%0 Journal Article
%@ 2291-5222
%I JMIR Publications Inc.
%V 4
%N 2
%P e57
%T Remotely Delivered Exercise-Based Cardiac Rehabilitation: Design and Content Development of a Novel mHealth Platform
%A Rawstorn,Jonathan C
%A Gant,Nicholas
%A Meads,Andrew
%A Warren,Ian
%A Maddison,Ralph
%+ National Institute for Health Innovation, University of Auckland, Private Bag 92019, Auckland Mail Centre, Auckland, 1142, New Zealand, 64 9 373 7599 ext 84498, j.rawstorn@auckland.ac.nz
%K telemedicine
%K telerehabilitation
%K wireless technology
%K remote sensing technology
%K behavioral medicine
%K myocardial ischemia
%D 2016
%7 24.06.2016
%9 Original Paper
%J JMIR mHealth uHealth
%G English
%X 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. 
%M 27342791
%R 10.2196/mhealth.5501
%U http://mhealth.jmir.org/2016/2/e57/
%U https://doi.org/10.2196/mhealth.5501
%U http://www.ncbi.nlm.nih.gov/pubmed/27342791