Comparison of Traditional, Web-based or a Combined Cardiac Rehabilitation Programme
Condition: Cardiovascular Diseases
MeSH terms: Cardiovascular Diseases
Study type: Interventional

Summary: 
      The study explores the different modes of Cardiac Rehabilitation delivery including the use
      of a web-based programme. Cardiac Rehabilitation provides a structured, comprehensive
      programme, proven to reduce cardiovascular mortality and improve overall Quality of Life.
      However, as uptake remains relatively low with only 50% attending, exploring the benefits of
      offering a menu of programme options may allow greater patient choice and accessibility,
      meeting individual needs.

      This study aims to compare how effective Cardiac Rehabilitation Programmes are on improving
      cardiovascular patients physical and mental wellbeing using a web-based compared with
      traditional cardiac rehab programmes in the hospital or through a combination of both.
    

Detailed description: 
      This 8-week study, aims to compare quality of life (QOL), hospital anxiety and depression
      scores (HADs) and physical activity outcomes in web-based Cardiac Rehabilitation (CR),
      web-based CR combined with traditional CR (TCR) and TCR in patients with coronary heart
      disease (CHD).

      The Web-based option will include the use of the MyHeart application.

      Participants eligible for the study will include low-moderate cardiovascular patients (heart
      attack, stents or heart surgery) within 3-6 weeks post discharge. Participants will be
      involved in hospital or virtual exercise and educational sessions with the support of CR
      specialists. Primary outcomes will be measured through questionnaires and an incremental
      treadmill walking test.

      To our knowledge, this would be the first study to compare all three groups, as combined CR
      (web-based alongside traditional CR) has not yet been evaluated. Additionally, the
      investigators currently work within the CR setting at Burton Hospital, and this study will be
      conducted within our current Hospital CR service. The outcomes will be applicable and
      relevant to future clinical practice.

      As the UK's 50% uptake to CR remains poor, falling below the 85% national uptake
      recommendations, a CR menu-based approach, offering hospital or home-based programmes is
      recommended to encourage uptake, improve QOL and clinical outcomes.

      Furthermore, as COVID-19 has enforced a web-based CR approach, further research to explore
      uptake, physical and psychological outcomes to benefit cardiovascular patients is paramount
      for current and future CR delivery.

      This study will explore a menu of options recommended for CR.
    

Intervention name(s): Hospital Based Cardiac Rehabilitation Exercise Classes; Web-based Cardiac Rehabilitation Exercise Sessions
Intervention type(s): Other; Other
Intervention description(s): Participants will attend 8 Hospital based CR exercise sessions. QOL and Hospital anxiety and Depression scores through questionnaires and incremental Shuttle Walk tests will be carried out pre and post intervention.; Participants will complete 8 weeks of Web-based CR exercise sessions using the MyHeart app. QOL and Hospital anxiety and Depression scores through questionnaires and incremental Shuttle Walk tests will be carried out pre and post intervention.
Allocation: Randomized
Intervention model: Factorial Assignment
Intervention model description: Three way comparison study.
Traditional Cardiac Rehabilitation
Traditional Cardiac Rehabilitation combined with Web-based Cardiac Rehabilitation
Web-based Cardiac Rehabilitation
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: Cardiac Rehabilitation; Web-based Cardiac Rehabilitation