Article

Most eligible patients do not participate in traditional clinic-based
cardiac rehabilitation (CR) despite well-established benefits. Novel approaches
to overcome logistic obstacles and increase efficiencies of learning, behavior
modification, and exercise surveillance may increase CR participation. In an
observational study, the feasibility and utility of a mobile smartphone
application for CR, Heart Coach (HC), were assessed as part of standard care.
Ultimately, innovative CR models incorporating HC may facilitate better CR usage
and value. METHODS: Twenty-six patients enrolled in CR installed HC. Over the
next 30 days, they were prompted by HC to complete a daily "task list" that
included medications, walking, education (text and videos), and surveys. Cardiac
rehabilitation providers monitored each patient's progress through a HC-based Web
dashboard and also sent them personalized feedback and support. Completion of the
tasks and feedback (qualitative and quantitative) from patients and clinicians
were tracked. RESULTS: Patients engaged with HC 90% of days during the study
period, with uniformly favorable impact on compliance and adherence. Eighty-three
percent of patients reported a positive/very positive HC experience. Providers
reported that HC enhanced their provision of therapy by improving communication,
clinical insight, patient participation, and program efficiency. CONCLUSIONS:
Integrating a mobile care delivery platform into CR was feasible, safe, and
agreeable to patients and clinicians. It enhanced patient perceptions of CR care
and physician perceptions of the CR caregiving process. Mobile-enabled
technologies hold promise to extend the quality and reach of CR, and to better
achieve contemporary accountable care goals.

Langue : ANGLAIS

Tiré à part : OUI