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Improving adherence to rehabilitation for heart failure patients through immersive virtual reality (VIRTUAL-HF): A protocol for a randomized controlled trial.
Micheluzzi, Valentina; Casu, Gavino; Sanna, Giuseppe Damiano; Canu, Antonella; Iovino, Paolo; Caggianelli, Gabriele; Vellone, Ercole.
Afiliação
  • Micheluzzi V; Clinical and Interventional Cardiology, Sassari University Hospital, Sassari, Italy; Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy. Electronic address: valentina.micheluzzi@gmail.com.
  • Casu G; Clinical and Interventional Cardiology, Sassari University Hospital, Sassari, Italy; Department of Medicine, and Pharmacy, University of Sassari, Sassari, Italy.
  • Sanna GD; Clinical and Interventional Cardiology, Sassari University Hospital, Sassari, Italy.
  • Canu A; Clinical and Interventional Cardiology, Sassari University Hospital, Sassari, Italy.
  • Iovino P; Health Sciences Department, University of Florence, Florence, Italy.
  • Caggianelli G; San Giovanni Addolorata Hospital, Rome, Italy.
  • Vellone E; Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy; Department of Nursing and Obstetrics, Wroclaw Medical University, Wroclaw, Poland.
Contemp Clin Trials ; 138: 107463, 2024 03.
Article em En | MEDLINE | ID: mdl-38302011
ABSTRACT

BACKGROUND:

To improve symptoms and reduce poor outcomes related to heart failure (HF), international guidelines recommend cardiac rehabilitation (CR), particularly for those with a reduced ejection fraction. Unfortunately, patient adherence to rehabilitation programs remains suboptimal, with dropouts ranging from 15.4 to 63.3%. An innovative and promising intervention that could improve adherence to rehabilitation is virtual reality (VR). This study aims to evaluate the effects of VR in patients with HF who undergo CR using this technology in terms of adherence (primary outcome), functional capacity, perceived exertion, angina, quality of life, heart rate, oxygen saturation, blood pressure, maximum oxygen uptake, minute ventilation/carbon dioxide production slope, oxygen pulse, blood values of NT-proBNP and HF related rehospitalization rates (secondary outcomes).

METHODS:

A randomized controlled trial will be conducted in a sample of 80 patients referred to CR. Participants will be enrolled in a cardiological rehabilitation unit of a large university hospital in Italy and randomized (11) to the experimental intervention consisting of CR performed with high-quality immersive VR with PICO 4® Head Mounted Display headset and TREADMILL XR® software (Arm 1) or standard CR (Arm 2). Patients, according to guidelines, will perform 30-min of CR sessions with moderate intensity, twice a week for one month.

RESULTS:

Significant improvements in primary and secondary outcomes are expected in patients in the intervention group.

CONCLUSIONS:

If proven to be effective, VR could be an innovative, safe, and easy digital health intervention to improve adherence to CR in patients with HF, as well as important clinical outcomes.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Realidade Virtual / Insuficiência Cardíaca Tipo de estudo: Clinical_trials / Guideline Limite: Humans Idioma: En Revista: Contemp Clin Trials Assunto da revista: MEDICINA / TERAPEUTICA Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Realidade Virtual / Insuficiência Cardíaca Tipo de estudo: Clinical_trials / Guideline Limite: Humans Idioma: En Revista: Contemp Clin Trials Assunto da revista: MEDICINA / TERAPEUTICA Ano de publicação: 2024 Tipo de documento: Article