A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä

Personalised eHealth intervention to increase physical activity and reduce sedentary behaviour in rehabilitation after cardiac operations: Study protocol for the PACO randomised controlled trial (NCT03470246)




TekijätVasankari V., Halonen J., Husu P., Vähä-Ypyä H., Tokola K., Suni J., Sievänen H., Anttila V., Airaksinen J., Vasankari T., Hartikainen J.

KustantajaBMJ Publishing Group

Julkaisuvuosi2019

JournalBMJ Open Sport and Exercise Medicine

Tietokannassa oleva lehden nimiBMJ Open Sport and Exercise Medicine

Vuosikerta5

Numero1

ISSN2055-7647

DOIhttps://doi.org/10.1136/bmjsem-2019-000539

Verkko-osoitehttps://bmjopensem.bmj.com/content/5/1/e000539

Rinnakkaistallenteen osoitehttps://research.utu.fi/converis/portal/detail/Publication/42094860


Tiivistelmä

Introduction: Personalized intervention to increase physical Activity and reduce sedentary behaviour in rehabilitation after Cardiac Operations (PACO) is a smartphone-based and accelerometer-based eHealth intervention to increase physical activity (PA) and reduce sedentary behaviour (SB) among patients recovering from cardiac surgery.

Design: Prospective randomised controlled trial.

Methods and analysis: The present protocol describes a randomised controlled clinical trial to be conducted in the Heart Centres of Kuopio and Turku university hospitals. The trial comprises 540 patients scheduled for elective coronary artery bypass grafting, aortic valve replacement or mitral valve repair. The patients will be randomised into two groups. The control group will receive standard postsurgical rehabilitation guidance. The eHealth intervention group will be given the same guidance together with personalised PA guidance during 90 days after discharge. These patients will receive personalised daily goals to increase PA and reduce SB via the ExSedapplication. Triaxial accelerometers will be exploited to record patients’ daily accumulated PA and SB, and transmit them to the application. Using the accelerometer data, the application will provide online guidance to the patients and feedback of accomplishing their activity goals. The data will also be transmitted to the cloud, where a physiotherapist can monitor individual activity profiles and customise the subsequent PA and SB goals online. The postoperative improvement in patients’ step count, PA, exercise capacity, quality of sleep, laboratory markers, transthoracic echocardiography (TTE) parameters and quality of life, and reduction in SB and incidence of major cardiac events are investigated as outcomes.

Conclusions: The PACO intervention aims to build a personalised eHealth tool for the online tutoring of cardiac surgery patients.


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Last updated on 2024-26-11 at 14:46