TY - JOUR
T1 - Effectiveness of a Home-Based Telehealth Exercise Training Program for Patients with Cardiometabolic Multimorbidity
T2 - A Randomized Controlled Trial
AU - Chiang, Shang Lin
AU - Shen, Chien Lung
AU - Chen, Liang Cheng
AU - Lo, Yi Pang
AU - Lin, Chueh Ho
AU - Lin, Chia Huei
N1 - Funding Information:
Practice Application, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan, ROC. Chia-Huei Lin, RN, PhD Assistant Professor, School of Nursing, National Defense Medical Center, and Supervisor, Department of Nursing, Songshan Branch of Tri-Service General Hospital, Taipei, Taiwan, ROC. This study was funded by Tri-Service General Hospital (grant number TSGH-C108-127, 2019; TSGH-E-109234, 2020) and Ministry of Science and Technology (grant number MOST107-2314-B016-068, 2018), Taipei, Taiwan. The authors have no conflicts of interest to disclose. Correspondence Chia-Huei Lin, RN, PhD, School of Nursing, National Defense Medical Center, 161 Sec. 6 Mingchuan E. Rd, Neihu 114, Taipei, Taiwan, ROC ([email protected]). DOI: 10.1097/JCN.0000000000000693
Publisher Copyright:
© Wolters Kluwer Health, Inc. All rights reserved.
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/9/1
Y1 - 2020/9/1
N2 - Background Exercise training has positive effects on the management of cardiometabolic conditions. Little is known about the effectiveness of home-based telehealth exercise training programs among patients with cardiometabolic multimorbidity, which is associated with functional decline and decreased health-related quality of life. Objective The aim of this study was to determine the effectiveness of a 12-week home-based telehealth exercise training program designed to increase physical activity and exercise capacity and improve health-related quality of life in patients with cardiometabolic multimorbidity. Methods A randomized controlled trial was conducted. Fifty eligible patients with 2 or more cardiometabolic conditions from outpatient clinics of a medical center in Northern Taiwan were randomized to either an experimental group (EG; received a 12-week home-based telehealth exercise training program) or a control group (CG; maintained usual lifestyles). The home-based telehealth exercise training program consisted of 36 individualized home-based exercise training sessions and a weekly reminder for maintenance of exercise and providing patient support. Amounts of physical activity, exercise capacity, and health-related quality of life were assessed at baseline and 12 weeks. Generalized estimating equations were used to examine the intervention effects via the interaction of time and group. Results The EG had higher amounts of physical activity (β = 1333, P =.004) and moderate-intensity physical activity (β = 330, P =.04) than the CG after the intervention. The EG had increased exercise capacity (VO2peak, β = 4.43, P =.04), as well as improved health-related quality of life (physical function, β = 7.55, P =.03; and physical component summary, β = 4.42, P =.03) compared with those in the CG. Conclusions A 12-week home-based telehealth exercise training program is feasible and effective in increasing amounts of physical activity, elevating exercise capacity, and improving health-related quality of life in patients with cardiometabolic multimorbidity.
AB - Background Exercise training has positive effects on the management of cardiometabolic conditions. Little is known about the effectiveness of home-based telehealth exercise training programs among patients with cardiometabolic multimorbidity, which is associated with functional decline and decreased health-related quality of life. Objective The aim of this study was to determine the effectiveness of a 12-week home-based telehealth exercise training program designed to increase physical activity and exercise capacity and improve health-related quality of life in patients with cardiometabolic multimorbidity. Methods A randomized controlled trial was conducted. Fifty eligible patients with 2 or more cardiometabolic conditions from outpatient clinics of a medical center in Northern Taiwan were randomized to either an experimental group (EG; received a 12-week home-based telehealth exercise training program) or a control group (CG; maintained usual lifestyles). The home-based telehealth exercise training program consisted of 36 individualized home-based exercise training sessions and a weekly reminder for maintenance of exercise and providing patient support. Amounts of physical activity, exercise capacity, and health-related quality of life were assessed at baseline and 12 weeks. Generalized estimating equations were used to examine the intervention effects via the interaction of time and group. Results The EG had higher amounts of physical activity (β = 1333, P =.004) and moderate-intensity physical activity (β = 330, P =.04) than the CG after the intervention. The EG had increased exercise capacity (VO2peak, β = 4.43, P =.04), as well as improved health-related quality of life (physical function, β = 7.55, P =.03; and physical component summary, β = 4.42, P =.03) compared with those in the CG. Conclusions A 12-week home-based telehealth exercise training program is feasible and effective in increasing amounts of physical activity, elevating exercise capacity, and improving health-related quality of life in patients with cardiometabolic multimorbidity.
KW - cardiometabolic multimorbidity
KW - exercise training
KW - health-related quality of life
KW - physical activity
KW - telehealth
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U2 - 10.1097/JCN.0000000000000693
DO - 10.1097/JCN.0000000000000693
M3 - Article
C2 - 32511110
AN - SCOPUS:85089410352
SN - 0889-4655
VL - 35
SP - 491
EP - 501
JO - Journal of Cardiovascular Nursing
JF - Journal of Cardiovascular Nursing
IS - 5
ER -