Teledi@Log - Tele-rehabilitation of Heart Patients
- Conditions
- Coronary StenosisMitral Valve StenosisMyocardial InfarctionHeart FailureAngina Pectoris
- Interventions
- Device: Telerehabilitation programme
- Registration Number
- NCT01752192
- Lead Sponsor
- Aalborg University
- Brief Summary
The idea behind the Teledi@log consortium is to develop tele-rehabilitation concepts and technologies so that all types of heart disease patients, regardless of degree of severity, can be offered individual, customized and coordinated tele-rehabilitation across sectors. The project is innovative, breaking new ground in relation to existing national and international research projects in the area. The Teledi@log consortium sees its major task as developing and testing scenarios which can lead to a more coherent rehabilitation for heart patients in areas such as patient training, organization across the boundaries of the health system and using tele-rehabilitation technology. The Teledi@log consortium seeks to develop new tele-rehabilitation concepts which bring the patient closer to the health system and thereby promote the heart patient's rehabilitation, giving the patient and their families a more active role via new tele-rehabilitation technologies.The hypothesis of the study is that heart patients participating in a telerehabilitation program will have a higher quality of life compared to heart patients following traditional rehabilitation activities.
- Detailed Description
The aims of the research project are:
To assess the heart patients' and family members' needs for rehabilitation in the health system
To assess the need for coordination of the rehabilitation effort in the health system
To develop tele-rehabilitation concepts and technologies for heart patients, family members and health professionals in the health sector
To promote an early, rapid and effective rehabilitation of heart patients to improve their daily life and working life.
To prevent re-hospitalization of heart patients through a more individualized and differentiated rehabilitation effort using tele-rehabilitation technologies.
To conduct a randomized study of a tele-rehabilitation concept using tele-rehabilitation technologies and to assess the clinical, technical, organizational and health-economic effects.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 151
- Women and men above 18 years
- Must have signed the "Informed Consent" document
- Must be able to understand study information
- Must live in Hjørring or Frederikshavn Kommune
- Must have mobile network
- Must be able to use IT or have a near person who can use IT
- Patients with clinical diagnosis of Heart Failure, Myocardial Infarction, Angina Pectoris, patients who have had Coronary-Artery Bypass Surgery.
- Patients who, according to investigator, will not be able to participate in the study
- Lack of ability to speak and understand Danish
- Pregnancy or nursing
- Neurologic disease
- Use of wheelchair/lack of ability to walk
- Participation in other studies which can influence the outcomes of this study
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Telerehabilitation programme Telerehabilitation programme Telerehabilitation programme: Each patient will use a telehealth monitor and measure blood pressure, pulse and weight once or twice a week over a 3 months periods with the use of a blood pressure monitor and a weightscale connected to the monitor. The patients will also measure their steps daily by the use of a digital step-counter. The patients will be able to see their data in a personal health record on a tablet where they can share informations with healthcare professionals. The patient are also offered access to a portal called www.aktivehjerte.dk where they can find informations on rehabilitations topics in text, video and sound. The patients are randomised in block of different sizes to follow rehabilitation from hospital, healthcare center or a callcenter.
- Primary Outcome Measures
Name Time Method Quality of life At inclusion (baseline), change from baseline at 3, 6 and 12 months Quality of life is measured via the questionaire SF 36 (short form health survey) at baseline (at inclusion) and changes from baseline at 3, 6 and 12 months.
- Secondary Outcome Measures
Name Time Method Social media for telerehabilitation Changes within 3 months Patients use of social media during an rehabilitation process will be explored through interviews at baseline (inclusion) and changes from baseline at 3, 6 and 12 months will be identified.
Hospital Anxiety and Depression Scale (HADS) At inclusion (baseline), change from baseline at 3, 6 and 12 months To measure the patients degree of anxiety and depression at baseline (inclusion), changes from baseline at 3, 6 and 12 months.
Self-determination At inclusion (baseline), change from baseline at 3, 6 and 12 months Questionaires on self-determination will be used in order to get an impression of the patients perception on handling their disease at baseline(inclusion)and changes from baseline at 3, 6 and 12 months.
Health economical evaluation At inclusion (baseline), change from baseline at 3, 6 and 12 months An assessment of the economical perspective of the telerehabilitation programme will be performed at baseline (inclusion of patients) and changes from baseline at 3, 6 and 12 months.
Interorganizational aspects of a telerehabilitation programme Cnanges during 2012-2014 Interorganiszational aspect of the crosssectional telerehabilitation programme will be explored through observations and qualitative interviews with healthcare professionals at baseline (start of the study) and changes from baseline will be identified in October 2013.
Health outcome EQ 5 At inclusion (baseline), change from baseline at 3, 6 and 12 months To measure health outcome at baseline (inclusion, and changes from baseline at 3, 6 and 12 months.
Trial Locations
- Locations (2)
Cardiology Ward Vendyssel Hospital
🇩🇰Hjoerring, Denmark
Thoracic Ward, Aalborg University Hospital
🇩🇰Aalborg, Denmark