Actively Recruiting

Phase Not Applicable
Age: 18Years - 65Years
All Genders
ID06625463

Development and Implementation Model of Home Based Cardiac Rehabilitation With Family Empowerment Approach in Patient With Acute Coronary Syndrome

Led by Gadjah Mada University · Updated on 2025-06-15

90

Participants Needed

2

Research Sites

16 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating whether home-based cardiac rehabilitation combined with a family empowerment approach can help patients recovering from acute coronary syndrome (ACS). The study aims to find out if this method improves health-related quality of life and peak oxygen consumption (peak Vo2) better than usual care. The trial includes adult patients aged 18 to 65 who have recently experienced ACS and have been discharged from the hospital between 3 months and 1 year prior to enrollment. Participants in the experimental group will undergo a 12-week home-based cardiac rehabilitation program that includes physical exercise, dietary management, smoking cessation, and stress management guided by educational materials and support from family and healthcare professionals. The intervention also involves regular monitoring of vital signs and exercise intensity based on a 6-minute walk test. The control group will receive usual care with education on medication adherence, exercise, smoking behavior, diet, and stress management in a single session. During the study, participants will perform prescribed walking exercises, follow diet and stress management plans, quit smoking, and comply with medication. They will visit a cardiologist at weeks 1, 6, and 12, and receive ongoing support from a nurse facilitator through video calls or home visits. Researchers will assess health-related quality of life and peak Vo2 at enrollment and after 12 weeks. Daily reports on diet, exercise, medication adherence, and heart rate during exercise will be collected and monitored to evaluate progress and safety.

CONDITIONS

Brief Title

Development and Implementation Model of Home Based Cardiac Rehabilitation With Family Empowerment Approach in Patient With ACS (HBCR in ACS)

Who Can Participate

Age: 18Years - 65Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients with acute coronary syndrome who have been hospitalized and have been at home for at least 3 months and no more than 1 year since hospital discharge
  • Aged 18 to 65 years
  • First experience of sudden cardiac arrest, regardless of whether they have undergone PCI
  • Living with family who are involved in the care process
  • Stable physical condition with normal vital signs and no pain
  • No symptoms of depression based on the Patient Health Questionnaire-9
  • Willing to participate in the study
Not Eligible

You will not qualify if you...

  • Patients with other medical conditions requiring regular medication such as Diabetes Mellitus, hypertension, or renal failure

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Baseline Measurements and Education

Duration - 1 to 2 days

Participants undergo baseline measurements including a 6-minute walk test with ECG before and after to determine exercise intensity. Patients and families receive educational materials and videos about disease, treatment, stress management, diet, and smoking cessation.

1 visit (in-person)

Family-centered Empowerment Education

Duration - 1 to 2 weeks

Participants and their families receive education on acute coronary syndrome, cardiac rehabilitation, risk factor control, and family roles. Facilitators help improve self-efficacy, self-esteem, and family participation through group sessions with feedback and Q&A.

1 to 2 group sessions (in-person or video)

12-week Home-based Cardiac Rehabilitation

Duration - 12 weeks

Participants follow a 12-week home exercise program with physical exercise sessions 3 times a week. Families monitor heart rate and symptoms daily and report diet, exercise, and complaints through forms. Counseling on smoking, diet, and stress management is provided initially with follow-up by nurse every 2 weeks in month 1 and every 4 weeks thereafter. Cardiologist visits occur at weeks 1, 6, and 12.

Cardiologist visits at weeks 1, 6, and 12; nurse follow-ups every 2 weeks in month 1, then every 4 weeks via video call or home visit

Trial Site Locations

Total: 2 locations

1

Gadjah Mada University

Sleman, Special Region of Yogyakarta, Indonesia

Not Yet Recruiting

2

Rsup Dr Sardjito

Yogyakarta, Special Region of Yogyakarta, Indonesia, 55281

Actively Recruiting

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Research Team

E

Eva Marti, M.Kep

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

SUPPORTIVE_CARE

Number of Arms

2

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Published Research Related To This Trial

The Validity and Reliability of the MacNew Heart Disease Health Related Quality of Life Questionnaire: The Indonesian Version.

Nur Basuki, Doa El-Ansary, Stefan Höfer...

https://pubmed.ncbi.nlm.nih.gov/34611066

Assessment of functional capacity in clinical and research settings: a scientific statement from the American Heart Association Committee on Exercise, Rehabilitation, and Prevention of the Council on Clinical Cardiology and the Council on Cardiovascular Nursing.

Ross Arena, Jonathan Myers, Mark A Williams...

https://pubmed.ncbi.nlm.nih.gov/17576872

The effect of family-centered empowerment model on the quality of life of adults with chronic diseases: An updated systematic review and meta-analysis.

Fatemeh Alhani, Mohammad Asghari-Jafarabadi, Reza Norouzadeh...

https://pubmed.ncbi.nlm.nih.gov/35964767