Patients' preference for exercise setting and its influence on the health benefits gained from exercise-based cardiac rehabilitation

摘要: Abstract Objective To assess patient preference for exercise setting and examine if choice of influences the long-term health benefit exercise-based cardiac rehabilitation. Methods Patients participating in a randomised controlled trial following either heart valve surgery, or radiofrequency ablation atrial fibrillation were given to perform 12-week programme supervised centre-based, self-management home-based setting. Exercise capacity physical mental outcomes assessed up 24months after hospital discharge. Outcomes between settings compared using time×setting interaction mixed effects regression model. Results Across 158 included patients, an equivalent proportion preferred undertake rehabilitation centre-based (55%, 95% CI: 45% 63%) (45%, 37% 53%, p =0.233). At baseline, those who reported better (mean difference component score: 5.0, CI 2.3 7.4; =0.001) higher group 15.9watts, 3.7 28.1; =0.011). With exception depression score Hospital Anxiety Depression Score (F(3.65), =0.004), there was no evidence significant settings. Conclusion The patients participate programmes appears be provides similar benefits. Whilst these findings support that should exercise-settings when initiating rehabilitation, further confirmatory is needed.