Hybrid cardiac rehabilitation improved exercise confidence in a randomized trial
A program combining supervised care and technology improved confidence, health behaviors and anxiety, while cardiovascular risk factors showed no statistically significant improvement.
Based on the published abstract. The full paper may contain additional methods, results and limitations.
The 30-second takeaway
Participants receiving the hybrid program reported greater exercise confidence, healthier behaviors and less anxiety than those receiving usual care, both immediately afterward and at follow-up. Depression and cardiovascular risk factors did not improve significantly. The results support benefits for these measured psychological and behavioral outcomes, while leaving clinical heart outcomes unresolved.
The abstract does not describe the score scales or report heart attacks, hospital admissions or deaths. Improved confidence therefore cannot be translated into a clinical event benefit.
What researchers found
Exercise self-efficacy
Hybrid rehabilitation versus usual care immediately after the program. β is the reported statistical coefficient; the underlying score scale is not described.
A combined program
The program combined supervised exercise and occupational therapy with a fitness watch, educational videos and regular video calls. Because these components were delivered together, the trial cannot identify which component contributed most.
Understanding the confidence measure
Exercise self-efficacy means confidence about exercising. The reported coefficient describes the result on the study's analysis scale; the abstract does not explain what size of change would be personally meaningful.
The original publication
The Effects of a Technology-Assisted Hybrid Cardiac Rehabilitation (TecHCR) Program for Adults With Coronary Heart Disease: A Randomized Controlled Trial.
Chong MS, Sit JWH, Choi KC et al.
Worldviews Evid Based Nurs · 2025
- PubMed ID
- 41457512
- Record checked
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