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The remote exercise monitoring trial for exercise-based cardiac rehabilitation (REMOTE-CR): a randomised controlled trial protocol

Maddison, Ralph, Rawstorn, Jonathan C., Rolleston, Anna, Whittaker, Robyn, Stewart, Ralph, Benatar, Joceylne, Warren, Ian, Jiang, Yannan and Gant, Nicholas 2014, The remote exercise monitoring trial for exercise-based cardiac rehabilitation (REMOTE-CR): a randomised controlled trial protocol, BMC public health, vol. 14, pp. 1-8, doi: 10.1186/1471-2458-14-1236.

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Title The remote exercise monitoring trial for exercise-based cardiac rehabilitation (REMOTE-CR): a randomised controlled trial protocol
Author(s) Maddison, RalphORCID iD for Maddison, Ralph orcid.org/0000-0001-8564-5518
Rawstorn, Jonathan C.ORCID iD for Rawstorn, Jonathan C. orcid.org/0000-0002-9755-7993
Rolleston, Anna
Whittaker, Robyn
Stewart, Ralph
Benatar, Joceylne
Warren, Ian
Jiang, Yannan
Gant, Nicholas
Journal name BMC public health
Volume number 14
Article ID 1236
Start page 1
End page 8
Total pages 8
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2014
ISSN 1471-2458
Keyword(s) Adolescent
Adult
Australia
Coronary Disease
Exercise
Exercise Test
Exercise Therapy
Health Promotion
Humans
Monitoring, Physiologic
New Zealand
Oxygen Consumption
Patient Compliance
Quality of Life
Research Design
Risk Factors
Self Efficacy
Telemetry
Summary BACKGROUND: Exercise is an essential component of contemporary cardiac rehabilitation programs for the secondary prevention of coronary heart disease. Despite the benefits associated with regular exercise, adherence with supervised exercise-based cardiac rehabilitation remains low. Increasingly powerful mobile technologies, such as smartphones and wireless physiological sensors, may extend the capability of exercise-based cardiac rehabilitation by enabling real-time exercise monitoring for those with coronary heart disease. This study compares the effectiveness of technology-assisted, home-based, remote monitored exercise-based cardiac rehabilitation (REMOTE) to standard supervised exercise-based cardiac rehabilitation in New Zealand adults with a diagnosis of coronary heart disease.

METHODS/DESIGN: A two-arm, parallel, non-inferiority, randomised controlled trial will be conducted at two sites in New Zealand. One hundred and sixty two participants will be randomised at a 1:1 ratio to receive a 12-week program of technology-assisted, home-based, remote monitored exercise-based cardiac rehabilitation (intervention), or an 8-12 program of standard supervised exercise-based cardiac rehabilitation (control).The primary outcome is post-treatment maximal oxygen uptake (V̇O2max). Secondary outcomes include cardiovascular risk factors (blood lipid and glucose concentrations, blood pressure, anthropometry), self-efficacy, intentions and motivation to be active, objectively measured physical activity, self-reported leisure time exercise and health-related quality of life. Cost information will also be collected to compare the two modes of delivery. All outcomes are assessed at baseline, post-treatment, and 6 months, except for V̇O2max, blood lipid and glucose concentrations, which are assessed at baseline and post-treatment only.

DISCUSSION: This novel study will compare the effectiveness of technology-supported exercise-based cardiac rehabilitation to a traditional supervised approach. If the REMOTE program proves to be as effective as traditional cardiac rehabilitation, it has potential to augment current practice by increasing access for those who cannot utilise existing services.
Language eng
DOI 10.1186/1471-2458-14-1236
Field of Research 110699 Human Movement and Sports Science not elsewhere classified
1117 Public Health And Health Services
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2014, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30081561

Document type: Journal Article
Collections: School of Exercise and Nutrition Sciences
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.