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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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A Clinical Decision Support System for Remote Monitoring of Cardiovascular Disease Patients: A Clinical Study

Filipa Ventura1, Pedro Sousa1,2, Maria Anjos Dixe2

  • 1The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), Coimbra, Portugal.

Frontiers in Public Health
|May 26, 2022
PubMed

Insights

This study evaluates a Clinical Decision Support System (CDSS) to improve cardiac rehabilitation adherence for cardiovascular disease (CVD) patients using mobile health (mHealth) tools. The goal is to reduce recurrent cardiovascular events through personalized remote monitoring.

Area of Science:

  • Cardiology
  • Digital Health
  • Health Services Research

Background:

  • Cardiovascular diseases (CVD) are a leading global cause of death, with cardiac rehabilitation (CR) proven to reduce mortality and improve patient outcomes.
  • Low adherence to traditional CR programs limits their effectiveness, highlighting the need for innovative, patient-centered approaches.
  • Mobile health (mHealth) offers potential for personalized patient recommendations and remote monitoring in CR.

Purpose of the Study:

  • To assess the effectiveness of a user-friendly Clinical Decision Support System (CDSS) for remote patient monitoring of CVD patients.
  • To determine if the CDSS intervention can reduce recurrent cardiovascular events.
  • To explore the integration of technological interfaces into CR programs.

Main Methods:

  • A multicenter randomized controlled trial involving two cardiology units in Portugal.
  • Prospective CVD patients will be screened for eligibility based on predefined criteria.
  • The CDSS will generate personalized monitoring plans, recommend mHealth tools (apps, wearables), and collect patient data.

Main Results:

  • This section is not yet available as the study started in January 2023 and findings will be published later.

Conclusions:

  • The mHeart.4U intervention, utilizing a CDSS and mHealth, aims to enhance CR by providing personalized remote monitoring.
  • Successful implementation could pave the way for integrating technological solutions into standard CR practices.
  • The study is registered (NCT05196802) and ethical approval is pending, with findings to be disseminated in peer-reviewed journals.
Abstract

Keywords:
cardiac rehabilitationclinical studymHealthpersonalized careself-management

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