Evidence

Patients are returning home and back to work following a cardiac event earlier than ever before. The Heart Manual continues to offer an up-to-date and evidenced home-based cardiac rehabilitation programme credited for its ability to adapt and fit into everyday life.  The Heart Manual programmes are the only home based cardiac rehabilitation programmes with RCT evidence based on a UK population.

There has been a wealth of robust evidence which has seen the Heart Manual cited in at least 500 peer reviewed articles and become a notable benchmark worldwide, since its seminar publication in the Lancet¹.

The Heart Manual programmes are supported by a wealth of systematic reviews, meta-analyses, clinical reviews, along with studies highlighting the efficacy and cost-effectiveness of home based cardiac rehabilitation. See our Key Evidence page for more details.

The Heart Manual’s evidence has also informed National Guidelines, Professional Competence Guidelines and Government Policies, as seen below. More recently, it has informed the scientific statement on home-based cardiac rehabilitation from the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Heart Association, and the American College of Cardiology.

Recent Citations and Publications

• Thomas R, Beatty A, Beckie T, Brewer L Brown T, Forman D, et al. Home-Based Cardiac Rehabilitation: A Scientific Statement From the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Heart Association, and the American College of Cardiology. Circulation. 2019;139:00–00. Available from: doi:10.1161/CIR.00000000000006639
• Ranaldi H, Deighan C, Taylor L. Exploring patient reported outcomes of home based cardiac rehabilitation in relation to Scottish, UK and European guidelines: an audit using qualitative methods. BMJ Open. 2018;0:e024499. Available from: doi:10.1136/bmjopen-2018-024499​
• Deighan C, Michalova L, Pagliari C, Elliott J, Taylor L, Ranaldi H. The Digital Heart Manual: pilot study of an innovative cardiac rehabilitation programme developed for and with users. Patient Education and Counselling. 2017. Available from: doi: 10.1016/j.pec.2017.03.014
• Hanschke V, Manataki A, Alexandru C, Papapanagiotou P, Deighan C, Taylor L, Robertson D. Designing a Social Machine for the Heart Manual Service. In Proceedings of the 10th International Joint Conference on Biomedical Engineering Systems and Technologies – Volume 5: HEALTHINF. Portugal: Biomedical Engineering Systems and Technologies,2017.

Recent Conference Presentations

• Stark, C, Ranaldi H, Deighan C, Taylor L. Home based cardiac rehabilitation during COVID 19 – Patient Reported Outcomes of the Heart Manual Programme. British Association of Cardiovascular Prevention and Rehabilitation (BACPR). Belfast/Virtual Hybrid Annual Conference October 2021.
• Deighan, C, Cameron, S, Taylor, L. The Heart Manual Programme, the UK’s leading home-based cardiac rehabilitation programme. Annual Meeting of the American Association of Cardiovascular and Pulmonary Rehabilitation, Virtual Conference September 2021.
• Deighan, C. The Digital Heart Manual, D-HM. Association of Cardiovascular Prevention and Rehabilitation (BACPR) Annual Conference .Nottinghan October 2019.
• Deighan C, Maximising Digital Opportunities in Cardiac Rehabilitation. London Cardiac Clinical Network, British Heart Foundation, Health Innovation Network, and Digital Health.London. Innovation Exchange Showcase, London February 2019.

Recent Citations

• Caughers, G., Mooney, M., Donnelly, P., Bradley, J., Fitzsimons, D. Opportunity knocks: cardiac rehabilitation in Northern Ireland after COVID-19. British Journal of Cardiac Nursing. 2020; 15(8): 1-3. Available from: https://doi.org/10.12968/bjca.2020.0107
• Dalal, H. M., Doherty, P., McDonagh, S. T., Paul, K., Taylor, R. S. Virtual and in-person cardiac rehabilitation. BMJ (Clinical research ed.). 2021; 373: n1270. Available from: https://doi.org/10.1136/bmj.n1270
• Heron, N., O’Connor, S. R., Kee, F., Mant, J., Cupples, M. E., Donnelly, M. Usability and Acceptability of a Novel Secondary Prevention Initiative Targeting Physical Activity for Individuals after a Transient Ischaemic Attack or “Minor” Stroke: A Qualitative Study. International journal of environmental research and public health. 2020; 17(23): 8788. Available from: https://doi.org/10.3390/ijerph17238788
• Nikolov, H., Hubbard, J. A critical review of cardiac rehabilitation in a digital era. British Journal of Cardiac Nursing. 2021; 16(8): 1-9. Available from: https://doi.org/10.12968/bjca.2020.0142