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Comprehensive Hybrid Cardiac Rehabilitation Trial on Heart Failure
Sponsor: Universidad de La Frontera
Summary
CO-CREATION-HF aims to evaluate the effectiveness of a comprehensive and hybrid cardiac rehabilitation model compared to supervised exercise alone.
Official title: Comprehensive Hybrid Cardiac Rehabilitation Trial to Assess Impact on Heart Failure Patients
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
152
Start Date
2024-04-01
Completion Date
2027-03
Last Updated
2024-12-03
Healthy Volunteers
No
Interventions
Comprehensive Initial Assessment
Initial Assessment includes all those necessary to prescribe exercise training, as well as dietary and adherence promotion interventions. * Functional capacity with 6MWT * Assessment of skeletal muscle strength, flexibility, and balance. * Assessment of function * Assessment of dietary habits * Assessment of self-efficacy and barriers to CR adherence. * Screening for depression.
Continuous evaluation
Evaluations during the course of the program will be carried out to inform the progression through the CR stages, the intensity of training and education needs.
Interval Exercise
High-intensity interval training prescribed by physical therapist: * According to an adapted Wisloff protocol. * Borg scale to monitor intensity. * Training 3 times per week.
Psychosocial support
Based on social-cognitive theory, with self-efficacy as a focus: * Face-to-face sessions in the first stage of the program: Education, self-monitoring and motivational interview. * Face-to-face session in the second stage of the program: promoting behavior changes by self-control and self-monitoring * Regular communication with patients will be supported by the use of mobile devices during the third and fourth stages of program.
Diet management
A dietary plan supported by a nutritionist will be made together with the patient.
Resistance exercise
Resistance exercises: * With TheraBand. * Intensity according to the perceived exertion scale * Twice a week.
Continuous exercise
Moderate-intensity continuous exercise prescribed by physical therapist : * The intensity will be moderate, as tolerated * Borg scale to monitor intensity. * Frequency of training of 1 to 3 times per week, until completed 20 sessions in 10-12 weeks.
Initial Assessment
Includes all those necessary to plan exercise training, as usual: * Functional capacity with 6MWT. * Assessment of skeletal muscle strength.
Locations (4)
Complejo Hospitalario San José
Santiago, Chile
Hospital Clínico Universidad de Chile
Santiago, Chile
Hospital San Borja Arriarán
Santiago, Chile
Universidad de La Frontera
Temuco, Chile