Improving Cardiac Rehabilitation outcomes through mobile case management (iCARE)

通过移动病例管理 (iCARE) 改善心脏康复效果

• 批准号: 10442706
• 负责人: Thomas Patrick Olson
• 金额: $ 55.37万
• 依托单位: MAYO CLINIC ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-14 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10442706
• 关键词: Activities of Daily Living; Acute Coronary Event; Adherence; American; Behavioral; Blood Pressure; Cardiac; Cardiac rehabilitation; Cardiovascular Diseases; Case Management; Cause of Death; Cessation of life; Cholesterol; Chronic; Chronic Disease; Clinical; Clinical Practice Guideline; Clinical Services; Consumption; Coronary Arteriosclerosis; Data; Developed Countries; Economic Burden; Educational Materials; Effectiveness; Enrollment; Event; Goals; Health; Healthcare; Heart failure; Individual; Intervention; Measures; Morbidity - disease rate; Myocardial Infarction; Outcome; Patient Care; Patient Participation; Patient-Focused Outcomes; Patients; Performance; Pharmaceutical Preparations; Physicians; Procedures; Quality of life; Randomized Controlled Trials; Recommendation; Recurrence; Rehabilitation Outcome; Research; Risk Factors; Scientist; Survivors; System; Testing; United States; Well in self; acute coronary syndrome; base; cardiovascular disorder risk; care outcomes; clinical care; coronary event; cost effectiveness; design; effectiveness evaluation; experience; falls; health care economics; hospital readmission; improved; mHealth; mortality; patient oriented; percutaneous coronary intervention; primary outcome; programs; prospective; rehabilitation service; secondary outcome; symptomatic improvement

PROJECT SUMMARY/ABSTRACT Cardiovascular disease (CVD) is the leading cause of death in the world. Comprehensive cardiac rehabilitation (CR) programs have repeatedly been shown to reduce morbidity and mortality while improving symptoms and quality of life for patients living with this chronic disease. While referral rates to CR programs for patients following a coronary event or procedure have slowly begun to increase in recent years, patient participation in these programs has not. Further, adherence and completion of CR programs for those patients enrolled also falls well short of target. There are a number of known barriers to participation in and completion of CR, which contribute substantially the widening gap between CR referral, enrollment, and completion of CR. The objective of this proposal is to determine the effectiveness of a mobile health (mHealth) remote case management platform for increasing CR adherence, improving CVD risk factors, and improving patient- centered outcomes. This prospective, randomized controlled trial of CR using a mHealth remote case management platform compared to conventional center-based CR has been developed through interaction with a number of key stakeholders including patients, clinical CR support staff, scientists, physicians, and healthcare leaders. All non-surgical patients who have experienced a myocardial infarction, acute coronary syndrome, percutaneous coronary intervention, have stable angina, or have heart failure will automatically be referred to CR and be eligible to participate in this trial. We anticipate that patients who utilize the mHealth remote case management platform will have improved clinical outcomes compared to conventional center-based CR, as evidenced by increased adherence to CR programming, improved CVD risk factors, and improved rehospitalizations/mortality.

项目总结/文摘