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; 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.

项目摘要/摘要 心血管疾病（CVD）是世界上死亡的主要原因。全面的心脏康复 （CR）一再证明计划可以降低发病率和死亡率，同时改善症状和 患有这种慢性疾病的患者的生活质量。而转诊率是为患者的CR计划 近年来，冠状动脉事件或程序开始逐渐增加，患者参与 这些程序还没有。此外，还为参加的患者遵守和完成CR计划 远远落后目标。 CR的参与和完成有许多已知的障碍， 大大贡献了CR推荐，入学和CR完成之间的差距。 该提案的目的是确定移动健康（MHealth）远程案件的有效性 管理平台，以提高依从性，改善CVD风险因素并改善患者 - 集中的结果。使用MHealth远程案例对CR进行的前瞻性，随机对照试验 与常规中心CR相比，管理平台是通过互动开发的 与许多关键利益相关者，包括患者，临床CR支持人员，科学家，医生以及 医疗保健领导者。所有经历了心肌梗塞，急性冠状动脉的非手术患者 综合征，经皮冠状动脉干预，具有稳定的心绞痛或心力衰竭会自动 提到CR，有资格参加该试验。 我们预计利用MHealth远程病例管理平台的患者将有所改善 与常规中心CR相比，临床结果与CR的依从性增加证明 编程，改善了CVD风险因素，并改善了重新培训/死亡率。