Liverpool University Hospitals NHS: Cardiac Rehabilitation – Randomised Control Trial
1Dr. Priyanka Meenamkuzhy-Hariharan, 2Miss Kirstie Tew, 2Mr. Ewan Cranwell, 1Miss. Louise Birkinshaw, 1,3Dr. Antonio Eleuteri, 1,3Dr. Michael Fisher
1Liverpool University Hospitals NHS Foundation Trust, Liverpool, England, United Kingdom; 2KiActiv®, London, United Kingdom; 3University of Liverpool, Liverpool, England, United Kingdom
Scientific Abstract
Background
The objective of this investigation was to conduct a randomized controlled trial to evaluate whether KiActiv Heart alongside usual care (UC) promotes positive physical activity (PA) change versus UC alone.
Methodology
Patients in cardiac rehabilitation (n = 130) undertook an 8-wk intervention with follow-up at wk 8. Both groups attended UC and wore a PA monitor during the intervention. The intervention group accessed the digital service and received weekly one-to-one remote mentor sessions. The primary outcome was change in PA to achieve the Association of Certified Physiotherapists in Cardiac Rehabilitation (ACPICR) recommendations. The secondary outcome was cardiorespiratory fitness (CRF) change, measured using incremental shuttle walk test (ISWT).
Results
The probability of meeting ACPICR “Daily Activity” recommendation was statistically significantly greater in the intervention group versus control at wk 8 (P< .05). No statistically significant differences between groups were found for mean ISWT change (intervention 89 ± 116 m; control 44 ± 124 m).
Discussion
Participation in KiActiv Heart alongside UC was associated with statistically significant improvement in probability of meeting ACPICR recommendation and non-statistically significant but potentially clinically important increases in CRF versus UC alone. This builds on existing evidence for effectiveness.
Publications
The research outcomes were selected for presentation at the prestigious European Society of Cardiology (ESC) Congress in Amsterdam 2023, the poster presentation is viewable below. After peer review, the scientific abstract has been published in the internationally recognised European Heart Journal (EHJ), and the full research paper has been published in the US Journal of Cardiopulmonary Rehabilitation and Prevention (JCRP), click below for more.
