Conclusions : Telehealth interventions with a range of delivery modes could be offered to patients who can not attend cardiac rehabilitation , or as an adjunct to cardiac rehabilitation for effective secondary prevention
Background : Coronary heart disease ( CHD ) is a major cause of death worldwide .
Cardiac rehabilitation , an evidence -based CHD secondary prevention programme , remains underutilized .
Telehealth may offer an innovative solution to overcome barriers to cardiac rehabilitation attendance .
We aim ed to determine whether contemporary telehealth interventions can provide effective secondary prevention as an alternative or adjunct care compared with cardiac rehabilitation and /or usual care for patients with CHD .
Choice of Health Options in Prevention of Cardiovascular Events (CHOICE) Replication Study.
BACKGROUND Globally , attendance at cardiac rehabilitation ( CR ) is between 15 and 30 % . Alternative models of individualised care are recommended to promote participation in CR , however there has been no prospect i ve testing of different duration s of such models . We aim ed to replicate the previously proven Choice of Health Options In prevention of  Cardiovascular Events ( CHOICE ) intervention , and to determine if an extended version ( CHOICEplus ) would confer additional benefits . METHODS Acute coronary syndrome ( ACS ) survivors not accessing centre-based CR ( n=203 ) were r and omised to CHOICE for 3 months ( n=100 ) or CHOICEplus for 24 months ( n=103 ) at four urban hospitals . The program comprised telephone-based tailored risk-factor reduction . RESULTS CHOICE and CHOICEplus were equivalent demographically and in risk profile at baseline . At 24 months , lipid profiles improved significantly and fewer patients had ≥3 risk factors above target compared to baseline in both groups . There were no significant differences between groups . CONCLUSIONS The 24-month CHOICEplus program did not confer additional benefit above the brief 3-month CHOICE intervention . However , participation in either CHOICE and CHOICEplus significantly improved cardiovascular risk profile in ACS survivors . Importantly , the study was feasible , and the intervention translated readily across four hospitals . Overall , this study adds to the existing evidence for brief individualised approaches to CR
Conclusions : Telehealth interventions with a range of delivery modes could be offered to patients who can not attend cardiac rehabilitation , or as an adjunct to cardiac rehabilitation for effective secondary prevention
Background : Coronary heart disease ( CHD ) is a major cause of death worldwide .
Cardiac rehabilitation , an evidence -based CHD secondary prevention programme , remains underutilized .
Telehealth may offer an innovative solution to overcome barriers to cardiac rehabilitation attendance .
We aim ed to determine whether contemporary telehealth interventions can provide effective secondary prevention as an alternative or adjunct care compared with cardiac rehabilitation and /or usual care for patients with CHD .