Activities per year
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.
Original language | English |
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Article number | e054558 |
Number of pages | 10 |
Journal | BMJ Open |
Volume | 12 |
Issue number | 2 |
DOIs | |
Publication status | Published - 16 Feb 2022 |
Keywords
- cardiology
- preventive medicine
- telemedicine
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Dive 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.Prizes
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The Vice-President & Executive Dean’s Awards 2022
Pinero de Plaza, Maria Alejandra (Recipient), 13 Dec 2022
Prize: Honorary award
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CR4LL: Cardiac Rehabilitation for All
Maria Alejandra Pinero de Plaza (Speaker)
7 Jun 2022Activity: Talk or presentation types › Invited talk
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CLINICA SUMMIT 2022
Alejandra Pinero de Plaza (Participant)
21 Feb 2022Activity: Participating in or organising an event types › Participating in a conference, workshop, ...
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New Ways to Solve Complex Problems and PROLIFERATE
Maria Alejandra Pinero de Plaza (Speaker)
19 Oct 2022Activity: Talk or presentation types › Invited talk
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CAREPULSE - Community And Rural Experts Partnered for Understanding and Leveraging Strategic Endeavours in Cardiac Rehabilitation and Secondary Prevention
Pinero 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-review
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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 Australia
Beleigoli, 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
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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 trials
Nesbitt, 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