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A Dual-Modality Home-Based Cardiac Rehabilitation Program for Adults With Cardiovascular Disease: Single-Arm Remote

Tim Bilbrey¹, Jenny Martin¹, Wen Zhou¹

¹RecoveryPlus.Health, Inc, New York, NY, United States.

JMIR Mhealth and Uhealth

|August 16, 2024

Summary

A digital home-based cardiac rehabilitation (HBCR) program integrating telehealth and mHealth demonstrated feasibility and efficacy. This dual-modality approach improved exercise capacity and quality of life in cardiovascular disease patients.

Keywords:

app application cardiac rehabilitation digital health disease management exercise mHealth myocardial infarction physical fitness quality of life self-management telehealth

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Area of Science:

Cardiology
Digital Health
Rehabilitation Medicine

Background:

Cardiac rehabilitation (CR) is crucial for cardiovascular disease (CVD) patients, yet completion rates are low.
Home-based cardiac rehabilitation (HBCR) offers a viable alternative, comparable in effectiveness and safety to center-based programs.
Further research into diverse HBCR delivery models is essential for improving patient access and outcomes.

Purpose of the Study:

To evaluate the feasibility and impact of a digital HBCR program (RecoveryPlus.Health) utilizing telehealth and mHealth.
To assess the program's effect on functional exercise capacity, resting heart rate, and quality of life in adults with CVD.

Main Methods:

A 12-week prospective, single-arm, remote clinical trial was conducted.
Adults with CVD (aged ≥40) were enrolled and received CR via synchronous telehealth and asynchronous mHealth app.
Feasibility was measured by completion rates; efficacy by changes in the 6-minute walk test and 12-Item Short-Form Health Survey.

Main Results:

83% of participants completed the 12-week program, with high engagement in both telehealth and mHealth modalities.
Significant improvements were observed in the 6-minute walk test (average 40m increase) and quality of life scores.
No significant changes in resting heart rate or exercise-related adverse events were reported.

Conclusions:

The RecoveryPlus.Health digital HBCR program proved feasible and effective for patients with CVD.
This dual-modality approach combining telehealth and mHealth shows promise for overcoming barriers to CR access in the US.