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Patient-reported outcomes from patients with heart failure participating in the future patient telerehabilitation program: Data from the intervention arm of a randomized controlled trial

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

DOI

  • Cathrine Skov Schacksen, Aalborg Universitet
  • ,
  • Anne Kirstine Dyrvig, The Danish Clinical Quality Program- National Clinical Registries (RKKP)
  • ,
  • Nanna Celina Henneberg, Aalborg Universitet
  • ,
  • Josefine Dam Gade, Aalborg Universitet
  • ,
  • Helle Spindler
  • Jens Refsgaard, Cardiology Ward
  • ,
  • Malene Hollingdal
  • Lars Dittman, Danmarks Tekniske Universitet
  • ,
  • Kim Dremstrup, Aalborg Universitet
  • ,
  • Birthe Dinesen, Aalborg Universitet

Background: More than 37 million people worldwide have been diagnosed with heart failure, which is a growing burden on the health sector. Cardiac rehabilitation aims to improve patients' recovery, functional capacity, psychosocial well-being, and health-related quality of life. However, cardiac rehabilitation programs have poor compliance and adherence. Telerehabilitation may be a solution to overcome some of these challenges to cardiac rehabilitation by making it more individualized. As part of the Future Patient Telerehabilitation program, a digital toolbox aimed at enabling patients with heart failure to monitor and evaluate their own current status has been developed and tested using data from a patient-reported outcome questionnaire that the patient filled in every alternate week for 1 year. Objective: The aim of this study is to evaluate the changes in quality of life and well-being among patients with heart failure, who are participants in the Future Patient Telerehabilitation program over the course of 1 year. Methods: In total, 140 patients were enrolled in the Future Patient Telerehabilitation program and randomized into either the telerehabilitation group (n=70) or the control group (n=70). Of the 70 patients in the telerehabilitation group, 56 (80.0%) answered the patient-reported outcome questionnaire and completed the program, and these 56 patients comprised the study population. The patient-reported outcomes consisted of three components: (1) questions regarding the patients' sleep patterns assessed using the Spiegel Sleep Questionnaire; (2) measurements of physical limitations, symptoms, self-efficacy, social interaction, and quality of life assessed using the Kansas City Cardiomyopathy Questionnaire in 10 dimensions; and (3) 5 additional questions regarding psychological well-being that were developed by the research group. Results: The changes in scores during 1 year of the study were examined using 1-sample Wilcoxon signed-rank tests. There were significant differences in the scores for most of the slopes of the scores from the dimensions of the Kansas City Cardiomyopathy Questionnaire (P<.05). Conclusions: There was a significant increase in clinical and social well-being and quality of life during the 1-year period of participating in a telerehabilitation program. These results suggest that patient-reported outcome questionnaires may be used as a tool for patients in a telerehabilitation program that can both monitor and guide patients in mastering their own symptoms.

OriginalsprogEngelsk
Artikelnummere26544
TidsskriftJMIR Cardio
Vol/bind5
Nummer2
DOI
StatusUdgivet - jul. 2021

Bibliografisk note

Funding Information:
We wish to thank the patients and all partners who participated in the study, including the health care centers and cardiology wards of regional hospitals in Viborg, Skive, Randers, and Silkeborg; the Danish Heart Association; Technical University of Denmark; Department of Psychology and Behavioral Sciences, Aarhus University; Department of Computer Science, Aalborg University; Centre for Innovative Medical Technology, Odense University Hospital; and the Laboratory for Welfare Technologies, Aalborg University. Furthermore, the authors wish to thank Aage and Johanne-Louis Hansen’s Foundation for their financial support for this study. The Future Patient project was financed by Aage and Johanne-Louis Hansen’s Foundation, Aalborg University, Viewcare, and partners in the study.

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