NCT06473441

Telehealth and Home-based Exercise and Rehabilitation Therapy for Acute Coronary Syndrome

Comparative Effectiveness of Three Home-Based Rehabilitation Programs in Patients With Acute Coronary Syndrome: A Randomized Controlled Trial

• Status: Not Yet Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 60 (estimated)
• Sponsor: National Taiwan University Hospital · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

This study aims to compare the effectiveness of three different home-based rehabilitation programs for patients with acute coronary syndrome (ACS). This randomized controlled trial will recruit 60 ACS patients, divided into three groups: a 12-week home rehabilitation group, a 6-week tele-rehabilitation followed by 6-week home rehabilitation group, and a 12-week tele-rehabilitation combined with home rehabilitation group. Patients will be assessed at baseline, and at 3, 6, and 12 months on physical health, cardiopulmonary function, and psychological well-being. The hypothesis is that home-based CR, particularly with tele-rehabilitation, will improve recovery and quality of life more effectively. The study aims to identify the most beneficial home rehabilitation strategy for ACS patients.

Detailed description

This study is designed to evaluate the benefits of three different home-based cardiac rehabilitation (CR) models on the recovery of patients with acute coronary syndrome (ACS). Cardiovascular diseases are a major cause of mortality worldwide, but advancements in CR have significantly improved patient outcomes. Despite the proven benefits of CR in enhancing quality of life and reducing hospital readmission rates, participation in traditional CR programs remains low. Home-based CR, especially using tele-rehabilitation technologies, offers a promising alternative. This randomized controlled trial will recruit 60 ACS patients, divided into three groups: a 12-week home rehabilitation group, a 6-week tele-rehabilitation followed by a 6-week home rehabilitation group, and a 12-week tele-rehabilitation combined with home rehabilitation group. All patients will undergo evaluations at baseline, and at 3, 6, and 12 months to assess physical health, cardiopulmonary function, and psychological well-being. The hypothesis is that home-based CR, particularly with tele-rehabilitation support, will enhance recovery and quality of life more effectively than traditional methods. The findings aim to identify the most effective home rehabilitation strategy for ACS patients, providing insights into improving their cardiopulmonary function and overall well-being.

Conditions

• Acute Coronary Syndrome
• Coronary Artery Disease

Interventions

Type	Name	Description
BEHAVIORAL	Tele-Rehabilitation Therapy	Twice-weekly sessions with remote supervision and guidance from therapists.
BEHAVIORAL	Health Education	Health education based on individual assessments.
BEHAVIORAL	Exercise Prescription	Exercise prescription tailored to individual needs.
BEHAVIORAL	Home Exercise Equipment Use	Use of a home exercise bike, resistance bands, respiratory muscle training device, and a portable heart rate monitor.
BEHAVIORAL	Exercise Log	Logging daily exercise intensity and duration in a rehabilitation diary
BEHAVIORAL	Follow-Up Calls	Regular follow-up calls to monitor progress and address any issues.

Timeline

• Start date: 2024-07-01
• Primary completion: 2026-06-30
• Completion: 2027-06-30
• First posted: 2024-06-25
• Last updated: 2024-06-25