Rationale and design of randomized controlled trial protocol of
cardiovascular rehabilitation based on the use of telemedicine
technology in the Czech Republic (CR-GPS)

J 2018

Rationale and design of randomized controlled trial protocol of cardiovascular rehabilitation based on the use of telemedicine technology in the Czech Republic (CR-GPS)

BAŤALÍK, Ladislav, Filip DOSBABA, Martin HARTMAN, Kateřina BAŤALÍKOVÁ, Jindřich ŠPINAR et. al.

Basic information

Original name

Rationale and design of randomized controlled trial protocol of cardiovascular rehabilitation based on the use of telemedicine technology in the Czech Republic (CR-GPS)

Authors

BAŤALÍK, Ladislav (703 Slovakia, guarantor), Filip DOSBABA (203 Czech Republic), Martin HARTMAN (203 Czech Republic), Kateřina BAŤALÍKOVÁ (203 Czech Republic) and Jindřich ŠPINAR (203 Czech Republic, belonging to the institution)

Edition

Medicine, Philadelphia, Lippincott Williams & Wilkins, 2018, 0025-7974

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30201 Cardiac and Cardiovascular systems

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 1.870

RIV identification code

RIV/00216224:14110/18:00103904

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1097/MD.0000000000012385

UT WoS

000451995800082

Keywords in English

cardiac rehabilitation; cardiovascular disease; Czech Republic; physical fitness; quality of life; telemedicine

Abstract

V originále

Background: Cardiovascular diseases remain the most common causes of death in the world. Instructions for secondary prevention recommend multifaceted approach in cardiovascular diseases risk management. Center-based physical exercise training is considered as an important integral part of cardiac rehabilitation (CR). Despite all recognized benefits CR brings, active interest of patients remains low in many countries, including the Czech Republic. That is why there is a need to focus on more effective patients' participation in CR with respect to their preferences and needs. One of possible approaches is using telemonitoring guidance based on obtaining data via technological equipment during home exercise training. The aim of this study is to compare effectiveness of both center-and home-based exercise training with focus on participants' physical fitness and quality of life. Methods/design: This randomized control trial intends to monitor cardiorespiratory health indicators and quality of life of patients diagnosed with a coronary artery disease (CAD) at the University Hospital Brno, Czech Republic. These patients will be randomly separated into 2 groups-a regular outpatient group (ROT) and an intervention training group (ITG). Both groups undergo a 12-week rehabilitation training program. The ROT group will undergo center-based exercise trainings in the hospital and receive feedback and support directly by their coach. The ITG group will be telemonitored during exercise training in their home environment via a wrist sport tester and Internet application. All patients will be supposed to exercise at 70% to 80% of their heart rate reserve obtained from cardiopulmonary exercise test (CPX). The primary outcome is to measure and compare physical fitness values assessed at baseline and after 12 weeks of training. Physical fitness is expressed as peak oxygen uptake assessed by the CPX test. The secondary outcomes are patients, training adherence, and their quality of life. Discussion: This trial focuses on an up-to-date topic. As there have not been any similar trials in the Czech Republic yet, we expect it to bring great benefits not only for our hospital in Brno. In the long term, this method seems to be low-cost for all participants and brings a lot of benefits for those patients, who are for many reasons unable to participate in center-based CR provided by hospitals and other health care centers. Physical exercise therapy brings good results in reducing cardiovascular risk factors and improves its global impact. Thanks to its simplicity, it is expected to increase patients' training adherence as well.

Citovat

BAŤALÍK, Ladislav, Filip DOSBABA, Martin HARTMAN, Kateřina BAŤALÍKOVÁ and Jindřich ŠPINAR. Rationale and design of randomized controlled trial protocol of cardiovascular rehabilitation based on the use of telemedicine technology in the Czech Republic (CR-GPS). Medicine. Philadelphia: Lippincott Williams & Wilkins, 2018, vol. 97, No 37, p. 1-6. ISSN 0025-7974. Available from: https://dx.doi.org/10.1097/MD.0000000000012385.

@article{1444376,
   author = {Baťalík, Ladislav and Dosbaba, Filip and Hartman, Martin and Baťalíková, Kateřina and Špinar, Jindřich},
   article_location = {Philadelphia},
   article_number = {37},
   doi = {http://dx.doi.org/10.1097/MD.0000000000012385},
   keywords = {cardiac rehabilitation; cardiovascular disease; Czech Republic; physical fitness; quality of life; telemedicine},
   language = {eng},
   issn = {0025-7974},
   journal = {Medicine},
   title = {Rationale and design of randomized controlled trial protocol of cardiovascular rehabilitation based on the use of telemedicine technology in the Czech Republic (CR-GPS)},
   url = {https://journals.lww.com/md-journal/subjects/Physiotherapy%20and%20Rehabilitation/Fulltext/2018/09140/Rationale_and_design_of_randomized_controlled.82.aspx},
   volume = {97},
   year = {2018}
}

TY  - JOUR
ID  - 1444376
AU  - Baťalík, Ladislav - Dosbaba, Filip - Hartman, Martin - Baťalíková, Kateřina - Špinar, Jindřich
PY  - 2018
TI  - Rationale and design of randomized controlled trial protocol of cardiovascular rehabilitation based on the use of telemedicine technology in the Czech Republic (CR-GPS)
JF  - Medicine
VL  - 97
IS  - 37
SP  - 1-6
EP  - 1-6
PB  - Lippincott Williams & Wilkins
SN  - 00257974
KW  - cardiac rehabilitation
KW  - cardiovascular disease
KW  - Czech Republic
KW  - physical fitness
KW  - quality of life
KW  - telemedicine
UR  - https://journals.lww.com/md-journal/subjects/Physiotherapy%20and%20Rehabilitation/Fulltext/2018/09140/Rationale_and_design_of_randomized_controlled.82.aspx
N2  - Background: Cardiovascular diseases remain the most common causes of death in the world. Instructions for secondary prevention recommend multifaceted approach in cardiovascular diseases risk management. Center-based physical exercise training is considered as an important integral part of cardiac rehabilitation (CR). Despite all recognized benefits CR brings, active interest of patients remains low in many countries, including the Czech Republic. That is why there is a need to focus on more effective patients' participation in CR with respect to their preferences and needs. One of possible approaches is using telemonitoring guidance based on obtaining data via technological equipment during home exercise training. The aim of this study is to compare effectiveness of both center-and home-based exercise training with focus on participants' physical fitness and quality of life. Methods/design: This randomized control trial intends to monitor cardiorespiratory health indicators and quality of life of patients diagnosed with a coronary artery disease (CAD) at the University Hospital Brno, Czech Republic. These patients will be randomly separated into 2 groups-a regular outpatient group (ROT) and an intervention training group (ITG). Both groups undergo a 12-week rehabilitation training program. The ROT group will undergo center-based exercise trainings in the hospital and receive feedback and support directly by their coach. The ITG group will be telemonitored during exercise training in their home environment via a wrist sport tester and Internet application. All patients will be supposed to exercise at 70% to 80% of their heart rate reserve obtained from cardiopulmonary exercise test (CPX). The primary outcome is to measure and compare physical fitness values assessed at baseline and after 12 weeks of training. Physical fitness is expressed as peak oxygen uptake assessed by the CPX test. The secondary outcomes are patients, training adherence, and their quality of life. Discussion: This trial focuses on an up-to-date topic. As there have not been any similar trials in the Czech Republic yet, we expect it to bring great benefits not only for our hospital in Brno. In the long term, this method seems to be low-cost for all participants and brings a lot of benefits for those patients, who are for many reasons unable to participate in center-based CR provided by hospitals and other health care centers. Physical exercise therapy brings good results in reducing cardiovascular risk factors and improves its global impact. Thanks to its simplicity, it is expected to increase patients' training adherence as well.
ER  -

BAŤALÍK, Ladislav, Filip DOSBABA, Martin HARTMAN, Kateřina BAŤALÍKOVÁ and Jindřich ŠPINAR. Rationale and design of randomized controlled trial protocol of cardiovascular rehabilitation based on the use of telemedicine technology in the Czech Republic (CR-GPS). \textit{Medicine}. Philadelphia: Lippincott Williams \&{} Wilkins, 2018, vol.~97, No~37, p.~1-6. ISSN~0025-7974. Available from: https://dx.doi.org/10.1097/MD.0000000000012385.

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