Evidence map›Paper›PMID 35173003›Full record

ArticleBMJ open2022

Implementation and prospective evaluation of the Country Heart Attack Prevention model of care to improve attendance and completion of cardiac rehabilitation for patients with cardiovascular diseases living in rural Australia: a study protocol.

Alline Beleigoli, Stephen J Nicholls, Alex Brown, Derek P Chew, John Beltrame, Anthony Maeder, Carol Maher, Vincent L Versace, Jeroen M Hendriks, Philip Tideman and 22 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

32 authors at 11 institutions in 3 countries.

Alline BeleigoliCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia alline.beleigoli@flinders.edu.au.ORCID 0000-0002-7848-3183
Stephen J NichollsMonash Cardiovascular Research Centre, Victorian Heart Institute, Monash University, Melbourne, Victoria, Australia.
Alex BrownIndigenous Health, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Derek P ChewCollege of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.ORCID 0000-0003-3593-296X
John BeltrameThe Queen Elizabeth Hospital, Central Adelaide Local Health Network, Adelaide, South Australia, Australia.
Anthony MaederFlinders Digital Health Research Centre, Flinders University, Adelaide, South Australia, Australia.
Carol MaherAlliance for Research in Exercise, Nutrition and Activity, University of South Australia, Adelaide, South Australia, Australia.
Vincent L VersaceDeakin Rural Health, School of Medicine, Deakin University, Melbourne, Victoria, Australia.ORCID 0000-0002-8514-1763
Jeroen M HendriksCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Philip TidemanCollege of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
Billingsley KaambwaCollege of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
Christopher ZeitzFaculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia.
Ivanka J PrichardCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Rosanna TavellaThe Queen Elizabeth Hospital, Central Adelaide Local Health Network, Adelaide, South Australia, Australia.
Rosy TirimaccoIntegrated Cardiovascular Clinical Network, Rural Support Service, Adelaide, South Australia, Australia.
Wendy KeechHealth Translation SA, Adelaide, South Australia, Australia.
Carolyn AstleyCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Kay GovinCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Katie NesbittCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Huiyun DuCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Stephanie ChampionCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Maria Alejandra Pinero de PlazaCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Imelda LynchNational Heart Foundation of Australia, Mawson, Australia Central Territory, Australia.
Vanessa PoulsenNational Heart Foundation of Australia, Mawson, Australia Central Territory, Australia.
Marie LudlowNational Heart Foundation of Australia, Mawson, Australia Central Territory, Australia.
Ken WanguhuRoyal Australian College of General Practitioners, Waikerie, Victoria, Australia.
Hendrika MeyerRural Support Service, SA Health, Adelaide, South Australia, Australia.
Ali KrolligRural Support Service, SA Health, Adelaide, South Australia, Australia.
Lemlem GebremichaelCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Chloe GreenCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Robyn A ClarkCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
CHAP Project Team
Flinders University · AUNational Heart Foundation of Australia · AURural Resources · USHealth Net · USAustralian Regenerative Medicine Institute · AUDeakin University · AURoyal Australian College of General Practitioners · AUSA Health · AUSouth Australian Health and Medical Research Institute · AUThe University of Adelaide · AUUniversity of South Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite extensive evidence of its benefits and recommendation by guidelines, cardiac rehabilitation (CR) remains highly underused with only 20%-50% of eligible patients participating. We aim to implement and evaluate the Country Heart Attack Prevention (CHAP) model of care to improve CR attendance and completion for rural and remote participants. METHODS AND ANALYSIS: CHAP will apply the model for large-scale knowledge translation to develop and implement a model of care to CR in rural Australia. Partnering with patients, clinicians and health service managers, we will codevelop new approaches and refine/expand existing ones to address known barriers to CR attendance. CHAP will codesign a web-based CR programme with patients expanding their choices to CR attendance. To increase referral rates, CHAP will promote endorsement of CR among clinicians and develop an electronic system that automatises referrals of in-hospital eligible patients to CR. A business model that includes reimbursement of CR delivered in primary care by Medicare will enable sustainable access to CR. To promote CR quality improvement, professional development interventions and an accreditation programme of CR services and programmes will be developed. To evaluate 12-month CR attendance/completion (primary outcome), clinical and cost-effectiveness (secondary outcomes) between patients exposed (n=1223) and not exposed (n=3669) to CHAP, we will apply a multidesign approach that encompasses a prospective cohort study, a pre-post study and a comprehensive economic evaluation. ETHICS AND DISSEMINATION: This study was approved by the Southern Adelaide Clinical Human Research Ethics Committee (HREC/20/SAC/78) and by the Department for Health and Wellbeing Human Research Ethics Committee (2021/HRE00270), which approved a waiver of informed consent. Findings and dissemination to patients and clinicians will be through a public website, online educational sessions and scientific publications. Deidentified data will be available from the corresponding author on reasonable request. TRIAL REGISTRATION NUMBER: ACTRN12621000222842.

Indexed as

Cardiac RehabilitationCardiovascular DiseasesMyocardial InfarctionAgedAustraliaHumansNational Health ProgramsProspective Studiescardiologypreventive medicinetelemedicine

Identifiers

PMID35173003
PMCPMC8852732
OpenAlexW4213325929

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.