Study Overview and Objectives
The RESILIENT trial investigated virtual cardiac rehabilitation’s effectiveness for adults over 65 with ischemic heart disease across five academic hospitals. Researchers aimed to determine if remote patient monitoring and virtual care could enhance functional capacity.
Methodology and Implementation
The study randomly assigned 400 participants into intervention and control groups, with the intervention group receiving:
- Tablet computers with exercise tracking software
- Bluetooth-connected monitoring devices
- Weekly exercise therapist consultations
- Five-day weekly exercise requirements
Key Findings and Outcomes
Results showed no significant improvement in six-minute walk distance between groups. However, specific subgroups, including women and bypass surgery patients, showed some improvement, though not statistically significant.
Technology Engagement Metrics
Intervention group participants:
- Used the app three times weekly (median)
- Achieved 6,157 daily steps (median)
- Completed 10.5 therapist phone consultations
Comparative Research Context
Previous studies demonstrated that home-based cardiac rehabilitation can be beneficial, with one 2023 study showing a 36% lower mortality risk among veterans participating in home-based programs.
Future Implications
Research suggests the need for developing more specialized mobile health strategies specifically designed for older adults to improve functional outcomes in virtual cardiac rehabilitation programs.
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