Browsing by Author "Walters, Darren L"
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- ItemA mobile phone-based care model for outpatient cardiac rehabilitation: the care assessment platform (CAP).(2010-03-05) Walters, Darren L; Särelä, Antti; Fairfull, Anita; Neighbour, Kylie; Cowen, Cherie; Stephens, Belinda; Sellwood, Tom; Sellwood, Bernadette; Steer, Marie; Aust, Michelle; Francis, Rebecca; Lee, Chi-Keung; Hoffman, Sheridan; Brealey, Gavin; Karunanithi, MohanBACKGROUND Cardiac rehabilitation programs offer effective means to prevent recurrence of a cardiac event but poor uptake of current programs have been reported globally Home based models are considered as a feasible alternative to avoid various barriers related to care centre based programs This paper sets out the study design for a clinical trial seeking to test the hypothesis that these programs can be better and more efficiently supported with novel Information and Communication Technologies ICT METHODS DESIGN We have integrated mobile phones and web services into a comprehensive home based care model for outpatient cardiac rehabilitation Mobile phones with a built in accelerometer sensor are used to measure physical exercise and WellnessDiary software is used to collect information on patients physiological risk factors and other health information Video and teleconferencing are used for mentoring sessions aiming at behavioural modifications through goal setting The mentors use web portal to facilitate personal goal setting and to assess the progress of each patient in the program Educational multimedia content are stored or transferred via messaging systems to the patients phone to be viewed on demand We have designed a randomised controlled trial to compare the health outcomes and cost efficiency of the proposed model with a traditional community based rehabilitation program The main outcome measure is adherence to physical exercise guidelines DISCUSSION The study will provide evidence on using mobile phones and web services for mentoring and self management in a home based care model targeting sustainable behavioural modifications in cardiac rehabilitation patients TRIAL REGISTRATION The trial has been registered in the Australian New Zealand Clinical Trials Registry ANZCTR with number ACTRN12609000251224
- ItemUptake of a technology-assisted home-care cardiac rehabilitation program.(2011-03-15) Varnfield, Marlien; Karunanithi, Mohanraj K; Särelä, Antti; Garcia, Elsa; Fairfull, Anita; Oldenburg, Brian F; Walters, Darren LThe prevalence of cardiovascular disease a major cause of disease burden in Australia and other developed countries is increasing due to a rapidly ageing population and environmental biomedical and modifiable lifestyle factors Although cardiac rehabilitation CR programs have been shown to be beneficial and effective rates of referral uptake and utilisation of traditional hospital or community centre programs are poor Home based CR programs have been shown to be as effective as centre based programs and recent advances in information and communication technologies ICT can be used to enhance the delivery of such programs The Care Assessment Platform CAP is an integrated home based CR model incorporating ICT including a mobile phone and the internet and providing all the core components of traditional CR education physical activity exercise training behaviour modification strategies and psychological counselling The mobile phone given to patients has an integrated accelerometer and diary application for recording exercise and health information A central database with access to these data allows mentors to assess patients progress assist in setting goals revise targets and give weekly personal feedback Mentors find the mobile phone modalities practical and easy to use and preliminary results show high usage rates and acceptance of ICT by participants The provision of ICT supported home based CR programs may enable more patients in both metropolitan and remote settings to benefit from CR