Effects of a Hybrid Model of Cardiac Rehabilitation on Patient Outcomes

NCT ID: NCT06030115

Last Updated: 2023-09-08

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 100 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2019-07-01
• Study Completion Date: 2021-07-31

Brief Summary

Determine if the standard of care at a cardiac rehabilitation center using what the investigators term to be "hybrid model" on the exercise component of cardiac rehabilitation is associated with improved adherence and outcomes. Discuss the hybrid model in comparison to traditional cardiac rehabilitation and layout a template on how to incorporate this hybrid model. Discuss factors that may lead to poor adherence and attendance to cardiac rehabilitation.

Detailed Description

Purpose: The aim of this prospective cohort study was to determine the effectiveness of an individualized physical therapist (PT) driven hybrid model of the exercise component of cardiac rehabilitation (CR) that uses a novel intensity-recovery progression protocol (IRPP) and cardiac testing template (CTT) to assess achieved heart rate intensity (AHRI%), heart rate recovery (HRR%), and intensity-recovery total (IR%) as indicators to guide treatment.

Methods: Assessment of a subjective questionnaire, vital signs, treadmill 6-minute walk (6MW), 1-minute sit-to-stand (1STS), 1-minute step (1ST), and 1-minute agility square tests (1AST) were assessed on 100 participants during the 36-visit program. The hybrid model was led by a PT, was longer in duration, added high intensity interval training (HIIT) to continuous aerobic exercise training (CAET) and resistance training, and used a 1:1 treatment ratio. Treatment intensity and progression were measured based on clinical decision making through the IRPP and CTT.

Conditions

Cardiac Surgery; Coronary Artery Bypass Graft CABG; Stent; Valve Replacement

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Study Groups

Cardiac Rehab Patients

All participants referred to the clinic meeting the inclusion and exclusion criteria who wanted to participate in the study.

Exercise Component Of Cardiac Rehabilitation (Hybrid Model) Intensity Recovery Progression Protocol (IRPP)

Intervention Type: OTHER

Data collected on participants who completed the intensity recovery progression protocol program

Interventions

Exercise Component Of Cardiac Rehabilitation (Hybrid Model) Intensity Recovery Progression Protocol (IRPP)

Data collected on participants who completed the intensity recovery progression protocol program

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Underwent cardiac surgery (CABG, PCI with stent placement, and valve replacement)
• Surgery was within the previous 365 days
• Could independently ambulate into the facility.

• Diagnosed a-fib
• Participants who attended cardiac rehabilitation before

Exclusion Criteria

• Implantable cardioverter defibrillator (ICD)
• Pacemaker (PPM)
• Heart Transplant
• Left ventricular assist device (LVAD)

• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Good Shepherd Integrated Healthcare Systems

OTHER

Sponsor Role: lead

Responsible Party

Kevin Minchin

Physical Therapist, Rehabilitation Director

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Kevin Minchin, DPT

Role: PRINCIPAL_INVESTIGATOR

Good Shepherd

Locations

Good Shepherd Integrated Healthcare Systems

Las Vegas, Nevada, United States

Countries

United States

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Other Identifiers

GoodShepherdIHS

Identifier Type: -

Identifier Source: org_study_id