Crozier, A, Cocks, MS, Hesketh, K, Miller, GD, McGregor, G, Thomas, LB and Jones, H (2024) Mobile Health Biometrics to prescribe immediate remote physical activity for enhancing uptake to cardiac rehabilitation (MOTIVATE-CR+): protocol for a randomised controlled feasibility trial. BMJ Open, 14. ISSN 2044-6055

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Abstract

Introduction: Cardiac Rehabilitation (CR) can reduce cardiovascular mortality and improve health related quality of life. In the United Kingdom patient uptake of CR remains low (52%), falling well short of the target in the 2019 NHS Long-term plan (85%). Mobile health (mHealth) technologies, offering biometric data to patients and healthcare professionals, may bridge the gap between supervised exercise and physical activity (PA) advice, enabling patients to engage in regular long-term physically active lifestyles. This randomised controlled trial (RCT) will evaluate the feasibility of mHealth technology when incorporated into a structured home-based walking intervention, in people with recent myocardial infarction. Methods and analysis: This is a feasibility, assessor blinded, parallel group randomised control trial (RCT). Participants will be allocated to either CR standard care (control group) or CR standard care + mHealth supported exercise counselling (mHealth intervention group). Feasibility outcomes will include; the number of patients approached, screened and eligible; the percentage of patients that decline CR (including reasons for declining), agree to CR and consent to being part of the study; the percentage of patients that enroll in standard CR and reasons for drop out; and the percentage of participants that complete clinical, physical and psychosocial outcomes to identify a suitable primary outcome for a future definitive trial. Ethics and dissemination: The trial was approved in the UK by the Northwest – Greater Manchester East Research Ethics Committee (22/NW/0301) and is being conducted in accordance with the Declaration of Helsinki and Good Clinical Practice. Results will be published in peer-reviewed journals and presented at national and international scientific meetings.Trial registration numbers: ClinicalTrials.gov: NCT05774587

Item Type:	Article
Uncontrolled Keywords:	CARDIAC; REHABILITATION; mHealth; Clinical Exercise Physiologists; 1103 Clinical Sciences; 1117 Public Health and Health Services; 1199 Other Medical and Health Sciences
Subjects:	R Medicine > RC Internal medicine > RC1200 Sports Medicine
Divisions:	Sport & Exercise Sciences
Publisher:	BMJ Publishing Group
SWORD Depositor:	A Symplectic
Date Deposited:	18 Sep 2023 13:33
Last Modified:	22 Feb 2024 16:00
DOI or ID number:	10.1136/bmjopen-2023-076734
URI:	https://researchonline.ljmu.ac.uk/id/eprint/21429

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