Other Titles
Effectiveness of Nurse-Led Home-Based Cardiac Rehabilitation on Patient Compliance and Health Outcomes: A Randomized Controlled Trial [Title Slide]
Abstract
Background: India is facing a high burden of coronary artery disease(1,2), yet gaps in awareness, access to care, and non-compliance with treatment lead to poor outcomes(3,4). Engaging cardiac nurses to connect hospital care with community rehabilitation services is the need of hour in India(5).
Purpose: The study aimed to evaluate the effectiveness of nurse-led home-based cardiac rehabilitation (HBCR) program on the compliance and selected health outcomes among cardiac patients.
Methods: An RCT was conducted on 196 cardiac patients, randomly assigned to either the experimental or control group. A 12-week nurse-led HBCR program offered to experimental group (n=97) was compared with standard follow-up care for cardiac patients in control group (n=99). Compliance with recommended diet, medication, physical activity and health outcomes like in functional status, body mass index (BMI), lipids profile, quality of life, anxiety and depression were assessed using validated and standardized tools at three time points: baseline (before intervention), after six weeks, and at twelve weeks. This program included educational and counselling sessions on physical activity, dietary modifications and medication adherence through in-person contacts, exercise videos, booklets, weekly home visits, and motivational/reminder SMS twice a week. Further, long term effects (readmission and survival rates) of the program on the same subjects were evaluated at six months after the intervention.
Results: At baseline, no significant difference was observed between the groups in terms of compliance and selected health outcomes. While at six weeks, patients in HBCR group outperformed in terms of physical activity, dietary and medication compliance and selected health outcomes. At 12 weeks, between group comparison revealed that participants in the HBCR group had significant increase in physical activity levels (1131.6 vs. 795.6 MET min/week, p< 0.001) and compliance with diet and medications was 100% in the HBCR group and 69% in control group. Readmissions were significantly lower in the HBCR group (28% vs. 52%, Odds ratio: 0.363, p< 0.001), though survival probability did not differ significantly between the groups.
Notes
References:
1. View of Study of coronary artery disease in young population of Central India [Internet]. [cited 2025 Nov 27]. Available from: https://www.msjonline.org/index.php/ijrms/article/view/9162/6205
2. Kalra A, Jose AP, Prabhakaran P, Kumar A, Agrawal A, Roy A, et al. The burgeoning cardiovascular disease epidemic in Indians – perspectives on contextual factors and potential solutions. The Lancet Regional Health - Southeast Asia [Internet]. 2023 May 1 [cited 2025 Nov 27];12. Available from: https://www.thelancet.com/action/showFullText?pii=S2772368223000161
3. Santos LA, Pinheiro DG, da Silva JM, Borges GLB, da Silva PF, Ricci-Vitor AL, et al. Analysis of Barriers to Public and Private Cardiac Rehabilitation Programs in Patients with Low and High Adherence. Braz J Cardiovasc Surg. 2023;38(2):235–343.
4. Kumar A, Siddharth V, Singh SI, Narang R. Cost analysis of treating cardiovascular diseases in a super-specialty hospital. PLoS One. 2022 Jan 1;17(1 January).
5. Soldati S, Di Martino M, Rosa AC, Fusco D, Davoli M, Mureddu GF. The impact of in-hospital cardiac rehabilitation program on medication adherence and clinical outcomes in patients with acute myocardial infarction in the Lazio region of Italy. BMC Cardiovasc Disord [Internet]. 2021;21(1):1–13. Available from: https://doi.org/10.1186/s12872-021-02261-6
Sigma Membership
Non-member
Type
Presentation
Format Type
Text-based Document
Study Design/Type
Randomized Controlled Trial
Research Approach
Quantitative Research
Keywords:
Public and Community Health, Sustainable Development Goals, Cardiac Rehabilitation, Home Care Services, Patient Compliance, Health Outcome Assessment, India
Recommended Citation
Dhillon, Sawroop and Kang, Harmeet Kaur, "Effectiveness of Nurse Led Home Based Cardiac Rehabilitation on Compliance and Health Outcomes" (2026). International Nursing Research Congress (INRC). 292.
https://www.sigmarepository.org/inrc/2026/presentations_2026/292
Conference Name
37th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Toronto, Ontario, Canada
Conference Year
2026
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Date of Issue
2026-09-23
Effectiveness of Nurse Led Home Based Cardiac Rehabilitation on Compliance and Health Outcomes
Toronto, Ontario, Canada
Background: India is facing a high burden of coronary artery disease(1,2), yet gaps in awareness, access to care, and non-compliance with treatment lead to poor outcomes(3,4). Engaging cardiac nurses to connect hospital care with community rehabilitation services is the need of hour in India(5).
Purpose: The study aimed to evaluate the effectiveness of nurse-led home-based cardiac rehabilitation (HBCR) program on the compliance and selected health outcomes among cardiac patients.
Methods: An RCT was conducted on 196 cardiac patients, randomly assigned to either the experimental or control group. A 12-week nurse-led HBCR program offered to experimental group (n=97) was compared with standard follow-up care for cardiac patients in control group (n=99). Compliance with recommended diet, medication, physical activity and health outcomes like in functional status, body mass index (BMI), lipids profile, quality of life, anxiety and depression were assessed using validated and standardized tools at three time points: baseline (before intervention), after six weeks, and at twelve weeks. This program included educational and counselling sessions on physical activity, dietary modifications and medication adherence through in-person contacts, exercise videos, booklets, weekly home visits, and motivational/reminder SMS twice a week. Further, long term effects (readmission and survival rates) of the program on the same subjects were evaluated at six months after the intervention.
Results: At baseline, no significant difference was observed between the groups in terms of compliance and selected health outcomes. While at six weeks, patients in HBCR group outperformed in terms of physical activity, dietary and medication compliance and selected health outcomes. At 12 weeks, between group comparison revealed that participants in the HBCR group had significant increase in physical activity levels (1131.6 vs. 795.6 MET min/week, p< 0.001) and compliance with diet and medications was 100% in the HBCR group and 69% in control group. Readmissions were significantly lower in the HBCR group (28% vs. 52%, Odds ratio: 0.363, p< 0.001), though survival probability did not differ significantly between the groups.
Description
Aligning with UN-SDG 3(Good Health and Well-being), this nurse-led HBCR program successfully improved health outcomes and compliance, indicates that it may be a viable substitute for hospital-based CR. Empowering specialized nurses to conduct HBCR independently may optimize care for underserved cardiac patients in India.