Smartphone-based home care model improved use of cardiac rehabilitation in postmyocardial infarction patients: results from a randomised controlled trial

Marlien Varnfield, Mohanraj Karunanithi, Chi-Keung Lee, Enone Honeyman, Desre Arnold, Hang Ding, Catherine Smith, Darren L Walters

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222 Citations (Scopus)

Abstract

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
Original languageEnglish
Pages (from-to)1770 - 1779
Number of pages10
JournalHeart
Volume100
Issue number22
DOIs
Publication statusPublished - 2014

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