Effects of Low-Intensity Exercise in Older Adults With Chronic Heart Failure During the Transitional Period From Hospital to Home in China: A Randomized Controlled Trial

2017 ◽  
Vol 10 (3) ◽  
pp. 121-128 ◽  
Author(s):  
Li Xueyu ◽  
Yu Hao ◽  
Xu Shunlin ◽  
Li Rongbin ◽  
Gao Yuan
Keyword(s):  
Heart Failure ◽  
Older Adults ◽  
Randomized Controlled Trial ◽  
Chronic Heart Failure ◽  
Controlled Trial ◽  
Transitional Period ◽  
Low Intensity ◽  
Randomized Controlled ◽  
Hospital To Home ◽  
Low Intensity Exercise

scholarly journals Evaluation of the efficacy and costs impact of a telemonitoring and teleintervention trough videoconference program for patients with chronic heart failure: a randomized controlled trial

2013 ◽  
Vol 34 (suppl 1) ◽  
pp. P5085-P5085 ◽  
Author(s):  
C. Enjuanes Grau ◽  
J. Comin Colet ◽  
J. M. Verdu Rotellar ◽  
G. Gonzalez Robledo ◽  
A. Linas Alonso ◽  
...  
Keyword(s):  
Heart Failure ◽  
Randomized Controlled Trial ◽  
Chronic Heart Failure ◽  
Controlled Trial ◽  
Randomized Controlled

scholarly journals The Effects of Telemonitoring on Patient Compliance With Self-Management Recommendations and Outcomes of the Innovative Telemonitoring Enhanced Care Program for Chronic Heart Failure: Randomized Controlled Trial (Preprint)

2019 ◽  
Author(s):  
Hang Ding ◽  
Rajiv Jayasena ◽  
Sheau Huey Chen ◽  
Andrew Maiorana ◽  
Alison Dowling ◽  
...  
Keyword(s):  
Heart Failure ◽  
Randomized Controlled Trial ◽  
Chronic Heart Failure ◽  
Patient Compliance ◽  
Controlled Trial ◽  
Care Program ◽  
Self Management ◽  
Control Group ◽  
Randomized Controlled ◽  
Management Recommendations

BACKGROUND Telemonitoring enables care providers to remotely support outpatients in self-managing chronic heart failure (CHF), but the objective assessment of patient compliance with self-management recommendations has seldom been studied. OBJECTIVE This study aimed to evaluate patient compliance with self-management recommendations of an innovative telemonitoring enhanced care program for CHF (ITEC-CHF). METHODS We conducted a multicenter randomized controlled trial with a 6-month follow-up. The ITEC-CHF program comprised the provision of Bluetooth-enabled scales linked to a call center and nurse care services to assist participants with weight monitoring compliance. Compliance was defined a priori as weighing at least 4 days per week, analyzed objectively from weight recordings on the scales. The intention-to-treat principle was used to perform the analysis. RESULTS A total of 184 participants (141/184, 76.6% male), with a mean age of 70.1 (SD 12.3) years, were randomized to receive either ITEC-CHF (n=91) or usual care (control; n=93), of which 67 ITEC-CHF and 81 control participants completed the intervention. For the compliance criterion of weighing at least 4 days per week, the proportion of compliant participants in the ITEC-CHF group was not significantly higher than that in the control group (ITEC-CHF: 67/91, 74% vs control: 56/91, 60%; <i>P</i>=.06). However, the proportion of ITEC-CHF participants achieving the stricter compliance standard of at least 6 days a week was significantly higher than that in the control group (ITEC-CHF: 41/91, 45% vs control: 23/93, 25%; <i>P</i>=.005). CONCLUSIONS ITEC-CHF improved participant compliance with weight monitoring, although the withdrawal rate was high. Telemonitoring is a promising method for supporting both patients and clinicians in the management of CHF. However, further refinements are required to optimize this model of care. CLINICALTRIAL Australian New Zealand Clinical Trial Registry ACTRN12614000916640; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=366691

scholarly journals Effects of Morning Versus Evening Home-Based Exercise on Subjective and Objective Sleep Parameters in Older Adults: A Randomized Controlled Trial

2020 ◽  
pp. 089198872092470
Author(s):  
Jaehoon Seol ◽  
Yuya Fujii ◽  
Taiki Inoue ◽  
Naruki Kitano ◽  
Kenji Tsunoda ◽  
...  
Keyword(s):  
Older Adults ◽  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Exercise Group ◽  
Healthy Older Adults ◽  
Low Intensity ◽  
Randomized Controlled ◽  
Home Based ◽  
Sleep Parameters ◽  
Objectively Measured

Objective: This study aimed to determine whether the timing of exercise influenced the effects of home-based low-intensity stepping exercises on the sleep parameters of older adults. Method: For 8 weeks, 60 healthy older adults participated in a randomized controlled trial, performing low-intensity aerobic exercise (70-80 bpm) for about 30 minutes every day at home, either in the morning (from waking until 12:00) or evening (18:00 to bedtime). Results: In the evening exercise group, both subjectively and objectively measured sleep latency significantly improved throughout the intervention. Further, postintervention subjective sleep satisfaction was significantly higher in the evening group (6.2 ± 1.3 points) than in the morning group (5.2 ± 1.4 points; P = .006). Additionally, sleep variables related to evening exercise had larger effect sizes (Cohen d) than those performed in the morning. Conclusion: Engaging in low-intensity stepping exercises during the evening is potentially a useful nonpharmacological approach to improving sleep quality among older adults.

Transitional Care of Older Adults Hospitalized with Heart Failure: A Randomized, Controlled Trial

2004 ◽  
Vol 52 (5) ◽  
pp. 675-684 ◽  
Author(s):  
Mary D. Naylor ◽  
Dorothy A. Brooten ◽  
Roberta L. Campbell ◽  
Greg Maislin ◽  
Kathleen M. McCauley ◽  
...  
Keyword(s):  
Heart Failure ◽  
Older Adults ◽  
Randomized Controlled Trial ◽  
Transitional Care ◽  
Controlled Trial ◽  
Randomized Controlled
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