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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Making an APPropriate Care Program for Indigenous Cardiac Disease: Customization of an Existing Cardiac
DanaKai Bradford1, David Hansen1, Mohan Karunanithi1
1Australian eHealth Research Centre, Commonwealth Scientific and Industrial Organisation (CSIRO), Australia.
Insights
This study adapted a mobile cardiac rehabilitation program for Indigenous Australians. Culturally tailoring the app aims to improve health outcomes and reduce heart attack recurrence in this population.
Area of Science:
- Public Health
- Digital Health
- Indigenous Health
Background:
- Cardiovascular disease (CVD) is a leading cause of death for Indigenous Australians.
- Over 50% of heart attack deaths in 2010 resulted from recurrent events.
- Cardiac rehabilitation programs reduce event recurrence but face access barriers.
Purpose of the Study:
- To adapt an existing IT-enabled cardiac rehabilitation program for Indigenous Australians.
- To address cultural relevance and suitability for urban and remote communities.
- To improve health outcomes and life expectancy for Indigenous populations.
Main Methods:
- Development of a mobile phone-delivered cardiac rehabilitation program via a smartphone app.
- Successful trial of the app in an urban general population.
- Focus on customizing the program for cultural appropriateness in Indigenous communities.
Main Results:
- The program was successfully trialed in an urban setting.
- Potential to significantly improve life expectancy for Indigenous Australians.
- Aims to help close the health gap in Indigenous populations.
Conclusions:
- Culturally adapting digital cardiac rehabilitation programs is crucial for Indigenous Australians.
- This customized app has the potential to reduce recurrent cardiac events.
- Successful implementation could lead to better health equity.
Abstract:
Cardiovascular disease is a major health problem for all Australians and is the leading cause of death in Aboriginal and Torres Strait Islanders. In 2010, more then 50% of all heart attack deaths were due to repeated events. Cardiac rehabilitation programs have been proven to be effective in preventing the recurrence of cardiac events and readmission to hospitals. There are however, many barriers to the use of these programs. To address these barriers, CSIRO developed an IT enabled cardiac rehabilitation program delivered by mobile phone through a smartphone app and succesfully trialed it in an urban general population. If these results can be replicated in Indigenous populations, the program has the potential to significantly improve life expectancy and help close the gap in health outcomes. The challenge described in this paper is customizing the existing cardiac health program to make it culturally relevant and suitable for Indigenous Australians living in urban and remote communities.
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