{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T05:35:23Z","timestamp":1793424923586,"version":"4.5.0"},"reference-count":38,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"19","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2020,10,6]]},"abstract":"\n Background<\/jats:title>\n Cardiac rehabilitation is an established performance measure for adults with ischemic heart disease, but patient participation is remarkably low. Home\u2010based cardiac rehabilitation (HBCR) may be more practical and feasible, but evidence regarding its efficacy is limited. We sought to compare the effects of HBCR versus facility\u2010based cardiac rehabilitation (FBCR) on functional status in patients with ischemic heart disease.<\/jats:p>\n <\/jats:sec>\n \n Methods and Results<\/jats:title>\n \n This was a pragmatic trial of 237 selected patients with a recent ischemic heart disease event, who enrolled in HBCR or FBCR between August 2015 and September 2017. The primary outcome was 3\u2010month change in distance completed on a 6\u2010minute walk test. Secondary outcomes included rehospitalization as well as patient\u2010reported physical activity, quality of life, and self\u2010efficacy. Characteristics of the 116 patients enrolled in FBCR and 121 enrolled in HBCR were similar, except the mean time from index event to enrollment was shorter for HBCR (25 versus 77\u00a0days;\n P<\/jats:italic>\n <0.001). As compared with patients undergoing FBCR, those in HBCR achieved greater 3\u2010month gains in 6\u2010minute walk test distance (+95 versus +41\u00a0m;\n P<\/jats:italic>\n <0.001). After adjusting for demographics, comorbid conditions, and indication, the mean change in 6\u2010minute walk test distance remained significantly greater for patients enrolled in HBCR (+101 versus +40\u00a0m;\n P<\/jats:italic>\n <0.001). HBCR participants reported greater improvements in quality of life and physical activity but less improvement in exercise self\u2010efficacy. There were no deaths or cardiovascular hospitalizations.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Patients enrolled in HBCR achieved greater 3\u2010month functional gains than those enrolled in FBCR. Our data suggest that HBCR may safely derive equivalent benefits in exercise capacity and overall program efficacy in selected patients.<\/jats:p>\n <\/jats:sec>\n \n Registration<\/jats:title>\n \n URL:\n https:\/\/www.clini\u200bcaltr\u200bials.gov<\/jats:ext-link>\n ; Unique identifier: NCT02105246.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1161\/jaha.120.016456","type":"journal-article","created":{"date-parts":[[2020,9,21]],"date-time":"2020-09-21T09:28:17Z","timestamp":1600680497000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":38,"title":["Effects of Home\u2010Based Cardiac Rehabilitation on Time to Enrollment and Functional Status in Patients With Ischemic Heart Disease"],"prefix":"10.1161","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7244-9857","authenticated-orcid":false,"given":"David W.","family":"Schopfer","sequence":"first","affiliation":[{"name":"Department of Medicine University of California, San Francisco CA"},{"name":"Department of Medicine San Francisco VA Health Care System San Francisco CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary A.","family":"Whooley","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California, San Francisco CA"},{"name":"Department of Medicine San Francisco VA Health Care System San Francisco CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Allsup","sequence":"additional","affiliation":[{"name":"Department of Medicine VA Pittsburgh Healthcare System Pittsburgh PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Pabst","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California, San Francisco CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California, San Francisco CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary","family":"Tarasovsky","sequence":"additional","affiliation":[{"name":"Department of Medicine San Francisco VA Health Care System San Francisco CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2879-9876","authenticated-orcid":false,"given":"Claire S.","family":"Duvernoy","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Medicine University of Michigan Ann Arbor MI"},{"name":"Department of Medicine VA Ann Arbor Health Care System Ann Arbor MI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5697-2189","authenticated-orcid":false,"given":"Daniel E.","family":"Forman","sequence":"additional","affiliation":[{"name":"Department of Medicine VA Pittsburgh Healthcare System Pittsburgh PA"},{"name":"Divisions of Geriatrics and Cardiology Department of Medicine University of Pittsburgh PA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e318235eb4d"},{"key":"e_1_3_1_3_2","doi-asserted-by":"crossref","DOI":"10.1161\/HCQ.0000000000000037","article-title":"2018 ACC\/AHA clinical performance and quality measures for cardiac rehabilitation: a report of the American College of Cardiology\/American Heart Association Task Force on performance measures","volume":"9","author":"Thomas RJ","year":"2018","unstructured":"Thomas RJ, Balady G, Banka G, Beckie TM, Chiu J, Gokak S, Ho PM, Keteyian SJ, King M, Lui K, et al. 2018 ACC\/AHA clinical performance and quality measures for cardiac rehabilitation: a report of the American College of Cardiology\/American Heart Association Task Force on performance measures. 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