PMID- 33921310
OWN - NLM
STAT- MEDLINE
DCOM- 20210521
LR  - 20231111
IS  - 1660-4601 (Electronic)
IS  - 1661-7827 (Print)
IS  - 1660-4601 (Linking)
VI  - 18
IP  - 8
DP  - 2021 Apr 12
TI  - Efficacy, Feasibility, Adherence, and Cost Effectiveness of a mHealth 
      Telerehabilitation Program in Low Risk Cardiac Patients: A Study Protocol.
LID - 10.3390/ijerph18084038 [doi]
LID - 4038
AB  - Individual and group cardiac rehabilitation (CR) programs reduce cardiovascular 
      morbidity and mortality by reducing recurrent events, improving risk factors, 
      aiding compliance with drug treatment, and improving quality of life through 
      physical activity and education. Home-based programs are equally effective in 
      improving exercise capacity, risk factors, mortality, and health-related quality 
      of life outcomes compared to hospital-based intervention. 
      Cardio-telerehabilitation (CTR) programs are a supplement or an alternative to 
      hospital rehabilitation programs providing similar benefits to usual hospital and 
      home care. Despite this statement, implementation in the public and private 
      healthcare environment is still scarce and limited. The main objective of this 
      research was to evaluate the efficacy, feasibility, and adherence of a 
      personalized eight-week mHealth telerehabilitation program in low-risk cardiac 
      patients in the hospital of Melilla (Spain). The secondary aims were to 
      investigate patient satisfaction, identify barriers of implementation and adverse 
      events, and assess cost-effectiveness from a health system perspective. A study 
      protocol for a single center prospective controlled trial was conducted at the 
      Regional Hospital of Melilla (Spain), with a sample size of (n = 30) patients 
      with a diagnosis of low-risk CVD with class I heart failure according to NYHA 
      (New York Heart Association). Outcomes of this study, will add new evidence that 
      could support the use of CTR in cardiac patients clinical guidelines.
FAU - Pastora-Bernal, Jose-Manuel
AU  - Pastora-Bernal JM
AUID- ORCID: 0000-0003-2108-9975
AD  - Department of Physiotherapy, Faculty of Health Science, University of Granada, 
      18071 Granada, Spain.
FAU - Hernandez-Fernandez, Joaquin-Jesus
AU  - Hernandez-Fernandez JJ
AD  - Department of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, 
      University of Cadiz, 11009 Cadiz, Spain.
FAU - Estebanez-Perez, Maria-Jose
AU  - Estebanez-Perez MJ
AD  - Department of Physiotherapy, Faculty of Health Science, University of Malaga, 
      29071 Malaga, Spain.
FAU - Molina-Torres, Guadalupe
AU  - Molina-Torres G
AUID- ORCID: 0000-0002-2261-5482
AD  - Department of Nursing Science, Physiotherapy and Medicine, University of Almeria, 
      04120 Almeria, Spain.
FAU - Garcia-Lopez, Francisco-Jose
AU  - Garcia-Lopez FJ
AUID- ORCID: 0000-0002-3123-3128
AD  - Department of Physiotherapy, University of Osuna, 41640 Seville, Spain.
FAU - Martin-Valero, Rocio
AU  - Martin-Valero R
AUID- ORCID: 0000-0002-1664-3647
AD  - Department of Physiotherapy, Faculty of Health Science, University of Malaga, 
      29071 Malaga, Spain.
LA  - eng
PT  - Clinical Trial Protocol
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20210412
PL  - Switzerland
TA  - Int J Environ Res Public Health
JT  - International journal of environmental research and public health
JID - 101238455
SB  - IM
MH  - Cost-Benefit Analysis
MH  - Feasibility Studies
MH  - Humans
MH  - New York
MH  - Prospective Studies
MH  - Quality of Life
MH  - Spain
MH  - *Telemedicine
MH  - *Telerehabilitation
PMC - PMC8069438
OTO - NOTNLM
OT  - cardiovascular diseases
OT  - cost-benefit analysis
OT  - physical therapy modalities
OT  - telemedicine
OT  - telerehabilitation
COIS- No conflicts of interest.
EDAT- 2021/05/01 06:00
MHDA- 2021/05/22 06:00
PMCR- 2021/04/12
CRDT- 2021/04/30 01:18
PHST- 2021/03/17 00:00 [received]
PHST- 2021/04/07 00:00 [revised]
PHST- 2021/04/08 00:00 [accepted]
PHST- 2021/04/30 01:18 [entrez]
PHST- 2021/05/01 06:00 [pubmed]
PHST- 2021/05/22 06:00 [medline]
PHST- 2021/04/12 00:00 [pmc-release]
AID - ijerph18084038 [pii]
AID - ijerph-18-04038 [pii]
AID - 10.3390/ijerph18084038 [doi]
PST - epublish
SO  - Int J Environ Res Public Health. 2021 Apr 12;18(8):4038. doi: 
      10.3390/ijerph18084038.