Abstract

BackgroundCardiac rehabilitation (CR) is a cornerstone of secondary cardiovascular prevention but remains underutilized, especially among underrepresented minorities. We developed a 12-week hybrid CR program to improve equitable CR access and participation. The program utilizes an evidenced-based digital health platform, Corrie, that consists of a smartphone app, smartwatch, blood pressure monitor, clinician dashboard, and virtual health coaching. We share a patient’s journey to provide insight into his experience of this novel hybrid CR program.NarrativeAndy is a 63 year-old Black man, retired airline industry worker, with hyperlipidemia, hypertension, and former tobacco smoking. He presented to the Johns Hopkins Hospital due to ongoing chest pain and was found to have obstructive coronary artery disease requiring percutaneous coronary intervention to the left anterior descending artery. Andy was identified as a candidate for hybrid CR via an electronic health record automated report. After receiving attending approval, a Corrie patient navigator met Andy at the bedside to discuss the program and set up the technology. He received in-person tutorials supplemented by video instructions and weekly check-in calls. Andy ranked himself as “low digital health literacy,” but through onboarding and coaching, he tracked his medications with 100% adherence, vitals, and viewed educational materials. After completing two in-person CR sessions for safety, he tracked exercises from home, following goals he discussed with his coach. Through the program, Andy increased his exercise capacity and implemented healthy lifestyle habits that he plans to continue into the maintenance phase of CR, such as riding a bicycle he recently rebuilt.ConclusionAndy's Journey on Hybrid Cardiac Rehabilitation ProgramView Large Image Figure ViewerDownload Hi-res image Download (PPT) BackgroundCardiac rehabilitation (CR) is a cornerstone of secondary cardiovascular prevention but remains underutilized, especially among underrepresented minorities. We developed a 12-week hybrid CR program to improve equitable CR access and participation. The program utilizes an evidenced-based digital health platform, Corrie, that consists of a smartphone app, smartwatch, blood pressure monitor, clinician dashboard, and virtual health coaching. We share a patient’s journey to provide insight into his experience of this novel hybrid CR program. Cardiac rehabilitation (CR) is a cornerstone of secondary cardiovascular prevention but remains underutilized, especially among underrepresented minorities. We developed a 12-week hybrid CR program to improve equitable CR access and participation. The program utilizes an evidenced-based digital health platform, Corrie, that consists of a smartphone app, smartwatch, blood pressure monitor, clinician dashboard, and virtual health coaching. We share a patient’s journey to provide insight into his experience of this novel hybrid CR program. NarrativeAndy is a 63 year-old Black man, retired airline industry worker, with hyperlipidemia, hypertension, and former tobacco smoking. He presented to the Johns Hopkins Hospital due to ongoing chest pain and was found to have obstructive coronary artery disease requiring percutaneous coronary intervention to the left anterior descending artery. Andy was identified as a candidate for hybrid CR via an electronic health record automated report. After receiving attending approval, a Corrie patient navigator met Andy at the bedside to discuss the program and set up the technology. He received in-person tutorials supplemented by video instructions and weekly check-in calls. Andy ranked himself as “low digital health literacy,” but through onboarding and coaching, he tracked his medications with 100% adherence, vitals, and viewed educational materials. After completing two in-person CR sessions for safety, he tracked exercises from home, following goals he discussed with his coach. Through the program, Andy increased his exercise capacity and implemented healthy lifestyle habits that he plans to continue into the maintenance phase of CR, such as riding a bicycle he recently rebuilt. Andy is a 63 year-old Black man, retired airline industry worker, with hyperlipidemia, hypertension, and former tobacco smoking. He presented to the Johns Hopkins Hospital due to ongoing chest pain and was found to have obstructive coronary artery disease requiring percutaneous coronary intervention to the left anterior descending artery. Andy was identified as a candidate for hybrid CR via an electronic health record automated report. After receiving attending approval, a Corrie patient navigator met Andy at the bedside to discuss the program and set up the technology. He received in-person tutorials supplemented by video instructions and weekly check-in calls. Andy ranked himself as “low digital health literacy,” but through onboarding and coaching, he tracked his medications with 100% adherence, vitals, and viewed educational materials. After completing two in-person CR sessions for safety, he tracked exercises from home, following goals he discussed with his coach. Through the program, Andy increased his exercise capacity and implemented healthy lifestyle habits that he plans to continue into the maintenance phase of CR, such as riding a bicycle he recently rebuilt. Conclusion

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