Abstract:
BACKGROUND:Cardiac rehabilitation (CR) uptake and adherence remain sub-optimal despite the apparent health benefits of modifying healthy behavior and slowing disease progression. eHealth is the use of information and communication technology (ICT) for health. eHealth lifestyle interventions and disease management have emerged as modalities to enhance CR accessibility, enable an individualized progress page, and enrich real-time contact, video-based information, and technology monitored functionality. This study aims to develop a nurse-led eHealth cardiac rehabilitation (NeCR) intervention and investigate its effectiveness on coronary heart disease (CHD) patients' health outcomes. METHODS:This single-blinded two-arm parallel randomized controlled trial will randomize 146 patients from the inpatient cardiovascular units of a hospital in Wuhan, China to receive either the NeCR or the usual care. The NeCR intervention uses a hybrid approach consisting of a brief face-to-face preparatory phase and an empowerment phase delivered by health technology. The preparatory phase aims at identifying self-care needs, developing a goal-oriented patient centered action plan, incorporating a peer support network and orientation to the use of the e-platform. The empowerment phase includes use of the multi-media interactive NeCR for promoting symptom management, monitoring lifestyle changes and offering psychological support. A tele-care platform is also integrated to enhance health care dialogue with health professionals and peer groups. The control group will receive the usual care. An evaluation of lifestyle behavioral changes, self-efficacy, health-related quality of life, anxiety and depression, cardiovascular risk parameters, and unplanned health services use will be conducted at baseline, 6 weeks and 12 weeks post-intervention. DISCUSSION:This protocol proposes an individualized, comprehensive, and interactive NeCR delivered using a hybrid approach and guided by an empowerment model to optimize health outcomes of CHD patients. The intervention content and web-design is based on international health guidelines to improve credibility, comprehensibility and implementation. This study also proposes a new method of peer support in which the researcher shares participants' progress toward goal attainment with the peer group. Results of this research have the potential to increase accessibility and availability of CR, improve cardiac rehabilitation service development in China, and inform eHealth lifestyle interventions. TRIAL REGISTRATION:Chinese Clinical Trial Registry: ChiCTR1800020411; Date of registration: December 28, 2018.
journal_name
BMC Cardiovasc Disordjournal_title
BMC cardiovascular disordersauthors
Su JJ,Yu DSFdoi
10.1186/s12872-019-1262-5subject
Has Abstractpub_date
2019-11-29 00:00:00pages
274issue
1issn
1471-2261pii
10.1186/s12872-019-1262-5journal_volume
19pub_type
杂志文章abstract:BACKGROUND:Despite the potentially life-saving benefits of the implantable cardioverter-defibrillator (ICD), a significant group of patients experiences emotional distress after ICD implantation. Different psychosocial interventions have been employed to improve this condition, but previous reviews have suggested that ...
journal_title:BMC cardiovascular disorders
pub_type: 杂志文章,评审
doi:10.1186/1471-2261-9-56
更新日期:2009-12-29 00:00:00
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pub_type: 杂志文章
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abstract:BACKGROUND:In a previous study, we found that titrating clopidogrel maintenance doses (MDs) according to vasodilator-stimulated phosphoprotein (VASP) monitoring minimised the rate of major adverse cardiovascular and cerebral events (MACCE) after percutaneous coronary intervention (PCI) without increasing bleeding in pa...
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pub_type: 杂志文章,随机对照试验
doi:10.1186/s12872-018-0853-x
更新日期:2018-06-18 00:00:00
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pub_type: 杂志文章
doi:10.1186/s12872-018-0817-1
更新日期:2018-05-04 00:00:00
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pub_type: 杂志文章
doi:10.1186/s12872-021-01869-y
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doi:10.1186/s12872-016-0367-3
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journal_title:BMC cardiovascular disorders
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2261-13-92
更新日期:2013-10-26 00:00:00
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更新日期:2012-09-24 00:00:00
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pub_type: 杂志文章
doi:10.1186/1471-2261-6-27
更新日期:2006-06-12 00:00:00
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pub_type: 杂志文章
doi:10.1186/s12872-015-0004-6
更新日期:2015-02-19 00:00:00
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pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章
doi:10.1186/1471-2261-11-31
更新日期:2011-06-14 00:00:00
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doi:10.1186/s12872-018-0965-3
更新日期:2019-01-03 00:00:00
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doi:10.1186/s12872-021-01851-8
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pub_type: 杂志文章
doi:10.1186/1471-2261-10-60
更新日期:2010-12-17 00:00:00
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pub_type: 杂志文章,多中心研究,随机对照试验
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pub_type: 杂志文章
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更新日期:2020-07-14 00:00:00
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pub_type: 杂志文章
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更新日期:2017-05-10 00:00:00
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pub_type: 已发布勘误
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更新日期:2019-11-26 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2020-05-15 00:00:00
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pub_type: 杂志文章
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更新日期:2009-09-15 00:00:00
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更新日期:2020-07-07 00:00:00
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pub_type: 杂志文章
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