Australian e-Health Research Centre, CSIRO ICT Centre, Brisbane, QLD, Australia.
Med J Aust. 2011 Feb 21;194(4):S15-9. doi: 10.5694/j.1326-5377.2011.tb02937.x.
The prevalence of cardiovascular disease, a major cause of disease burden in Australia and other developed countries, is increasing due to a rapidly ageing population and environmental, biomedical and modifiable lifestyle factors. Although cardiac rehabilitation (CR) programs have been shown to be beneficial and effective, rates of referral, uptake and utilisation of traditional hospital or community centre programs are poor. Home-based CR programs have been shown to be as effective as centre-based programs, and recent advances in information and communication technologies (ICT) can be used to enhance the delivery of such programs. The Care Assessment Platform (CAP) is an integrated home-based CR model incorporating ICT (including a mobile phone and the internet) and providing all the core components of traditional CR (education, physical activity, exercise training, behaviour modification strategies and psychological counselling). The mobile phone given to patients has an integrated accelerometer and diary application for recording exercise and health information. A central database, with access to these data, allows mentors to assess patients' progress, assist in setting goals, revise targets and give weekly personal feedback. Mentors find the mobile-phone modalities practical and easy to use, and preliminary results show high usage rates and acceptance of ICT by participants. The provision of ICT-supported home-based CR programs may enable more patients in both metropolitan and remote settings to benefit from CR.
心血管疾病在澳大利亚和其他发达国家是主要的疾病负担原因，由于人口迅速老龄化以及环境、生物医学和可改变的生活方式因素，其患病率正在上升。尽管心脏康复（CR）计划已被证明是有益且有效的，但传统的医院或社区中心计划的转诊、参与率和利用率都很低。基于家庭的 CR 计划已被证明与基于中心的计划同样有效，并且信息和通信技术（ICT）的最新进展可用于增强此类计划的实施。护理评估平台（CAP）是一种结合了 ICT（包括移动电话和互联网）的综合家庭 CR 模式，提供了传统 CR 的所有核心组成部分（教育、体育活动、运动训练、行为修正策略和心理咨询）。提供给患者的移动电话具有集成的加速度计和日记应用程序，用于记录运动和健康信息。中央数据库可以访问这些数据，允许指导人员评估患者的进展，协助设定目标，修改目标并每周提供个人反馈。指导人员发现移动电话模式实用且易于使用，初步结果表明参与者对 ICT 的使用率和接受度都很高。提供支持 ICT 的基于家庭的 CR 计划可能使大都市和偏远地区的更多患者受益于 CR。
