Abstract
BackgroundPostdischarge interventions are limited for patients with acute coronary syndrome (ACS) due to few scheduled visits to outpatient clinics and the need to travel from remote areas. Smartphones have become viable lifestyle technology to deliver home-based educational and health interventions.ObjectiveThe aim of this study was to develop a smartphone-based intervention for providing postdischarge support to patients with ACS.MethodsThe content of Mobile Technology–Enabled Rehabilitation for Patients with ACS (MoTER-ACS) was derived from a series of small studies, termed prestudy surveys, conducted in 2017. The prestudy surveys were conducted in Prince Charles Hospital, Queensland, Australia, and consisted of questionnaires among a convenience sample of patients with ACS (n=30), a focus group discussion with health care professionals (n=10), and an online survey among cardiologists (n=15). Responses from the patient survey identified educational topics of MoTER-ACS. The focus group with health care professionals assisted with identifying educational materials, health monitoring, and self-management interventions. Based on the results of the cardiologists’ survey, monitoring of symptoms related to heart failure exacerbation was considered as a weekly diary.ResultsThe MoTER-ACS app covers multimedia educational materials to adopt a healthy lifestyle and includes user-friendly tools to monitor physiological and health parameters such as blood pressure, weight, and pain, assisting patients in self-managing their condition. A web portal that is linked to the data from the smartphone app is available to clinicians to regularly access patients’ data and provide support.ConclusionsThe MoTER-ACS platform extends the capabilities of previous mobile health platforms by providing a home-based educational and self-management intervention for patients with ACS following discharge from the hospital. The MoTER-ACS intervention narrows the gap between existing hospital-based programs and home-based interventions by complementing the postdischarge program for patients with ACS.
Highlights
Acute coronary syndrome (ACS) includes a broad spectrum of clinical presentations of ST-segment elevation and non–ST-segment elevation myocardial infarction (MI) and different types of angina
The Mobile Technology–Enabled Rehabilitation (MoTER)-acute coronary syndrome (ACS) platform extends the capabilities of previous mobile health platforms by providing a home-based educational and self-management intervention for patients with ACS following discharge from the hospital
We aimed to address these components in the development of an mobile health (mHealth) intervention for postdischarge management of patients with ACS
Summary
Acute coronary syndrome (ACS) includes a broad spectrum of clinical presentations of ST-segment elevation and non–ST-segment elevation myocardial infarction (MI) and different types of angina. Coronary heart disease affects 7.7% of Australians, and it is the leading cause of total burden of disease across life stages and one of the most http://formative.jmir.org/2020/12/e17542/ XSLFO RenderX. Coronary heart disease contributed to 12% of all deaths in Australia in 2016 [2]. This high number of hospital admissions could be reduced by providing education, health monitoring, and support. Postdischarge interventions are limited for patients with acute coronary syndrome (ACS) due to few scheduled visits to outpatient clinics and the need to travel from remote areas. Smartphones have become viable lifestyle technology to deliver home-based educational and health interventions
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