Journal article
Home-Based Cardiac Rehabilitation EXPERIENCE FROM THE VETERANS AFFAIRS
Journal of cardiopulmonary rehabilitation and prevention, Vol.41(2), pp.93-99
03/01/2021
DOI: 10.1097/HCR.0000000000000594
PMID: 33647921
Abstract
Purpose:
The conceptual utility of home-based cardiac rehabilitation (HBCR) is widely acknowledged. However, data substantiating its effectiveness and safety are limited. This study evaluated effectiveness and safety of the Veterans Affairs (VA) national HBCR program.
Methods:
Veterans completed a 12-wk HBCR program over 18 mo at 25 geographically dispersed VA hospitals. Pre- to post-changes were compared using paired t tests. Patient satisfaction and adverse events were also summarized descriptively.
Results:
Of the 923 Veterans with a mean age of 67.3 +/- 10.6 yr enrolled in the HBCR program, 572 (62%) completed it. Findings included significant improvements in exercise capacity (6-min walk test distance: 355 vs 398 m; P < .05; Duke Activity Status Index: 27.1 vs 33.5; P < .05; self-reported steps/d: 3150 vs 4166; P < .05); depression measured by Patient Health Questionnaire (6.4 vs 4.9; P < .0001); cardiac self-efficacy (33.1 vs 39.2; P < .0001); body mass index (31.5 vs 31.1 kg/m(2); P = .0001); and eating habits measured by Rate Your Plate, Heart (47.2 vs 51.1; P < .05). No safety issues were related to HBCR participation. Participants were highly satisfied.
Conclusions:
The VA HBCR program demonstrates strong evidence of effectiveness and safety to a wide range of patients, including those with high clinical complexity and risk. HBCR provides an adjunct to site-based programs and access to cardiac rehabilitation. Additional research is needed to assess long-term effects, cost-effectiveness, and sustainability of the model.
Details
- Title: Subtitle
- Home-Based Cardiac Rehabilitation EXPERIENCE FROM THE VETERANS AFFAIRS
- Creators
- Kariann R. Drwal - Iowa City VA Health Care SystemBonnie J. Wakefield - Iowa City VA Health Care SystemDaniel E. Forman - University of MissouriWen-Chih Wu - University of Pittsburgh Medical CenterBjarni Haraldsson - Brown UniversityRamzi N. El Accaoui - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of cardiopulmonary rehabilitation and prevention, Vol.41(2), pp.93-99
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/HCR.0000000000000594
- PMID
- 33647921
- ISSN
- 1932-7501
- eISSN
- 1932-751X
- Number of pages
- 7
- Grant note
- 6127 / Department of Veterans Affairs, Veterans Health Administration, Office of Rural Health, Veterans Rural Health Resource Center-Iowa City; US Department of Veterans Affairs CIN 13-412 / Health Services Research and Development (HSR&D) Service through the Center for Access and Delivery Research and Evaluation (CADRE) Center R01AG060499; R01AG058883; P30AG024827 / NIA; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA)
- Language
- English
- Date published
- 03/01/2021
- Academic Unit
- Radiology; Cardiovascular Medicine; Internal Medicine
- Record Identifier
- 9984318780602771
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