Evidence map›Paper›PMID 27599993›Full record

Trial reportBMC cardiovascular disorders2016

Rationale and design of a randomised clinical trial for an extended cardiac rehabilitation programme using telemonitoring: the TeleCaRe study.

Johan A Snoek, Esther P Meindersma, Leonie F Prins, Arnoud W J Van't Hof, Maria T Hopman, Menko-Jan de Boer, Ed P de Kluiver

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC cardiovascular disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Johan A SnoekSports Medicine Department, Isala, Dokter Van Heesweg 2, 8025 AB, Zwolle, The Netherlands. j.a.snoek@isala.nl.ORCID 0000-0002-2447-9525
Esther P MeindersmaCardiology Department, Isala Heart Centre, Zwolle, The Netherlands.
Leonie F PrinsDiagram, Zwolle, The Netherlands.
Arnoud W J Van't HofCardiology Department, Isala Heart Centre, Zwolle, The Netherlands.
Maria T HopmanPhysiology Department, Radboud UMC, Nijmegen, The Netherlands.
Menko-Jan de BoerCardiology Department, Radboud UMC, Nijmegen, The Netherlands.
Ed P de KluiverCardiology Department, Isala Heart Centre, Zwolle, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the known positive effects of cardiac rehabilitation and an active lifestyle, evidence is emerging that it is difficult to attain and sustain the minimum recommendations of leisure time physical activity. The long-term benefits are often disappointing due to lack of adherence to the changes in life style. Qualitative research on patients' perspectives suggests that motivation for lifestyle change tends to diminish around 3 months after the index-event. The time most cardiac rehabilitation programmes end. The aim of the present study is to determine if prolongation of a traditional cardiac rehabilitation programme with additional heart rate based telemonitoring guidance for a period of 6 months results in better long term effects on physical and mental outcomes, care consumption and quality of life than traditional follow-up.

methodsIn this single centre randomised controlled trial 120 patients with an absolute indication for cardiac rehabilitation will be randomised in a 1:1 ratio to an intervention group with 6 months of heart rate based telemonitoring guidance or a control group with traditional follow-up after cardiac rehabilitation. The primary endpoint will be VO2peak after 12 months. Secondary endpoints are VO2peak after 6 months, quality of life, physical-, emotional- and social functioning, cardiac structure, traditional risk profile, compliance to the use of the heart rate belt and smartphone, MACE and care-consumption. DISCUSSION: The TeleCaRe study will provide insight into the added value of the prolongation of traditional cardiac rehabilitation with 6 months of heart rate based telemonitoring guidance.

trial registrationDutch Trial Register: NTR4644 (registered 06/12/14).

Indexed as

Patient ComplianceQuality of LifeCardiac RehabilitationCoronary Artery DiseaseExercise TherapyFemaleFollow-Up StudiesHumansMaleMiddle AgedRisk FactorsTelemedicineTime FactorsTreatment OutcomeCardiac rehabilitationCardio respiratory fitnessLeisure time physical activityRandomised controlled trialTelemonitoring and telecoachingVO2

Identifiers

PMID27599993
PMCPMC5011947

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.