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SMARTphone-based, early cardiac REHABilitation in patients with acute coronary syndromes [SMART-REHAB Trial]: A randomized controlled trial protocol
Authors
A Blasco
AL Beatty
+47 more
AM Clark
Arthur Nasis
AW Chan
AW Chan
AW Chan
BS Heran
C Worringham
Chris Reid
CK Chow
CK Chow
David J. Clark
David Tsang
DL Hare
DP Chew
EJ Topol
EL Heeley
G Eysenbach
I Korzeniowska-Kubacka
IA Scott
JA Suaya
John Amerena
K Huang
K Kotseva
Katie Kalten
Khoa Phan
L Neubeck
L Neubeck
Laboratories ATSCoPSfCPF
M Varnfield
Matias B. Yudi
Michael Jelinek
MJ Vale
MU Worcester
N Brown
N Johnson
Omar Farouque
PR Lawler
RS Taylor
S Bunker
Sandeep Arunothayaraj
SC Smith Jr
SJ Winter
Subodh Joshi
TG Briffa
TG Briffa
V Gremeaux
VM Jelinek
Publication date
1 January 2016
Publisher
'Springer Science and Business Media LLC'
Doi
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on
PubMed
Abstract
© 2016 The Author(s). 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
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