Cargando…
Remotely Delivered Exercise-Based Cardiac Rehabilitation: Design and Content Development of a Novel mHealth Platform
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 op...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
JMIR Publications Inc.
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4938883/ https://www.ncbi.nlm.nih.gov/pubmed/27342791 http://dx.doi.org/10.2196/mhealth.5501 |
_version_ | 1782441918322442240 |
---|---|
author | Rawstorn, Jonathan C Gant, Nicholas Meads, Andrew Warren, Ian Maddison, Ralph |
author_facet | Rawstorn, Jonathan C Gant, Nicholas Meads, Andrew Warren, Ian Maddison, Ralph |
author_sort | Rawstorn, Jonathan C |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-4938883 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | JMIR Publications Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-49388832016-07-20 Remotely Delivered Exercise-Based Cardiac Rehabilitation: Design and Content Development of a Novel mHealth Platform Rawstorn, Jonathan C Gant, Nicholas Meads, Andrew Warren, Ian Maddison, Ralph JMIR Mhealth Uhealth Original Paper 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. JMIR Publications Inc. 2016-06-24 /pmc/articles/PMC4938883/ /pubmed/27342791 http://dx.doi.org/10.2196/mhealth.5501 Text en ©Jonathan C Rawstorn, Nicholas Gant, Andrew Meads, Ian Warren, Ralph Maddison. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 24.06.2016. https://creativecommons.org/licenses/by/2.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0/ (https://creativecommons.org/licenses/by/2.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR mhealth and uhealth, is properly cited. The complete bibliographic information, a link to the original publication on http://mhealth.jmir.org/, as well as this copyright and license information must be included. |
spellingShingle | Original Paper Rawstorn, Jonathan C Gant, Nicholas Meads, Andrew Warren, Ian Maddison, Ralph Remotely Delivered Exercise-Based Cardiac Rehabilitation: Design and Content Development of a Novel mHealth Platform |
title | Remotely Delivered Exercise-Based Cardiac Rehabilitation: Design and Content Development of a Novel mHealth Platform |
title_full | Remotely Delivered Exercise-Based Cardiac Rehabilitation: Design and Content Development of a Novel mHealth Platform |
title_fullStr | Remotely Delivered Exercise-Based Cardiac Rehabilitation: Design and Content Development of a Novel mHealth Platform |
title_full_unstemmed | Remotely Delivered Exercise-Based Cardiac Rehabilitation: Design and Content Development of a Novel mHealth Platform |
title_short | Remotely Delivered Exercise-Based Cardiac Rehabilitation: Design and Content Development of a Novel mHealth Platform |
title_sort | remotely delivered exercise-based cardiac rehabilitation: design and content development of a novel mhealth platform |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4938883/ https://www.ncbi.nlm.nih.gov/pubmed/27342791 http://dx.doi.org/10.2196/mhealth.5501 |
work_keys_str_mv | AT rawstornjonathanc remotelydeliveredexercisebasedcardiacrehabilitationdesignandcontentdevelopmentofanovelmhealthplatform AT gantnicholas remotelydeliveredexercisebasedcardiacrehabilitationdesignandcontentdevelopmentofanovelmhealthplatform AT meadsandrew remotelydeliveredexercisebasedcardiacrehabilitationdesignandcontentdevelopmentofanovelmhealthplatform AT warrenian remotelydeliveredexercisebasedcardiacrehabilitationdesignandcontentdevelopmentofanovelmhealthplatform AT maddisonralph remotelydeliveredexercisebasedcardiacrehabilitationdesignandcontentdevelopmentofanovelmhealthplatform |