A EUropean study on effectiveness and sustainability of current Cardiac Rehabilitation programmes in the Elderly: Design of the EU-CaRE randomised controlled trial

Eva Prescott; Esther P Meindersma; Astrid E van der Velde; José R Gonzalez-Juanatey; Marie Christine Iliou; Diego Ardissino; Giuseppe Biondi Zoccai; Uwe Zeymer; Leonie F Prins; Arnoud Wj Van't Hof; Matthias Wilhelm; Ed P de Kluiver

doi:10.1177/2047487316670063

A EUropean study on effectiveness and sustainability of current Cardiac Rehabilitation programmes in the Elderly: Design of the EU-CaRE randomised controlled trial

Eva Prescott, Esther P Meindersma, Astrid E van der Velde, José R Gonzalez-Juanatey, Marie Christine Iliou, Diego Ardissino, Giuseppe Biondi Zoccai, Uwe Zeymer, Leonie F Prins, Arnoud Wj Van't Hof, Matthias Wilhelm, Ed P de Kluiver

Department of Clinical Medicine

19 Citations (Scopus)

Abstract

BACKGROUND: Cardiac rehabilitation (CR) is an evidence-based intervention to increase survival and quality of life. Yet studies consistently show that elderly patients are less frequently referred to CR, show less uptake and more often drop out of CR programmes.

DESIGN: The European study on effectiveness and sustainability of current cardiac rehabilitation programmes in the elderly (EU-CaRE) project consists of an observational study and an open prospective, investigator-initiated multicentre randomised controlled trial (RCT) involving mobile telemonitoring guided CR (mCR).

OBJECTIVE: The aim of EU-CaRE is to map the efficiency of current CR of the elderly in Europe, and to investigate whether mCR is an effective alternative in terms of efficacy, adherence and sustainability.

METHODS AND RESULTS: The EU-CaRE study includes patients aged 65 years or older with ischaemic heart disease or who have undergone heart valve surgery. A total of 1760 patients participating in existing CR programmes in eight regions of Europe will be included. Of patients declining regular CR, 238 will be included in the RCT and randomised in two study arms. The experimental group (mCR) will receive a personalised home-based programme while the control group will receive no advice or coaching throughout the study period. Outcomes will be assessed after the end of CR and at 12 months follow-up. The primary outcome is VO2peak and secondary outcomes include variables describing CR uptake, adherence, efficacy and sustainability.

CONCLUSION: The study will provide important information to improve CR in the elderly. The EU-CaRE RCT is the first European multicentre study of mCR as an alternative for elderly patients not attending usual CR.

Original language	English
Journal	European Journal of Preventive Cardiology
Volume	23
Issue number	2 suppl
Pages (from-to)	27-40
Number of pages	14
ISSN	2047-4873
DOIs	https://doi.org/10.1177/2047487316670063
Publication status	Published - 1 Oct 2016

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Prescott, E., Meindersma, E. P., van der Velde, A. E., Gonzalez-Juanatey, J. R., Iliou, M. C., Ardissino, D., Zoccai, G. B., Zeymer, U., Prins, L. F., Van't Hof, A. W., Wilhelm, M., & de Kluiver, E. P. (2016). A EUropean study on effectiveness and sustainability of current Cardiac Rehabilitation programmes in the Elderly: Design of the EU-CaRE randomised controlled trial. European Journal of Preventive Cardiology, 23(2 suppl), 27-40. https://doi.org/10.1177/2047487316670063

A EUropean study on effectiveness and sustainability of current Cardiac Rehabilitation programmes in the Elderly : Design of the EU-CaRE randomised controlled trial. / Prescott, Eva; Meindersma, Esther P; van der Velde, Astrid E et al.

In: European Journal of Preventive Cardiology, Vol. 23, No. 2 suppl, 01.10.2016, p. 27-40.

Research output: Contribution to journal › Journal article › Research › peer-review

Prescott, E, Meindersma, EP, van der Velde, AE, Gonzalez-Juanatey, JR, Iliou, MC, Ardissino, D, Zoccai, GB, Zeymer, U, Prins, LF, Van't Hof, AW, Wilhelm, M & de Kluiver, EP 2016, 'A EUropean study on effectiveness and sustainability of current Cardiac Rehabilitation programmes in the Elderly: Design of the EU-CaRE randomised controlled trial', European Journal of Preventive Cardiology, vol. 23, no. 2 suppl, pp. 27-40. https://doi.org/10.1177/2047487316670063

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title = "A EUropean study on effectiveness and sustainability of current Cardiac Rehabilitation programmes in the Elderly: Design of the EU-CaRE randomised controlled trial",

abstract = "BACKGROUND: Cardiac rehabilitation (CR) is an evidence-based intervention to increase survival and quality of life. Yet studies consistently show that elderly patients are less frequently referred to CR, show less uptake and more often drop out of CR programmes.DESIGN: The European study on effectiveness and sustainability of current cardiac rehabilitation programmes in the elderly (EU-CaRE) project consists of an observational study and an open prospective, investigator-initiated multicentre randomised controlled trial (RCT) involving mobile telemonitoring guided CR (mCR).OBJECTIVE: The aim of EU-CaRE is to map the efficiency of current CR of the elderly in Europe, and to investigate whether mCR is an effective alternative in terms of efficacy, adherence and sustainability.METHODS AND RESULTS: The EU-CaRE study includes patients aged 65 years or older with ischaemic heart disease or who have undergone heart valve surgery. A total of 1760 patients participating in existing CR programmes in eight regions of Europe will be included. Of patients declining regular CR, 238 will be included in the RCT and randomised in two study arms. The experimental group (mCR) will receive a personalised home-based programme while the control group will receive no advice or coaching throughout the study period. Outcomes will be assessed after the end of CR and at 12 months follow-up. The primary outcome is VO2peak and secondary outcomes include variables describing CR uptake, adherence, efficacy and sustainability.CONCLUSION: The study will provide important information to improve CR in the elderly. The EU-CaRE RCT is the first European multicentre study of mCR as an alternative for elderly patients not attending usual CR.",

author = "Eva Prescott and Meindersma, {Esther P} and {van der Velde}, {Astrid E} and Gonzalez-Juanatey, {Jos{\'e} R} and Iliou, {Marie Christine} and Diego Ardissino and Zoccai, {Giuseppe Biondi} and Uwe Zeymer and Prins, {Leonie F} and {Van't Hof}, {Arnoud Wj} and Matthias Wilhelm and {de Kluiver}, {Ed P}",

note = "{\textcopyright} The European Society of Cardiology 2016.",

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doi = "10.1177/2047487316670063",

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T1 - A EUropean study on effectiveness and sustainability of current Cardiac Rehabilitation programmes in the Elderly

T2 - Design of the EU-CaRE randomised controlled trial

AU - Prescott, Eva

AU - Meindersma, Esther P

AU - van der Velde, Astrid E

AU - Gonzalez-Juanatey, José R

AU - Iliou, Marie Christine

AU - Ardissino, Diego

AU - Zoccai, Giuseppe Biondi

AU - Zeymer, Uwe

AU - Prins, Leonie F

AU - Van't Hof, Arnoud Wj

AU - Wilhelm, Matthias

AU - de Kluiver, Ed P

PY - 2016/10/1

Y1 - 2016/10/1

N2 - BACKGROUND: Cardiac rehabilitation (CR) is an evidence-based intervention to increase survival and quality of life. Yet studies consistently show that elderly patients are less frequently referred to CR, show less uptake and more often drop out of CR programmes.DESIGN: The European study on effectiveness and sustainability of current cardiac rehabilitation programmes in the elderly (EU-CaRE) project consists of an observational study and an open prospective, investigator-initiated multicentre randomised controlled trial (RCT) involving mobile telemonitoring guided CR (mCR).OBJECTIVE: The aim of EU-CaRE is to map the efficiency of current CR of the elderly in Europe, and to investigate whether mCR is an effective alternative in terms of efficacy, adherence and sustainability.METHODS AND RESULTS: The EU-CaRE study includes patients aged 65 years or older with ischaemic heart disease or who have undergone heart valve surgery. A total of 1760 patients participating in existing CR programmes in eight regions of Europe will be included. Of patients declining regular CR, 238 will be included in the RCT and randomised in two study arms. The experimental group (mCR) will receive a personalised home-based programme while the control group will receive no advice or coaching throughout the study period. Outcomes will be assessed after the end of CR and at 12 months follow-up. The primary outcome is VO2peak and secondary outcomes include variables describing CR uptake, adherence, efficacy and sustainability.CONCLUSION: The study will provide important information to improve CR in the elderly. The EU-CaRE RCT is the first European multicentre study of mCR as an alternative for elderly patients not attending usual CR.

AB - BACKGROUND: Cardiac rehabilitation (CR) is an evidence-based intervention to increase survival and quality of life. Yet studies consistently show that elderly patients are less frequently referred to CR, show less uptake and more often drop out of CR programmes.DESIGN: The European study on effectiveness and sustainability of current cardiac rehabilitation programmes in the elderly (EU-CaRE) project consists of an observational study and an open prospective, investigator-initiated multicentre randomised controlled trial (RCT) involving mobile telemonitoring guided CR (mCR).OBJECTIVE: The aim of EU-CaRE is to map the efficiency of current CR of the elderly in Europe, and to investigate whether mCR is an effective alternative in terms of efficacy, adherence and sustainability.METHODS AND RESULTS: The EU-CaRE study includes patients aged 65 years or older with ischaemic heart disease or who have undergone heart valve surgery. A total of 1760 patients participating in existing CR programmes in eight regions of Europe will be included. Of patients declining regular CR, 238 will be included in the RCT and randomised in two study arms. The experimental group (mCR) will receive a personalised home-based programme while the control group will receive no advice or coaching throughout the study period. Outcomes will be assessed after the end of CR and at 12 months follow-up. The primary outcome is VO2peak and secondary outcomes include variables describing CR uptake, adherence, efficacy and sustainability.CONCLUSION: The study will provide important information to improve CR in the elderly. The EU-CaRE RCT is the first European multicentre study of mCR as an alternative for elderly patients not attending usual CR.

U2 - 10.1177/2047487316670063

DO - 10.1177/2047487316670063

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C2 - 27892423

SN - 2047-4873

VL - 23

SP - 27

EP - 40

JO - European Journal of Preventive Cardiology

JF - European Journal of Preventive Cardiology

IS - 2 suppl

ER -

A EUropean study on effectiveness and sustainability of current Cardiac Rehabilitation programmes in the Elderly: Design of the EU-CaRE randomised controlled trial

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