Lunde Pernille, Bye Asta, Bergland Astrid, Nilsson Birgitta Blakstad
1Department of Physiotherapy, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, PB 4, St. Olavs plass, 0130 Oslo, Norway.
2Department of Nursing and Health Promotion, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Oslo, Norway.
BMC Sports Sci Med Rehabil. 2019 Nov 21;11:34. doi: 10.1186/s13102-019-0148-2. eCollection 2019.
Cardiac rehabilitation (CR) programs are evidence-based and widely recommended. However, benefits from CR are likely lost among individuals who discontinue their regular exercise routines and healthy habits. One possible approach to enhance adherence to lifestyle advice after completion of CR, may be individualized follow-up enabled by a smartphone application (app).
A protocol of a single-blinded, pragmatic randomized controlled trial. The study will take place in the eastern part of Norway, and will include heart patients who have completed CR. Participants will be recruited from two CR centers. Based on power calculation, 113 participants will be included. The intervention group will receive individualized follow-up through an app on a weekly basis throughout a year. The app will be set up with the participant's own goals, and the follow-up will be based on these individual goals. The control group will receive usual care, including general advice regarding physical activity, exercise and diet. The participants will be assessed at baseline (at completion of CR) and 12 months after baseline. Primary outcome of the study will be peak oxygen uptake. Secondary outcomes include exercise performance, quality of life, health status, health literacy, self-perceived goal achievement, exercise habits, body weight, blood pressure as well as lipids and triglycerides.
To our knowledge, this will be the first study to examine the effects of individualized follow-up with an app for one year, in patients completing CR. Hence, it is reasonable to assume that the study may be groundbreaking. Due to the large sample size and the theoretically based intervention, the study has the potential to generate new knowledge that may improve the design of future technology-based follow-up interventions of patients that have completed rehabilitation.
ClinicalTrials.gov. NCT03174106. First registration, 19/05/2017.
心脏康复（CR）项目有循证依据且被广泛推荐。然而，在那些停止常规锻炼和健康习惯的个体中，CR带来的益处可能会丧失。一种在CR结束后增强对生活方式建议依从性的可能方法，或许是通过智能手机应用程序（app）实现的个性化随访。
一项单盲、实用性随机对照试验方案。该研究将在挪威东部进行，纳入已完成CR的心脏病患者。参与者将从两个CR中心招募。基于样本量计算，将纳入113名参与者。干预组将在一整年中每周通过一个app接受个性化随访。该app将根据参与者自己的目标进行设置，随访将基于这些个体目标。对照组将接受常规护理，包括关于身体活动、锻炼和饮食的一般建议。参与者将在基线（CR结束时）和基线后12个月进行评估。该研究的主要结局将是峰值摄氧量。次要结局包括运动表现、生活质量、健康状况、健康素养、自我感知的目标达成情况、运动习惯、体重、血压以及血脂和甘油三酯。
据我们所知，这将是第一项针对完成CR的患者使用app进行一年个性化随访效果的研究。因此，有理由认为该研究可能具有开创性。由于样本量大且干预基于理论，该研究有潜力产生新知识，可能会改进未来针对已完成康复患者的基于技术的随访干预措施的设计。
ClinicalTrials.gov。NCT03174106。首次注册，2017年5月19日。
