Utilization of the internet to deliver cardiac rehabilitation at a distance: a pilot study.
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Date
2007-07-02
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Abstract
Less than 25 of eligible patients attend cardiac rehabilitation programs CRP with geographical proximity being a predominant barrier Therefore we undertook a pilot study to assess the feasibility and safety of using the Internet as a medium for delivery of an interactive virtual CRP vCRP to patients at a distance Fifteen patients on the waiting list for a local hospital based CRP were randomized to either an Internet based vCRP or observational control The vCRP consisted of on line intake forms one on one chat sessions with a nurse dietitian and exercise specialist downloadable exercise heart rate monitoring education and data monitoring of blood pressure weight and glucose Participants were assessed for exercise capacity risk factors and lifestyle behaviors at baseline and at 12 weeks Those in the vCRP logged onto the Internet based CRP an average of 4 2 times per week There were no adverse events in the vCRP participants The vCRP group significantly improved their HDL C triglycerides total cholesterol HDL C ratio exercise capacity as assessed in metabolic equivalents weekly physical activity and exercise specific self efficacy p Under 0 05 There were no significant improvements in the control group Improvements in the vCRP group were similar to historical controls in a standard CRP Feedback from exit interviews of the vCRP participants was unanimously positive This Internet based CRP resulted in clinically significant improvements in risk factors and exercise capacity similar to that of a standard CRP The high user acceptance indicated that this program may have the potential to effectively manage patients who do not have access to traditional hospital based CRP