Getting “Back on Track” after a Cardiac Event: Protocol for a Randomized Controlled Trial of a Web-Based Self-management Program Rogerson, MC, Jackson, AC, Navaratnam, HS, Le Grande, Michael, Higgins, RO, Clarke, J and Murphy, BM 2021, Getting “Back on Track” after a Cardiac Event: Protocol for a Randomized Controlled Trial of a Web-Based Self-management Program, JMIR Research Protocols, vol. 10, no. 12, pp. 1-13, doi: 10.2196/34534. Attached Files Name Description MIMEType Size Downloads Title Getting “Back on Track” after a Cardiac Event: Protocol for a Randomized Controlled Trial of a Web-Based Self-management Program Author(s) Rogerson, MC Jackson, AC Navaratnam, HS Le Grande, Michael orcid.org/0000-0001-5902-6131 Higgins, RO Clarke, J Murphy, BM Journal name JMIR Research Protocols Volume number 10 Issue number 12 Article ID e34534 Start page 1 End page 13 Total pages 13 Publisher JMIR Publications Place of publication Toronto, Ont. Publication date 2021 ISSN 1929-0748 1929-0748 Keyword(s) cardiovascular cognitive behaviour therapy coronary coronary heart disease CORONARY-ARTERY-DISEASE depression DEPRESSIVE SYMPTOMS HEALTH health behavior health behaviour health behaviours Health Care Sciences & Services heart disease HEART-DISEASE Life Sciences & Biomedicine LIFE-STYLE motivational interviewing MYOCARDIAL-INFARCTION online PHYSICAL-ACTIVITY prevention Public, Environmental & Occupational Health randomised controlled trial randomized control trial RCT REHABILITATION RISK-FACTORS Science & Technology secondary prevention self-management Summary Background After a cardiac event, a large majority of patients with cardiac conditions do not achieve recommended behavior change targets for secondary prevention. Mental health issues can also impact the ability to engage in health behavior change. There is a need for innovative, flexible, and theory-driven eHealth programs, which include evidence-based strategies to assist patients with cardiac conditions with their recovery, especially in behavioral and emotional self-management. Objective The aim of this study is to determine the short- and longer-term behavioral and emotional well-being outcomes of the Back on Track web-based self-management program. In addition, this study will test whether there is enhanced benefit of providing one-on-one telephone support from a trained lifestyle counselor, over and above benefit obtained through completing the web-based program alone. Methods People who have experienced a cardiac event in the previous 12 months and have access to the internet will be eligible for this study (N=120). Participants will be randomly assigned to one of the two study conditions: either “self-directed” completion of the Back on Track program (without assistance) or “supported” completion of the Back on Track program (additional 2 telephone sessions with a lifestyle counselor). All participants will have access to the web-based Back on Track program for 2 months. Telephone sessions with the supported arm participants will occur at approximately 2 and 6 weeks post enrollment. Measures will be assessed at baseline, and then 2 and 6 months later. Outcome measures assessed at all 3 timepoints include dietary intake, physical activity and sitting time, smoking status, anxiety and depression, stage of change, and self-efficacy in relation to behavioral and emotional self-management, quality of life, and self-rated health and well-being. A demographic questionnaire will be included at baseline only and program acceptability at 2 months only. Results Recruitment began in May 2020 and concluded in August 2021. Data collection for the 6-month follow-up will be completed by February 2022, and data analysis and publication of results will be completed by June 2022. A total of 122 participants were enrolled in this study. Conclusions The Back on Track trial will enable us to quantify the behavioral and emotional improvements obtained and maintained for patients with cardiac conditions and, in particular, to compare two modes of delivery: (1) fully self-directed delivery and (2) supported by a lifestyle counselor. We anticipate that the web-based Back on Track program will assist patients in their recovery and self-management after an acute event, and represents an effective, flexible, and easily accessible adjunct to center-based rehabilitation programs. Trial Registration Australian New Zealand Clinical Trials Registry ACTRN12620000102976; http://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=378920&isReview=true International Registered Report Identifier (IRRID) DERR1-10.2196/34534 Language eng DOI 10.2196/34534 Field of Research 1103 Clinical Sciences 1117 Public Health and Health Services HERDC Research category C1 Refereed article in a scholarly journal Free to Read? Yes Persistent URL http://hdl.handle.net/10536/DRO/DU:30161002 Document type: Journal Article Collections: Faculty of Health School of Nursing and Midwifery Open Access Collection Related Links Link Description Link to full-text (open access)   Connect to published version Go to link with your DU access privileges   Connect to Elements publication management system Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. 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. Versions Version Filter Type Fri, 31 Dec 2021, 15:51:37 EST Fri, 31 Dec 2021, 16:01:01 EST Fri, 31 Dec 2021, 16:07:13 EST Sat, 15 Jan 2022, 01:45:15 EST Tue, 18 Jan 2022, 16:41:31 EST Sat, 12 Feb 2022, 01:31:03 EST Wed, 23 Mar 2022, 13:57:42 EST Wed, 23 Mar 2022, 15:20:12 EST Wed, 23 Mar 2022, 15:31:21 EST Fri, 08 Apr 2022, 11:35:10 EST Filtered Full Citation counts:   Cited 0 times in TR Web of Science Cited 0 times in Scopus Search Google Scholar Access Statistics: 8 Abstract Views, 0 File Downloads  -  Detailed Statistics Created: Fri, 31 Dec 2021, 15:51:37 EST