Technology-based Comprehensive Cardiac Rehabilitation Therapy (TaCT) for women with cardiovascular disease in a middle-income setting: A randomized controlled trial protocol.

التفاصيل البيبلوغرافية
العنوان:	Technology-based Comprehensive Cardiac Rehabilitation Therapy (TaCT) for women with cardiovascular disease in a middle-income setting: A randomized controlled trial protocol.
المؤلفون:	Menezes HJ; Department of Obstetric and Gynecological Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, India., D' Souza SRB; Department of Obstetric and Gynecological Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, India., Padmakumar R; Department of Cardiology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India., Babu AS; Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India., Rao RR; Department of Computer Applications, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, India., Kamath VG; Department of Community Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India., Kamath A; Department of Data Science, Manipal Academy of Higher Education, Manipal, Karnataka, India., Grace SL; Faculty of Health, York University, Toronto, Ontario, Canada.; KITE and Director Cardiac Rehabilitation Research, Peter Munk Cardiac Centre, University Health Network, University of Toronto, Toronto, Ontario, Canada.
المصدر:	Research in nursing & health [Res Nurs Health] 2023 Feb; Vol. 46 (1), pp. 13-25. Date of Electronic Publication: 2022 Nov 12.
نوع المنشور:	Clinical Trial Protocol; Journal Article; Research Support, Non-U.S. Gov't
اللغة:	English
بيانات الدورية:	Publisher: Wiley Country of Publication: United States NLM ID: 7806136 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1098-240X (Electronic) Linking ISSN: 01606891 NLM ISO Abbreviation: Res Nurs Health Subsets: MEDLINE
أسماء مطبوعة:	Original Publication: New York, Wiley.
مواضيع طبية MeSH:	Cardiac Rehabilitation/methods , Cardiovascular Diseases, Adult ; Humans ; Female ; Quality of Life ; Pilot Projects ; Exercise Therapy/methods ; Randomized Controlled Trials as Topic
مستخلص:	Women are underrepresented in cardiac rehabilitation (CR) despite the benefits, and this is exacerbated in lower-resource settings where CR is insufficiently available. In this randomized controlled trial, the effectiveness of the Technology-based Comprehensive Cardiac Rehabilitation Therapy (TaCT) electronic cardiac rehabilitation (eCR) intervention on functional capacity, risk factors, quality of life, heart-health behaviors, symptoms, and morbidity will be tested among women with CVD in a middle-income country. Following a pilot study, a single-center, single-blinded, 2 parallel-arm (1:1 SNOSE) superiority trial comparing an eCR intervention (TaCT) to usual care, with assessments pre-intervention and at 3 and 6 months will be undertaken. One hundred adult women will be recruited. Permuted block (size 10) randomization will be applied. The 6-month intervention comprises an app, website, SMS texts with generic heart-health management advice, and bi-weekly 1:1 telephone calls with a nurse trainee. Individualized exercise prescriptions will be developed based on an Incremental Shuttle Walk Test (primary outcome) and dietary plans based on 24 h dietary recall. A yoga/relaxation video will be provided via WhatsApp, along with tobacco cessation support and a moderated group chat. At 3 months, intervention engagement and acceptability will be assessed. Analyses will be conducted based on intent-to-treat. If results of this novel trial of women-focused eCR in a middle-income country demonstrate clinically-significant increases in functional capacity, this could represent an important development for the field considering this would be an important outcome for women and would translate to lower mortality. (© 2022 Wiley Periodicals LLC.)
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فهرسة مساهمة:	Keywords: cardiovascular diseases; functional capacity; middle-income country; technology; women
تواريخ الأحداث:	Date Created: 20221113 Date Completed: 20230110 Latest Revision: 20230226
رمز التحديث:	20240628
DOI:	10.1002/nur.22276
PMID:	36371623
قاعدة البيانات:	MEDLINE

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تدمد:	1098-240X
DOI:	10.1002/nur.22276