Smart Watch Insights to Prevent Exacerbations and Recurrence - Health Study: SWIPER-HEALTH

Study Overview
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Brief Summary
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Aims of the study: To measure the rate of completion of a digital cardiac rehabilitation programme at Imperial College Healthcare NHS Trust (ICHNT) To measure the health economic impact of a digital cardiac rehabilitation programme at ICHNT Any adult patient eligible for ICHNT cardiac rehabilitation (CR) programmes is eligible to participate. Participants will receive a commercially available smart watch and be asked to wear the device as much as possible. In addition, they will be asked to download a smartphone application called 'Imperial Healthy Hearts', which displays movement and information on heart rate, breathing and oxygen levels to both the participant and the research team (digital data). The Healthy Hearts app also allows the direct care team to provide educational materials to patients as part of their routine care. The clinical content and structure of the CR programme is determined by the clinical CR team, and does not deviate from established local and national standards and practices. Researchers will capture physiological data such as heart rate, respiratory rate, blood pressure (where available) and oxygen saturation (where available) via the Healthy Hearts platform. Researchers will also capture clinical information from the electronic health record, and will compare CR programme uptake and completion rates with historical data and national targets.

Official Title
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Smart Watch Insights to Prevent Exacerbations and Recurrence - Health Study: SWIPER-HEALTH

Conditions
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Cardiovascular Diseases

Intervention / Treatment
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* Device: Smartwatch
* Device: Imperial Healthy Hearts app


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 18 years or above Able to give informed consent Eligible for Cardiac Rehabilitation programme Exclusion Criteria: Any wrist wound, skin pathology or other feature that would prohibit the wearing of a smartwatch Any visual impairment preventing the use of the Fitbit or smartphone application.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Device: Smartwatch|Activity tracker (step count, calories burned), heart rate monitor|
|Device: Imperial Healthy Hearts app|Digital cardiac rehabilitation smartphone application. Represents smart watch data and source of educational materials for cardiac rehabilitiation programme.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Uptake of cardiac rehabilitation | Percentage uptake of cardiac rehabilitation programme (of those that are eligible) | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quality of life assessment (EQ-5D-5L) | Patient quality of life as measured by the EQ-5D-5L instrument | 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Prevention, Cardiac rehabilitation, Digital health, Smart wearables, Remote patient monitoring