living with heart failure' course
- Prospective
- 1:1 randomisation
- All participants attended a 2-day 'Living with heart failure' course
Primary result
As reported in the abstract
Telerehabilitation adherent or partly adherent
80%
Felt safe during home-based telerehabilitation
96%
26/27
Motivated for further exercise training
96%
24/25
Minor technical issues with videoconferencing software
15 of 26
Further findings
6MWT distance and VO2peak, within-group change
- 6MWT distance increased in Telerehabilitation
- 19 m, P = 0.02
- VO2peak decreased in Control
- −0.72 mL/kg/min, P = 0.03
General perceived self-efficacy scale, VO2peak, 6MWT distance (between groups) · after intervention and 3 months post-intervention
- No significant differences between the groups
Safety
Adverse events during supervised exercise
- No adverse events reported during supervised exercise
Felt safe during home-based telerehabilitation
- Felt safe during real-time, home-based telerehabilitation, high-intensity exercise
- 96% (26/27)
Minor technical issues with videoconferencing software
- Reported minor technical issues
- 15/26
Original publication
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