TY - JOUR
T1 - Smartphone-based home care model improved use of cardiac rehabilitation in postmyocardial infarction patients: results from a randomised controlled trial
AU - Varnfield, Marlien
AU - Karunanithi, Mohanraj
AU - Lee, Chi-Keung
AU - Honeyman, Enone
AU - Arnold, Desre
AU - Ding, Hang
AU - Smith, Catherine
AU - Walters, Darren L
PY - 2014
Y1 - 2014
N2 - OBJECTIVE: Cardiac rehabilitation (CR) is pivotal in preventing recurring events of myocardial infarction (MI). This study aims to investigate the effect of a smartphone-based home service delivery (Care Assessment Platform) of CR (CAP-CR) on CR use and health outcomes compared with a traditional, centre-based programme (TCR) in post-MI patients.
METHODS: In this unblinded randomised controlled trial, post-MI patients were randomised to TCR (n=60; 55.7?10.4 years) and CAP-CR (n=60; 55.5?9.6 years) for a 6-week CR and 6-month self-maintenance period. CAP-CR, delivered in participants homes, included health and exercise monitoring, motivational and educational material delivery, and weekly mentoring consultations. CAP-CR uptake, adherence and completion rates were compared with TCR using intention-to-treat analyses. Changes in clinical outcomes (modifiable lifestyle factors, biomedical risk factors and health-related quality of life) across baseline, 6 weeks and 6 months were compared within, and between, groups using linear mixed model regression.
RESULTS: CAP-CR had significantly higher uptake (80 vs 62 ), adherence (94 vs 68 ) and completion (80 vs 47 ) rates than TCR (p
AB - OBJECTIVE: Cardiac rehabilitation (CR) is pivotal in preventing recurring events of myocardial infarction (MI). This study aims to investigate the effect of a smartphone-based home service delivery (Care Assessment Platform) of CR (CAP-CR) on CR use and health outcomes compared with a traditional, centre-based programme (TCR) in post-MI patients.
METHODS: In this unblinded randomised controlled trial, post-MI patients were randomised to TCR (n=60; 55.7?10.4 years) and CAP-CR (n=60; 55.5?9.6 years) for a 6-week CR and 6-month self-maintenance period. CAP-CR, delivered in participants homes, included health and exercise monitoring, motivational and educational material delivery, and weekly mentoring consultations. CAP-CR uptake, adherence and completion rates were compared with TCR using intention-to-treat analyses. Changes in clinical outcomes (modifiable lifestyle factors, biomedical risk factors and health-related quality of life) across baseline, 6 weeks and 6 months were compared within, and between, groups using linear mixed model regression.
RESULTS: CAP-CR had significantly higher uptake (80 vs 62 ), adherence (94 vs 68 ) and completion (80 vs 47 ) rates than TCR (p
UR - http://heart.bmj.com/content/100/22/1770.full.pdf
U2 - 10.1136/heartjnl-2014-305783
DO - 10.1136/heartjnl-2014-305783
M3 - Article
VL - 100
SP - 1770
EP - 1779
JO - Heart
JF - Heart
SN - 1355-6037
IS - 22
ER -