Remotely Delivered Exercise-Based Cardiac Rehabilitation: Design and Content Development of a Novel MHealth Platform

Overview

Journal JMIR Mhealth Uhealth

Specialties Biomedical Engineering
Medical Informatics

Date 2016 Jun 26

PMID 27342791

Citations 24

Authors

Jonathan C Rawstorn

Nicholas Gant

Andrew Meads

Ian Warren

Ralph Maddison

Affiliations

Soon will be listed here.

Abstract

Background: Participation in traditional center-based cardiac rehabilitation exercise programs (exCR) is limited by accessibility barriers. Mobile health (mHealth) technologies can overcome these barriers while preserving critical attributes of center-based exCR monitoring and coaching, but these opportunities have not yet been capitalized on.

Objective: We aimed to design and develop an evidence- and theory-based mHealth platform for remote delivery of exCR to any geographical location.

Methods: An iterative process was used to design and develop an evidence- and theory-based mHealth platform (REMOTE-CR) that provides real-time remote exercise monitoring and coaching, behavior change education, and social support.

Results: The REMOTE-CR platform comprises a commercially available smartphone and wearable sensor, custom smartphone and Web-based applications (apps), and a custom middleware. The platform allows exCR specialists to monitor patients' exercise and provide individualized coaching in real-time, from almost any location, and provide behavior change education and social support. Intervention content incorporates Social Cognitive Theory, Self-determination Theory, and a taxonomy of behavior change techniques. Exercise components are based on guidelines for clinical exercise prescription.

Conclusions: The REMOTE-CR platform extends the capabilities of previous telehealth exCR platforms and narrows the gap between existing center- and home-based exCR services. REMOTE-CR can complement center-based exCR by providing an alternative option for patients whose needs are not being met. Remotely monitored exCR may be more cost-effective than establishing additional center-based programs. The effectiveness and acceptability of REMOTE-CR are now being evaluated in a noninferiority randomized controlled trial.

Citing Articles

Telemonitoring during Exercise Training in Cardiac Telerehabilitation: A Review.

Shimbo M, Amiya E, Komuro I Rev Cardiovasc Med. 2024; 24(4):104.

PMID: 39076270 PMC: 11273016. DOI: 10.31083/j.rcm2404104.

Effectiveness of a mHealth platform-based lifestyle integrated multicomponent exercise () program to reverse pre-frailty in community-dwelling older adults: a randomized controlled trial study protocol.

Li N, Huang F, Wang N, Lin S, Yuan Y, Zhu P Front Public Health. 2024; 12:1389297.

PMID: 38912262 PMC: 11190369. DOI: 10.3389/fpubh.2024.1389297.

Evaluating a Remotely Delivered Cardio-Oncology Rehabilitation Intervention for Patients With Breast Cancer (REMOTE-COR-B): Protocol for a Single-Arm Feasibility Trial.

Short C, Rawstorn J, Jones T, Edbrooke L, Hayes S, Maddison R JMIR Res Protoc. 2024; 13:e53301.

PMID: 38578682 PMC: 11031702. DOI: 10.2196/53301.

Competencies required by patients and health professionals regarding telerehabilitation: A scoping review.

Stark A, Krayter S, Dockweiler C Digit Health. 2023; 9:20552076231218841.

PMID: 38107985 PMC: 10722929. DOI: 10.1177/20552076231218841.

A scale for measuring home-based cardiac rehabilitation exercise adherence: a development and validation study.

Yang Z, Sun Y, Wang H, Zhang C, Wang A BMC Nurs. 2023; 22(1):259.

PMID: 37550733 PMC: 10405489. DOI: 10.1186/s12912-023-01426-2.

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