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To evaluate the effect of home-based exercise plan mediated by a digital health application on kinesiophobia and functional capacity in sedentary post myocardial infarction patients. Evidence suggest that digital health application significantly improve physical activity level in patient following cardiac event by providing personalized exercise plan, real time feed back, progress tracking and motivational features which enhanced adherence and engagement in rehabilitation program. This study could offer a viable le solution for overcoming barrier to rehabilitation particularly for those unable to access traditional clinic-based program
Mobile health (m health) strategies to increase adherence to physical activity is a promising approach. Mobile technology has become more integrated with health care and use of mobile health apps has become feasible for even the most novice users. Mobile health app can be effective adjuncts for the management of chronic condition and have a positive impact on long term behavior. The mobile health app promote the physical activity maintenance after cardiac rehabilitation. Recently, researchers have stated that mobile health intervention promoting the physical activity in the patient of cardiovascular disease. Mobile health intervention promote physical activity and daily step count after completing cardiac rehab.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention group | Experimental | Home based exercise plan mediated by use of mobile health app |
|
| Control Group | Active Comparator | Home based exercise plan |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intervention group | Other | Walking at home for 15-30 minutes 3 times per day for 4 weeks. Activity plan is calendar on mobile health app. Mobile placed in pocket or bag before starting walk and mark activity on calendar. |
| Measure | Description | Time Frame |
|---|---|---|
| Kinesiophobia | Changes from baseline to 4 weeks after intervention, measured through the TSK-SV Heart specifically focuses on assessing Kinesiophobia in the context of cardiac conditions or symptoms. It include questions related to fear of engaging in physical activity due to concerns about cardiac events (such as heart palpitations, chest pain, or shortness of breath) during exercise or daily activities. The 17 item TSK total scores range from 17 to 68 where the lowest 17 means no or negligible Kinesiophobia, and the higher scores indicate an increasing degree of Kinesiophobia. | 4 Weeks |
| Functional Capacity | Changes from baseline to 4 weeks after intervention, measured through six minute walk test which is a sub-maximal exercise test used to assess functional capacity and endurance. The distance covered over a time of 6 minutes is used as the outcome by which to compare changes in performance capacity. | 4 Weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mehwish Waseem, MS-CPPT PhD* | Contact | 0331-5309015 | mehwish.waseem@riphah.edu.pk |
| Name | Affiliation | Role |
|---|---|---|
| Mehwish Waseem, MS-CPPT PhD* | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Polyclinic Hospital | Recruiting | Islamabad | Federal | 45300 | Pakistan |
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| ID | Term |
|---|---|
| D009203 | Myocardial Infarction |
| D000092442 | Kinesiophobia |
| D057185 | Sedentary Behavior |
| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
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| ID | Term |
|---|---|
| D035061 | Control Groups |
| ID | Term |
|---|---|
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D012107 | Research Design |
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| Control group | Other | Walking at home for 15-30 minutes 3 times per day for 4 weeks. Manual record of walking and date. |
|
| D007238 |
| Infarction |
| D007511 | Ischemia |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009336 | Necrosis |
| D010698 | Phobic Disorders |
| D001008 | Anxiety Disorders |
| D001523 | Mental Disorders |
| D001519 | Behavior |
| D008722 | Methods |