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Remotely delivered exercise-based cardiac rehabilitation: design and content development of a novel mHealth platform

Rawstorn, Jonathan C, Gant, Nicholas, Meads, Andrew, Warren, Ian and Maddison, Ralph 2016, Remotely delivered exercise-based cardiac rehabilitation: design and content development of a novel mHealth platform, JMIR mHealth and uHealth, vol. 4, no. 2, Article number: e57, pp. 1-16, doi: 10.2196/mhealth.5501.

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Title Remotely delivered exercise-based cardiac rehabilitation: design and content development of a novel mHealth platform
Author(s) Rawstorn, Jonathan C
Gant, Nicholas
Meads, Andrew
Warren, Ian
Maddison, Ralph
Journal name JMIR mHealth and uHealth
Volume number 4
Issue number 2
Season Article number: e57
Start page 1
End page 16
Total pages 16
Publisher JMIR Publications
Place of publication Toronto, Ont.
Publication date 2016-06-24
ISSN 2291-5222
Keyword(s) telemedicine
telerehabilitation
wireless technology
remote sensing technology
behavioral medicine
myocardial ischemia
Summary BACKGROUND: Participation in traditional center-based cardiac rehabilitation exercise programs (exCR) is limited by accessibility barriers. Mobile health (mHealth) technologies can overcome these barriers while preserving critical attributes of center-based exCR monitoring and coaching, but these opportunities have not yet been capitalized on.

OBJECTIVE: We aimed to design and develop an evidence- and theory-based mHealth platform for remote delivery of exCR to any geographical location.

METHODS: An iterative process was used to design and develop an evidence- and theory-based mHealth platform (REMOTE-CR) that provides real-time remote exercise monitoring and coaching, behavior change education, and social support.

RESULTS: The REMOTE-CR platform comprises a commercially available smartphone and wearable sensor, custom smartphone and Web-based applications (apps), and a custom middleware. The platform allows exCR specialists to monitor patients' exercise and provide individualized coaching in real-time, from almost any location, and provide behavior change education and social support. Intervention content incorporates Social Cognitive Theory, Self-determination Theory, and a taxonomy of behavior change techniques. Exercise components are based on guidelines for clinical exercise prescription.

CONCLUSIONS: The REMOTE-CR platform extends the capabilities of previous telehealth exCR platforms and narrows the gap between existing center- and home-based exCR services. REMOTE-CR can complement center-based exCR by providing an alternative option for patients whose needs are not being met. Remotely monitored exCR may be more cost-effective than establishing additional center-based programs. The effectiveness and acceptability of REMOTE-CR are now being evaluated in a noninferiority randomized controlled trial.
Language eng
DOI 10.2196/mhealth.5501
Field of Research 110699 Human Movement and Sports Science not elsewhere classified
Socio Economic Objective 920401 Behaviour and Health
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, The Authors
Persistent URL http://hdl.handle.net/10536/DRO/DU:30087853

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