Cardiac rehabilitation is a medically recommended program for patients with certain heart conditions. It includes exercise training, health education, and counseling. Unfortunately, many patients do not participate in cardiac rehabilitation. Some find it challenging to attend the in-person sessions. This study aims to compare two methods of delivering cardiac rehabilitation: in-person and through telehealth. The investigators want to know if the effects of these two programs are alike and if certain individuals benefit more from one program over the other.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
516
In-person exercise training, health education, and counseling
Telehealth exercise training, health education, and counseling
University of California, San Francisco
San Francisco, California, United States
Denver Health
Denver, Colorado, United States
Johns Hopkins University Medical Center
Baltimore, Maryland, United States
University of Michigan
Ann Arbor, Michigan, United States
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, United States
Change in six minute walk distance
The distance walked in six minute on a standard course will be measured in meters at baseline and 12 months.
Time frame: Baseline and 12 months
Change in Patient-Reported Outcomes Measurement Information System (PROMIS) Global Health 10 Scores - Mental Health
A change in PROMIS Global Health 10 scores will be measured during the first 12 months of the study. The PROMIS Global Health 10 questionnaire is a self-assessed questionnaire that asks participants to respond to 10 questions with a 5-point ordinal rating scale of "Never," "Rarely," "Sometimes," "Often," and
Time frame: Baseline and 12 months
Change in PROMIS Global Health 10 Scores - Physical Health
A change in PROMIS Global Health 10 scores will be measured during the first 12 months of the study. The PROMIS Global Health 10 questionnaire is a self-assessed questionnaire that asks participants to respond to 10 questions. The physical health subscale consists of four questions with a raw score between 4 and 20 that is converted to a standardized T-score. Higher scores represent better physical health.
Time frame: Baseline and 12 months
Change in Generalized Anxiety Disorder (GAD)-7
A change in GAD-7 scores will be measured during the first 12 months of the study. The GAD-7 questionnaire is a self-assessed questionnaire that asks participants to respond to 7 questions with response option scores ranging from 0 to 3. The scale ranges from 0 to 21. Higher scores represent more anxiety symptoms.
Time frame: Baseline and 12 months
Change in Patient Health Questionnaire (PHQ)-9
A change in PHQ-9 scores will be measured during the first 12 months of the study. The PHQ-7 questionnaire is a self-assessed questionnaire that asks participants to respond to 9 questions with response option scores ranging from 0 to 3. The scale ranges from 0 to 27. Higher scores represent more depressive symptoms.
Time frame: Baseline and 12 months
Blood pressure control
Blood pressure less than 130/80 mmHg
Time frame: 12 months
Participation in cardiac rehabilitation
Participation in CR, defined as proportion of core sessions attended (out of 36 sessions for in-person and 12 sessions for telehealth)
Time frame: 12 months
Survival free of hospitalization for myocardial infarction, heart failure, or stroke/TIA.
Time frame: 24 months
Change in PROMIS Global Health 10 Scores - Mental Health
A change in PROMIS Global Health 10 scores will be measured during the first 3 months of the study. The PROMIS Global Health 10 questionnaire is a self-assessed questionnaire that asks participants to respond to 10 questions . The mental health subscale consists of four questions with a raw score between 4 and 20 that is converted to a standardized T-score. Higher scores represent better mental health.
Time frame: Baseline and 3 months
Change in PROMIS Global Health 10 Scores - Mental Health
A change in PROMIS Global Health 10 scores will be measured during the first 24 months of the study. The PROMIS Global Health 10 questionnaire is a self-assessed questionnaire that asks participants to respond to 10 questions . The mental health subscale consists of four questions with a raw score between 4 and 20 that is converted to a standardized T-score. Higher scores represent better mental health.
Time frame: Baseline and 24 months
Change in PROMIS Global Health 10 Scores - Physical Health
A change in PROMIS Global Health 10 scores will be measured during the first 3 months of the study. The PROMIS Global Health 10 questionnaire is a self-assessed questionnaire that asks participants to respond to 10 questions. The physical health subscale consists of four questions with a raw score between 4 and 20 that is converted to a standardized T-score. Higher scores represent better physical health.
Time frame: Baseline and 3 months
Change in PROMIS Global Health 10 Scores - Physical Health
A change in PROMIS Global Health 10 scores will be measured during the first 24 months of the study. The PROMIS Global Health 10 questionnaire is a self-assessed questionnaire that asks participants to respond to 10 questions. The physical health subscale consists of four questions with a raw score between 4 and 20 that is converted to a standardized T-score. Higher scores represent better physical health.
Time frame: Baseline and 24 months
Change in GAD-7
A change in GAD-7 scores will be measured during the first 3 months of the study. The GAD-7 questionnaire is a self-assessed questionnaire that asks participants to respond to 7 questions with response option scores ranging from 0 to 3. The scale ranges from 0 to 21. Higher scores represent more anxiety symptoms.
Time frame: Baseline and 3 months
Change in GAD-7
A change in GAD-7 scores will be measured during the first 24 months of the study. The GAD-7 questionnaire is a self-assessed questionnaire that asks participants to respond to 7 questions with response option scores ranging from 0 to 3. The scale ranges from 0 to 21. Higher scores represent more anxiety symptoms.
Time frame: Baseline and 24 months
Change in PHQ-9
A change in PHQ-9 scores will be measured during the first 3 months of the study. The PHQ-7 questionnaire is a self-assessed questionnaire that asks participants to respond to 9 questions with response option scores ranging from 0 to 3. The scale ranges from 0 to 27. Higher scores represent more depressive symptoms.
Time frame: 3 months
Change in PHQ-9
A change in PHQ-9 scores will be measured during the first 24 months of the study. The PHQ-7 questionnaire is a self-assessed questionnaire that asks participants to respond to 9 questions with response option scores ranging from 0 to 3. The scale ranges from 0 to 27. Higher scores represent more depressive symptoms.
Time frame: 24 months
Blood pressure control
Blood pressure less than 130/80 mmHg
Time frame: 3 months
Blood pressure control
Blood pressure less than 130/80 mmHg
Time frame: 24 months
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