The Effect of a Smartphone-assisted Hybrid Cardiac Rehabilitation Program in Patients With Heart Failure.

The Effect of a Smartphone-assisted Hybrid Cardiac Rehabilitation Program in Patients With Heart Failure.

The aim of this randomized controlled trial is to compare the impact of a case manager-led smartphone-assisted hybrid cardiac rehabilitation program with usual care in patients with HF. Participants will undergo a 12-week program led by a case manager and assisted by a smartphone. The study aims to answer two main questions:

1. Is the novel cardiac rehabilitation model feasible for patients with HF?
2. Does the intervention group show a significant improvement in exercise capacity and adherence compared to the usual care group?

Inclusion Criteria:

• Patients with heart failure between the ages of 18 and 80 years old.
• NYHA (New York Heart Association) functional classification of 1 to 3.
• Patients must be in a stable condition and under outpatient follow-up.

Exclusion Criteria:

• Patients who have contraindications for exercise according to the American College of Sports Medicine's Guidelines for Exercise Testing and Prescription.
• Patients who are unable to complete cardiopulmonary exercise testing.
• Patients who are unable to follow verbal instructions.
• Patients who are unable to walk independently or pedal a stationary bicycle.
• Patients who are unable to use communication app on a smartphone.
• Patients who already engage in physical activity exceeding the recommended moderate intensity of 150 minutes per week or are currently participating in cardiac rehabilitation.
• Patients who do not provide consent to participate in the trial.