Investigation of the Effects of the Technology-based Cardiac Rehabilitation Program in Coronary Artery Patients

Study Overview
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Brief Summary
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This study was planned to investigate the effectiveness of technology-based and traditional cardiac rehabilitation programs in individuals with coronary artery disease.

Detailed Description
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Cardiovascular diseases constitute one of the most critical health problems of today's society due to the loss of workforce, morbidity, mortality, and high hospital expenses. This study was planned to investigate the effectiveness of technology-based and traditional cardiac rehabilitation programs in individuals with coronary artery disease.

Official Title
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Investigation of the Effects of Artificial Intelligence-supported and Technology-based Cardiac Rehabilitation Programs on Participation and Exercise Capacity in Coronary Artery Patients

Conditions
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Coronary Artery Disease, Physical Inactivity

Intervention / Treatment
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* Other: Physiotherapist supervised exercise training
* Other: Exercise training via phone app
* Other: Physical activity recommendations


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with coronary artery disease Access to the online program Volunteering to participate in the research Having an iOS or Android operating system compatible phone Exclusion Criteria: Having a musculoskeletal problem Having uncontrolled hypertension Having chronic heart failure (NYHA III-IV) A history of acute coronary syndrome or surgical revascularization less than 12 months ago More than 50% occlusion on the main coronary artery Having arrhythmia

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Physiotherapist Supervised Exercise Training Group<br>Physiotherapist supervised exercise training in patients with coronary artery disease | Other: Physiotherapist supervised exercise training<br>* Exercise training for 12 weeks will be given by video talk accompanied by a physiotherapist.<br>|
| Experimental: Exercise Training Tracking from Phone-app Group<br>Exercise training tracking from phone app in patients with coronary artery disease | Other: Exercise training via phone app<br>* Exercise training for 12 weeks will be given over the developed phone application.<br>|
| Experimental: Control Group<br>General physical activity recommendations for home | Other: Physical activity recommendations<br>* The program will be consist of 12 weeks of physical activity recommendations.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Exercise Capacity | Exercise capacity will be evaluated using the incremental shuttle walk test. | Baseline, after 12 weeks, after 24 weeks | 
| Participation | Participation will be evaluated using the number of sessions attended. | after 12 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Maximal Effort Capacity | Maximal effort capacity will be evaluated using a cardiovascular stress test. | Baseline | 
| Peripheral muscle strength | Peripheral muscle strength will be evaluated using the dynamometer. | Baseline, after 12 weeks, after 24 weeks | 
| Endothelial function | The endothelial function will be evaluated using echocardiography. After a resting baseline, Brachial artery diameter will be recorded, the cuff used in blood pressure measurement will be inflated 25-50 mmHg above the systolic blood pressure value and maintain that pressure for 5 min. The brachial artery diameter will be measured again after the cuff is deflated. | Baseline, after 12 weeks, after 24 weeks | 
| Healthy Living Habit Evaluation | Healthy living habit evaluation will be evaluated using the Healthy Lifestyle Behaviors Scale-II. | Baseline, after 12 weeks, after 24 weeks | 
| Health-Related Quality of Life | Health-Related Quality of Life will be evaluated using the Myocardial Infarction Dimensional Assessment Scale (MIDAS). | Baseline, after 12 weeks, after 24 weeks | 
| QoL | Quality of life will be evaluated using the SF-36 Short Form. | Baseline, after 12 weeks, after 24 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cardiac Rehabilitation, Exercise Training