Digital Cardiac PrehabilitationControl (Standard treatment)
Digital Cardiac Prehabilitation: Digital Cardiac Prehabilitation - A combined telehealth and app-based preparation for cardiac surgery
Control (Standard treatment): Standard preparation for surgery as per Melbourne Health hospital procedures and processes. This may include information sessions, pamphlets, and meetings with clinicians. This does not include a prehabilitation program.
Study summary
The goal of this randomised controlled trial is to learn if a digital prehabilitation program is feasible in patients awaiting cardiac surgery. The main questions it aims to answer are:
1. Is the digital health program usable?
2. Is the digital health program acceptable?
3. Do patients adhere to the digital health program?
Researchers will compare a group using the digital prehabilitation program with standard care to see if the program is feasible and explore any differences in health outcomes.
Participants will
* Use a digital health mobile phone application to guide you through exercise, nutrition and preparation for surgery.
* Engage in telehealth consultations.
* Complete questionnaires
* Complete exercise testing
Eligibility
Sex
ALL
Min age
18 Years
Max age
100 Years
Healthy volunteers
No
Inclusion Criteria:
* 21 days+ prior to cardiac surgery
* Able to provide consent,
* Proficient in English to understand questionnaires, training instructions and outcome assessments.
* Digitally literate to independently navigate a smart device and novel application.
Exclusion Criteria:
* severe or unstable neurological, cardiorespiratory, or musculoskeletal disease or mental illness that might compromise ability to perform exercise,
* unstable psychiatric or cognitive disorders,
Primary outcome measure(s)
Usability of Digital Cardiac Prehabilitation as assessed by the Mhealth Application Usability Questionnaire (MAUQ) — 1 day Pre-operatively mAUQ is an 18-item questionnaire for patients to evaluate the usability of the digital application under the three domains of; Ease of Use, Interface, Satisfaction and Usefulness.
Low numbers indicate a higher perception of usability with the digital interface for participants.
Adherence of Digital Cardiac Prehabilitation as measured by usage metrics from Mobile Phone App metrics — 1 day Pre-operatively Metrics Used include
* Time and date: when the application is accessed.
* Dwell Time: how much time is spent on a particular page.
* Number of pages viewed: how many views per page per day.
* User input data: data the user submits in the app, including minutes walked, exercises marked as complete, and questionnaires completed.
Acceptability of Digital Cardiac Prehabilitation as measured by Theoretical Framework of Acceptability Questionnaire (TFA) — 1 day Pre-operatively TFA-Q is composed of eight items, in alignment with the eight acceptability constructs (Affective attitude, Burden, Ethicality, Perceived effectiveness, intervention coherence, self-efficacy, opportunity costs, general acceptability).
High numbers indicate a more acceptable digital experience.
Incidence of Adverse events — Recorded through study completion, an anticipated average of 4 months. Adverse events, defined as any undesirable event, such as injury, fall, and discomfort related to prehabilitation will be recorded and severity will be reported according to hospital policy.
Lower numbers are more favourable, indicating fewer adverse events.
Trial sites (1)
Facility
City
Region
Status
Melbourne Health (Royal Melbourne and Melbourne Private Hospital)
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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