Open Access Highly Accessed Study protocol

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

Darren L Walters1*, Antti Sarela2, Anita Fairfull3, Kylie Neighbour3, Cherie Cowen3, Belinda Stephens3, Tom Sellwood3, Bernadette Sellwood3, Marie Steer3, Michelle Aust3, Rebecca Francis3, Chi-Keung Lee3, Sheridan Hoffman3, Gavin Brealey3 and Mohan Karunanithi2

Author Affiliations

1 Cardiology Program, The Prince Charles Hospital, Brisbane, Qld, Australia

2 The Australian E-Health Research Centre, CSIRO, The Royal Brisbane and Women's Hospital, Brisbane, Australia

3 Primary and Community Health Services Metro North Health Service District, Brisbane, Qld, Australia

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BMC Cardiovascular Disorders 2010, 10:5  doi:10.1186/1471-2261-10-5

Published: 28 January 2010

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.

Trial registration

The trial has been registered in the Australian New Zealand Clinical Trials Registry (ANZCTR) with number ACTRN12609000251224.