RecruitingACTRN12609000251224

Evaluation of physical exercise adherence in a Home-Based Care Model for Outpatient Cardiac Rehabilitation based on Mobile Technologies.

Sponsor

CSIRO, The Australian e-Health Research Centre

Enrollment

240 participants

Start Date

Mar 30, 2009

Study Type

Interventional

Conditions

Outpatient, stage 2 cardiac rehabilitation of ST-Segment Elevation Myocardial Infarction (STEMI) or non-STEMI patients

Summary

Clinical trial objective is to show evidence that Information and Communication Technology (ICT) enabled home-based care process of cardiac rehabilitation patients provides equally good or better outcomes than traditional hospital based rehabilitation processes not using ICT tools. The trial will potentially provide evidence that the new process is equally or more cost effective than traditional rehabilitation process.

Eligibility

Sex: Both males and females

Plain Language Summary

Simplified for easier understanding

This study is testing whether a home-based cardiac rehabilitation program delivered through a mobile phone is just as effective — or better — than traditional hospital-based rehabilitation. After a heart attack, patients typically attend in-person exercise and education sessions. This trial gives participants a mobile device to follow a monitored exercise program from home. Researchers want to show that technology can make cardiac rehab easier to access and just as good at improving health outcomes. You may be eligible if: - You have had a heart attack (STEMI or non-STEMI) - You have been medically cleared to take part in cardiac rehabilitation - You have prior experience using a mobile phone - You are able to operate a mobile phone without significant difficulty You may NOT be eligible if: - Your medical needs are too complex for a self-managed program - You have no prior experience with mobile phone use - You have vision, hearing, cognitive, or dexterity problems that prevent phone use - You are currently enrolled in or have consented to another clinical trial involving medical interventions Talk to your doctor about whether this trial might be right for you.

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Interventions

The intervention is a home based stage 2 cardiac rehabilitation based on information and communication technologies over 6 week mentoring program and 6 month follow-up period. Intervention involves: Pre-assessment and education at the care centre at the start of the 6 week program. Weekly 30 minute mentoring sessions via normal or video calls using the mobile phone involving education and goal setting. Mentoring includes exercise, diet, risk factors, stress and other behavioural counselling. Mentors can view patients self observations and measurement data such as walking activity on a web-portal prior the mentoring sessions. Patients will record daily measurements and self observations on the mobile phone regarding their weight, blood pressure, exercise, stress, diet, sleeping, smoking and alcohol use. Walking activity (steps) is automatically measured by the phone. All data is transferred to the web-portal that also the patient can access. Patient will receive educational and motivational text- messages on the mobile phone 2 times per day. Patient is reminded to view educational video clips stored on the phone regarding cardiovascular disease, healthy lifestyle and risk factors. The phone includes relaxation audio files that the patient can listen to any time. At the end of the 6week program there will be a post-assessment at the care centre and the mentoring sessions will not continue. During the 6 month follow-up period the patients will continue to use the mobile phone and web-portal tools for self management. The patients can also use the care centre gym without supervison

Locations(1)

Australia

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ACTRN12609000251224