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Remote maintenance cardiac rehabilitation (MAINTAIN): A protocol for a randomised feasibility study.

Denton, F, Waddell, A, Kite, C, Hesketh, KL, Atkinson, L, Cocks, MS, Jones, H, Randeva, H, Davenport, N, Powell, R, Clark, C, Kyrou, I, Harwood, AE and McGregor, G (2023) Remote maintenance cardiac rehabilitation (MAINTAIN): A protocol for a randomised feasibility study. Digital health, 9. ISSN 2055-2076

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Open Access URL: https://doi.org/10.1177/20552076231152176 (Published version)


Background: Long-term adherence to exercise is often poor for people with coronary heart disease (CHD) who have completed supervised, centre-based cardiac rehabilitation. The aim of this study is to assess the feasibility of a remotely prescribed, delivered and monitored cardiac rehabilitation intervention using a wearable device to support long-term adherence to exercise and physical activity during maintenance of cardiac rehabilitation.
Methods: After completing cardiac rehabilitation, 30 participants with CHD, will be randomised (1:1) to an intervention (n = 15) or a usual care group (n = 15) in a 12-month feasibility randomised controlled trial (RCT). The intervention will comprise of an exercise consultation, personalised exercise prescription delivered via a wearable activity monitor using biometric feedback, regular monitoring via check-ins, and feedback text-messages for 6-months. Participants will be assessed at baseline (following completion of cardiac rehabilitation) and at three-, six-, and 12-months post-randomisation. The primary outcome will be feasibility, including assessment of eligibility, recruitment, adherence, and acceptability. Secondary outcomes will include exercise capacity, physical activity behaviours, cardiovascular disease risk and quality of life. Semi-structured interviews will be conducted at three-, six-, and 12-months post-randomisation (and with those who drop-out) to explore the acceptability of the study intervention and procedures. A questionnaire will be offered to those who decline participation.
Discussion: The MAINTAIN study will evaluate the feasibility of conducting a future definitive multi-centre RCT testing a remotely prescribed and monitored long-term mHealth maintenance exercise programme, versus usual care, for people with CHD who have completed cardiac rehabilitation.

Item Type: Article
Uncontrolled Keywords: cardiac rehabilitation; coronary heart disease; digital health; exercise maintenance; mHealth technology; wearable activity monitors
Subjects: Q Science > QP Physiology
R Medicine > RC Internal medicine > RC1200 Sports Medicine
T Technology > T Technology (General)
Divisions: Sport & Exercise Sciences
Publisher: SAGE Publications
SWORD Depositor: A Symplectic
Date Deposited: 27 Feb 2023 12:52
Last Modified: 27 Feb 2023 12:52
DOI or ID number: 10.1177/20552076231152176
URI: https://researchonline.ljmu.ac.uk/id/eprint/18962
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