The purpose of the BRIDGE study is to learn whether supplementing traditional center-based cardiac rehabilitation (CBCR) with a mobile health technology intervention can help patients monitor their health, stay engaged in healthy lifestyle behaviors, better manage cardiovascular risk factors, and improve overall health outcomes.
Cardiac rehabilitation is an evidence-based outpatient program designed to help people recover from heart-related conditions through supervised exercise, education, counseling, and support for healthy lifestyle changes. Although cardiac rehabilitation is highly recommended and beneficial, many patients do not receive the full benefits of the program. Some patients attend fewer sessions than recommended, and many find it difficult to maintain healthy habits outside of the clinic, such as regular physical activity, heart-healthy eating, taking medications as prescribed, monitoring blood pressure, and managing weight.
This study will test whether combining CBCR with mobile health tools may improve participation and support healthy behaviors at home. Mobile health tools include mobile phone applications, connected devices such as a weight scale, blood pressure monitor, and activity tracker, as well as personalized text messages designed to encourage and support healthy self-care.
This study will help determine whether these mobile health tools can make cardiac rehabilitation more effective and help patients maintain healthy behaviors beyond the clinic setting.
Inclusion Criteria:
Adults aged 18 years or older.
Enrolled in or referred to Phase II Center-based Cardiac Rehabilitation Program.
Have a qualifying cardiovascular diagnosis or event that meets standard eligibility for Phase II Center-based Cardiac Rehabilitation, such as:
Able to ambulate and participate in exercise testing and training as required by the CR program
Ability to speak and read in English
Willing and able to provide informed consent.
Willing to use study-related devices/apps and complete study assessments.
Exclusion Criteria:
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Participants randomized to the control group will receive standard outpatient CBCR at UI Health with no additional study-delivered mHealth intervention. The CBCR program at UI Health is a structured, medically supervised secondary prevention program for patients with qualifying cardiovascular conditions. It includes individualized aerobic and resistance exercise training, clinical monitoring during exercise sessions, education on heart disease and risk factor management, counseling to promote healthy lifestyle behaviors, and support for long-term adherence to prescribed treatment and self-care recommendations. Participants are encouraged to attend up to 36 supervised sessions over \~12 weeks. In addition to supervised exercise, CBCR includes education related to cardiovascular disease self-management, physical activity, healthy eating, weight management, lipid control, blood pressure management, smoking cessation, stress reduction, and other risk factor modification strtegies.
Participants randomized to the intervention group will receive BRIDGE in addition to the standard CBCR program at UI Health. BRIDGE is a multimodal mHealth intervention designed to extend behavioral support beyond clinic visits through mobile app- and device-based self-monitoring, feedback, and individually tailored text messages promoting healthy lifestyle behaviors (e.g. physical activity, heart healthy diet, and medication adherence).
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The Healthy Heart Study