BACKGROUND: Cardiac rehabilitation following @entity583 reduces subsequent mortality, but uptake and adherence to rehabilitation programmes remains poor, particularly among @entity1 , the elderly and ethnic minority groups. Evidence of the effectiveness of home-based cardiac rehabilitation remains limited. This trial evaluates the effectiveness and cost-effectiveness of home-based compared to hospital-based cardiac rehabilitation. METHODS/DESIGN: A pragmatic randomised controlled trial of home-based compared with hospital-based cardiac rehabilitation in four hospitals serving a multi-ethnic inner city population in the United Kingdom was designed. The home programme is nurse-facilitated, manual-based using the Heart Manual. The hospital programmes offer comprehensive cardiac rehabilitation in an out- @entity1 setting. @entity1 : We will randomise 650 adult, English or Punjabi-speaking @entity1 of low-medium risk following @entity583 , coronary angioplasty or coronary artery bypass graft who have been referred for cardiac rehabilitation. MAIN OUTCOME MEASURES: Serum @entity165 , smoking cessation, blood pressure, Hospital Anxiety and @entity308 Score, distance walked on Shuttle walk-test measured at 6, 12 and 24 months. Adherence to the programmes will be estimated using @entity1 self-reports of activity.In-depth interviews with non-attendees and non-adherers will ascertain @entity1 views and the acceptability of the programmes and provide insights about non-attendance and aims to generate a theory of attendance at cardiac rehabilitation. The economic analysis will measure National Health Service costs using resource inputs. @entity1 costs will be established from the qualitative research, in particular how they affect adherence. DISCUSSION: More data are needed on the role of home-based versus hospital-based cardiac rehabilitation for @entity1 following @entity583 and revascularisation, which would be provided by the Birmingham Rehabilitation Uptake Maximisation Study (BRUM) study and has implications for the clinical management of these @entity1 . A novel feature of this study is the inclusion of non-English Punjabi speakers.

Home-based versus hospital-based cardiac rehabilitation after XXXX or revascularisation: design and rationale of the Birmingham Rehabilitation Uptake Maximisation Study (BRUM): a randomised controlled trial [ISRCTN72884263].

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient', 'PATIENTS', 'Patient'] @entity583 :: ('MESH:D009203', 'Disease') :: ['myocardial infarction'] @entity308 :: ('MESH:D003866', 'Disease') :: ['Depression'] @entity165 :: ('MESH:D002784', 'Chemical') :: ['cholesterol']
@entity583 :: (MESH:D009203,Disease) :: ['myocardial infarction']
