Home-based cardiac rehab is emerging as an effective alternative to center-based cardiac rehabilitation, with potential improvements in access and participation. A recent review of 23 random clinical trials observed that home-based cardiac rehab programs can be as effective as center-based cardiac rehab, which is extremely important when local access, patient preference or other factors could limit participation in a center-based program[i].
Cardiac rehab programs reduce morbidity and mortality in patients with ischemic heart disease. However, there are numerous barriers to participation in center-based ones. Many of these barriers can be overcome by in-home cardiac rehab programs, which, in turn, can increase participation by significant numbers of patients who will benefit from, but would not otherwise participate in, cardiac rehab programs.
The Design and Approach of a Home-Based Cardiac Rehab Program
The design and implementation of a successful home-based cardiac rehab program requires the involvement of and execution by numerous members of the care team including doctors, nurses, exercise physiologists or physical therapists, occupational therapists, registered dietitians, psychologists, social workers, case managers and home care professionals.
Karen Collins, MS, RDN, CDN, FAND, a nutrition consultant specializing in cardiometabolic health and cancer prevention, says that it is important for all members of the care team to note that a home-based cardiac rehab program is a multidisciplinary intervention tailored to the individual patient, which “requires a high level of collaborative planning by the care team.”
Join a One-Hour CEU Webinar to Learn More
If you or other members of your team are interested in exploring home-based cardiac rehab, use this American Heart Month as a motivator to learn more by attending a thought-provoking webinar that will open the door to further discussion regarding opportunities you and your team may have in the home-based cardiac rehab space.
Right at Home is sponsoring a one-hour CEU webinar, “Home-Based Cardiac Rehab: Designing an Effective Approach,” on February 28, 2019. This webinar will provide an overview of home-based cardiac rehab programs and give the multidisciplinary care team ideas for designing and implementing a home-based cardiac rehab program. Collins and David Schopfer, MD, a cardiologist and health services researcher at the San Francisco VA Healthcare System, will be presenting and answering questions live.
[i] Anderson, et al. (Rev. 2017 Jun 30). Home-based versus centre-based cardiac rehabilitation. Cochrane Database Syst; doi: 10.3310/signal-000316