Evidence map›Paper›PMID 37321816›Full record

ArticleBMJ open2023

Comparison of telehealth and supervised phase III cardiac rehabilitation in regional Australia: protocol for a non-inferiority trial.

Blake Collins, Brett Gordon, Daniel Wundersitz, Jayden Hunter, Lisa C Hanson, Alasdair F O'Doherty, Abbey Hayes, Michael Kingsley

Open access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 28% of its field
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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

8 authors at 3 institutions in 3 countries.

Blake CollinsHolswroth Research Initiative, La Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia b.collins@latrobe.edu.au.ORCID 0000-0002-5539-0697
Brett GordonLa Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia.
Daniel WundersitzHolswroth Research Initiative, La Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia.
Jayden HunterLa Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia.
Lisa C HansonLa Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia.ORCID 0000-0003-1612-3315
Alasdair F O'DohertyDepartment of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle upon Tyne, Tyne and Wear, UK.ORCID 0000-0002-9953-9772
Abbey HayesSt John of God Health Care, Bendigo, Victoria, Australia.
Michael KingsleyHolswroth Research Initiative, La Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia.
La Trobe University · AUNorthumbria University · GBUniversity of Auckland · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionExercise-based cardiac rehabilitation programmes (ExCRP) promote recovery and secondary prevention for individuals with cardiovascular disease (CVD). Despite this, enrolment and adherence to ExCRP in rural locations is low. Telehealth programmes provide a convenient, home-based intervention, but concerns remain about compliance to exercise prescription. This paper presents the rationale and protocol design to determine if telehealth delivered ExCRP is not inferior to supervised ExCRP for improving cardiovascular function and exercise fidelity. METHOD AND ANALYSIS: A non-inferiority, parallel (1:1), single-blinded randomised clinical trial will be conducted. Fifty patients with CVD will be recruited from a rural phase II ExCRP. Participants will be randomly assigned to telehealth or supervised ExCRP and prescribed three weekly exercise sessions for 6 weeks. Exercise sessions will include a 10 min warm up, up to 30 min of continuous aerobic exercise at a workload equivalent to the ventilatory anaerobic threshold and a 10 min cool down. The primary outcome will be change in cardiorespiratory fitness as measured by cardiopulmonary exercise test. Secondary outcome measures will include change in blood lipid profile, heart rate variability, pulse wave velocity, actigraphy measured sleep quality and training fidelity. Non-inferiority will be confirmed if intention-to-treat and per-protocol analyses conclude the same outcome following independent samples t-test with p<0.025. ETHICS AND DISSEMINATION: Research ethics committees at La Trobe University, St John of God Health Care and Bendigo Health approved the study protocol and informed consent. Findings will be published in peer-reviewed journals and disseminated among stakeholders. TRIAL REGISTRATION NUMBER: ACTRN12622000872730p; pre-results.

Indexed as

Cardiac RehabilitationCardiovascular DiseasesTelemedicineAustraliaHumansPulse Wave AnalysisRandomized Controlled Trials as TopicCoronary heart diseaseMyocardial infarctionProtocols & guidelinesSPORTS MEDICINE

Identifiers

PMID37321816
PMCPMC10277106
OpenAlexW4380872439

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.