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HEART: heart exercise and remote technologies: a randomized controlled trial study protocol.

Maddison, Ralph, Whittaker, Robyn, Stewart, Ralph, Kerr, Andrew, Jiang, Yannan, Kira, Geoffrey, Carter, Karen H and Pfaeffli, Leila 2011, HEART: heart exercise and remote technologies: a randomized controlled trial study protocol., BMC cardiovascular disorders, vol. 11, Article number: 26, pp. 1-7, doi: 10.1186/1471-2261-11-26.

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Title HEART: heart exercise and remote technologies: a randomized controlled trial study protocol.
Author(s) Maddison, RalphORCID iD for Maddison, Ralph orcid.org/0000-0001-8564-5518
Whittaker, Robyn
Stewart, Ralph
Kerr, Andrew
Jiang, Yannan
Kira, Geoffrey
Carter, Karen H
Pfaeffli, Leila
Journal name BMC cardiovascular disorders
Volume number 11
Season Article number: 26
Start page 1
End page 7
Total pages 7
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2011
ISSN 1471-2261
Summary BACKGROUND: Cardiovascular disease (CVD) is the leading cause of death worldwide. Cardiac rehabilitation (CR) is aimed at improving health behaviors to slow or reverse the progression of CVD disease. Exercise is a central element of CR. Technologies such as mobile phones and the Internet (mHealth) offer potential to overcome many of the psychological, physical, and geographical barriers that have been associated with lack of participation in exercise-based CR. We aim to trial the effectiveness of a mobile phone delivered exercise-based CR program to increase exercise capacity and functional outcomes compared with usual CR care in adults with CVD. This paper outlines the rationale and methods of the trial.

METHODS: A single-blinded parallel two-arm randomized controlled trial is being conducted. A total of 170 people will be randomized at 1:1 ratio either to receive a mHealth CR program or usual care. Participants are identified by CR nurses from two metropolitan hospitals in Auckland, New Zealand through outpatient clinics and existing databases. Consenting participants are contacted to attend a baseline assessment. The intervention consists of a theory-based, personalized, automated package of text and video message components via participants' mobile phones and the Internet to increase exercise behavior, delivered over six months. The control group will continue with usual CR. Data collection occurs at baseline and 24 weeks (post-intervention). The primary outcome is change in maximal oxygen uptake from baseline to 24 weeks. Secondary outcomes include post-intervention measures on self-reported physical activity (IPAQ), cardiovascular risk factors (systolic blood pressure, weight, and waist to hip ratio), health related quality of life (SF-36), and cost-effectiveness.

DISCUSSION: This manuscript presents the protocol for a randomized controlled trial of a mHealth exercise-based CR program. Results of this trial will provide much needed information about physical and psychological well-being, and cost-effectiveness of an automated telecommunication intervention. If effective, this intervention has enormous potential to improve the delivery of CR and could easily be scaled up to be delivered nationally (and internationally) in a very short time, enhancing the translational aspect of this research. It also has potential to extend to comprehensive CR (nutrition advice, smoking cessation, medication adherence).
Language eng
DOI 10.1186/1471-2261-11-26
Field of Research 1102 Cardiovascular Medicine And Haematology
110699 Human Movement and Sports Science not elsewhere classified
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 ©2011, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30081954

Document type: Journal Article
Collections: School of Exercise and Nutrition Sciences
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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.