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Strategies for supporting intervention fidelity in the Rehabilitation Therapy in Older Acute Heart Failure Patients (REHAB-HF) trial

机译：在老年急性心力衰竭患者（REHAB-HF）试验中的康复治疗中支持干预保真度的策略

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IntroductionAcute decompensated heart failure (ADHF) is the leading causeof hospitalization in older adults. Rehabilitation Therapy in Older Acute Heart Failure Patients (REHAB-HF) trial is a multi-site clinical trial to determine if physical rehabilitation intervention in older patients with ADHF improves physical function and reduces rehospitalizations. The REHAB-HF intervention aims to improve functional performance utilizing reproducible and progressive exercises that are individually tailored to the patient’s physiological and physical capabilities. Fidelity of the intervention is essential to the trial’s integrity and success. Maintaining fidelity is challenged by the complex, multi-domain design of the intervention implemented across multiple sites and delivered to an older, heterogeneous participant pool with severe underlying disease and multi-morbidity.

机译：简介急性失代偿性心力衰竭（ADHF）是老年人住院的主要原因。老年急性心力衰竭患者的康复治疗（REHAB-HF）试验是一项多站点临床试验，旨在确定老年ADHF患者的物理康复干预是否能改善身体机能并减少重新住院。 REHAB-HF干预旨在通过针对患者的生理和身体能力量身定制的可重复进行的锻炼来改善功能表现。干预的忠诚度对于试验的完整性和成功至关重要。跨多个站点实施的干预措施的复杂，多域设计面临挑战，难以保持保真度，并且将其交付给具有严重潜在疾病和多发病率的较旧的异构参与者池。

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期刊名称 other
作者
Amy M. Pastva; Pamela W. Duncan; Gordon R. Reeves; M. Benjamin Nelson; David J. Whellan; Christopher M. O’Connor; Joel D. Eggebeen; Leigh Ann Hewston; Karen M. Taylor; Robert J. Mentz; Paul B. Rosenberg; Dalane W. Kitzman;
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年(卷),期 -1(64),-1
年度 -1
页码 118–127
总页数 24
原文格式 PDF
正文语种
中图分类
关键词
Acute Decompensated Heart Failure Aging Frailty Rehabilitation Fidelity Exercise;

机译：急性失代偿性心力衰竭;衰老;虚弱;康复;保真;锻炼;

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专利

1. Strategies for supporting intervention fidelity in the rehabilitation therapy in older acute heart failure patients (REHAB-HF) trial [J] . Amy M. Pastva, Pamela W. Duncan, Gordon R. Reeves, Contemporary clinical trials . 2018,第期

机译：在较老急性心力衰竭患者康复治疗中支持干预保真度的策略（REHAB-HF）试验
2. Rehabilitation Therapy in Older Acute Heart Failure Patients (REHAB-HF) trial: Design and rationale [J] . Reeves Gordon R., Whellan David J., Duncan Pamela, The American heart journal . 2017,第期

机译：老年急性心力衰竭患者的康复治疗（REHAB-HF）试验：设计和理由
3. Beneficial association of beta-blocker therapy on recovery from severe acute heart failure treatment: Data from the Survival of Patients With Acute Heart Failure in Need of Intravenous Inotropic Support trial. [J] . Bohm M, Cai D, Filippatos GS, Critical care medicine . 2011,第5期

机译：β受体阻滞剂治疗对严重急性心力衰竭治疗的恢复的有益关联：需要静脉正性肌力支持试验的急性心力衰竭患者的生存数据。
4. Heart Failure Patients are not Receiving Evidence-Based Lifesaving Drug Therapy: Lessons from the Heart Failure Adherence and Retention Trial (HART) [C] . Calvin Jr. J.E., Powell L.H., Richardson D., International Congress on Coronary Artery Disease . 2009

机译：心力衰竭患者没有接受基于证据的救生药物治疗：来自心力衰竭依从性和保留试验的教训（HART）
5. Adherence to practice guidelines and heart failure patient outcomes before and after implementation of the HEARTFELT (HEART Failure Effectiveness and Leadership Team) intervention. [D] . Dykes, Patricia C. 2004

机译：在实施HEARTFELT（心力衰竭有效性和领导力团队）干预措施前后，都要遵守实践准则和心力衰竭患者的预后。
6. Rehabilitation Therapy in Older Acute Heart Failure Patients (REHAB-HF) Trial: Design and Rationale [O] . Gordon R. Reeves, David J. Whellan, Pamela Duncan, -1

机译：老年急性心力衰竭患者的康复治疗（REHAB-HF）试验：设计和原理
7. Rehabilitation Therapy in Older Acute Heart Failure Patients (REHAB-HF) trial: Design and rationale [O] . Gordon R. Reeves, David J. Whellan, Pamela Duncan, 2017

机译：老年急性心力衰竭患者的康复治疗（康复 - HF）试验：设计和理由

Strategies for supporting intervention fidelity in the Rehabilitation Therapy in Older Acute Heart Failure Patients (REHAB-HF) trial

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