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dc.contributor.authorYudi, MB
dc.contributor.authorClark, DJ
dc.contributor.authorTsang, D
dc.contributor.authorJelinek, M
dc.contributor.authorKalten, K
dc.contributor.authorJoshi, S
dc.contributor.authorPhan, K
dc.contributor.authorNasis, A
dc.contributor.authorAmerena, J
dc.contributor.authorArunothayaraj, S
dc.contributor.authorReid, C
dc.contributor.authorFarouque, O
dc.date.accessioned2021-02-05T00:50:14Z
dc.date.available2021-02-05T00:50:14Z
dc.date.issued2016-09-05
dc.identifierpii: 10.1186/s12872-016-0356-6
dc.identifier.citationYudi, M. B., Clark, D. J., Tsang, D., Jelinek, M., Kalten, K., Joshi, S., Phan, K., Nasis, A., Amerena, J., Arunothayaraj, S., Reid, C. & Farouque, O. (2016). SMARTphone-based, early cardiac REHABilitation in patients with acute coronary syndromes [SMART-REHAB Trial]: a randomized controlled trial protocol. BMC CARDIOVASCULAR DISORDERS, 16 (1), https://doi.org/10.1186/s12872-016-0356-6.
dc.identifier.issn1471-2261
dc.identifier.urihttp://hdl.handle.net/11343/260171
dc.description.abstractBACKGROUND: There are well-documented treatment gaps in secondary prevention of coronary heart disease and no clear guidelines to assist early physical activity after acute coronary syndromes (ACS). Smartphone technology may provide an innovative platform to close these gaps. This paper describes the study design of a randomized controlled trial assessing whether a smartphone-based secondary prevention program can facilitate early physical activity and improve cardiovascular health in patients with ACS. METHODS: We have developed a multi-faceted, patient-centred smartphone-based secondary prevention program emphasizing early physical activity with a graduated walking program initiated on discharge from ACS admission. The program incorporates; physical activity tracking through the smartphone's accelerometer with interactive feedback and goal setting; a dynamic dashboard to review and optimize cardiovascular risk factors; educational messages delivered twice weekly; a photographic food diary; pharmacotherapy review; and support through a short message service. The primary endpoint of the trial is change in exercise capacity, as measured by the change in six-minute walk test distance at 8-weeks when compared to baseline. Secondary endpoints include improvements in cardiovascular risk factor status, psychological well-being and quality of life, medication adherence, uptake of cardiac rehabilitation and re-hospitalizations. DISCUSSION: This randomized controlled trial will use a smartphone-phone based secondary prevention program to emphasize early physical activity post-ACS. It will provide evidence regarding the feasibility and utility of this innovative platform in closing the treatment gaps in secondary prevention. TRIAL REGISTRATION: The trial was retrospectively registered in the Australian New Zealand Clinical Trials Registry (ANZCTR) on April 4, 2016. The registration number is ACTRN12616000426482 .
dc.languageEnglish
dc.publisherBMC
dc.titleSMARTphone-based, early cardiac REHABilitation in patients with acute coronary syndromes [SMART-REHAB Trial]: a randomized controlled trial protocol
dc.typeJournal Article
dc.identifier.doi10.1186/s12872-016-0356-6
melbourne.affiliation.departmentMedicine and Radiology
melbourne.affiliation.departmentClinical School (Austin Health)
melbourne.affiliation.departmentMedical Education
melbourne.affiliation.facultyCollected Works
melbourne.source.titleBMC Cardiovascular Disorders
melbourne.source.volume16
melbourne.source.issue1
melbourne.identifier.nhmrc1115163
dc.rights.licenseCC BY
melbourne.elementsid1095091
melbourne.contributor.authorTsang, David
melbourne.contributor.authorFarouque, Hamid
melbourne.contributor.authorYUDI, MATIAS
melbourne.contributor.authorClark, David
melbourne.contributor.authorJelinek, Vladimir
dc.identifier.eissn1471-2261
melbourne.identifier.fundernameidNHMRC, 1115163
melbourne.accessrightsOpen Access


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