The idea behind the Teledi@log consortium is to develop tele-rehabilitation concepts and technologies so that all types of heart disease patients, regardless of degree of severity, can be offered individual, customized and coordinated tele-rehabilitation across sectors. The project is innovative, breaking new ground in relation to existing national and international research projects in the area. The Teledi@log consortium sees its major task as developing and testing scenarios which can lead to a more coherent rehabilitation for heart patients in areas such as patient training, organization across the boundaries of the health system and using tele-rehabilitation technology. The Teledi@log consortium seeks to develop new tele-rehabilitation concepts which bring the patient closer to the health system and thereby promote the heart patient's rehabilitation, giving the patient and their families a more active role via new tele-rehabilitation technologies.The hypothesis of the study is that heart patients participating in a telerehabilitation program will have a higher quality of life compared to heart patients following traditional rehabilitation activities.
The aims of the research project are: To assess the heart patients' and family members' needs for rehabilitation in the health system To assess the need for coordination of the rehabilitation effort in the health system To develop tele-rehabilitation concepts and technologies for heart patients, family members and health professionals in the health sector To promote an early, rapid and effective rehabilitation of heart patients to improve their daily life and working life. To prevent re-hospitalization of heart patients through a more individualized and differentiated rehabilitation effort using tele-rehabilitation technologies. To conduct a randomized study of a tele-rehabilitation concept using tele-rehabilitation technologies and to assess the clinical, technical, organizational and health-economic effects.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
151
Telerehabilitation programme: Each patient in the intervention group will use a telehealth monitor. The patient will measure blood pressure, pulse and weight once or twice a week over a 3 months periode with the use of a blood pressure monitor and a weightscale connected to the monitor. The patients will also measure their steps daily by the use of a digital stepcounter. The patients will be able to see their data in a personal health record on a tablet where they can share informations with their GP, nurse and doctor at the hospital or healthcare center. The patient are also offered access to a portal called www.aktivehjerte.dk where they can find informations on rehabilitations topics in text, video and sound.
Thoracic Ward, Aalborg University Hospital
Aalborg, Denmark
Cardiology Ward Vendyssel Hospital
Hjørring, Denmark
Quality of life
Quality of life is measured via the questionaire SF 36 (short form health survey) at baseline (at inclusion) and changes from baseline at 3, 6 and 12 months.
Time frame: At inclusion (baseline), change from baseline at 3, 6 and 12 months
Hospital Anxiety and Depression Scale (HADS)
To measure the patients degree of anxiety and depression at baseline (inclusion), changes from baseline at 3, 6 and 12 months.
Time frame: At inclusion (baseline), change from baseline at 3, 6 and 12 months
Self-determination
Questionaires on self-determination will be used in order to get an impression of the patients perception on handling their disease at baseline(inclusion)and changes from baseline at 3, 6 and 12 months.
Time frame: At inclusion (baseline), change from baseline at 3, 6 and 12 months
Health outcome EQ 5
To measure health outcome at baseline (inclusion, and changes from baseline at 3, 6 and 12 months.
Time frame: At inclusion (baseline), change from baseline at 3, 6 and 12 months
Health economical evaluation
An assessment of the economical perspective of the telerehabilitation programme will be performed at baseline (inclusion of patients) and changes from baseline at 3, 6 and 12 months.
Time frame: At inclusion (baseline), change from baseline at 3, 6 and 12 months
Interorganizational aspects of a telerehabilitation programme
Interorganiszational aspect of the crosssectional telerehabilitation programme will be explored through observations and qualitative interviews with healthcare professionals at baseline (start of the study) and changes from baseline will be identified in October 2013.
Time frame: Cnanges during 2012-2014
Social media for telerehabilitation
Patients use of social media during an rehabilitation process will be explored through interviews at baseline (inclusion) and changes from baseline at 3, 6 and 12 months will be identified.
Time frame: Changes within 3 months
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