{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T08:05:07Z","timestamp":1781251507491,"version":"3.54.1"},"reference-count":47,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Open Heart"],"accepted":{"date-parts":[[2018,8,14]]},"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Cardiac rehabilitation (CR) is typically delivered in hospital-based classes and is recommended to help people reduce their risk of further cardiac events. However, many eligible people are not completing the programme. This study aimed to assess the feasibility of delivering a web-based CR intervention for those who decline\/drop out from usual CR.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Intervention<\/jats:title>\n                  <jats:p>A web-based CR programme for 6 months, facilitated with remote support.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Two-centre, randomised controlled feasibility trial. Patients were randomly allocated to web-based CR\/usual care for 6 months. Data were collected to inform the design of a larger study: recruitment rates, quality of life (MacNew), exercise capacity (incremental shuttle walk test) and mood (Hospital Anxiety and Depression Scale). Feasibility of health utility collection was also evaluated.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>60 patients were randomised (90% male, mean age 62\u00b19 years, 26% of those eligible). 82% completed all three assessment visits. 78% of the web group completed the programme. Quality of life improved in the web group by a clinically meaningful amount (0.5\u00b11.1 units vs 0.2\u00b10.7 units: control). Exercise capacity improved in both groups but mood did not change in either group. It was feasible to collect health utility data.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>It was feasible to recruit and retention to the end of the study was good. The web group reported important improvements in quality of life. This intervention has the opportunity to increase access to CR for patients who would otherwise not attend. Promising outcomes and recruitment suggest feasibility for a full-scale trial.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Trial registration number<\/jats:title>\n                  <jats:p>10726798.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/openhrt-2018-000860","type":"journal-article","created":{"date-parts":[[2018,10,8]],"date-time":"2018-10-08T09:45:37Z","timestamp":1538991937000},"page":"e000860","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":28,"title":["Web-based cardiac <b>RE<\/b>habilitatio<b>N<\/b> alternative for those declining or dropping out of conventional rehabilitation: results of the WREN feasibility randomised controlled trial"],"prefix":"10.1136","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4940-8835","authenticated-orcid":false,"given":"Linzy","family":"Houchen-Wolloff","sequence":"first","affiliation":[{"name":"Centre for Exercise and Rehabilitation Science (CERS), NIHR Leicester Biomedical Research Centre (BRC)- Respiratory, University Hospitals of Leicester NHS Trust, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikki","family":"Gardiner","sequence":"additional","affiliation":[{"name":"Centre for Exercise and Rehabilitation Science (CERS), NIHR Leicester Biomedical Research Centre (BRC)- Respiratory, University Hospitals of Leicester NHS Trust, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reena","family":"Devi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noelle","family":"Robertson","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Psychology and Behaviour, University of Leicester, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Jolly","sequence":"additional","affiliation":[{"name":"Institute of Applied Health Research, University of Birmingham, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"Marshall","sequence":"additional","affiliation":[{"name":"Institute of Applied Health Research, University of Birmingham, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gill","family":"Furze","sequence":"additional","affiliation":[{"name":"Faculty of Health and Life Sciences, Coventry University, Coventry, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Doherty","sequence":"additional","affiliation":[{"name":"Health Sciences, University of York, York, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ala","family":"Szczepura","sequence":"additional","affiliation":[{"name":"Centre for Technology Enabled Health Research, Coventry University, Coventry, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Powell","sequence":"additional","affiliation":[{"name":"Medical Sciences Division, University of Oxford, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally","family":"Singh","sequence":"additional","affiliation":[{"name":"Centre for Exercise and Rehabilitation Science (CERS), NIHR Leicester Biomedical Research Centre (BRC)- Respiratory, University Hospitals of Leicester NHS Trust, Leicester, UK"},{"name":"Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,10,8]]},"reference":[{"key":"2025081710540441000_5.2.e000860.1","unstructured":"Improvement NHS , 2013. www.natcansat.nhs.uk\/dlhandler.ashx?d=pubs&f=Case_for_CR.pdf. 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