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Table 5 Descriptions of the interventions of included studies

From: The cost-effectiveness of exercise-based cardiac rehabilitation: a systematic review of the characteristics and methodological quality of published literature

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

  

No

     

No

    

Oldridge et al. (1993) [4]

CR

8 weeks

16 sessionso

Unclear

  

Yes (Group sessions, 12 h)d

  

Yes

Twice weeklyd

65% of Patient HR(max)d

50 minsd

Low-level exercise prescription

Usual care

        

Unclear

    

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

6 weeks

14 sessions (average attendance)

Yes

Yes

    

Yes

Up to 4 days per week

NR

NR

Low level training program and home walking program

ERNA

2 weeks

 

Yes

  

Yes

  

Yes

   

Home walking program

Southard et al. (2003) [9]

Special intervention

(internet)

6 months

NA

Yes

Yes

    

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

3 months

 

Yes

Yes

Yes (8 sessions)

Yes

  

Yes

Thrice weekly (at least 24 sessions)

Patient dependent; trained near ventilator threshold

~1 h

20 min of treadmill exercise, 20 min of cycling and 10 min of arm cranking

No CR

  

Yes

Yes (8 sessions)

Yes

Yes

  

No

    

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

  1. aAs reported in a previous publication [17]
  2. bAs reported in a previous publication [24]
  3. cAs reported in a previous publication [23]
  4. dAs reported in a previous publication [22]