SMARTphone-based, early cardiac REHABilitation in patients with acute coronary syndromes [SMART-REHAB Trial]: A randomized controlled trial protocol

Journal article


Yudi, Matias B., Clark, David J., Tsang, David, Jelinek, Michael, Kalten, Katie, Joshi, Subodh, Phan, Khoa, Nasis, Arthur, Amerena, John, Arunothayaraj, Sandeep, Reid, Chris and Farouque, Omar. (2016) SMARTphone-based, early cardiac REHABilitation in patients with acute coronary syndromes [SMART-REHAB Trial]: A randomized controlled trial protocol. BMC Cardiovascular Disorders. 16(170), pp. 1 - 8. https://doi.org/10.1186/s12872-016-0356-6
AuthorsYudi, Matias B., Clark, David J., Tsang, David, Jelinek, Michael, Kalten, Katie, Joshi, Subodh, Phan, Khoa, Nasis, Arthur, Amerena, John, Arunothayaraj, Sandeep, Reid, Chris and Farouque, Omar
Abstract

Background: There are well-documented treatment gaps in secondary prevention of coronary heart disease and no clear guidelines to assist early physical activity after acute coronary syndromes (ACS). Smartphone technology may provide an innovative platform to close these gaps. This paper describes the study design of a randomized controlled trial assessing whether a smartphone-based secondary prevention program can facilitate early physical activity and improve cardiovascular health in patients with ACS. Methods: We have developed a multi-faceted, patient-centred smartphone-based secondary prevention program emphasizing early physical activity with a graduated walking program initiated on discharge from ACS admission. The program incorporates; physical activity tracking through the smartphone’s accelerometer with interactive feedback and goal setting; a dynamic dashboard to review and optimize cardiovascular risk factors; educational messages delivered twice weekly; a photographic food diary; pharmacotherapy review; and support through a short message service. The primary endpoint of the trial is change in exercise capacity, as measured by the change in six-minute walk test distance at 8-weeks when compared to baseline. Secondary endpoints include improvements in cardiovascular risk factor status, psychological well-being and quality of life, medication adherence, uptake of cardiac rehabilitation and re-hospitalizations. Discussion: This randomized controlled trial will use a smartphone-phone based secondary prevention program to emphasize early physical activity post-ACS. It will provide evidence regarding the feasibility and utility of this innovative platform in closing the treatment gaps in secondary prevention. Trial registration: The trial was retrospectively registered in the Australian New Zealand Clinical Trials Registry (ANZCTR) on April 4, 2016. The registration number is ACTRN12616000426482.

Keywordscardiac rehabilitation; secondary prevention; acute coronary syndromes; mhealth; smartphone application
Year2016
JournalBMC Cardiovascular Disorders
Journal citation16 (170), pp. 1 - 8
PublisherBiomed Central Ltd
ISSN1471-2261
Digital Object Identifier (DOI)https://doi.org/10.1186/s12872-016-0356-6
Scopus EID2-s2.0-84984991384
Open accessOpen access
Page range1 - 8
Research GroupSchool of Nursing, Midwifery and Paramedicine
Publisher's version
Additional information

© 2016 The Author(s). Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

Place of publicationUnited Kingdom
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