title: A mobile phone-based care model for outpatient cardiac rehabilitation: the care assessment platform (CAP).
abstract: BACKGROUND
  Cardiac rehabilitation programs offer effective means to prevent recurrence of a cardiac event, but poor uptake of current programs have been reported globally. Home based models are considered as a feasible alternative to avoid various barriers related to care centre based programs. This paper sets out the study design for a clinical trial seeking to test the hypothesis that these programs can be better and more efficiently supported with novel Information and Communication Technologies (ICT).
  
  
  METHODS
  We have integrated mobile phones and web services into a comprehensive home- based care model for outpatient cardiac rehabilitation. Mobile phones with a built-in accelerometer sensor are used to measure physical exercise and WellnessDiary software is used to collect information on patients' physiological risk factors and other health information. Video and teleconferencing are used for mentoring sessions aiming at behavioural modifications through goal setting. The mentors use web-portal to facilitate personal goal setting and to assess the progress of each patient in the program. Educational multimedia content are stored or transferred via messaging systems to the patients phone to be viewed on demand. We have designed a randomised controlled trial to compare the health outcomes and cost efficiency of the proposed model with a traditional community based rehabilitation program. The main outcome measure is adherence to physical exercise guidelines.
  
  
  CONCLUSIONS
  The study will provide evidence on using mobile phones and web services for mentoring and self management in a home-based care model targeting sustainable behavioural modifications in cardiac rehabilitation patients.
  
  
  BACKGROUND
  The trial has been registered in the Australian New Zealand Clinical Trials Registry (ANZCTR) with number ACTRN12609000251224.
authors.affiliation: Cardiology Program, The Prince Charles Hospital, Brisbane, Qld, Australia. lah10@optusnet.com.au
authors.forename: Darren L
authors.initials: DL
authors.lastname: Walters
authors.forename: Antti
authors.initials: A
authors.lastname: Sarela
authors.forename: Anita
authors.initials: A
authors.lastname: Fairfull
authors.forename: Kylie
authors.initials: K
authors.lastname: Neighbour
authors.forename: Cherie
authors.initials: C
authors.lastname: Cowen
authors.forename: Belinda
authors.initials: B
authors.lastname: Stephens
authors.forename: Tom
authors.initials: T
authors.lastname: Sellwood
authors.forename: Bernadette
authors.initials: B
authors.lastname: Sellwood
authors.forename: Marie
authors.initials: M
authors.lastname: Steer
authors.forename: Michelle
authors.initials: M
authors.lastname: Aust
authors.forename: Rebecca
authors.initials: R
authors.lastname: Francis
authors.forename: Chi-Keung
authors.initials: CK
authors.lastname: Lee
authors.forename: Sheridan
authors.initials: S
authors.lastname: Hoffman
authors.forename: Gavin
authors.initials: G
authors.lastname: Brealey
authors.forename: Mohan
authors.initials: M
authors.lastname: Karunanithi
mesh_terms: D000553:Ambulatory Care / Q000379:methods* / Q000592:standards; D000072038:Cardiac Rehabilitation; D002318:Cardiovascular Diseases / Q000503:physiopathology; D040421:Cell Phone; D006801:Humans; D018670:Monitoring, Ambulatory / Q000379:methods / Q000592:standards; D011785:Quality Assurance, Health Care / Q000379:methods* / Q000592:standards; D012107:Research Design; D017216:Telemedicine / Q000295:instrumentation / Q000379:methods / Q000592:standards; D016896:Treatment Outcome