SPC365

Home-based Cardiac Rehabilitation - the patients want but do they adhere?

Session: Posters - J. Preventive Cardiology
Speaker: Catarina Oliveira

Congress: CPC 2021
Topic: J. Preventive Cardiology
Theme: 29. Rehabilitation and Sports Cardiology
Subtheme: 29.2 Cardiovascular Rehabilitation
Session Type: Posters
FP Number: ---
Authors: Catarina Simões De Oliveira; Inês Aguiar-Ricardo; Tiago Rodrigues; Nelson Cunha; Sara Couto Pereira; Pedro Silvério António; Joana Brito; Pedro Alves da Silva; Beatriz Garcia; Rita Pinto; Madalena Lemos Pires; Mariana Borges; Mariana Cordeiro Ferreira; Edite Caldeira; Fausto j. Pinto; Ana Abreu
<p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:&quot;Times New Roman&quot;,serif"><strong><span style="font-size:9.0pt"><span style="font-family:&quot;Arial&quot;,sans-serif"><span style="color:black">Introduction: </span></span></span></strong><span style="font-size:9.0pt"><span style="font-family:&quot;Arial&quot;,sans-serif"><span style="color:black">Cardiac rehabilitation (CR) programs are established interventions to improve cardiovascular health. With covid 19 outbreak, cardiac rehabilitation home based (CR-HB) programs emerged as an alternative. However, its adherence and implementation may vary greatly with socio-demographic factors.</span></span></span></span></span></p>

<p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:&quot;Times New Roman&quot;,serif"><strong><span style="font-size:9.0pt"><span style="font-family:&quot;Arial&quot;,sans-serif"><span style="color:black">Purpose:</span></span></span></strong><span style="font-size:9.0pt"><span style="font-family:&quot;Arial&quot;,sans-serif"><span style="color:black"> To assess adherence to the various components of a CR-HB program.&nbsp;</span></span></span></span></span></p>

<p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:&quot;Times New Roman&quot;,serif"><strong><span style="font-size:9.0pt"><span style="font-family:&quot;Arial&quot;,sans-serif"><span style="color:black">Methods:</span></span></span></strong><span style="font-size:9.0pt"><span style="font-family:&quot;Arial&quot;,sans-serif"><span style="color:black"> Prospective cohort study which included patients who were participating in a centre-based CR program and accepted to participate in a CR-HB after the centre-based CR program closure due to COVID-19. The CR-HB consisted in a multidisciplinary digital CR program, including: 1.patient regular clinical and exercise risk assessment; 2.psychological tele-appointments; 3.online exercise training sessions; 4.structured online educational program for patients and caregivers; 5.follow-up questionnaires; 6. nutrition tele-appointments; 7.physician tele-appointments.</span></span></span></span></span></p>

<p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-size:9.0pt"><span style="font-family:&quot;Arial&quot;,sans-serif"><span style="color:black">Adherence to the program was assessed by: drop-out rate; number of exercise sessions in which each patient participated; number of educational sessions attended and a validated questionnaire on therapeutic adherence (7 questions with minimum punctuation of 7 and maximum of 40 points).&nbsp;&nbsp;</span></span></span></span></span></p>

<p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:&quot;Times New Roman&quot;,serif"><strong><span style="font-size:9.0pt"><span style="font-family:&quot;Arial&quot;,sans-serif"><span style="color:black">Results: </span></span></span></strong><span style="font-size:9.0pt"><span style="font-family:&quot;Arial&quot;,sans-serif"><span style="color:black">116 cardiovascular disease pts (62.6&plusmn;8.9 years, 95 males) who were attending a Centre-based CR program were included in a CR-HB program. Almost 90% (n=103) of the participants had coronary artery disease; 13.8% pts had heart failure; the mean LVEF was 52&plusmn;11%. Regarding risk factors, obesity was the most common risk factor (74.7 %) followed by hypertension (59.6%), family history (41.8%), dyslipidaemia (37.9%), diabetes (18.1%), and smoking (12.9%).&nbsp;</span></span></span></span></span></p>

<p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-size:9.0pt"><span style="font-family:&quot;Arial&quot;,sans-serif"><span style="color:black">Ninety-eight patients (85.5%) successfully completed the program. Almost half (46.9%) of the participants did at least one online exercise training session per week. Among the patients who did online exercise training sessions, 58% did 2-3 times per week, 27% once per week and 15% more than 4 times per week.&nbsp;</span></span></span></span></span></p>

<p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-size:9.0pt"><span style="font-family:&quot;Arial&quot;,sans-serif"><span style="color:black">The pts participated, on average, in 1.45&plusmn;2.6 education sessions (rate of participation of 13,2%) and therapeutic adherence was high (39,7&plusmn;19; min 35-40).&nbsp;</span></span></span></span></span></p>

<p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-size:9.0pt"><span style="font-family:&quot;Arial&quot;,sans-serif"><span style="color:black">Regarding education status of the pts, 33 pts (45,2%) had a bachelor degree. These pts tended to participate more in exercise sessions (1,7&plusmn;1,7 vs 1,2&plusmn;1,4 sessions per week) and in education sessions (2.13 vs 1.6), although this difference was not statistically significant. The therapeutic adherence did not vary with patients&rsquo; level of education.&nbsp;</span></span></span></span></span></p>

<p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:&quot;Times New Roman&quot;,serif"><strong><span style="font-size:9.0pt"><span style="font-family:&quot;Arial&quot;,sans-serif"><span style="color:black">Conclusion: </span></span></span></strong><span style="font-size:9.0pt"><span style="font-family:&quot;Arial&quot;,sans-serif"><span style="color:black">Our results showed that a high percentage of patients completed the program and almost half were weekly physically active. However, in regard to educational sessions, the degree of participation was much lower. Educational status seemed to correlate with a more high degree of participation and, in the future, patient selection might offer better results in these kinds of programs.</span></span></span></span></span></p>

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