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Changes in patient activation following cardiac rehabilitation using the Active + me digital healthcare platform during the COVID-19 pandemic : a cohort evaluation
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Frith, Gabbi, Carver, Kathryn, Curry, Sarah, Darby, Alan, Sydes, Anna, Symonds, Stephen, Wilson, Katrina, McGregor, Gordon, Auton, Kevin and Nichols, Simon (2021) Changes in patient activation following cardiac rehabilitation using the Active + me digital healthcare platform during the COVID-19 pandemic : a cohort evaluation. BMC Health Services Research, 21 (1). 1363. doi:10.1186/s12913-021-07363-7 ISSN 1472-6963.
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WRAP-changes-patient-activation-following-cardiac-rehabilitation-using-Active+-me-digital-healthcare-platform-during-COVID-19-pandemic-2021.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (1130Kb) | Preview |
Official URL: https://doi.org/10.1186/s12913-021-07363-7
Abstract
Background: Restrictions on face-to-face contact, due to COVID-19, led to a rapid adoption of technology to remotely deliver cardiac rehabilitation (CR). Some technologies, including Active+me, were used without knowing their benefits. We assessed changes in patient activation measure (PAM) in patients participating in routine CR, using Active+me. We also investigated changes in PAM among low, moderate, and high risk patients, changes in cardiovascular risk factors, and explored patient and healthcare professional experiences of using Active+me. Methods: Patients received standard CR education and an exercise prescription. Active+me was used to monitor patient health, progress towards goals, and provide additional lifestyle support. Patients accessed Active+me through a smart-device application which synchronised to telemetry enabled scales, blood pressure monitors, pulse oximeter, and activity trackers. Changes in PAM score following CR were calculated. Sub-group analysis was conducted on patients at high, moderate, and low risk of exercise induced cardiovascular events. Qualitative interviews explored the acceptability of Active+me. Results: Forty-six patients were recruited (Age: 60.4 ± 10.9 years; BMI: 27.9 ± 5.0 kg.m2; 78.3% male). PAM scores increased from 65.5 (range: 51.0 to 100.0) to 70.2 (range: 40.7 to 100.0; P = 0.039). PAM scores of high risk patients increased from 61.9 (range: 53.0 to 91.0) to 75.0 (range: 58.1 to 100.0; P = 0.044). The PAM scores of moderate and low risk patients did not change. Resting systolic blood pressure decreased from 125 mmHg (95% CI: 120 to 130 mmHg) to 119 mmHg (95% CI: 115 to 122 mmHg; P = 0.023) and waist circumference measurements decreased from 92.8 cm (95% CI: 82.6 to 102.9 cm) to 85.3 cm (95% CI 79.1 to 96.2 cm; P = 0.026). Self-reported physical activity levels increased from 1557.5 MET-minutes (range: 245.0 to 5355.0 MET-minutes) to 3363.2 MET-minutes (range: 105.0 to 12,360.0 MET-minutes; P < 0.001). Active+me was acceptable to patients and healthcare professionals. Conclusion: Participation in standard CR, with Active+me, is associated with increased patient skill, knowledge, and confidence to manage their condition. Active+me may be an appropriate platform to support CR delivery when patients cannot be seen face-to-face. Trial registration: As this was not a clinical trial, the study was not registered in a trial registry.
| Item Type: | Journal Article | ||||||
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| Subjects: | R Medicine > R Medicine (General) R Medicine > RC Internal medicine |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| SWORD Depositor: | Library Publications Router | ||||||
| Library of Congress Subject Headings (LCSH): | Heart -- Diseases -- Patients -- Rehabilitation, Patient compliance, Telecommunication in medicine | ||||||
| Journal or Publication Title: | BMC Health Services Research | ||||||
| Publisher: | Biomed central | ||||||
| ISSN: | 1472-6963 | ||||||
| Official Date: | 24 December 2021 | ||||||
| Dates: |
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| Volume: | 21 | ||||||
| Number: | 1 | ||||||
| Article Number: | 1363 | ||||||
| DOI: | 10.1186/s12913-021-07363-7 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||
| Date of first compliant deposit: | 7 February 2022 | ||||||
| Date of first compliant Open Access: | 8 February 2022 | ||||||
| RIOXX Funder/Project Grant: |
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