TY  - JOUR
AU  - Rawstorn, Jonathan C
AU  - Gant, Nicholas
AU  - Meads, Andrew
AU  - Warren, Ian
AU  - Maddison, Ralph
PY  - 2016
DA  - 2016/06/24
TI  - Remotely Delivered Exercise-Based Cardiac Rehabilitation: Design and Content Development of a Novel mHealth Platform
JO  - JMIR mHealth uHealth
SP  - e57
VL  - 4
IS  - 2
KW  - telemedicine
KW  - telerehabilitation
KW  - wireless technology
KW  - remote sensing technology
KW  - behavioral medicine
KW  - myocardial ischemia
AB  - 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. 
SN  - 2291-5222
UR  - http://mhealth.jmir.org/2016/2/e57/
UR  - https://doi.org/10.2196/mhealth.5501
UR  - http://www.ncbi.nlm.nih.gov/pubmed/27342791
DO  - 10.2196/mhealth.5501
ID  - info:doi/10.2196/mhealth.5501
ER  -