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dc.contributor.authorDenton, Francesca
dc.contributor.authorWaddell, Alexander
dc.contributor.authorKite, Chris
dc.contributor.authorHesketh, Katie
dc.contributor.authorAtkinson, Lou
dc.contributor.authorCocks, Matthew
dc.contributor.authorJones, Helen
dc.contributor.authorRandeva, Harpal S.
dc.contributor.authorDavenport, Nathan
dc.contributor.authorPowell, Richard
dc.contributor.authorClark, Cain
dc.contributor.authorKyrou, Ioannis
dc.contributor.authorHarwood, Amy
dc.contributor.authorMcGregor, Gordon
dc.identifier.citationDenton, F, Waddell, A, Kite, C, Hesketh, KL, Atkinson, L, Cocks, MS, Jones, H, Randeva, H, Davenport, N, Powell, R, Clark, C, Kyrou, I, Harwood, AE and McGregor, G (2023) Remote maintenance cardiac rehabilitation (MAINTAIN): A protocol for a randomised feasibility study. Digital Health, 9.
dc.identifier.pmid36818155 (pubmed)
dc.description© 2023 The Authors. Published by SAGE. This is an open access article available under a Creative Commons licence. The published version can be accessed at the following link on the publisher’s website:
dc.description.abstractBackground: Long-term adherence to exercise is often poor for people with coronary heart disease (CHD) who have completed supervised, centre-based cardiac rehabilitation. The aim of this study is to assess the feasibility of a remotely prescribed, delivered and monitored cardiac rehabilitation intervention using a wearable device to support long-term adherence to exercise and physical activity during maintenance of cardiac rehabilitation. Methods: After completing cardiac rehabilitation, 30 participants with CHD, will be randomised (1:1) to an intervention (n = 15) or a usual care group (n = 15) in a 12-month feasibility randomised controlled trial (RCT). The intervention will comprise of an exercise consultation, personalised exercise prescription delivered via a wearable activity monitor using biometric feedback, regular monitoring via check-ins, and feedback text-messages for 6-months. Participants will be assessed at baseline (following completion of cardiac rehabilitation) and at three-, six-, and 12-months post-randomisation. The primary outcome will be feasibility, including assessment of eligibility, recruitment, adherence, and acceptability. Secondary outcomes will include exercise capacity, physical activity behaviours, cardiovascular disease risk and quality of life. Semi-structured interviews will be conducted at three-, six-, and 12-months post-randomisation (and with those who drop-out) to explore the acceptability of the study intervention and procedures. A questionnaire will be offered to those who decline participation. Discussion: The MAINTAIN study will evaluate the feasibility of conducting a future definitive multi-centre RCT testing a remotely prescribed and monitored long-term mHealth maintenance exercise programme, versus usual care, for people with CHD who have completed cardiac rehabilitation. Trial registration number:, NCT05292287. Registered on 22/03/2022en
dc.description.sponsorshipThis work is supported by Coventry University as part of a fully funded PhD within the Centre for Sport Exercise and Life Sciences, Research Institute of Health and Wellbeing.en
dc.rightsLicence for published version: Creative Commons Attribution 4.0 International
dc.subjectcardiac rehabilitationen
dc.subjectexercise maintenanceen
dc.subjectmHealth technologyen
dc.subjectwearable activity monitorsen
dc.subjectcoronary heart diseaseen
dc.subjectdigital healthen
dc.titleRemote maintenance cardiac rehabilitation (MAINTAIN): A protocol for a randomised feasibility studyen
dc.typeJournal articleen
dc.identifier.journalDigital Healthen
dc.contributor.institutionInstitute of Health and Wellbeing, Coventry University, Coventry, UK. States
rioxxterms.funderCoventry Universityen
dc.description.versionPublished version

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Licence for published version: Creative Commons Attribution 4.0 International
Except where otherwise noted, this item's license is described as Licence for published version: Creative Commons Attribution 4.0 International