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dc.contributor.authorFrith, Gabbi
dc.contributor.authorCarver, Kathryn
dc.contributor.authorCurry, Sarah
dc.contributor.authorDarby, Alan
dc.contributor.authorSydes, Anna
dc.contributor.authorSymonds, Stephen
dc.contributor.authorWilson, Katrina
dc.contributor.authorMcGregor, Gordon
dc.contributor.authorAuton, Kevin
dc.contributor.authorNichols, Simon
dc.date.accessioned2022-01-06T11:49:54Z
dc.date.available2022-01-06T11:49:54Z
dc.date.issued2021-12-24
dc.date.submitted2021-04-21
dc.identifier.issn1472-6963
dc.identifier.others12913-021-07363-7
dc.identifier.other7363
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/332146
dc.description.abstractBACKGROUND: 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.
dc.languageen
dc.publisherSpringer Science and Business Media LLC
dc.subjectResearch
dc.subjectCardiac rehabilitation
dc.subjectPatient activation
dc.subjectSelf-efficacy
dc.subjectTele-health
dc.subjectCOVID-19
dc.titleChanges in patient activation following cardiac rehabilitation using the Active+me digital healthcare platform during the COVID-19 pandemic: a cohort evaluation.
dc.typeArticle
dc.date.updated2022-01-06T11:49:53Z
prism.issueIdentifier1
prism.publicationNameBMC Health Serv Res
prism.volume21
dc.identifier.doi10.17863/CAM.79592
dcterms.dateAccepted2021-11-24
rioxxterms.versionofrecord10.1186/s12913-021-07363-7
rioxxterms.versionVoR
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/
dc.identifier.eissn1472-6963
cam.issuedOnline2021-12-24


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