A mobile phone-based care model for outpatient cardiac rehabilitation: the care assessment platform (CAP)

Walters, Darren L, Sarela, Antti, Fairfull, Anita, Neighbour, Kylie, Cowen, Cherie, Stephens, Belinda, Sellwood, Tom, Sellwood, Bernadette, Steer, Marie, Aust, Michelle, Francis, Rebecca, Lee, Chi-Keung, Hoffman, Sheridan, Brealey, Gavin and Karunanithi, Mohan (2010) A mobile phone-based care model for outpatient cardiac rehabilitation: the care assessment platform (CAP). BMC Cardiovascular Disorders, 10 Article number 5: . doi:10.1186/1471-2261-10-5


Author Walters, Darren L
Sarela, Antti
Fairfull, Anita
Neighbour, Kylie
Cowen, Cherie
Stephens, Belinda
Sellwood, Tom
Sellwood, Bernadette
Steer, Marie
Aust, Michelle
Francis, Rebecca
Lee, Chi-Keung
Hoffman, Sheridan
Brealey, Gavin
Karunanithi, Mohan
Title A mobile phone-based care model for outpatient cardiac rehabilitation: the care assessment platform (CAP)
Journal name BMC Cardiovascular Disorders   Check publisher's open access policy
ISSN 1471-2261
Publication date 2010-01-28
Sub-type Article (original research)
DOI 10.1186/1471-2261-10-5
Open Access Status DOI
Volume 10
Issue Article number 5
Total pages 8
Place of publication London, United Kingdom
Publisher BioMed Central Ltd.
Language eng
Formatted abstract
Background:
Cardiac rehabilitation programs offer effective means to prevent recurrence of a cardiac event, but poor uptake of current programs have been reported globally. Home based models are considered as a feasible alternative to avoid various barriers related to care centre based programs. This paper sets out the study design for a clinical trial seeking to test the hypothesis that these programs can be better and more efficiently supported with novel Information and Communication Technologies (ICT).

Methods/Design:

We have integrated mobile phones and web services into a comprehensive home- based care model for outpatient cardiac rehabilitation. Mobile phones with a built-in accelerometer sensor are used to measure physical exercise and WellnessDiary software is used to collect information on patients' physiological risk factors and other health information. Video and teleconferencing are used for mentoring sessions aiming at behavioural modifications through goal setting. The mentors use web-portal to facilitate personal goal setting and to assess the progress of each patient in the program. Educational multimedia content are stored or transferred via messaging systems to the patients phone to be viewed on demand. We have designed a randomised controlled trial to compare the health outcomes and cost efficiency of the proposed model with a traditional community based rehabilitation program. The main outcome measure is adherence to physical exercise guidelines.

Discussion:
The study will provide evidence on using mobile phones and web services for mentoring and self management in a home-based care model targeting sustainable behavioural modifications in cardiac rehabilitation patients.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Medicine Publications
 
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Created: Thu, 17 Mar 2011, 21:08:03 EST by Debbie Banks on behalf of School of Medicine