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Development and application of a home-based exercise program for patients with cardiovascular disease: a feasibility study

Title
Development and application of a home-based exercise program for patients with cardiovascular disease: a feasibility study
Authors
LeeMi KyungChan JooGooSeon YoungTae HoMoonJin YoungJungJiyoungKimMin JungShinSang HeeJong NamHanSung NimJung EunJong YoungChungIck-MoJeonJustin Y.
Ewha Authors
정익모
SCOPUS Author ID
정익모scopus
Issue Date
2024
Journal Title
BMC Sports Science, Medicine and Rehabilitation
ISSN
2052-1847JCR Link
Citation
BMC Sports Science, Medicine and Rehabilitation vol. 16, no. 1
Keywords
Cardiovascular diseaseHome-based cardiac rehabilitationHome-based exercise programPhysical activity
Publisher
BioMed Central Ltd
Indexed
SCIE; SCOPUS WOS scopus
Document Type
Article
Abstract
Background: Cardiac rehabilitation (CR) is recommended for patients with cardiovascular disease. However, the participation and completion rates for hospital-based CR are low, and home-based CR has been suggested as an alternative. This study aimed to develop a home-based CR program and assess the feasibility of the program over a 6-week period in patients with left ventricular dysfunction or a history of myocardial infarction. Methods: This feasibility study consisted of two phases. The initial phase (Study 1) focused on developing the home-based exercise protocol. Systematic approaches to developing evidence-based home-based exercise intervention were implemented including systematic review, patient surveys, and expert consensus. Study 2 aimed to evaluate the feasibility of a 6-week home-based CR program that was based on the results of Study 1. Study 2 included two exercise education sessions and four telephone counseling sessions. During this stage of the exercise program, the participants exercised on two separate days and their experiences while performing the aerobic and resistance exercises were surveyed. Eight participants participated in Study 1 and 16 participated in Study 2. Results: Participants expressed overall satisfaction with the exercise program in Study 1. Heart rate increased in response to exercise, but this did not correspond with perceived exertion. The aim of the home-based CR exercise program was for participants to achieve exercise goals (≥150 min/week of aerobic type exercises as well as at least twice weekly resistance exercise using own body weights). We aimed to increase compliance and adherence to the home-based CR program. In Study 2, 13 out of 16 participants (81.3%) completed the 6-week home-based CR program, with a participation rate of 100% in both exercise education and phone counseling sessions. Adherence to the home-based exercise protocol was 83.1% and no serious adverse events were observed. At the beginning of the study, only three out of 13 participants (23.1%) met the requirements for both aerobic and resistance exercises, but at the end of the 6-week program, 10 out of 13 participants (76.9%) fulfilled the requirements. Conclusion: The exercise program developed in this study was safe and feasible, and the 6-week home-based CR program was feasible for patients with cardiovascular disease without any reported adverse effects. © The Author(s) 2024.
DOI
10.1186/s13102-024-00835-3
Appears in Collections:
의과대학 > 의학과 > Journal papers
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