Home-based cardiac rehabilitation in Brazil’s public health care: protocol for a randomized controlled trial

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dc.creatorAna Paula Lima
dc.creatorIsabella Oliveira Nascimento
dc.creatorAnne Caroline Oliveira
dc.creatorThiago Henrique Martins
dc.creatorDanielle Aparecida Gomes Pereira
dc.creatorRaquel Rodrigues Britto
dc.date.accessioned2022-04-29T14:10:36Z
dc.date.accessioned2025-09-08T23:30:18Z
dc.date.available2022-04-29T14:10:36Z
dc.date.issued2019-11
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
dc.description.sponsorshipFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Gerais
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.2196/13901
dc.identifier.issn1929-0748
dc.identifier.urihttps://hdl.handle.net/1843/41258
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofJMIR Research Protocols
dc.rightsAcesso Aberto
dc.subjectReabilitação cardíaca
dc.subjectCoronariopatias
dc.subjectExercícios físicos
dc.subjectSaúde pública
dc.subject.otherCardiac rehabilitation
dc.subject.otherCoronary disease
dc.subject.otherExercise
dc.titleHome-based cardiac rehabilitation in Brazil’s public health care: protocol for a randomized controlled trial
dc.typeArtigo de periódico
local.citation.epage8
local.citation.issue11
local.citation.spage1
local.citation.volume8
local.description.resumoBackground: Coronary artery disease (CAD) is among the main causes of hospitalization and death worldwide, therefore, the implementation of programs to reduce its impact is necessary. Supervised cardiac rehabilitation has been shown to have positive effects on CAD control. However, there are barriers to patient participation in the traditional, face-to-face cardiac rehabilitation programs, mainly in low-resource environments. Objective: This study aimed to verify patient compliance to a home-based cardiac rehabilitation program, which includes unsupervised health education and physical exercises, guided by telephone. Moreover, we compare this new method to the traditional supervised cardiac rehabilitation offered in most hospital centers. Methods: We present here a two-arm, single-blinded, and randomized controlled design protocol, which compares the traditional cardiac rehabilitation (CenterRehab) with the home-based cardiac rehabilitation (Home-Based) in 72 patients affected by CAD. The primary outcome is the compliance to the cardiac rehabilitation sessions. The secondary outcomes (to evaluate effectiveness) include measurable variables such as functional capacity, CAD risk factors (blood pressure, waist circumference, glycemic, cholesterol levels, depressive symptoms, and the level of physical activity), the patient’s quality of life, the disease knowledge, and the morbidity rate. Parameters such as the program cost and the usability will also be evaluated. The programs will last 12 weeks, with a total of 60 rehabilitation and 6 educational sessions. Patients of the CenterRehab program will participate in 24 supervised sessions and 36 home sessions, while the patients of the Home-Based program will participate in 2 supervised sessions and 58 home sessions, guided by telephone. After the 12-week period all participants will be recommended to continue practicing physical exercises at home or at a community center, and they will be invited for re-evaluation after 3 months. The outcomes will be evaluated at baseline, and after 3 and 6 months. Results: Participants are currently being recruited for the trial. Data collection is anticipated to be completed by October 2019. Conclusions: This is the first study in Brazil comparing the traditional cardiac rehabilitation approach with a novel, home-based protocol that uses an accessible and low-cost technology. If positive results are obtained, the study will contribute to establish a new and viable model of cardiac rehabilitation.
local.identifier.orcidhttps://orcid.org/ 0000-0001-7324-3650
local.identifier.orcidhttps://orcid.org/ 0000-0003-4165-234X
local.identifier.orcidhttps://orcid.org/ 0000-0001-9359-8678
local.identifier.orcidhttps://orcid.org/ 0000-0001-7617-8524
local.identifier.orcidhttps://orcid.org/ 0000-0003-4400-2326
local.identifier.orcidhttps://orcid.org/ 0000-0002-9533-3654
local.publisher.countryBrasil
local.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIA
local.publisher.initialsUFMG
local.url.externahttps://www.researchprotocols.org/2019/11/e13901/

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