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Title: SMARTphone-based, early cardiac REHABilitation in patients with acute coronary syndromes [SMART-REHAB Trial]: a randomized controlled trial protocol
Austin Authors: Yudi, Matias B ;Clark, David J ;Tsang, David;Jelinek, Michael;Kalten, Katie;Joshi, Subodh;Phan, Khoa;Nasis, Arthur;Amerena, John;Arunothayaraj, Sandeep;Reid, Christopher M
Affiliation: Department of Cardiology, Austin Health, Heidelberg, Victoria, Australia
Department of Medicine, University of Melbourne, Melbourne, Victoria, Australia
Department of Cardiology, Western Health, Melbourne, Victoria, Australia
Department of Cardiology, St Vincent’s Hospital, Melbourne, Victoria, Australia
Department of Heart and Mind, Australian Catholic University, Melbourne, Victoria, Australia
Monash Heart, Monash Health, Melbourne, Victoria, Australia
Department of Cardiology, Royal Melbourne Hospital, Melbourne, Victoria, Australia
Department of Cardiology, Barwon Health, Geelong, Victoria, Australia
School of Public Health, Curtin University, Perth, Western Australia, Australia
Issue Date: 5-Sep-2016 2016-09-05
Publication information: BMC Cardiovascular Disorders 2016; 16(1): 170
Abstract: 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 .
DOI: 10.1186/s12872-016-0356-6
PubMed URL:
Type: Journal Article
Subjects: Acute coronary syndromes
Cardiac rehabilitation
Secondary prevention
Smartphone application
Appears in Collections:Journal articles

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