PMID- 30170422
OWN - NLM
STAT- MEDLINE
DCOM- 20180917
LR  - 20231006
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Print)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 35
DP  - 2018 Aug
TI  - Home-based telehealth exercise training program in Chinese patients with heart 
      failure: A randomized controlled trial.
PG  - e12069
LID - 10.1097/MD.0000000000012069 [doi]
LID - e12069
AB  - BACKGROUND: Homed-based exercise training via telehealth is an effective method 
      for cardiac rehabilitation in patients with heart failure (HF). However, little 
      is known about the effects of telehealth exercise training among patients with HF 
      in China. DESIGN: A randomized controlled design with repeated measures was 
      adopted in this study. OBJECTIVE: To examine the effect of our telehealth 
      exercise training program on health outcomes in patients with HF in China. 
      METHODS: A total of 98 participants were randomly allocated to an experimental 
      group (n = 49) and control group (n = 49) from January 2014 to February 2015 in a 
      teaching hospital in Chengdu, People's Republic of China. Participants in the 
      experimental group underwent an 8-week home-based telehealth exercise training 
      program, including 32 exercise training sessions, with regular telephone or 
      instant messaging follow-ups and consultations. Participants in the control group 
      received usual care. The outcome variables used in this study were the Minnesota 
      Living with Heart Failure Questionnaire, 6-minute walking distance (6MWD), 
      resting heart rate (HR), Hospital Anxiety and Depression Scale, left ventricular 
      ejection fraction (LVEF), and the New York Heart Association (NYHA) 
      classification. Data were collected at baseline, post-test (2 months after 
      discharge), and 4 months post-test (6 months after discharge). Repeated measures 
      ANOVA was used to examine the effects of groups, changes over time, and 
      interaction of time and group with the above variables. RESULTS: Statistically 
      significant improvements were observed in the experimental group regarding 
      quality of life (QOL) and 6MWD compared to the control group post-test. 
      Significant improvements in QOL, 6MWD, and resting HR were sustained for 4 months 
      post-test. However, no significant improvements were observed regarding the NYHA 
      classification, LVEF, anxiety, and depression at either the post-test or 4-month 
      post-test follow-ups. No patients experienced any significant complications or 
      adverse outcomes during the program. CONCLUSIONS: The results reveal that 
      telehealth exercise training is an effective alternative method for cardiac 
      rehabilitation, especially under the conditions in China.
FAU - Peng, Xingchen
AU  - Peng X
AD  - Department of Medical Oncology, Cancer Center, State Key Laboratory of 
      Biotherapy, West China Hospital Administration Center of Medicine, Sichuan 
      University School of Nursing, Chengdu University of Traditional Chinese Medicine, 
      Chengdu, Sichuan XiangYa School of Medicine, Central South University, Changsha, 
      Hunan Department of Nursing, West China Hospital, Sichuan University, Chengdu, 
      Sichuan Frances Payne Bolton School of Nursing, Case Western Reserve University, 
      Cleveland, OH Department of Cardiology, West China Hospital, Sichuan University, 
      Chengdu, Sichuan, People's Republic of China.
FAU - Su, Yonglin
AU  - Su Y
FAU - Hu, Zhonghua
AU  - Hu Z
FAU - Sun, Xiye
AU  - Sun X
FAU - Li, Xiaoping
AU  - Li X
FAU - Dolansky, Mary A
AU  - Dolansky MA
FAU - Qu, Moying
AU  - Qu M
FAU - Hu, Xiaolin
AU  - Hu X
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - IM
MH  - Aged
MH  - Cardiac Rehabilitation/*methods
MH  - China
MH  - Exercise Therapy/*methods
MH  - Exercise Tolerance
MH  - Female
MH  - Heart Failure/*rehabilitation
MH  - Heart Rate
MH  - Humans
MH  - Male
MH  - Mental Health
MH  - Middle Aged
MH  - Prospective Studies
MH  - Quality of Life
MH  - Severity of Illness Index
MH  - Socioeconomic Factors
MH  - Telerehabilitation/*methods
MH  - Ventricular Function, Left
PMC - PMC6392598
COIS- The authors declare no conflicts of interest.
EDAT- 2018/09/02 06:00
MHDA- 2018/09/18 06:00
PMCR- 2018/08/21
CRDT- 2018/09/02 06:00
PHST- 2018/09/02 06:00 [entrez]
PHST- 2018/09/02 06:00 [pubmed]
PHST- 2018/09/18 06:00 [medline]
PHST- 2018/08/21 00:00 [pmc-release]
AID - 00005792-201808310-00054 [pii]
AID - MD-D-17-03432 [pii]
AID - 10.1097/MD.0000000000012069 [doi]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Aug;97(35):e12069. doi: 10.1097/MD.0000000000012069.