A web-based cardiac rehabilitation alternative for those declining or dropping out of conventional rehabilitatio

Completed

• Conditions: Coronary heart disease (CHD); Circulatory System; Chronic ischaemic heart disease, unspecified

• Registration Number: ISRCTN10726798
• Lead Sponsor: niversity Hospitals of Leicester NHS Trust

Brief Summary

1. 2018 results in: http://dx.doi.org/10.1136/openhrt-2018-000860

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2015-09-01
• Study Completion: 2017-10-07
• Last Update Posted: 14 January 2019

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

1. Confirmed primary diagnosis of coronary heart disease (CHD)
2. Eligible for conventional CR (eligibility as described in NICE CR commissioning guidelines 2013, section 3)
3. Access to internet. Questions will be asked to establish familiarity with the internet, e.g. use of either online shopping/online banking
4. People who have recently (<12 months) declined an invitation to rehabilitation. These people are defined as those at stage 2 (patient assessment) or stage 3 (when the patient care plan is developed) expressing an unwillingness to attend any further stages of the programme (stages defined in NICE commissioning guidelines 2013, section 1). People who prospectively decline at these stages will also be included
5. People who have recently (<12 months) ‘dropped-out’ of rehabilitation. These people are defined as those not attending 2 consecutive sessions of stage 4 comprehensive rehabilitation sessions (stages defined in NICE commissioning guidelines 2013, section 1)

Exclusion Criteria

1. No access to the internet (it would be unrealistic to recruit people without access to the internet; it is beyond the scope of the project to provide the hardware to participants)
2. Individuals who have completed rehabilitation for a previous admission in the last 12 months
3. Those demonstrating high levels of depression (defined by baseline HADS score >11 [moderate depression]) and poor exercise capacity (defined by poor performance on the Incremental Shuttle Walking Test, level achieved <3 – equivalent to walking 120 metres). These patients will require a more supervised approach
4. Unable to read English. The website is currently only available in English

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The primary outcome measured in this study is the feasibility of recruiting/retaining people who meet our inclusion and exclusion criteria; those who have declined/dropped out of traditional cardiac rehabilitation.