Smartphone application-based behavioural intervention for cardiac rehabilitation and the effect on hospital readmissions: The ToDo-Cardiac Rehabilitation (ToDo-CR) randomised control trial

Not Applicable

Recruiting

• Conditions: coronary heart disease; sedentary behaviour; Cardiovascular - Coronary heart disease

• Registration Number: ACTRN12619001223123
• Lead Sponsor: niversity of Canberra

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2019-09-04
• Last Update Posted: 14 June 2021

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 144

Inclusion Criteria

Participants will be eligible to take part in the study if they are aged 18+, are currently enrolled in the phase II CR programs at TCH, Calvary and NCPH and have a smartphone compatible with the apps.

Participants will be included if they have stable CHD and are receiving optimal medical treatment +/- revascularisation (i.e. coronary artery bypass graft surgery (CABG), percutaneous coronary intervention (PCI)), or have had a myocardial infarction (MI).

Eligible participants must have adequate language (English speaking) and vision to use/operate their smartphone. Participants must have adequate cognitive skills to agree to take part in the RCT, understanding what will be required of them. The CR staff will determine whether a participant has adequate cognitive skills to be involved in the study, assessing their level of understanding via methods such as getting the participants to repeat back what they are agreeing to and their understanding of the research project. No formal testing of cognition will take place.

Exclusion Criteria

Participants will be excluded if they have New York Heart Association class II-IV symptoms of heart failure (or documented signs and symptoms of chronic heart failure, with ejection fraction < 45%), uncontrolled arrhythmias, severe chronic obstructive pulmonary disease, uncontrolled hypertension, symptomatic peripheral artery disease, unstable angina, uncontrolled diabetes, are unable to perform a submaximal walking test, or are unable to wear an accelerometer due to disability (e.g. if they are confined to a wheelchair). Participants will also be excluded if they have a pre-paid phone plan (limited data availability) or if the smartphone’s operating system is not compatible with all apps.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Comparison of rates of cardiac-related and/or all cause hospital admissions and emergency department visits (intervention vs. control group). This is a composite primary outcome.<br>Participants will complete a questionnaire designed specifically for this study regarding information about additional cardiac events, all cause hospital readmissions and visits to the emergency department since commencing CR. If able, this information will be verified by hospital patient admission records accessed by CR staff to provide information regarding cardiac and/or all cause readmissions to hospital and visits to the emergency department.[Within the 12-months post commencing cardiac rehabilitation. ]