New resource use measures added

Sunday 11 February 2018

WREN Cardiac Rehabilitation Resource Use Questionnaires

We are grateful to Ala Szczepura, Professor of Health Technology Assessment at Coventry University, for providing us with the WREN resource use questionnaires. The WREN acronym stands for A Web-Based Cardiac REhabilitatioN Alternative for Those Declining or Dropping Out Of Conventional Rehabilitation. The study (Chief Investigator Professor Sally Singh of University Hospitals of Leicester NHS Trust) is funded by the NIHR Research for Patient Benefit Programme (RfPB reference: PB-PG-1013-32059).

Cardiac Rehabilitation (CR) is recommended in all national guidelines to be offered to all those who may benefit. However, despite national guidance a significant number of eligible patients do not receive or take up the offer of CR.  There is a need to offer alternative formats of CR to accommodate patient choice, patient lifestyle and commitments, and the ability to provide care closer to home.

The aim of the WREN study is to assess the feasibility of delivering an alternative web-based CR intervention for those who decline or drop out from conventional supervised CR. Eligible patients with heart disease were randomly allocated to either the web-based CR programme or standard care for 6-months. Those randomised to the web group were introduced to the website by a health professional and then worked through the website at home with remote support. Those in the control group received usual care. Data was collected to inform the design of a larger study and included: recruitment rates, exercise capacity, mood, quality of life and resource use. We also carried out interviews with patients and staff. Participants were recruited from two CR centres (University Hospitals of Leicester NHS Trust and Lincolnshire Community Health Services NHS Trust). 60 patients took part in the study (age range 37-80 years). 37 were randomised to the web group and 23 to control.  

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