Prevention & lipids

Technology-based comprehensive cardiac rehabilitation therapy for women in a middle-income setting: a randomized controlled trial

Eur J Prev CardiolPublished Randomised controlled trial

Primary result · Functional capacity (ISWT)Result — go to the resultEffect size 0.3 95% CI 1.0 to −0.2

Authors' conclusion

The TaCT program significantly improved functional capacity, QoL, heart-health behaviours and anxiety in women with cardiovascular disease in a middle-income country, demonstrating the potential of technology-based CR tailored for women in these settings.

Study context

Population
Women with stable cardiac disease and smartphone access, Indian outpatient cardiology department89 [89.0%] retained
Participants
50 vs 50
Comparison
Technology-based cardiac rehabilitation (CR) vs standard care
  • Interventionn = 50
  • Controln = 50reference
Primary endpoint
Functional capacity by Incremental Shuttle Walk Test (ISWT)
Follow-up
6 months
Methodological detailssingle-centre, single-blind, two parallel arms (1:1), superiority
  • Single-centre
  • Single-blind
  • Two parallel arms (1:1)
  • Superiority

Primary result

Functional capacity (ISWT)

Effect size

0.3

95% CI 1.0 to −0.2

P = 0.002

As reported in the abstract

Further findings

OutcomeInterventionControl
Morbidity and mortality
Morbidity3— not stated in the abstract
Mortality1— not stated in the abstract
Morbidity only— not stated in the abstract9

— not stated in the abstract

Functional capacity: Duke Activity Status Index, Sit-to-Stand

Duke Activity Status Index favoured intervention
P < 0.001
Sit-to-Stand favoured intervention
P = 0.003

Quality of life (QoL) (global and all subscales)

Favoured intervention
P < 0.001

Heart-health behaviours and anxiety

Exercise favoured intervention
P < 0.001
Medication adherence favoured intervention
P = 0.02
Anxiety favoured intervention
P = 0.002

BP, waist circumference, cardiac symptoms

No significant differences

Original publication

Technology-based comprehensive cardiac rehabilitation therapy for women in a middle-income setting: a randomized controlled trial. Eur J Prev Cardiol. Published 11 April 2025. doi:10.1093/eurjpc/zwaf147

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