Evaluating Home-Based Cardiac Rehabilitation Using Telemedicine for Adults After Coronary Artery Procedures

What this Trial Is About

This research aims to evaluate the feasibility, effectiveness, and patient adherence of a home-based cardiac rehabilitation program that incorporates telemedicine. It focuses on patients who have undergone coronary revascularization due to atherosclerotic coronary artery disease. The study assesses multiple aspects including quality of life, nutritional counseling, exercise capacity measured by metabolic equivalents METs, diabetes management, tobacco cessation, lipid and blood pressure control, and psychosocial support. Participants will start with an initial review and risk assessment before beginning 36 rehabilitation sessions led by a cardiac rehab specialist. These sessions include pre-session questions, surveys, vital sign measurements before, during, and after exercise, guided exercise protocols, and additional exercises performed off the device. The ROMTech PortableConnect Rehab System, a device that assists movement and monitors muscle activity and joint motion, is used as part of the exercise therapy. Throughout the study, participants will be monitored using various assessments such as the Duke Activity Status Index, Patient Health Questionnaire, Short Physical Performance Battery, and Short Form-36 at baseline and after 12 weeks. Laboratory tests are also conducted at these timepoints. The study tracks session attendance and completion to evaluate adherence. The total duration of participation is 12 weeks, concluding with an end-of-treatment evaluation of physical and psychosocial outcomes.

Integration of Telemedicine and Home-Based Cardiac Rehabilitation: Feasibility, Efficacy, and Adherence