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A mHealth cardiac rehabilitation exercise intervention: findings from content development studies

Pfaeffli, Leila, Maddison, Ralph, Whittaker, Robyn, Stewart, Ralph, Kerr, Andrew, Jiang, Yannan, Kira, Geoff, Carter, Karen and Dalleck, Lance 2012, A mHealth cardiac rehabilitation exercise intervention: findings from content development studies, BMC cardiovascular disorders, vol. 12, Article number: 36, pp. 1-9, doi: 10.1186/1471-2261-12-36.

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Title A mHealth cardiac rehabilitation exercise intervention: findings from content development studies
Author(s) Pfaeffli, Leila
Maddison, RalphORCID iD for Maddison, Ralph orcid.org/0000-0001-8564-5518
Whittaker, Robyn
Stewart, Ralph
Kerr, Andrew
Jiang, Yannan
Kira, Geoff
Carter, Karen
Dalleck, Lance
Journal name BMC cardiovascular disorders
Volume number 12
Season Article number: 36
Start page 1
End page 9
Total pages 9
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2012
ISSN 1471-2261
Keyword(s) Adult
Aged
Attitude to Computers
Cell Phones
Exercise Therapy
Feedback
Female
Health Communication
Heart Diseases
Humans
Internet
Male
Middle Aged
Multimedia
Patient Compliance
Patient Satisfaction
Pilot Projects
Research Design
Surveys and Questionnaires
Telemedicine
Text Messaging
Video Recording
Summary BACKGROUND: Involving stakeholders and consumers throughout the content and study design ensures interventions are engaging and relevant for end-users. The aim of this paper is to present the content development process for a mHealth (mobile phone and internet-based) cardiac rehabilitation (CR) exercise intervention.

METHODS: An innovative mHealth intervention was developed with patient input using the following steps: conceptualization, formative research, pre-testing, and pilot testing. Conceptualization, including theoretical and technical aspects, was undertaken by experts. For the formative component, focus groups and interviews with cardiac patients were conducted to discuss their perceptions of a mHealth CR program. A general inductive thematic approach identified common themes. A preliminary library of text and video messages were then developed. Participants were recruited from CR education sessions to pre-test and provide feedback on the content using an online survey. Common responses were extracted and compiled. An iterative process was used to refine content prior to pilot testing and conduct of a randomized controlled trial.

RESULTS: 38 CR patients and 3 CR nurses participated in the formative research and 20 CR patients participated in the content pre-testing. Participants perceived the mHealth program as an effective approach to inform and motivate patients to exercise. For the qualitative study, 100% (n = 41) of participants thought it to be a good idea, and 11% of participants felt it might not be useful for them, but would be for others. Of the 20 participants who completed the online survey, 17 out of 20 (85%) stated they would sign up to a program where they could receive information by video messages on a website, and 12 out of 20 (60%) showed interest in a texting program. Some older CR patients viewed technology as a potential barrier as they were unfamiliar with text messaging or did not have mobile phones. Steps to instruct participants to receive texts and view the website were written into the study protocol. Suggestions to improve videos and wording of texts were fed back to the content development team and refined.

CONCLUSIONS: Most participants thought a mHealth exercise program was an effective way to deliver exercise-based CR. The results were used to develop an innovative multimedia exercise intervention. A randomized controlled trial is currently underway.
Language eng
DOI 10.1186/1471-2261-12-36
Field of Research 111799 Public Health and Health Services not elsewhere classified
1102 Cardiovascular Medicine And Haematology
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2012, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30081672

Document type: Journal Article
Collections: School of Exercise and Nutrition Sciences
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.