Clinical, Psychological, Physiological, and Technical Parameters and Their Relationship With Digital Tool Use During Cardiac Rehabilitation: Comparison and Correlation Study
Abstract BackgroundHome and telehealth-based interventions are increasingly used in cardiac rehabilitation, a multidisciplinary model of health care. Digital tools such as wearables or digital training diaries are expected to support patients to adhere to recommended lifestyle...
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| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JMIR Publications
2025-04-01
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| Series: | JMIR mHealth and uHealth |
| Online Access: | https://mhealth.jmir.org/2025/1/e57413 |
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| Summary: | Abstract
BackgroundHome and telehealth-based interventions are increasingly used in cardiac rehabilitation, a multidisciplinary model of health care. Digital tools such as wearables or digital training diaries are expected to support patients to adhere to recommended lifestyle changes, including physical exercise programs. As previously published, the EPICURE study (effect of digital tools in outpatient cardiac rehabilitation including home training) analyzed the effects of digital tools, that is, a digital training diary, adherence monitoring, and wearables, on exercise capacity during outpatient cardiac rehabilitation phase III (OUT-III) which includes an approximately 12-week home-training phase. The study encompassed 149 Austrian patients, of which 50 used digital tools.
ObjectiveThe present paper takes a deeper look into the EPICURE data to better understand the relation between the use of digital tools and various psychological, clinical, and physiological parameters, and the relation between these parameters and the improvement of exercise capacity during cardiac rehabilitation.
MethodsFor this work, we analyzed questionnaires concerning the patients’ cardiac rehabilitation. On all these parameters we performed 2 analyzes: (1) Comparison of the 2 groups with and without digital tools and (2) correlation with the change in the maximum workload as achieved during the exercise stress test. If data pre- and post OUT-III were available, the change in the respective parameter during OUT-III was determined and group analysis and correlation were applied on data pre OUT-III, data post OUT-III, and the change during OUT-III.
ResultsWe found significant improvements in quality of life in both groups, with no discernible differences between patients with or without digital tools (PP=P=P=P=P=P=P=)P=P
ConclusionsThis comprehensive analysis provides valuable insights into the multifaceted impact of digital tools on outpatient cardiac rehabilitation including home training, shedding light on the importance of digital tools for increased competence and a higher risk perception during cardiac rehabilitation. In addition, the impact of digital tools on adherence and their influence on patient outcomes were assessed in the evolving landscape of digital health interventions. |
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| ISSN: | 2291-5222 |