SMARTphone and social media-based Cardiac Rehabilitation and Secondary Prevention (SMART-CR/SP) for patients with coronary heart disease in China: A randomised controlled trial protocol
Introduction: The burden of cardiovascular disease (CVD) is rapidly increasing in developing countries, however access to cardiac rehabilitation and secondary prevention (CR/SP) in these countries is limited. Alternative delivery models that are low-cost and easy to access are urgently needed to add...
| Main Authors: | , , , , , , , , , |
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| Format: | Journal Article |
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BM J Group
2018
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| Online Access: | http://hdl.handle.net/20.500.11937/70061 |
| _version_ | 1848762204500787200 |
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| author | Dorje, T. Zhao, G. Scheer, A. Tsokey, L. Wang, J. Chen, Y. Tso, K. Tan, B. Ge, J. Maiorana, Andrew |
| author_facet | Dorje, T. Zhao, G. Scheer, A. Tsokey, L. Wang, J. Chen, Y. Tso, K. Tan, B. Ge, J. Maiorana, Andrew |
| author_sort | Dorje, T. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Introduction: The burden of cardiovascular disease (CVD) is rapidly increasing in developing countries, however access to cardiac rehabilitation and secondary prevention (CR/SP) in these countries is limited. Alternative delivery models that are low-cost and easy to access are urgently needed to address this service gap. The objective of this study is to investigate whether a smartphone and social media-based (WeChat) home CR/SP programme can facilitate risk factor monitoring and modification to improve disease self-management and health outcomes in patients with coronary heart disease (CHD), after percutaneous coronary intervention (PCI) therapy. Methods and analysis: We propose a single-blind, randomised controlled trial of 300 patients post-PCI with follow-up over 12 months. The intervention group will receive a smartphone-based and WeChat-based CR/SP programme providing education and support for risk factor monitoring and modification. SMART-CR/SP incorporates core components of modern CR/SP: Physical activity tracking with interactive feedback and goal setting; education modules addressing CHD understanding and self-management; remote blood pressure monitoring and strategies to improve medication adherence. Furthermore, a dedicated data portal and a CR/SP coach will facilitate individualised supervision and counselling. The control group will receive usual care but no formal CR/SP programme. The primary outcome is change in exercise capacity measured by 6 minute walk test distance. Secondary outcomes include knowledge and awareness of CHD, risk factor status, medication adherence, psychological well-being and quality of life, major cardiovascular events, re-hospitalisations and all-cause mortality. To assess the feasibility and patients' acceptance of the intervention, a process evaluation will be performed at the conclusion of the study. Ethics and dissemination: Ethics approval was granted by both the Human Research Ethics Committee of Fudan University Zhongshan Hospital (HREC B2016-058) and Curtin University Human Research Ethics Office (HRE2016-0120). Results will be disseminated via peer-reviewed publications and presentations at conferences. Clinical trial registration number: ChiCTR-INR-16009598; Pre-results. |
| first_indexed | 2025-11-14T10:43:51Z |
| format | Journal Article |
| id | curtin-20.500.11937-70061 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T10:43:51Z |
| publishDate | 2018 |
| publisher | BM J Group |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-700612018-09-13T04:02:12Z SMARTphone and social media-based Cardiac Rehabilitation and Secondary Prevention (SMART-CR/SP) for patients with coronary heart disease in China: A randomised controlled trial protocol Dorje, T. Zhao, G. Scheer, A. Tsokey, L. Wang, J. Chen, Y. Tso, K. Tan, B. Ge, J. Maiorana, Andrew Introduction: The burden of cardiovascular disease (CVD) is rapidly increasing in developing countries, however access to cardiac rehabilitation and secondary prevention (CR/SP) in these countries is limited. Alternative delivery models that are low-cost and easy to access are urgently needed to address this service gap. The objective of this study is to investigate whether a smartphone and social media-based (WeChat) home CR/SP programme can facilitate risk factor monitoring and modification to improve disease self-management and health outcomes in patients with coronary heart disease (CHD), after percutaneous coronary intervention (PCI) therapy. Methods and analysis: We propose a single-blind, randomised controlled trial of 300 patients post-PCI with follow-up over 12 months. The intervention group will receive a smartphone-based and WeChat-based CR/SP programme providing education and support for risk factor monitoring and modification. SMART-CR/SP incorporates core components of modern CR/SP: Physical activity tracking with interactive feedback and goal setting; education modules addressing CHD understanding and self-management; remote blood pressure monitoring and strategies to improve medication adherence. Furthermore, a dedicated data portal and a CR/SP coach will facilitate individualised supervision and counselling. The control group will receive usual care but no formal CR/SP programme. The primary outcome is change in exercise capacity measured by 6 minute walk test distance. Secondary outcomes include knowledge and awareness of CHD, risk factor status, medication adherence, psychological well-being and quality of life, major cardiovascular events, re-hospitalisations and all-cause mortality. To assess the feasibility and patients' acceptance of the intervention, a process evaluation will be performed at the conclusion of the study. Ethics and dissemination: Ethics approval was granted by both the Human Research Ethics Committee of Fudan University Zhongshan Hospital (HREC B2016-058) and Curtin University Human Research Ethics Office (HRE2016-0120). Results will be disseminated via peer-reviewed publications and presentations at conferences. Clinical trial registration number: ChiCTR-INR-16009598; Pre-results. 2018 Journal Article http://hdl.handle.net/20.500.11937/70061 10.1136/bmjopen-2018-021908 BM J Group fulltext |
| spellingShingle | Dorje, T. Zhao, G. Scheer, A. Tsokey, L. Wang, J. Chen, Y. Tso, K. Tan, B. Ge, J. Maiorana, Andrew SMARTphone and social media-based Cardiac Rehabilitation and Secondary Prevention (SMART-CR/SP) for patients with coronary heart disease in China: A randomised controlled trial protocol |
| title | SMARTphone and social media-based Cardiac Rehabilitation and Secondary Prevention (SMART-CR/SP) for patients with coronary heart disease in China: A randomised controlled trial protocol |
| title_full | SMARTphone and social media-based Cardiac Rehabilitation and Secondary Prevention (SMART-CR/SP) for patients with coronary heart disease in China: A randomised controlled trial protocol |
| title_fullStr | SMARTphone and social media-based Cardiac Rehabilitation and Secondary Prevention (SMART-CR/SP) for patients with coronary heart disease in China: A randomised controlled trial protocol |
| title_full_unstemmed | SMARTphone and social media-based Cardiac Rehabilitation and Secondary Prevention (SMART-CR/SP) for patients with coronary heart disease in China: A randomised controlled trial protocol |
| title_short | SMARTphone and social media-based Cardiac Rehabilitation and Secondary Prevention (SMART-CR/SP) for patients with coronary heart disease in China: A randomised controlled trial protocol |
| title_sort | smartphone and social media-based cardiac rehabilitation and secondary prevention (smart-cr/sp) for patients with coronary heart disease in china: a randomised controlled trial protocol |
| url | http://hdl.handle.net/20.500.11937/70061 |