Activities per year
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.
- preventive medicine
FingerprintDive into the research topics of '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'. Together they form a unique fingerprint.
Maria Alejandra Pinero de Plaza (Speaker)19 Oct 2022
Activity: Talk or presentation types › Invited talk
CAREPULSE - Community And Rural Experts Partnered for Understanding and Leveraging Strategic Endeavours in Cardiac Rehabilitation and Secondary PreventionPinero de Plaza, D. M. A., Bester, C., Nesbitt, K., Hutchinson, C., Clark, R., Suebkinorn, O. & Beleigoli, A., 3 Nov 2023, (E-pub ahead of print) p. 1. 1 p.
Research output: Contribution to conference › Poster › peer-reviewOpen AccessFile2 Downloads (Pure)
Improving Cardiac Rehabilitation Utilisation is Essential to Reducing Mortality and Cardiovascular Readmission: A Data Linkage Analysis of Cardiac Rehabilitation Utilisation and Clinical Outcomes of 84,064 Eligible Separations in South AustraliaBeleigoli, A., Foote, J., Gebremichael, L., Bulamu, N., Astley, C., Keech, W., Tavella, R., Gulyani, A., Nesbitt, K., Pinero de Plaza, M., Ramos, J., Ludlow, M., Tideman, P., Nicholls, S., Chew, D., Beltrame, J. & Clark, R., Jul 2023, In: Heart, Lung and Circulation. 32, suppl 3, p. s389 1 p., 617.
Research output: Contribution to journal › Meeting Abstract › peer-review
The effectiveness of interactive cardiac rehabilitation web applications versus usual care on programme completion in patients with cardiovascular disease: A systematic review and meta-analysis of randomised controlled trialsNesbitt, K., Champion, S., Pearson, V., Gebremichael, L. G., Dafny, H., Ramos, J. S., Suebkinorn, O., Pinero de Plaza, M. A., Gulyani, A., Du, H., Clark, R. A., Beleigoli, A. & On behalf of the NHMRC Country Heart Attack Prevention (CHAP) Partnership Project Team, 28 Sept 2023, (E-pub ahead of print) In: Journal of Telemedicine and Telecare. 12 p.
Research output: Contribution to journal › Article › peer-review