TY  - JOUR
AU  - Skov Schacksen, Cathrine
AU  - Dyrvig, Anne-Kirstine
AU  - Henneberg, Nanna Celina
AU  - Dam Gade, Josefine
AU  - Spindler, Helle
AU  - Refsgaard, Jens
AU  - Hollingdal, Malene
AU  - Dittman, Lars
AU  - Dremstrup, Kim
AU  - Dinesen, Birthe
PY  - 2021
DA  - 2021/7/2
TI  - 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
JO  - JMIR Cardio
SP  - e26544
VL  - 5
IS  - 2
KW  - adherence
KW  - cardiology
KW  - cardiomyopathy
KW  - compliance
KW  - heart failure
KW  - heart
KW  - Kansas City Cardiomyopathy Questionnaire
KW  - monitoring
KW  - patient-reported outcome
KW  - patients
KW  - quality of life
KW  - rehabilitation
KW  - self-reporting
KW  - telehealth
KW  - telemonitoring
AB  - 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 
SN  - 2561-1011
UR  - https://cardio.jmir.org/2021/2/e26544
UR  - https://doi.org/10.2196/26544
UR  - http://www.ncbi.nlm.nih.gov/pubmed/34255642
DO  - 10.2196/26544
ID  - info:doi/10.2196/26544
ER  -