Please select the eligibility criteria that correspond to the clinical trial below.
Title: Development and Usability Testing of a Progressive WebApp for Women With Heart Disease
Brief Summary: The overall goal of this program of research is to develop and systematically evaluate an integrated smartphone and web-based intervention (at heart \[formerly called HEARTPA♀N\]) to provide evidence-informed symptom triage and self-management support to reduce pain and increase health-related quality of life (HRQoL) in women with heart disease. The investigators will use the individual and family self-management theory, mobile device functionality and the pervasive information architecture of mHealth interventions, and follow the sequential phased approach recommended by the Medical Research Council (MRC) to develop at heart (progressive WebApp). Funding was received from the Canadian Institutes of Health Research to develop the architecture and conduct usability testing (Phase 2, complete) to ensure it is easy to use, efficient and satisfying to operate. In Phase 3 (current proposal), feasibility in terms of implementation (accrual rates, acceptability and level of engagement) and initial estimation of effectiveness outcomes (estimates of magnitude of effect) will be evaluated in a pilot randomized controlled trial (RCT). The Phase 3 pilot study will enable the investigators to refine the prototype, inform the methodology, and calculate the sample size for a larger multi-site RCT (Phase 4, future work).


Options:
A: Inclusion Criteria:

* Diagnosed with HF
* Inpatient Hospital stay or Heart Failure Clinic Appointment

Exclusion Criteria:

* Serious mental illness or cognitive dysfunction
* Does not speak English fluently
* Receives most HF care outside the St. Joseph Mercy Health System
* Unable to use the telephone to access the IVR system
* Will be discharged to a long-term care or hospice facility
* End-stage cancer or other end-stage condition
B: Inclusion Criteria (patients): Men and women who

* are having first-time non-emergency CABG surgery
* are judged ready for discharge
* are being discharged to home \[either their own or to family/friends\]
* have access to and are able to communicate over a telephone
* are able to read, write and understand English

Inclusion Criteria (peers): Men and women who

* have undergone CABG surgery within the last 5 years
* have access to and are able to communicate clearly over a telephone
* are able to read, write and understand English
* have attended a formal cardiac rehabilitation program
* are not associated with the current in-hospital peer volunteer program
C: Inclusion Criteria:

* women greater than 18 years of age with obstructive and non-obstructive CAD pain, post PCI/cardiac surgery pain lasting greater than 3 months
* women will be required to speak and read English

Exclusion Criteria:

* severe cognitive impairment assessed using the Six-Item Screener
* major co-morbid medical or psychiatric illness that could preclude their ability to participate
D: Inclusion Criteria:

* age ≥65 years
* community-dwelling
* confirmed diagnosis of AF
* a CHA2DS2-VASc score of ≥1 in men and ≥2 in women
* no use of OAC therapy

Exclusion Criteria:

* impaired communication or cognitive abilities (i.e., an Abbreviated Mental Test score ≤6)
* or severe co-existing medical conditions (e.g., terminal illness) that would hinder participation in research activities

Answer: C