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A Digitally-Supported Shared Decision Making Approach for Patients during Cardiac Rehabilitation: a Randomized

Sevda Ece Kizilkilic1,2,3, Wim Ramakers4, Maarten Falter1,2,5

  • 1Faculty of Medicine and Life Sciences, Hasselt University, Agoralaan Gebouw D, 3590 Diepenbeek, Belgium.

European Journal of Preventive Cardiology
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PubMed
Summary

Combining cardiac rehabilitation (CR) with shared decision making (SDM) telerehabilitation (TR) significantly improved quality of life, cardiorespiratory fitness, and physical activity in heart patients. This digital approach empowers patients in their recovery.

Keywords:
Cardiac RehabilitationCardiac telerehabilitationDecision AidsPhysical ActivityShared Decision MakingeHealth

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Area of Science:

  • Cardiology
  • Digital Health
  • Rehabilitation Medicine

Background:

  • Cardiac rehabilitation (CR) is crucial for patients with heart disease.
  • Integrating technology and patient-centered approaches can enhance CR effectiveness.
  • Shared decision making (SDM) empowers patients in managing their health.

Purpose of the Study:

  • To evaluate the effectiveness of combining center-based CR with SDM-based telerehabilitation (TR).
  • To assess the impact on patients' quality of life, cardiorespiratory fitness, and physical activity levels.
  • To explore the role of the SharedHeart smartphone application in this integrated approach.

Main Methods:

  • A randomized controlled trial involving 80 heart disease patients.
  • Intervention group received standard CR plus SDM-based TR via the SharedHeart app.
  • Control group received standard CR alone.
  • Primary outcome: quality of life (HeartQoL); Secondary outcomes: cardiorespiratory fitness (VO2peak) and physical activity.

Main Results:

  • The intervention group showed significant improvements in quality of life (p = 0.02).
  • Cardiorespiratory fitness (VO2peak) also significantly improved in the intervention group (p = 0.04).
  • Patients in the intervention group increased their daily step count significantly (p < 0.01).

Conclusions:

  • SDM-based TR added to center-based CR significantly enhances patient outcomes.
  • This digitally-supported SDM approach empowers patients in their cardiac rehabilitation journey.
  • Future research should investigate long-term impacts and patient self-management in digital CR interventions.