2.50
Hdl Handle:
http://hdl.handle.net/10755/161059
Type:
Presentation
Title:
Telehealth Home Exercise/Disease Management for Heart Failure: A Pilot Study
Abstract:
Telehealth Home Exercise/Disease Management for Heart Failure: A Pilot Study
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2007
Author:Winters, Jill, PhD, RN
P.I. Institution Name:Marquette University
Contact Address:College of Nursing, Milwaukee, WI, 53233, USA
Co-Authors:H. Seubert, College of Nursing, Marquette University, Milwaukee, WI; S. Cashin, College of Health Sciences, University of Wisconsin-Milwaukee, Milwaukee, WI; and M. Papp, Department of Cardiology, Medical College of Wisconsin, Milwaukee, WI
Heart failure (HF) affects approximately 5 million Americans, it is the leading cause of death in the United States, and it is the single most costly health care challenge. The American College of Cardiology/American Heart Association evidence-based practice guidelines identified exercise as a key factor for managing HF. Exercise intolerance is a fundamental symptom with HF, presenting limitations on functional status and QOL. However, HF rehabilitation program implementation has been challenging. A user-centered telehealth-supported home-based exercise program, with frequent feedback, may enhance adherence and improve exercise tolerance, HF symptoms, and QOL. Therefore, the purpose of this prospective 2-group experimental study was to compare effects of a 12-week telehealth home exercise rehabilitation and disease management program with usual treatment. It was hypothesized that experimental participants would have greater improvements in functional performance, psychological well-being, and quality of life than those in the control group. This study was guided by the Telehomecare Model for Optimizing Rehabilitation Outcomes. Thirty-six subjects with Class II or III HF were enrolled. Subjects in both the experimental and control groups underwent submaximal exercise testing and were provided with an exercise prescription. Experimental subjects received a recumbent stationary bike, PolarÖ heart rate monitors, exercise logs, and telemonitoring equipment. Daily monitoring of heart rate (HR), blood pressure (BP), oxygenation (SPO2), and weight were conducted for those in the experimental group, in order to insure that they are safe to exercise and assist in disease management. Regularly scheduled televisits were held with experimental subjects providing telecoaching and telesupport. Preliminary findings provided empirical evidence for the efficacy and effectiveness of this telehealth based home exercise program for persons with moderate heart failure. Exercise adherence has been high, and improvements in quality of life, functional performance and psychological well being have been demonstrated. Participant satisfaction has been high.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleTelehealth Home Exercise/Disease Management for Heart Failure: A Pilot Studyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161059-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Telehealth Home Exercise/Disease Management for Heart Failure: A Pilot Study</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Winters, Jill, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Marquette University</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing, Milwaukee, WI, 53233, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jill.winters@marquette.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">H. Seubert, College of Nursing, Marquette University, Milwaukee, WI; S. Cashin, College of Health Sciences, University of Wisconsin-Milwaukee, Milwaukee, WI; and M. Papp, Department of Cardiology, Medical College of Wisconsin, Milwaukee, WI</td></tr><tr><td colspan="2" class="item-abstract">Heart failure (HF) affects approximately 5 million Americans, it is the leading cause of death in the United States, and it is the single most costly health care challenge. The American College of Cardiology/American Heart Association evidence-based practice guidelines identified exercise as a key factor for managing HF. Exercise intolerance is a fundamental symptom with HF, presenting limitations on functional status and QOL. However, HF rehabilitation program implementation has been challenging. A user-centered telehealth-supported home-based exercise program, with frequent feedback, may enhance adherence and improve exercise tolerance, HF symptoms, and QOL. Therefore, the purpose of this prospective 2-group experimental study was to compare effects of a 12-week telehealth home exercise rehabilitation and disease management program with usual treatment. It was hypothesized that experimental participants would have greater improvements in functional performance, psychological well-being, and quality of life than those in the control group. This study was guided by the Telehomecare Model for Optimizing Rehabilitation Outcomes. Thirty-six subjects with Class II or III HF were enrolled. Subjects in both the experimental and control groups underwent submaximal exercise testing and were provided with an exercise prescription. Experimental subjects received a recumbent stationary bike, Polar&Ouml; heart rate monitors, exercise logs, and telemonitoring equipment. Daily monitoring of heart rate (HR), blood pressure (BP), oxygenation (SPO2), and weight were conducted for those in the experimental group, in order to insure that they are safe to exercise and assist in disease management. Regularly scheduled televisits were held with experimental subjects providing telecoaching and telesupport. Preliminary findings provided empirical evidence for the efficacy and effectiveness of this telehealth based home exercise program for persons with moderate heart failure. Exercise adherence has been high, and improvements in quality of life, functional performance and psychological well being have been demonstrated. Participant satisfaction has been high.</td></tr></table>en_GB
dc.date.available2011-10-26T23:15:14Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:15:14Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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