Home-based cardiac rehabilitation: development, implementation and outcome evaluation in patients with coronary artery diseases in Lahore, Pakistan – a mixed-methods study protocol

BMJ Open · 6 authors, 5 centres

AI SUMMARY

FIDELITY 100%

POPULATIONPatients with coronary artery diseases (acute coronary syndrome) in Lahore, Pakistan

INTERVENTIONA contextual home-based cardiac rehabilitation (HBCR) intervention

COMPARISONControl group (no specific intervention detail provided in the abstract)

This summary was generated by AI from a single paper. It has not been reviewed by a clinician and is not clinical advice. Verify against the source before acting on it.

AGENT 01 · STRUCTURED SUMMARY

TRACE TO SOURCE

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TL;DR

This is a protocol for a mixed-methods study to develop and test a home-based cardiac rehabilitation program for coronary artery disease patients in Pakistan, using a qualitative phase followed by a single-blinded randomized controlled trial.

Full summary

838 CHARS

The study protocol outlines a mixed-method exploratory sequential design to develop and evaluate a contextual home-based cardiac rehabilitation (HBCR) intervention for coronary artery disease patients in Pakistan. The qualitative phase will involve semi-structured interviews with 15–20 patients and 12–15 healthcare providers to inform intervention development. The subsequent quantitative phase is a single-blinded randomized controlled trial that will recruit 118 patients with acute coronary syndrome, allocating 59 to an intervention group receiving the HBCR and 59 to a control group. Primary outcomes are changes in quality of life, health behaviours, bio-physiological parameters, and emergency hospital visits. Analysis will use thematic analysis for qualitative data and descriptive/inferential statistics for quantitative data.

PICO

PPOPULATION

Patients with coronary artery diseases (acute coronary syndrome) in Lahore, Pakistan

IINTERVENTION

A contextual home-based cardiac rehabilitation (HBCR) intervention

OOUTCOME

Quality of life, health behaviours, bio-physiological parameters, and emergency hospital visits

STUDY TYPE

other

SPECIALTY

cardiology

SUMMARISED BY

AI pipeline

FIDELITY CHECK

100% · A

ORIGINAL PAPER

PMC10254856

Home-based cardiac rehabilitation: development, implementation and outcome evaluation in patients with coronary artery diseases in Lahore, Pakistan – a mixed-methods study protocol

BMJ Open

READ THE FULL PAPER

ABSTRACT

Introduction Cardiac rehabilitation (CR) is an important strategy to bring cardiac patients back to a normal life after a cardiac event. The benefits of CR as part of secondary prevention are widely known among people who have undergone myocardial infarction or revascularisation. As evidenced by several systematic reviews and meta-analyses, home-based CR (HBCR) has similar or greater effects on health-related quality of life, health outcomes, physical activity, anxiety and unplanned visits to the emergency department as compared with centre-based CR. The purpose of this study is to develop a contextual HBCR intervention and evaluate its effects on quality of life, health behaviours, bio-physiological parameters and emergency hospital visits of patients with coronary artery diseases in Lahore, Pakistan. Methods and analysis This study will employ a mixed-method exploratory sequential research design. The researchers will invite 15–20 cardiac patients and 12–15 healthcare providers for semi-structured interviews in the qualitative phase of the study. Once the intervention is developed and validated through the qualitative phase, the outcomes will be evaluated through a single-blinded randomised control trial in the quantitative phase. A total of 118 patients with acute coronary syndrome will be recruited through a screening checklist and randomly allocated into the control and intervention groups (59 patients in each group). The inductive coding approach will be used for the thematic analysis of qualitative data, whereas the quantitative data will be analysed through descriptive and inferential statistics using SPSS to see the difference within the groups, between groups and between three intervals. Ethics and dissemination The Ethical Review Committee of Aga Khan University and Mayo Hospital Lahore under the registration number 2023-8282-24191 and No/75749MH have approved this study protocol, respectively. The results of this study will be disseminated to participating patients (in the Urdu language), healthcare professionals and the public by publishing the manuscript in an open-access peer-reviewed journal and presenting it at different conferences. Trial registration number Australian New Zealand Clinical Trial Registry (ACTRN12623000049673p).

CITATION EXPORT

Adnan Yaqoob, Rubina Barolia, Laila Ladak et al.. Home-based cardiac rehabilitation: development, implementation and outcome evaluation in patients with coronary artery diseases in Lahore, Pakistan – a mixed-methods study protocol. BMJ Open. (2023). https://doi.org/10.1136/bmjopen-2023-073673

AUTHORS

6 · 5 CENTRES

Adnan Yaqoob, Rubina Barolia, Laila Ladak, Asif Hanif, Aamir Hameed Khan, Wajeeha Sahar

1School of Nursing and Midwifery, The Aga Khan University, Karachi, Pakistan
2Nursing Education, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan
3University Institute of Public Health, The University of Lahore - New Campus, Lahore, Pakistan
4Department of Cardiology, Ziauddin Medical University, Karachi, Pakistan
5University Institute of Physical Therapy, The University of Lahore, Lahore, Pakistan