Patients' preference for exercise setting and its influence on the health benefits gained from exercise-based cardiac rehabilitation
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Patients' preference for exercise setting and its influence on the health benefits gained from exercise-based cardiac rehabilitation. / Tang, Lars H.; Berg, Selina Kikkenborg; Christensen, Jan; Lawaetz, Jannik; Doherty, Patrick; Taylor, Rod S.; Langberg, Henning; Zwisler, Ann Dorthe.
In: International Journal of Cardiology, Vol. 232, 01.04.2017, p. 33-39.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Patients' preference for exercise setting and its influence on the health benefits gained from exercise-based cardiac rehabilitation
AU - Tang, Lars H.
AU - Berg, Selina Kikkenborg
AU - Christensen, Jan
AU - Lawaetz, Jannik
AU - Doherty, Patrick
AU - Taylor, Rod S.
AU - Langberg, Henning
AU - Zwisler, Ann Dorthe
N1 - Copyright © 2017. Published by Elsevier B.V.
PY - 2017/4/1
Y1 - 2017/4/1
N2 - OBJECTIVE: To assess patient preference for exercise setting and examine if choice of setting influences the long-term health benefit of exercise-based cardiac rehabilitation.METHODS: Patients participating in a randomised controlled trial following either heart valve surgery, or radiofrequency ablation for atrial fibrillation were given the choice to perform a 12-week exercise programme in either a supervised centre-based, or a self-management home-based setting. Exercise capacity and physical and mental health outcomes were assessed for up to 24months after hospital discharge. Outcomes between settings were compared using a time×setting interaction using a mixed effects regression model.RESULTS: Across the 158 included patients, an equivalent proportion preferred to undertake exercise rehabilitation in a centre-based setting (55%, 95% CI: 45% to 63%) compared to a home-based setting (45%, 95% CI: 37% to 53%, p=0.233). At baseline, those who preferred a home-based setting reported better physical health (mean difference in physical component score: 5.0, 95% CI 2.3 to 7.4; p=0.001) and higher exercise capacity (mean between group difference 15.9watts, 95% CI 3.7 to 28.1; p=0.011). With the exception of the depression score in the Hospital Anxiety and Depression Score (F(3.65), p=0.004), there was no evidence of a significant difference in outcomes between settings.CONCLUSION: The preference of patients to participate in home-based and centre-based exercise programmes appears to be equivalent and provides similar health benefits. Whilst these findings support that patients should be given the choice between exercise-settings when initiating cardiac rehabilitation, further confirmatory evidence is needed.
AB - OBJECTIVE: To assess patient preference for exercise setting and examine if choice of setting influences the long-term health benefit of exercise-based cardiac rehabilitation.METHODS: Patients participating in a randomised controlled trial following either heart valve surgery, or radiofrequency ablation for atrial fibrillation were given the choice to perform a 12-week exercise programme in either a supervised centre-based, or a self-management home-based setting. Exercise capacity and physical and mental health outcomes were assessed for up to 24months after hospital discharge. Outcomes between settings were compared using a time×setting interaction using a mixed effects regression model.RESULTS: Across the 158 included patients, an equivalent proportion preferred to undertake exercise rehabilitation in a centre-based setting (55%, 95% CI: 45% to 63%) compared to a home-based setting (45%, 95% CI: 37% to 53%, p=0.233). At baseline, those who preferred a home-based setting reported better physical health (mean difference in physical component score: 5.0, 95% CI 2.3 to 7.4; p=0.001) and higher exercise capacity (mean between group difference 15.9watts, 95% CI 3.7 to 28.1; p=0.011). With the exception of the depression score in the Hospital Anxiety and Depression Score (F(3.65), p=0.004), there was no evidence of a significant difference in outcomes between settings.CONCLUSION: The preference of patients to participate in home-based and centre-based exercise programmes appears to be equivalent and provides similar health benefits. Whilst these findings support that patients should be given the choice between exercise-settings when initiating cardiac rehabilitation, further confirmatory evidence is needed.
KW - Journal Article
U2 - 10.1016/j.ijcard.2017.01.126
DO - 10.1016/j.ijcard.2017.01.126
M3 - Journal article
C2 - 28159358
VL - 232
SP - 33
EP - 39
JO - International Journal of Cardiology
JF - International Journal of Cardiology
SN - 0167-5273
ER -
ID: 173737993