Study | REHAB Arm | Program Duration | Total Number of Sessions (Duration) | Education Component | Exercise Component (FITT) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Education | Diet | Smoking | Counselling | Relaxation/ Stress Management | Behaviour Change | Exercise | Frequency | Intensity | Time | Type | ||||
Levin et al. (1991) [13] | Comprehensive CR Initial Training | 24 months 3 months |  | Yes | Yesc | Yesc | Yesc |  |  | Yes | Twice weekly | Patient HR(max) – 5 beatsc | 45 mins | Cycling, jogging and calisthenics. |
Standard care | Â | Â | No | Â | Â | Â | Â | Â | No | Â | Â | Â | Â | |
Oldridge et al. (1993) [4] | CR | 8Â weeks | 16 sessionso | Unclear | Â | Â | Yes (Group sessions, 12Â h)d | Â | Â | Yes | Twice weeklyd | 65% of Patient HR(max)d | 50 minsd | Low-level exercise prescription |
Usual care | Â | Â | Â | Â | Â | Â | Â | Â | Unclear | Â | Â | Â | Â | |
Carlson et al. (2000) [18] | Traditional protocol Weeks 1–4 | 6 months 1 month |  | Yes | Yes (3 sessions) |  | Yes |  |  | Yes | Thrice weekly | Patient prescribed HR range, 60–85% capacity | 30–40 min | Warm up, aerobic exercise with continuous ECG monitoring and a cool down |
 | Weeks 5–12 | 2 months |  | Yes |  |  |  |  |  | Yes | Thrice weekly | Patient prescribed HR range, 60–85% capacity | 30–40 min | Warm up, aerobic exercise with continuous ECG monitoring and a cool down |
 | Weeks 13–25 | 3 months |  | Yes |  |  |  |  |  | Yes | Thrice weekly | Patient documented | Patient documented | Maintenance program. |
 | Modified protocol Weeks 1–4 | 6 months 1 month |  | Yes | Yes (3 sessions) |  |  |  |  | Yes | Thrice weekly | Patient prescribed HR range, 60–85% capacity | 30–40 min | Warm up, aerobic exercise with continuous ECG monitoring and a cool down |
 | Weeks 5–12 | 2 months | Yes | Yes (support/education meetings, weekly week 6 > ~1 h) |  |  |  | Yes | Bandura’s self-efficacy theory | Yes | Twice weekly (week 6>) |  |  |  |
 | Weeks 13–25 | 3 months |  | Yes (support/education meetings, weekly ~1 h) | Yes |  |  | Yes | Bandura’s self-efficacy theory | Yes | Once weekly (weeks 11–17) Once bi-weekly (weeks 18–25) |  |  |  |
Hall et al. (2002) [15] | REHAB | 6Â weeks | 14 sessions (average attendance) | Yes | Yes | Â | Â | Â | Â | Yes | Up to 4Â days per week | NR | NR | Low level training program and home walking program |
ERNA | 2Â weeks | Â | Yes | Â | Â | Yes | Â | Â | Yes | Â | Â | Â | Home walking program | |
Southard et al. (2003) [9] | Special intervention (internet) | 6Â months | NA | Yes | Yes | Â | Â | Â | Â | Yes | Patient dependent | Patient dependent | Patient dependent | Patient dependent |
 | Usual care |  |  |  |  |  |  |  |  | Unclear |  |  |  |  |
Yu et al. (2004) [19] | CRPP (Phase I) | 7–14 days |  |  |  |  |  |  |  |  |  |  |  | Inpatient ambulation program |
 | (Phase II) | 8 weeks | 16 sessions (Each session, 3 h) | Yes (Each session, 1 h) | Yes | Yes |  | Yes |  | Yes | Twice weekly | 65–85% age adjusted HR reserve | Each session, 2 h | Aerobic cardiotraining including treadmill, ergometry, rower, stepper, arm ergometry, and dumbbell and weight training. |
 | (Phase III) | 6 months |  |  |  |  |  |  |  |  |  |  |  | Community-based home exercise program |
 | (Phase IV) | 24 months |  |  |  |  |  |  |  |  |  |  |  | Maintenance program |
 | Conventional therapy |  |  | Yes (2 h talk) |  |  |  |  |  | No |  |  |  |  |
Briffa et al. (2005) [12] | Comprehensive outpatient CR | 6 weeks | 18 sessions | Yes (9 h) | Yes |  | Yes (4.5 h) | Yes |  | Yes | Thrice weekly | NR | Each session, 1–1.5 h | Aerobic circuit training and resistance training |
 | Conventional therapy |  |  |  |  | Yes |  | Unclear |  |  |  |  |  |  |
Reid et al. (2005) [17] | Standard CR | 3 months | 33 sessions | Yes (Total, 6 h) | Yes | Yes | Yes | Yes | Yes | Yes | Twice weekly (27 sessions) | Resting HR with 50–80% reserve | 1 h | The frequency, intensity, duration and mode of exercise were consistent with guidelines for CAD patients. |
 | Distributed CR | 12 months | 33 sessions | Yes (Total, 6 h) | Yes | Yes | Yes | Yes | Yes | Yes | Tapered (27 sessions) | Resting HR with 50–80% reserve | 1 h | The frequency, intensity, duration and mode of exercise were consistent with guidelines for CAD patients. |
Jolly et al. (2007) [11] | Hospital-based (Hospital 1) | 12 weeks | 24 sessions (up to 3 h) | Yes (Each session, optional) |  | No | Yes | Yes (Each session, voluntary) |  | Yes | Twice weekly | 60–75% max HR |  | Walking, built up to 25–30 min of fixed cycling, rowing |
 | (Hospital 2) | 9 weeks | 9 sessions (1.5 h) | Yes (Weekly) | Yes (Total, 40 mins) | No | Yes | Yes (Each session) |  | Yes | Once weekly | NR |  | Circuit training with six stations (1–2 min per station) and additional walking. |
 | (Hospital 3) | 8 weeks | 12 sessions (8 sessions × 2.5 h) | Yes (8 sessions) | Yes (Total, 30 mins) | Yes (Total, 30 mins) | Yes | Yes (Weekly) |  | Yes | Twice weekly | 65–75% max HR |  | 45 mins of circuit training |
 |  | (4 sessions × 1 h) |  |  |  |  |  |  |  | Yes | Once weekly | 65–75% max HR | 1 h | 45 mins of circuit training |
 | (Hospital 4) | 6 weeks | 12 sessions 8 sessions (2 h) | Yes (Each session, 30 mins) | Yes (Total, 30 mins) | No | Yes | Yes (Each session) |  | Yes | Twice weekly | 65–75% max HR |  | Warm up, then 40 mins of exercise on fixed bikes and treadmills |
 |  | 4 sessions (1 h) | No |  |  |  |  |  |  |  | Once weekly | 65–75% max HR | 1 h | Warm up, then 40 mins of exercise on fixed bikes and treadmills |
 | Home-based | 6 weeks | NA | Yes |  | No | Yes | Yes |  | Yes | Recommended daily |  |  | Heart Manual Home exercises, working up to daily walking and other physical activity |
Taylor et al. (2007) [10] | Hospital-based | 8–10 weeks | 8–10 sessions (Each session, 2 h) | Yesb | Yesb |  | Yesb | Yesb |  | Yes | Once weekly | NR | NR | Aerobic exerciseb |
 | Home-based | 6 weeks | NA | Yesb |  |  |  | Yesb |  | Yes | Patient dependent | Patient dependent | Patient dependent | Heart Manual Aerobic exerciseb |
Dendale et al. (2008) [14] | CR | 3Â months | Â | Yes | Yes | Yes (8 sessions) | Yes | Â | Â | Yes | Thrice weekly (at least 24 sessions) | Patient dependent; trained near ventilator threshold | ~1Â h | 20Â min of treadmill exercise, 20Â min of cycling and 10Â min of arm cranking |
No CR | Â | Â | Yes | Yes (8 sessions) | Yes | Yes | Â | Â | No | Â | Â | Â | Â | |
Papadakis et al. (2007) [2] | Standard CR | 3 months | 33 sessions | Yes (6 h) a | Yesa | Yesa | Yesa | Yesa |  | Yes | Twice weekly (27 sessions) | Resting HR with 50–80% reservea | 1 ha | The frequency, intensity, duration and mode of exercise were consistent with guidelines for CAD patientsa |
 | Distributed CR | 12 months | 33 sessions | Yes (6 h)a | Yesa | Yesa | Yesa | Yesa | Yes | Yes | Tapered (27 sessions) | Resting HR with 50–80% reservea | 1 ha | The frequency, intensity, duration and mode of exercise were consistent with guidelines for CAD patientsa |