Accepted for/Published in: JMIR Formative Research
Date Submitted: Dec 18, 2019
Date Accepted: Oct 3, 2020
Developing a user centred smartphone application for Patients with acute coronary syndrome: The MoTER-ACS intervention
ABSTRACT
Background:
Post-discharge interventions are limited for patients with Acute Coronary Syndromes (ACS) due to few scheduled visits to outpatient clinics and traveling from remote areas. Smartphones have become viable lifestyle technology to deliver home-based educational and health interventions.
Objective:
The aim of this study was to develop a smartphone-based intervention to provide post-discharge support for patients with ACS.
Methods:
In 2017, a series of small studies (pre-study survey) were conducted in the Prince Charles hospital, Queensland, Australia which consisted of questionnaires with a convenience sample of ACS patients (N=30), a focus group discussion with healthcare professionals (N=10) and an online survey with cardiologists (N=15). The results of the patients’ survey identified the educational topics of the MoTER-ACS intervention. The focus group with healthcare professionals assisted with identifying educational materials, health monitoring and self-management interventions. Monitoring symptoms related to heart failure exacerbation considered as weekly diary based on the results of the online survey with cardiologists.
Results:
The smartphone application covers multimedia educational materials to adopt a healthy lifestyle and, user-friendly tools to monitor physiological and health parameters such as blood pressure, weight, and pain assisting patients to self-manage their condition. Using the web-portal, clinicians can regularly access to patients’ data and provide support.
Conclusions:
The feasibility of the MoTER-ACS intervention as a home-based program is tested in a pilot study. If proven valid, this research, would enable clinicians to overcome accessibility barriers of home-based rehabilitation with the clinical expertise, supervision, and coaching that has traditionally been limited to hospital-based services.
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