{"id":47022,"date":"2002-03-26T00:00:00","date_gmt":"2002-03-26T06:00:00","guid":{"rendered":"https:\/\/www.unmc.edu\/newsroom\/2002\/03\/26\/unmc-researchers-conducting-study-to-determine-if-home-basedcardiac-rehabilitation-as-effective-as-traditional-cardiac-rehab\/"},"modified":"2022-08-29T10:48:34","modified_gmt":"2022-08-29T15:48:34","slug":"unmc-researchers-conducting-study-to-determine-if-home-basedcardiac-rehabilitation-as-effective-as-traditional-cardiac-rehab","status":"publish","type":"post","link":"https:\/\/www.unmc.edu\/newsroom\/2002\/03\/26\/unmc-researchers-conducting-study-to-determine-if-home-basedcardiac-rehabilitation-as-effective-as-traditional-cardiac-rehab\/","title":{"rendered":"UNMC Researchers Conducting Study to Determine if Home-based\n\nCardiac Rehabilitation as Effective as Traditional Cardiac Rehab"},"content":{"rendered":"

Researchers at the University of Nebraska Medical Center College of<\/p>\n

Nursing have received a $100,000 grant from the American Heart Association<\/p>\n

to conduct a preliminary study to determine whether home-based cardiac<\/p>\n

rehabilitation is an effective alternative to traditional cardiac rehabilitation.<\/p>\n

UNMC researchers will study 50 Omaha-area study participants, age 40-<\/p>\n

to 80-years-old, whove had a heart attack or coronary artery bypass. The<\/p>\n

clinical site for the study will be Nebraska Health System (NHS).<\/p>\n

Though more than 12 million patients with coronary heart disease need<\/p>\n

medically supervised cardiac rehabilitation, about 65 percent of Nebraskans<\/p>\n

(national figure is about 10 to 20 percent) are referred to cardiac rehabilitation<\/p>\n

following hospital discharge for heart attack or coronary artery bypass<\/p>\n

graft (CABG) surgery.<\/p>\n

National statistics show about 25 percent of patients drop out of traditional<\/p>\n

cardiac rehabilitation programs or go back to old habits within the first<\/p>\n

three months, and 40 to 50 percent between six to 12 months, with little<\/p>\n

further change during the next three to four years.<\/p>\n

Barriers to traditional programs include lack of insurance reimbursement,<\/p>\n

lack of access to a program, lack of motivation, lack of physician referral,<\/p>\n

lack of spouse support, and perhaps another illness that prevents them<\/p>\n

from participating.<\/p>\n

The goal of the study, titled, Testing a Home-Based Program of Cardiac<\/p>\n

Rehabilitation, is to obtain information to ultimately evaluate whether<\/p>\n

home-based cardiac rehabilitation is at least as effective as traditional<\/p>\n

cardiac rehabilitation.<\/p>\n

The content of our home-based cardiac rehabilitation program is the<\/p>\n

same as a traditional one, but we will give patients the education and<\/p>\n

resources to enable them to carry out the program more independently, at<\/p>\n

home, said Bernice Yates, Ph.D., principal investigator of the study and<\/p>\n

associate professor, UNMC College of Nursing.<\/p>\n

We hope starting patients on an independent home-based rehabilitation<\/p>\n

program will motivate them earlier in the recovery process to assume greater<\/p>\n

responsibility for making lifestyle changes which will, in turn, help make<\/p>\n

it a lifelong habit, Dr. Yates said. A home-based program also is potentially<\/p>\n

a more convenient and less expensive method of delivering services that<\/p>\n

may be an alternative for patients who cannot afford services or are unable<\/p>\n

to participate because of work schedules and other barriers.<\/p>\n

Cardiac rehabilitation is recognized in the health care community as<\/p>\n

a well-established and safe way to reduce the risk of a second heart attack,<\/p>\n

as well as reduce health care costs. It has been found to improve function<\/p>\n

and quality of life, and reduce disease and death associated with cardiovascular<\/p>\n

disease.<\/p>\n

During a typical traditional eight-week cardiac rehabilitation program,<\/p>\n

patients attend an outpatient program in a group setting three times a<\/p>\n

week to exercise and learn how to lower their risk of a second heart attack<\/p>\n

through exercise, diet, quitting smoking, and lowering cholesterol and<\/p>\n

other harmful blood fats. However, when a rehabilitation program concludes<\/p>\n

after eight weeks, many people go back to their old habits, Dr. Yates said.<\/p>\n

We believe other tested methods of delivering effective cardiac rehabilitation<\/p>\n

are needed that reach more patients and keep people motivated to improve<\/p>\n

their health, she said.<\/p>\n

In the home-based approach, researchers will begin by teaching participants<\/p>\n

the skills they will need to do cardiac rehabilitation in their home, at<\/p>\n

their own convenience. Researchers will collect data from participants<\/p>\n

on functional capacity, exercise, diet, smoking, lipid medication and quality<\/p>\n

of life at various stages of the study.<\/p>\n

The information ultimately will reveal data about the effectiveness<\/p>\n

of an alternate method of delivering cardiac rehabilitation service and<\/p>\n

guidelines to prevent heart disease.<\/p>\n

Like a traditional program, the home-based program will be formally<\/p>\n

finished after eight weeks, however, researchers will continue to follow<\/p>\n

the study participants for another three months to see if they maintain<\/p>\n

their new lifestyle habits. Relapse prevention is another aspect being<\/p>\n

evaluated in the home-based study.<\/p>\n

If individuals can have these little successes, hopefully they will<\/p>\n

become lasting successes and become part of their lifestyle, Dr. Yates<\/p>\n

said. Well show them the improvements they make in exercise capacity<\/p>\n

and lowering cholesterol, so they will get a boost that we hope will help<\/p>\n

prevent relapse.<\/p>\n

Although drop-out rates can be as high as 50 percent at 6 months, we<\/p>\n

are anticipating a lower drop-out rate because of the encouragement, regular<\/p>\n

follow-up, and incentives that will be provided to subjects to remain in<\/p>\n

the study, she said.<\/p>\n

Coronary heart disease is responsible for more activity limitations<\/p>\n

than any other disease, according to the American Heart Association. People<\/p>\n

over 65 years of age account for 55 percent of all heart attacks and 50<\/p>\n

percent of coronary artery bypass graft (CABG) surgeries in the United<\/p>\n

States.<\/p>\n

The multidisciplinary research team will be made up of a nurse, exercise<\/p>\n

specialist, dietitian, nurse practitioner, a physician and biostatistician.<\/p>\n

Co-investigators of the study are UNMC faculty, Jan Atwood, Ph.D., Scott<\/p>\n

Shurmur, M.D., and Julie Stoner, Ph.D., Kaye Stanek-Krogstrand, Ph.D.,<\/p>\n

University of Nebraska at Omaha, and consultants, Mark Williams, Ph.D.,<\/p>\n

Creighton University and Nancy Houston Miller, Stanford Medical Center.<\/p>\n

For more information, call Mary Silver at (402) 559-2188.<\/p>\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"

Researchers at the University of Nebraska Medical Center College of Nursing have received a $100,000 grant from the American Heart Association to conduct a preliminary study to determine whether home-based cardiac rehabilitation is an effective alternative to traditional cardiac rehabilitation. UNMC researchers will study 50 Omaha-area study participants, age 40- to 80-years-old, whove had a […]<\/p>\n","protected":false},"author":79,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-47022","post","type-post","status-publish","format-standard","hentry","category-uncategorized","department-press-release"],"yoast_head":"\nUNMC Researchers Conducting Study to Determine if Home-based Cardiac Rehabilitation as Effective as Traditional Cardiac 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