Related Experiment Video

Updated: Jun 23, 2026

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
04:24

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

Randomised controlled trial of a secondary prevention program for myocardial infarction patients ('ProActive Heart'):

Anna L Hawkes1, John Atherton, C Barr Taylor

  • 1Viertel Centre for Research in Cancer Control, Cancer Council Queensland, Brisbane, QLD, Australia. annahawkes@cancerqld.org.au

BMC Cardiovascular Disorders
|May 12, 2009
PubMed

Insights

This study evaluates a telephone-delivered secondary prevention program for heart attack patients. The ProActive Heart program aims to improve outcomes and reduce healthcare costs for coronary heart disease management.

Area of Science:

  • Cardiology
  • Public Health
  • Health Services Research

Background:

  • Coronary heart disease (CHD) presents a major health and economic challenge.
  • Low participation in secondary prevention programs highlights a treatment gap.
  • Telephone-delivered care offers a convenient solution to improve outcomes post-myocardial infarction (MI).

Purpose of the Study:

  • To design and evaluate the "ProActive Heart" randomized controlled trial.
  • To assess the efficacy of a six-month telephone-delivered secondary prevention program for MI patients.
  • To determine the cost-effectiveness of this innovative intervention.

Main Methods:

  • Recruitment of 550 adult MI patients from two Brisbane hospitals.
  • Randomization into intervention (n=225) or control (n=225) groups.
  • Intervention involves 10 x 30-minute telephone coaching sessions focusing on risk factor modification, medication adherence, and psychosocial support, supplemented by a handbook and educational resources.
  • Data collection at baseline, 6 months, and 12 months.
  • Primary outcomes: quality of life (Short Form-36) and physical activity (Active Australia Survey).
  • Cost-effectiveness analysis from a government healthcare perspective.

Main Results:

  • Data collection completed for 550 participants over 14 months.
  • Intervention group received tailored health coaching and resources.
  • Primary and secondary outcomes are being analyzed at 6 and 12 months post-discharge.

Conclusions:

  • The study will yield crucial data on a novel, cost-effective telephone-delivered secondary prevention program for MI patients.
  • Findings will inform strategies to improve CHD management and reduce the burden of heart disease.
Abstract

Related Concept Videos

Coronary Artery Disease IV: Preventive Measures01:26

Coronary Artery Disease IV: Preventive Measures

Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
Preventive Healthcare Services01:30

Preventive Healthcare Services

Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
Levels of Health Promotion and Illness Prevention01:26

Levels of Health Promotion and Illness Prevention

Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...