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Implementation and prospective evaluation of the Country Heart Attack Prevention model of care to improve attendance and completion of cardiac rehabilitation for patients with cardiovascular diseases living in rural Australia: a study protocol.
Beleigoli, Alline; Nicholls, Stephen J; Brown, Alex; Chew, Derek P; Beltrame, John; Maeder, Anthony; Maher, Carol; Versace, Vincent L; Hendriks, Jeroen M; Tideman, Philip; Kaambwa, Billingsley; Zeitz, Christopher; Prichard, Ivanka J; Tavella, Rosanna; Tirimacco, Rosy; Keech, Wendy; Astley, Carolyn; Govin, Kay; Nesbitt, Katie; Du, Huiyun; Champion, Stephanie; Pinero de Plaza, Maria Alejandra; Lynch, Imelda; Poulsen, Vanessa; Ludlow, Marie; Wanguhu, Ken; Meyer, Hendrika; Krollig, Ali; Gebremichael, Lemlem; Green, Chloe; Clark, Robyn A.
  • Beleigoli A; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia alline.beleigoli@flinders.edu.au.
  • Nicholls SJ; Monash Cardiovascular Research Centre, Victorian Heart Institute, Monash University, Melbourne, Victoria, Australia.
  • Brown A; Indigenous Health, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
  • Chew DP; College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
  • Beltrame J; The Queen Elizabeth Hospital, Central Adelaide Local Health Network, Adelaide, South Australia, Australia.
  • Maeder A; Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia.
  • Maher C; Flinders Digital Health Research Centre, Flinders University, Adelaide, South Australia, Australia.
  • Versace VL; Alliance for Research in Exercise, Nutrition and Activity, University of South Australia, Adelaide, South Australia, Australia.
  • Hendriks JM; Deakin Rural Health, School of Medicine, Deakin University, Melbourne, Victoria, Australia.
  • Tideman P; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
  • Kaambwa B; College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
  • Zeitz C; Integrated Cardiovascular Clinical Network, Rural Support Service, Adelaide, South Australia, Australia.
  • Prichard IJ; College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
  • Tavella R; Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia.
  • Tirimacco R; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
  • Keech W; The Queen Elizabeth Hospital, Central Adelaide Local Health Network, Adelaide, South Australia, Australia.
  • Astley C; Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia.
  • Govin K; Integrated Cardiovascular Clinical Network, Rural Support Service, Adelaide, South Australia, Australia.
  • Nesbitt K; Health Translation SA, Adelaide, South Australia, Australia.
  • Du H; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
  • Champion S; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
  • Pinero de Plaza MA; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
  • Lynch I; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
  • Poulsen V; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
  • Ludlow M; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
  • Wanguhu K; National Heart Foundation of Australia, Mawson, Australia Central Territory, Australia.
  • Meyer H; National Heart Foundation of Australia, Mawson, Australia Central Territory, Australia.
  • Krollig A; National Heart Foundation of Australia, Mawson, Australia Central Territory, Australia.
  • Gebremichael L; Royal Australian College of General Practitioners, Waikerie, Victoria, Australia.
  • Green C; Rural Support Service, SA Health, Adelaide, South Australia, Australia.
  • Clark RA; Rural Support Service, SA Health, Adelaide, South Australia, Australia.
BMJ Open ; 12(2): e054558, 2022 Feb 16.
Article in English | MEDLINE | ID: covidwho-1759369
ABSTRACT

INTRODUCTION:

Despite extensive evidence of its benefits and recommendation by guidelines, cardiac rehabilitation (CR) remains highly underused with only 20%-50% of eligible patients participating. We aim to implement and evaluate the Country Heart Attack Prevention (CHAP) model of care to improve CR attendance and completion for rural and remote participants. METHODS AND

ANALYSIS:

CHAP will apply the model for large-scale knowledge translation to develop and implement a model of care to CR in rural Australia. Partnering with patients, clinicians and health service managers, we will codevelop new approaches and refine/expand existing ones to address known barriers to CR attendance. CHAP will codesign a web-based CR programme with patients expanding their choices to CR attendance. To increase referral rates, CHAP will promote endorsement of CR among clinicians and develop an electronic system that automatises referrals of in-hospital eligible patients to CR. A business model that includes reimbursement of CR delivered in primary care by Medicare will enable sustainable access to CR. To promote CR quality improvement, professional development interventions and an accreditation programme of CR services and programmes will be developed. To evaluate 12-month CR attendance/completion (primary outcome), clinical and cost-effectiveness (secondary outcomes) between patients exposed (n=1223) and not exposed (n=3669) to CHAP, we will apply a multidesign approach that encompasses a prospective cohort study, a pre-post study and a comprehensive economic evaluation. ETHICS AND DISSEMINATION This study was approved by the Southern Adelaide Clinical Human Research Ethics Committee (HREC/20/SAC/78) and by the Department for Health and Wellbeing Human Research Ethics Committee (2021/HRE00270), which approved a waiver of informed consent. Findings and dissemination to patients and clinicians will be through a public website, online educational sessions and scientific publications. Deidentified data will be available from the corresponding author on reasonable request. TRIAL REGISTRATION NUMBER ACTRN12621000222842.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cardiovascular Diseases / Cardiac Rehabilitation / Myocardial Infarction Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Aged / Humans Country/Region as subject: Oceania Language: English Journal: BMJ Open Year: 2022 Document Type: Article Affiliation country: Bmjopen-2021-054558

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cardiovascular Diseases / Cardiac Rehabilitation / Myocardial Infarction Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Aged / Humans Country/Region as subject: Oceania Language: English Journal: BMJ Open Year: 2022 Document Type: Article Affiliation country: Bmjopen-2021-054558