Home-Based Adaptable TeleRehabilitation for TAVI patients
Research type
Research Study
Full title
Feasibility and Acceptability of a Home-Based Adaptable Telerehabilitation Programme for Transcatheter Aortic Valve Implantation (TAVI) Patients.
IRAS ID
332374
Contact name
Charlotte Nichol
Contact email
Sponsor organisation
Northumbria University
Duration of Study in the UK
1 years, 5 months, 25 days
Research summary
Background:
Transcatheter Aortic Valve Implantation (TAVI), is a way of replacing the main heart valve, without needing open heart surgery and is suitable for older, more frail patients. Exercise is important for recovery, to support positive outcomes, such as quality of life and health improvements, while reducing hospital re-admission. However, many TAVI patients do not participate in cardiac rehabilitation (CR). Telerehabilitation uses technology to deliver rehabilitation to support exercise at home. This has the potential to help patients exercise, by removing the need to travel for rehabilitation, provide flexibility to exercise, while reducing the carbon footprint. However, it has not yet been assessed for patients following TAVI.Aims:
Our study aims to find out if a home-based exercise telerehabilitation programme, accessed through an iPad with an app installed, works as intended, by supporting exercise, and is acceptable to patients
Methods:
We aim to recruit 20 participants within Newcastle. After consent, participants will be given a fitness watch, which tracks heart rate and step count, at their first clinic appointment after their TAVI. The intervention consists of exercise activities and education accessed through the app on the iPad. Participants’ activity is monitored daily by the watch and the app with goals adjusted based on information collected. A demonstration and instructions will be provided with participants able to ask questions. Measurements of balance and walking activity will be taken in addition to routine clinical measurements. These will take about an extra 30 minutes to complete. These will be repeated after the 8 week intervention period at a second clinic visit. Participants will be called each week to review activities and discuss any issues.
After the intervention, participants will be invited to be interviewed about their experiences of using the intervention, and the technology and how they would improve the experience.REC name
Yorkshire & The Humber - Leeds East Research Ethics Committee
REC reference
24/YH/0214
Date of REC Opinion
26 Nov 2024
REC opinion
Further Information Favourable Opinion