Feasibility of a Smartphone-enabled Cardiac Rehabilitation Program in Male Veterans With Previous Clinical Evidence of Coronary Heart Disease

Arash Harzand, Bradley Witbrodt, Michelle L. Davis-Watts, Alaaeddin Alrohaibani, David Goese, Nanette K. Wenger, Amit J. Shah*, Abarmard Maziar Zafari

*Corresponding author for this work

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Cardiac rehabilitation (CR) is recommended for patients with coronary heart disease, however, participation among veterans remains poor. Smartphones may facilitate data transfer and communication between patients and providers, among other benefits. We evaluated the feasibility of a smartphone-enabled CR program in a population of veterans. Qualifying veterans were prospectively enrolled in a single-arm, nonrandomized feasibility study of a smartphone-enabled, home-based CR program, featuring an app with daily reminders to exercise, log vitals, and review educational materials. A coach remotely monitored patients through an online dashboard and scheduled telephone visits. Clinical end points were assessed as an exploratory aim. After 21 veterans provided informed consent, 18 were enrolled and successfully completed at least 30 days of the program; 13 completed the entire 12-week intervention. Mean (standard deviation) age was 62 (7) years and 96% were male. Program completers logged a mean (standard deviation) of 3.5 (1.4) exercise sessions and 150 (86) exercise minutes per week. The majority (84%) of program completers reported being satisfied overall with the program. Mean functional capacity improved by 1.0 metabolic equivalents (5.3 to 6.3, 95% confidence interval 0.3 to 1.7; p = 0.008) and mean systolic blood pressure at rest improved by 9.6 mm Hg (mean difference 9.6, 95% confidence interval −19.0 to −0.7; p = 0.049) among completers. Smartphone-enabled, home-based CR is feasible in veterans with heart disease and is associated with moderate to high levels of engagement and patient satisfaction.

Original languageEnglish (US)
Pages (from-to)1471-1476
Number of pages6
JournalAmerican Journal of Cardiology
Volume122
Issue number9
DOIs
StatePublished - Nov 1 2018

Fingerprint

Veterans
Coronary Disease
Exercise
Metabolic Equivalent
Confidence Intervals
Blood Pressure
Feasibility Studies
Informed Consent
Patient Satisfaction
Telephone
Heart Diseases
Communication
Cardiac Rehabilitation
Smartphone
Population

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Harzand, Arash ; Witbrodt, Bradley ; Davis-Watts, Michelle L. ; Alrohaibani, Alaaeddin ; Goese, David ; Wenger, Nanette K. ; Shah, Amit J. ; Zafari, Abarmard Maziar. / Feasibility of a Smartphone-enabled Cardiac Rehabilitation Program in Male Veterans With Previous Clinical Evidence of Coronary Heart Disease. In: American Journal of Cardiology. 2018 ; Vol. 122, No. 9. pp. 1471-1476.
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abstract = "Cardiac rehabilitation (CR) is recommended for patients with coronary heart disease, however, participation among veterans remains poor. Smartphones may facilitate data transfer and communication between patients and providers, among other benefits. We evaluated the feasibility of a smartphone-enabled CR program in a population of veterans. Qualifying veterans were prospectively enrolled in a single-arm, nonrandomized feasibility study of a smartphone-enabled, home-based CR program, featuring an app with daily reminders to exercise, log vitals, and review educational materials. A coach remotely monitored patients through an online dashboard and scheduled telephone visits. Clinical end points were assessed as an exploratory aim. After 21 veterans provided informed consent, 18 were enrolled and successfully completed at least 30 days of the program; 13 completed the entire 12-week intervention. Mean (standard deviation) age was 62 (7) years and 96{\%} were male. Program completers logged a mean (standard deviation) of 3.5 (1.4) exercise sessions and 150 (86) exercise minutes per week. The majority (84{\%}) of program completers reported being satisfied overall with the program. Mean functional capacity improved by 1.0 metabolic equivalents (5.3 to 6.3, 95{\%} confidence interval 0.3 to 1.7; p = 0.008) and mean systolic blood pressure at rest improved by 9.6 mm Hg (mean difference 9.6, 95{\%} confidence interval −19.0 to −0.7; p = 0.049) among completers. Smartphone-enabled, home-based CR is feasible in veterans with heart disease and is associated with moderate to high levels of engagement and patient satisfaction.",
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Feasibility of a Smartphone-enabled Cardiac Rehabilitation Program in Male Veterans With Previous Clinical Evidence of Coronary Heart Disease. / Harzand, Arash; Witbrodt, Bradley; Davis-Watts, Michelle L.; Alrohaibani, Alaaeddin; Goese, David; Wenger, Nanette K.; Shah, Amit J.; Zafari, Abarmard Maziar.

In: American Journal of Cardiology, Vol. 122, No. 9, 01.11.2018, p. 1471-1476.

Research output: Contribution to journalArticle

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