Conclusion
Providing minimal supervision resulted in better improvements in exercise tolerance and symptoms than receiving an exercise recommendation or guidance with no supervision. Improved efficacy is likely due to increased likelihood of exercise being performed at the correct dose. Healthcare systems can better meet the needs and improve the health of numerous patients by bridging the gap and providing a guided exercise prescription with potentially a better understanding of condition-specific limitations than most trainers. The semi-supervised exercise training model has the potential to improve patient care by providing an effective exercise prescription that is clinically possible as an affordable treatment either delivered in-person or virtually. This can provide more patients with an opportunity to take the first step, give them the comfort of supervision as they are getting started, and help keep them accountable until they get into a routine, and make exercise a habit that they can then continue on their own.