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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/25712

Title: Cardiac telerehabilitation: A novel cost-efficient care delivery strategy that can induce long-term health benefits
Authors: Frederix, Ines
Solmi, Francesca
Piepoli, Massimo F.
Dendale, Paul
Issue Date: 2017
Abstract: Background: Finding innovative and cost-efficient care strategies that induce long-term health benefits in cardiac patients constitutes a big challenge today. The aim of this Telerehab III follow-up study was to assess whether a 6-month additional cardiac telerehabilitation programme could induce long-term health benefits and remain cost-efficient after the tele-intervention ended. Methods and results: A total of 126 cardiac patients first completed the multicentre, randomised controlled telerehabilitation trial (Telerehab III, time points t(0) to t(1)). They consequently entered the follow-up study (t(1)) with evaluations 2 years later (t(2)). A quantitative analysis of peak aerobic capacity (VO2 peak, primary endpoint), international physical activity questionnaire self-reported physical activity and HeartQoL quality of life (secondary endpoints) was performed. The incremental cost-effectiveness ratio was calculated. Even though a decline in VO2 peak (248ml/[min*kg] at t(1) and 226ml/[min*kg] at t(2); P <= 0.001) was observed within the tele-intervention group patients; overall they did better than the no tele-intervention group (P=0.032). Dividing the incremental cost (-(sic)878/patient) by the differential incremental quality-adjusted life years (QALYs) (0.22 QALYs) yielded an incremental cost-effectiveness ratio of -(sic)3993/QALY. Conclusions: A combined telerehabilitation and centre-based programme, followed by transitional telerehabilitation induced persistent health benefits and remained cost-efficient up to 2 years after the end of the intervention. A partial decline of the benefits originally achieved did occur once the tele-intervention ended. Healthcare professionals should reflect on how innovative cost-efficient care models could be implemented in standard care. Future research should focus on key behaviour change techniques in technology-based interventions that enable full persistence of long-term behaviour change and health benefits.
Notes: [Frederix, Ines; Dendale, Paul] Hasselt Univ, Fac Med & Life Sci, Hasselt, Belgium. [Frederix, Ines; Dendale, Paul] Jessa Hosp, Dept Cardiol, Stadsomvaart 11, B-3500 Hasselt, Belgium. [Frederix, Ines] Univ Antwerp, Fac Med & Hlth Sci, Antwerp, Belgium. [Solmi, Francesca] Hasselt Univ, Inst Biostat & Stat Bioinformat, Hasselt, Belgium. [Piepoli, Massimo F.] Saliceto da Polichirurg Hosp AUSL Piacenza, Heart Failure Unit, Piacenza, Italy.
URI: http://hdl.handle.net/1942/25712
DOI: 10.1177/2047487317732274
ISI #: 000414300500005
ISSN: 2047-4873
Category: A1
Type: Journal Contribution
Validation: ecoom, 2018
Appears in Collections: Research publications

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