@Article{info:doi/10.2196/26544,
author="Skov Schacksen, Cathrine
and Dyrvig, Anne-Kirstine
and Henneberg, Nanna Celina
and Dam Gade, Josefine
and Spindler, Helle
and Refsgaard, Jens
and Hollingdal, Malene
and Dittman, Lars
and Dremstrup, Kim
and Dinesen, Birthe",
title="Patient-Reported Outcomes From Patients With Heart Failure Participating in the Future Patient Telerehabilitation Program: Data From the Intervention Arm of a Randomized Controlled Trial",
journal="JMIR Cardio",
year="2021",
month="Jul",
day="2",
volume="5",
number="2",
pages="e26544",
keywords="adherence; cardiology; cardiomyopathy; compliance; heart failure; heart; Kansas City Cardiomyopathy Questionnaire; monitoring; patient-reported outcome; patients; quality of life; rehabilitation; self-reporting; telehealth; telemonitoring",
abstract="Background: More than 37 million people worldwide have been diagnosed with heart failure, which is a growing burden on the health sector. Cardiac rehabilitation aims to improve patients' recovery, functional capacity, psychosocial well-being, and health-related quality of life. However, cardiac rehabilitation programs have poor compliance and adherence. Telerehabilitation may be a solution to overcome some of these challenges to cardiac rehabilitation by making it more individualized. As part of the Future Patient Telerehabilitation program, a digital toolbox aimed at enabling patients with heart failure to monitor and evaluate their own current status has been developed and tested using data from a patient-reported outcome questionnaire that the patient filled in every alternate week for 1 year. Objective: The aim of this study is to evaluate the changes in quality of life and well-being among patients with heart failure, who are participants in the Future Patient Telerehabilitation program over the course of 1 year. Methods: In total, 140 patients were enrolled in the Future Patient Telerehabilitation program and randomized into either the telerehabilitation group (n=70) or the control group (n=70). Of the 70 patients in the telerehabilitation group, 56 (80.0{\%}) answered the patient-reported outcome questionnaire and completed the program, and these 56 patients comprised the study population. The patient-reported outcomes consisted of three components: (1) questions regarding the patients' sleep patterns assessed using the Spiegel Sleep Questionnaire; (2) measurements of physical limitations, symptoms, self-efficacy, social interaction, and quality of life assessed using the Kansas City Cardiomyopathy Questionnaire in 10 dimensions; and (3) 5 additional questions regarding psychological well-being that were developed by the research group. Results: The changes in scores during 1 year of the study were examined using 1-sample Wilcoxon signed-rank tests. There were significant differences in the scores for most of the slopes of the scores from the dimensions of the Kansas City Cardiomyopathy Questionnaire (P<.05). Conclusions: There was a significant increase in clinical and social well-being and quality of life during the 1-year period of participating in a telerehabilitation program. These results suggest that patient-reported outcome questionnaires may be used as a tool for patients in a telerehabilitation program that can both monitor and guide patients in mastering their own symptoms. Trial Registration: ClinicalTrials.gov NCT03388918; https://clinicaltrials.gov/ct2/show/NCT03388918 ",
issn="2561-1011",
doi="10.2196/26544",
url="https://cardio.jmir.org/2021/2/e26544",
url="https://doi.org/10.2196/26544",
url="http://www.ncbi.nlm.nih.gov/pubmed/34255642"
}