Evidence map›Paper›PMID 32014842›Full record

Trial reportJournal of medical Internet research2020

Feasibility, Acceptability, and Clinical Effectiveness of a Technology-Enabled Cardiac Rehabilitation Platform (Physical Activity Toward Health-I): Randomized Controlled Trial.

Jomme Claes, Véronique Cornelissen, Clare McDermott, Niall Moyna, Nele Pattyn, Nils Cornelis, Anne Gallagher, Ciara McCormack, Helen Newton, Alexandra Gillain and 5 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02717806 (Technology-enabled Cardiac Rehabilitation Through PATHway. Feasibility, Clinical Effectiveness and Cost-effectiveness), which is not on this map. Cited by 38 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 11 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.

NCT02717806 nacompletednot on this map

Technology-enabled Cardiac Rehabilitation Through PATHway. Feasibility, Clinical Effectiveness and Cost-effectiveness

TypeinterventionalSponsorKU LeuvenRan2017 to 2018Enrolled120ConditionsCardiovascular DiseaseArmsPATHway
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 11 syntheses or guidelines pooled it.

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  5. Home-based versus centre-based cardiac rehabilitation.The Cochrane database of systematic reviews · 2023
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  9. Exercise-based cardiac rehabilitation for coronary heart disease.The Cochrane database of systematic reviews · 2021
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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

15 authors.

Jomme ClaesPhysiotherapy Department, University Hospitals Leuven, Leuven, Belgium.ORCID 0000-0003-3922-0038
Véronique CornelissenDepartment of Rehabilitation Sciences, University of Leuven, Leuven, Belgium.ORCID 0000-0002-0578-4954
Clare McDermottDepartment of Health & Human Performance, Dublin City University, Dublin, Ireland.ORCID 0000-0002-9261-0564
Niall MoynaDepartment of Health & Human Performance, Dublin City University, Dublin, Ireland.ORCID 0000-0003-1061-8528
Nele PattynDepartment of Rehabilitation Sciences, University of Leuven, Leuven, Belgium.ORCID 0000-0002-3204-402X
Nils CornelisDepartment of Rehabilitation Sciences, University of Leuven, Leuven, Belgium.ORCID 0000-0001-8403-0044
Anne GallagherMater Misericordiae University Hospital, Dublin, Ireland.ORCID 0000-0002-2520-6780
Ciara McCormackDepartment of Health & Human Performance, Dublin City University, Dublin, Ireland.ORCID 0000-0003-4508-5522
Helen NewtonBeaumont Hospital, Dublin, Ireland.ORCID 0000-0002-3400-155X
Alexandra GillainPhysiotherapy Department, University Hospitals Leuven, Leuven, Belgium.ORCID 0000-0001-9516-4750
Werner BudtsDepartment of Cardiovascular Sciences, University of Leuven, Leuven, Belgium.ORCID 0000-0001-5850-5413
Kaatje GoetschalckxDepartment of Cardiovascular Sciences, University of Leuven, Leuven, Belgium.ORCID 0000-0002-5419-7684
Catherine WoodsPhysical Activity for Health, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland.ORCID 0000-0002-0892-6591
Kieran MoranDepartment of Health & Human Performance, Dublin City University, Dublin, Ireland.ORCID 0000-0003-2015-8967
Roselien BuysDepartment of Rehabilitation Sciences, University of Leuven, Leuven, Belgium.ORCID 0000-0001-8379-3971

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiac rehabilitation (CR) is highly effective as secondary prevention for cardiovascular diseases (CVDs). Uptake of CR remains suboptimal (30% of eligible patients), and long-term adherence to a physically active lifestyle is even lower. Innovative strategies are needed to counteract this phenomenon.

objectiveThe Physical Activity Toward Health (PATHway) system was developed to provide a comprehensive, remotely monitored, home-based CR program for CVD patients. The PATHway-I study aimed to investigate its feasibility and clinical efficacy during phase III CR.

methodsParticipants were randomized on a 1:1 basis to the PATHway (PW) intervention group or usual care (UC) control group in a single-blind, multicenter, randomized controlled pilot trial. Outcomes were assessed at completion of phase II CR and 6-month follow-up. The primary outcome was physical activity (PA; Actigraph GT9X link). Secondary outcomes included measures of physical fitness, modifiable cardiovascular risk factors, endothelial function, intima-media thickness of the common carotid artery, and quality of life. System usability and patients' experiences were evaluated only in PW. A mixed-model analysis of variance with Bonferroni adjustment was used to analyze between-group effects over time. Missing values were handled by means of an intention-to-treat analysis. Statistical significance was set at a 2-sided alpha level of .05. Data are reported as mean (SD).

resultsA convenience sample of 120 CVD patients (mean 61.4 years, SD 13.5 years; 22 women) was included. The PATHway system was deployed in the homes of 60 participants. System use decreased over time and system usability was average with a score of 65.7 (SD 19.7; range 5-100). Moderate-to-vigorous intensity PA increased in PW (PW: 127 [SD 58] min to 141 [SD 69] min, UC: 146 [SD 66] min to 143 [SD 71] min; P

conclusionsThis pilot study demonstrated the feasibility and acceptability of a technology-enabled, remotely monitored, home-based CR program. Although clinical effectiveness was demonstrated, several challenges were identified that could influence the adoption of PATHway.

trial registrationClinicalTrials.gov NCT02717806; https://clinicaltrials.gov/ct2/show/NCT02717806. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.1136/bmjopen-2017-016781.

Indexed as

AdultAgedAged, 80 and overCardiac RehabilitationExerciseFeasibility StudiesFemaleHumansMaleMiddle AgedPilot ProjectsQuality of Lifecardiac rehabilitationeHealthphysical activitytechnology

Identifiers

PMID32014842
PMCPMC7055834

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Registered trials

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.