Effectiveness of Mobile Health Augmented Cardiac Rehabilitation on Behavioural Outcomes among Post-acute Coronary Syndrome Patients: A Randomised Controlled Trial

Objectives: To determine the effectiveness of mobile health augmented cardiac rehabilitation (MCard) on health-related quality of life (HRQoL), clinical and behavioural outcomes in post-ACS. Methods: A single-centre, single-blinded, two-arm randomised controlled trial is planned at Armed Forces Institute of Cardiology (AFIC), Pakistan. The duration was two years, that is from January 2019 till December 2020. A total of 160 participants were recruited and randomly allocated to the control group or the intervention group. Intervention is a mobile health augmented cardiac rehabilitation (MCard), a medically supervised cardiac rehabilitation program for 23-24 weeks. The phase one includes individual counselling during the hospital stay and in phase two includes communication of standardised messages related to healthy lifestyle modification through a specifically designed software. Results: This clinical trial results will give insight into the impact of MCard in improving the health outcomes (HRQoL, clinical and behavioural) of participants. If proven to be effective, this technology can be scaled up and implemented in other cardiac centres in the country. It utilises fewer human resources and can be delivered at a lower cost. Conclusion: The study protocol will be giving evidence either MCard can contribute to improving the HRQoL, clinical and behavioural outcomes of post-ACS patients following hospital discharge. Considering the COVID-9 situation, this is the perfect time to implement and evaluate the effectiveness of MCard on health outcomes among post-ACS patients. doi: https://doi.org/10.12669/pjms.37.3.3664 How to cite this:Hisam A, Zia-Ul-Haq, Khan Z, Doherty P, Pell J. Mobile Health Augmented Cardiac Rehabilitation (MCard) In Post-Acute Coronary Syndrome Patients: A randomised controlled trial protocol. Pak J Med Sci. 2021;37(3):---------. doi: https://doi.org/10.12669/pjms.37.3.3664 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Effects of alirocumab on cardiovascular and metabolic outcomes after acute coronary syndrome in patients with or without diabetes: a prespecified analysis of the ODYSSEY OUTCOMES randomised controlled trial

The Lancet Diabetes & Endocrinology ◽

10.1016/s2213-8587(19)30158-5 ◽

2019 ◽

Vol 7 (8) ◽

pp. 618-628 ◽

Cited By ~ 66

Author(s):

Kausik K Ray ◽

Helen M Colhoun ◽

Michael Szarek ◽

Marie Baccara-Dinet ◽

Deepak L Bhatt ◽

...

Keyword(s):

Acute Coronary Syndrome ◽

Randomised Controlled Trial ◽

Controlled Trial ◽

Coronary Syndrome ◽

Metabolic Outcomes ◽

Randomised Controlled

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Impact of Medical Consultation Frequency on Change in Risk Factors After Acute Coronary Syndrome (ACS) in the Randomised Controlled Trial of a Modular Secondary Prevention Trial

Heart Lung and Circulation ◽

10.1016/j.hlc.2008.05.492 ◽

2008 ◽

Vol 17 ◽

pp. S206-S207

Author(s):

Monique Menzies ◽

Julie Redfern ◽

Tom Briffa ◽

S.B. Freedman

Keyword(s):

Risk Factors ◽

Acute Coronary Syndrome ◽

Randomised Controlled Trial ◽

Secondary Prevention ◽

Controlled Trial ◽

Medical Consultation ◽

Prevention Trial ◽

Secondary Prevention Trial ◽

Coronary Syndrome ◽

Randomised Controlled

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Community health worker-based intervention for adherence to drugs and lifestyle change after acute coronary syndrome: a multicentre, open, randomised controlled trial

The Lancet Diabetes & Endocrinology ◽

10.1016/s2213-8587(15)00480-5 ◽

2016 ◽

Vol 4 (3) ◽

pp. 244-253 ◽

Cited By ~ 53

Author(s):

Denis Xavier ◽

Rajeev Gupta ◽

Deepak Kamath ◽

Alben Sigamani ◽

P J Devereaux ◽

...

Keyword(s):

Acute Coronary Syndrome ◽

Randomised Controlled Trial ◽

Community Health ◽

Health Worker ◽

Community Health Worker ◽

Controlled Trial ◽

Lifestyle Change ◽

Coronary Syndrome ◽

Randomised Controlled

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International feasibility trial on the use of an interactive mobile health platform for cardiac rehabilitation: protocol of the Diversity 1 study

BMJ Health & Care Informatics ◽

10.1136/bmjhci-2019-100042 ◽

2019 ◽

Vol 26 (1) ◽

pp. e100042

Author(s):

Manuel Cruz Gonzalez-Garcia ◽

Farhad Fatehi ◽

Martijn Scherrenberg ◽

Robin Henriksson ◽

Adrian Maciejewski ◽

...

Keyword(s):

Clinical Practice ◽

Randomised Controlled Trial ◽

Cardiac Rehabilitation ◽

Mobile Health ◽

Controlled Trial ◽

Feasibility Trial ◽

Rehabilitation Protocol ◽

Research Organisation ◽

Home Based ◽

Randomised Controlled

IntroductionThe implementation of home-based cardiac rehabilitation has demonstrated potential to increase patient participation, but the content and the delivering of the programmes varies across countries. The objective of this study is to investigate whether an Australian-validated mobile health (mHealth) platform for cardiac rehabilitation will be accepted and adopted irrespectively from the existing organisational and contextual factors in five different European countries.Methods and analysisThis international multicentre feasibility study will use surveys, preliminary observations and analysis to evaluate the use and the user’s perceptions (satisfaction) of a validated mHealth platform in different contextual settings.Ethics and disseminationThis study protocol has been approved by the Australian research organisation CSIRO and the respective ethical committees of the European sites. The dissemination of this trial will serve as a ground for the further implementation of an international large randomised controlled trial which will contribute to an effective global introduction of mHealth into daily clinical practice.

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