PMID- 25359204
OWN - NLM
STAT- MEDLINE
DCOM- 20150618
LR  - 20211021
IS  - 1438-8871 (Electronic)
IS  - 1439-4456 (Print)
IS  - 1438-8871 (Linking)
VI  - 16
IP  - 10
DP  - 2014 Oct 29
TI  - Evaluating the interactive web-based program, activate your heart, for cardiac 
      rehabilitation patients: a pilot study.
PG  - e242
LID - 10.2196/jmir.3027 [doi]
LID - e242
AB  - BACKGROUND: Conventional cardiac rehabilitation (CR) programs are traditionally 
      based on time-constrained, structured, group-based programs, usually set in 
      hospitals or leisure centers. Uptake for CR remains poor, despite the ongoing 
      evidence demonstrating its benefits. Additional alternative forms of CR are 
      needed. An Internet-based approach may offer an alternative mode of delivering CR 
      that may improve overall uptake. Activate Your Heart (AYH) is a Web-based CR 
      program that has been designed to support individuals with coronary heart disease 
      (CHD). OBJECTIVE: The aim of this pilot study was to observe the outcome for 
      participants following the AYH program. METHODS: We conducted a prospective 
      observational trial, recruiting low-risk patients with CHD. Measures of exercise, 
      exercise capacity, using the Incremental Shuttle Walk Test (ISWT), dietary 
      habits, and psychosocial well-being were conducted by a CR specialist at baseline 
      and at 8 weeks following the Web-based intervention. RESULTS: We recruited 41 
      participants; 33 completed the program. We documented significant improvements in 
      the ISWT distance (mean change 49.69 meters, SD 68.8, P<.001), and Quality of 
      Life (QOL) (mean change 0.28, SD 0.4, P<.001). Dietary habits improved with an 
      increased proportion of patients consuming at least 5 portions of fruit and 
      vegetables per day, (22 [71%] to 29 [94%] P=.01) and an increased proportion of 
      patients consuming at least 2 portions of oily fish per week (14 [45%] to 21 
      [68%], P=.01). We did not detect changes in anxiety and depression scores or 
      exercise behavior. CONCLUSIONS: We observed important improvements in exercise 
      capacity, QOL, and dietary habits in a group of participants following a 
      Web-based CR program. The program may offer an alternative approach to CR. A 
      mobile version has been developed and we need to conduct further trials to 
      establish its value compared to supervised CR.
FAU - Brough, Christopher
AU  - Brough C
AUID- ORCID: 0000-0001-5623-2669
AD  - Centre for Exercise and Rehabilitation Science, University Hospitals of Leicester 
      NHS Trust, Leicester, United Kingdom. christopher.brough@uhl-tr.nhs.uk.
FAU - Boyce, Sally
AU  - Boyce S
AUID- ORCID: 0000-0003-3327-2830
FAU - Houchen-Wolloff, Linzy
AU  - Houchen-Wolloff L
AUID- ORCID: 0000-0003-4940-8835
FAU - Sewell, Louise
AU  - Sewell L
AUID- ORCID: 0000-0002-1256-8248
FAU - Singh, Sally
AU  - Singh S
AUID- ORCID: 0000-0002-9834-0366
LA  - eng
PT  - Journal Article
PT  - Observational Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20141029
PL  - Canada
TA  - J Med Internet Res
JT  - Journal of medical Internet research
JID - 100959882
SB  - IM
MH  - Anxiety/etiology/therapy
MH  - Coronary Disease/psychology/*rehabilitation
MH  - Depression/therapy
MH  - Diet
MH  - Exercise Therapy/methods
MH  - Female
MH  - Health Behavior
MH  - Humans
MH  - Internet
MH  - Male
MH  - Middle Aged
MH  - Pilot Projects
MH  - Prospective Studies
MH  - Quality of Life
MH  - Therapy, Computer-Assisted/*methods
PMC - PMC4259912
OTO - NOTNLM
OT  - Activate Your Heart
OT  - Internet
OT  - Web-based
OT  - cardiac rehabilitation
OT  - coronary heart disease
COIS- Conflicts of Interest: None declared.
EDAT- 2014/11/02 06:00
MHDA- 2015/06/19 06:00
PMCR- 2014/10/29
CRDT- 2014/11/01 06:00
PHST- 2013/10/18 00:00 [received]
PHST- 2014/05/31 00:00 [accepted]
PHST- 2014/01/31 00:00 [revised]
PHST- 2014/11/01 06:00 [entrez]
PHST- 2014/11/02 06:00 [pubmed]
PHST- 2015/06/19 06:00 [medline]
PHST- 2014/10/29 00:00 [pmc-release]
AID - v16i10e242 [pii]
AID - 10.2196/jmir.3027 [doi]
PST - epublish
SO  - J Med Internet Res. 2014 Oct 29;16(10):e242. doi: 10.2196/jmir.3027.