Home-Based Intervention Tool for Cardiac Telerehabilitation: Protocol for a Controlled Trial
BackgroundAmong cardiovascular diseases, adult patients with congenital heart disease represent a population that has been continuously increasing, which is mainly due to improvement of the pathophysiological framing, including the development of surgical and reanimation tech...
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JMIR Publications
2025-01-01
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| Series: | JMIR Research Protocols |
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| author | Francesca Mastorci Maria Francesca Lodovica Lazzeri Lamia Ait-Ali Paolo Marcheschi Paola Quadrelli Massimiliano Mariani Rafik Margaryan Wanda Pennè Marco Savino Giuseppe Prencipe Alina Sirbu Paolo Ferragina Corrado Priami Alessandro Tommasi Cesare Zavattari Pierluigi Festa Stefano Dalmiani Alessandro Pingitore |
| author_facet | Francesca Mastorci Maria Francesca Lodovica Lazzeri Lamia Ait-Ali Paolo Marcheschi Paola Quadrelli Massimiliano Mariani Rafik Margaryan Wanda Pennè Marco Savino Giuseppe Prencipe Alina Sirbu Paolo Ferragina Corrado Priami Alessandro Tommasi Cesare Zavattari Pierluigi Festa Stefano Dalmiani Alessandro Pingitore |
| author_sort | Francesca Mastorci |
| collection | DOAJ |
| description |
BackgroundAmong cardiovascular diseases, adult patients with congenital heart disease represent a population that has been continuously increasing, which is mainly due to improvement of the pathophysiological framing, including the development of surgical and reanimation techniques. However, approximately 20% of these patients will require surgery in adulthood and 40% of these cases will necessitate reintervention for residual defects or sequelae of childhood surgery. In this field, cardiac rehabilitation (CR) in the postsurgical phase has an important impact on the patient by improving psychophysical and clinical recovery in reducing fatigue and dyspnea to ultimately increase survival. In this context, compliance with the rehabilitation program is a key element for the therapeutic benefits of the program. The increase of mobile health care devices and software has greatly extended self-care capabilities across the spectrum of health care activities. Moreover, the possibility of telemonitoring the progress of this self-care provides elements of empowerment and awareness of one’s state of health. As a branch of telehealth, CR can be optimized and facilitated using remote telemedicine devices.
ObjectiveThe principal goal of the Innovation in Postoperative Rehabilitation Training and Monitoring (IPOTERI) study is to design, realize, and test a composite and integrated system for postsurgical rehabilitation therapies at home specialized for cardiac surgery. The secondary aims are to implement the system in a “real-life” context of postcardiac surgical rehabilitation, and to create a data set and a data collection methodology to prototype data analytics algorithms and artificial intelligence techniques for customizing the rehabilitation pathway.
MethodsThe IPOTERI method consists of a telemonitoring platform that guarantees continuity of postoperative care, an intelligent home station based on an Android app for the patient with a user-friendly interface to record vital signals (electrocardiogram, blood pressure, oxygen saturation, and body weight) and access the planning of rehabilitation activities, and a decision support system that communicates with hospital medical records to transmit alerts and specific support information for the formulation and updating of the treatment and care plan.
ResultsThe pilot test started in June 2023 (protocol number 20406/2021) including 50 patients who will be monitored for 12-14 weeks using the developed platform, as described in the Procedures subsection of the Methods section.
ConclusionsThe IPOTERI approach, based on the processing of data recorded during the monitoring of telemedicine devices used at home during the postsurgical rehabilitation of a cardiac patient, together with clinical data from the perioperative and postoperative periods could have positive effects on adherence to the rehabilitation program and clinical improvement as well as result in overall improvement of quality of life.
International Registered Report Identifier (IRRID)DERR1-10.2196/47951 |
| format | Article |
| id | doaj-art-093d607c9446494b893fbf0aaaa628b9 |
| institution | Kabale University |
| issn | 1929-0748 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | JMIR Publications |
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| series | JMIR Research Protocols |
| spelling | doaj-art-093d607c9446494b893fbf0aaaa628b92025-01-22T16:15:28ZengJMIR PublicationsJMIR Research Protocols1929-07482025-01-0114e4795110.2196/47951Home-Based Intervention Tool for Cardiac Telerehabilitation: Protocol for a Controlled TrialFrancesca Mastorcihttps://orcid.org/0000-0002-9415-3715Maria Francesca Lodovica Lazzerihttps://orcid.org/0000-0003-2028-076XLamia Ait-Alihttps://orcid.org/0000-0003-1672-5308Paolo Marcheschihttps://orcid.org/0000-0001-6682-705XPaola Quadrellihttps://orcid.org/0009-0002-2208-210XMassimiliano Marianihttps://orcid.org/0000-0001-6602-6244Rafik Margaryanhttps://orcid.org/0000-0001-6005-472XWanda Pennèhttps://orcid.org/0000-0003-2323-2958Marco Savinohttps://orcid.org/0009-0006-0717-6772Giuseppe Prencipehttps://orcid.org/0000-0001-5646-7388Alina Sirbuhttps://orcid.org/0000-0002-3947-7143Paolo Ferraginahttps://orcid.org/0000-0003-1353-360XCorrado Priamihttps://orcid.org/0000-0002-3261-6235Alessandro Tommasihttps://orcid.org/0000-0002-0579-1580Cesare Zavattarihttps://orcid.org/0000-0001-7703-2527Pierluigi Festahttps://orcid.org/0000-0002-6372-9988Stefano Dalmianihttps://orcid.org/0000-0002-2010-9164Alessandro Pingitorehttps://orcid.org/0000-0002-4049-184X BackgroundAmong cardiovascular diseases, adult patients with congenital heart disease represent a population that has been continuously increasing, which is mainly due to improvement of the pathophysiological framing, including the development of surgical and reanimation techniques. However, approximately 20% of these patients will require surgery in adulthood and 40% of these cases will necessitate reintervention for residual defects or sequelae of childhood surgery. In this field, cardiac rehabilitation (CR) in the postsurgical phase has an important impact on the patient by improving psychophysical and clinical recovery in reducing fatigue and dyspnea to ultimately increase survival. In this context, compliance with the rehabilitation program is a key element for the therapeutic benefits of the program. The increase of mobile health care devices and software has greatly extended self-care capabilities across the spectrum of health care activities. Moreover, the possibility of telemonitoring the progress of this self-care provides elements of empowerment and awareness of one’s state of health. As a branch of telehealth, CR can be optimized and facilitated using remote telemedicine devices. ObjectiveThe principal goal of the Innovation in Postoperative Rehabilitation Training and Monitoring (IPOTERI) study is to design, realize, and test a composite and integrated system for postsurgical rehabilitation therapies at home specialized for cardiac surgery. The secondary aims are to implement the system in a “real-life” context of postcardiac surgical rehabilitation, and to create a data set and a data collection methodology to prototype data analytics algorithms and artificial intelligence techniques for customizing the rehabilitation pathway. MethodsThe IPOTERI method consists of a telemonitoring platform that guarantees continuity of postoperative care, an intelligent home station based on an Android app for the patient with a user-friendly interface to record vital signals (electrocardiogram, blood pressure, oxygen saturation, and body weight) and access the planning of rehabilitation activities, and a decision support system that communicates with hospital medical records to transmit alerts and specific support information for the formulation and updating of the treatment and care plan. ResultsThe pilot test started in June 2023 (protocol number 20406/2021) including 50 patients who will be monitored for 12-14 weeks using the developed platform, as described in the Procedures subsection of the Methods section. ConclusionsThe IPOTERI approach, based on the processing of data recorded during the monitoring of telemedicine devices used at home during the postsurgical rehabilitation of a cardiac patient, together with clinical data from the perioperative and postoperative periods could have positive effects on adherence to the rehabilitation program and clinical improvement as well as result in overall improvement of quality of life. International Registered Report Identifier (IRRID)DERR1-10.2196/47951https://www.researchprotocols.org/2025/1/e47951 |
| spellingShingle | Francesca Mastorci Maria Francesca Lodovica Lazzeri Lamia Ait-Ali Paolo Marcheschi Paola Quadrelli Massimiliano Mariani Rafik Margaryan Wanda Pennè Marco Savino Giuseppe Prencipe Alina Sirbu Paolo Ferragina Corrado Priami Alessandro Tommasi Cesare Zavattari Pierluigi Festa Stefano Dalmiani Alessandro Pingitore Home-Based Intervention Tool for Cardiac Telerehabilitation: Protocol for a Controlled Trial JMIR Research Protocols |
| title | Home-Based Intervention Tool for Cardiac Telerehabilitation: Protocol for a Controlled Trial |
| title_full | Home-Based Intervention Tool for Cardiac Telerehabilitation: Protocol for a Controlled Trial |
| title_fullStr | Home-Based Intervention Tool for Cardiac Telerehabilitation: Protocol for a Controlled Trial |
| title_full_unstemmed | Home-Based Intervention Tool for Cardiac Telerehabilitation: Protocol for a Controlled Trial |
| title_short | Home-Based Intervention Tool for Cardiac Telerehabilitation: Protocol for a Controlled Trial |
| title_sort | home based intervention tool for cardiac telerehabilitation protocol for a controlled trial |
| url | https://www.researchprotocols.org/2025/1/e47951 |
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