TY - JOUR
T1 - Corrie health digital platform for self-management in secondary prevention after acute myocardial infarction
T2 - Micore rationale and design
AU - Spaulding, Erin M.
AU - Marvel, Francoise
AU - Lee, Matthias A.
AU - Yang, William
AU - Demo, Ryan
AU - Wang, Jane
AU - Xun, Helen
AU - Shah, Lochan
AU - Weng, Daniel
AU - Fashanu, Oluwaseun E.
AU - Carter, Jocelyn
AU - Sheidy, Julie
AU - McLin, Renee
AU - Flowers, Jennifer
AU - Majmudar, Maulik
AU - Elgin, Eric
AU - Vilarino, Valerie
AU - Lumelsky, David
AU - Bhardwaj, Vinayak
AU - Padula, William
AU - Allen, Jerilyn K.
AU - Martin, Seth S.
N1 - Funding Information:
This study has received material support from Apple and iHealth and funding from the Maryland Innovation Initiative, Wallace H. Coulter Translational Research Partnership, Louis B. Thalheimer Fund, and the Johns Hopkins Individualized Health Initiative. Dr Spaulding has received the following financial support for the research, authorship, and publication of this article: National Institutes of Health (NIH)/National Institute of Nursing Research (NINR) F31 NR017328, Ruth L. Kirschstein National Research Service Award and NIH/NINR T32 NR012704, Pre-Doctoral Fellowship in Interdisciplinary Cardiovascular Health Research.
Publisher Copyright:
© 2019 American Heart Association, Inc.
PY - 2019/5/1
Y1 - 2019/5/1
N2 - Background: Unplanned readmissions after hospitalization for acute myocardial infarction are among the leading causes of preventable morbidity, mortality, and healthcare costs. Digital health interventions could be an effective tool in promoting self-management, adherence to guideline-directed therapy, and cardiovascular risk reduction. A digital health intervention developed at Johns Hopkins-the Corrie Health Digital Platform (Corrie)-includes the first cardiology Apple CareKit smartphone application, which is paired with an Apple Watch and iHealth Bluetooth-enabled blood pressure cuff. Corrie targets: (1) self-management of cardiac medications, (2) self-Tracking of vital signs, (3) education about cardiovascular disease through articles and animated videos, and (4) care coordination that includes outpatient follow-up appointments. Methods and Results: The 3 phases of the MiCORE study (Myocardial infarction, Combined-device, Recovery Enhancement) include (1) the development of Corrie, (2) a pilot study to assess the usability and feasibility of Corrie, and (3) a prospective research study to primarily compare time to first readmission within 30 days postdischarge among patients with Corrie to patients in the historical standard of care comparison group. In Phase 2, the feasibility of deploying Corrie in an acute care setting was established among a sample of 60 patients with acute myocardial infarction. Phase 3 is ongoing and patients from 4 hospitals are being enrolled as early as possible during their hospital stay if they are 18 years or older, admitted with acute myocardial infarction (ST-segment-elevation myocardial infarction or type I non-ST-segment-elevation myocardial infarction), and own a smartphone. Patients are either being enrolled with their own personal devices or they are provided an iPhone and/or Apple Watch for the duration of the study. Phase 3 started in October 2017 and we aim to recruit 140 participants. Conclusions: This article will provide an in-depth understanding of the feasibility associated with implementing a digital health intervention in an acute care setting and the potential of Corrie as a self-management tool for acute myocardial infarction recovery.
AB - Background: Unplanned readmissions after hospitalization for acute myocardial infarction are among the leading causes of preventable morbidity, mortality, and healthcare costs. Digital health interventions could be an effective tool in promoting self-management, adherence to guideline-directed therapy, and cardiovascular risk reduction. A digital health intervention developed at Johns Hopkins-the Corrie Health Digital Platform (Corrie)-includes the first cardiology Apple CareKit smartphone application, which is paired with an Apple Watch and iHealth Bluetooth-enabled blood pressure cuff. Corrie targets: (1) self-management of cardiac medications, (2) self-Tracking of vital signs, (3) education about cardiovascular disease through articles and animated videos, and (4) care coordination that includes outpatient follow-up appointments. Methods and Results: The 3 phases of the MiCORE study (Myocardial infarction, Combined-device, Recovery Enhancement) include (1) the development of Corrie, (2) a pilot study to assess the usability and feasibility of Corrie, and (3) a prospective research study to primarily compare time to first readmission within 30 days postdischarge among patients with Corrie to patients in the historical standard of care comparison group. In Phase 2, the feasibility of deploying Corrie in an acute care setting was established among a sample of 60 patients with acute myocardial infarction. Phase 3 is ongoing and patients from 4 hospitals are being enrolled as early as possible during their hospital stay if they are 18 years or older, admitted with acute myocardial infarction (ST-segment-elevation myocardial infarction or type I non-ST-segment-elevation myocardial infarction), and own a smartphone. Patients are either being enrolled with their own personal devices or they are provided an iPhone and/or Apple Watch for the duration of the study. Phase 3 started in October 2017 and we aim to recruit 140 participants. Conclusions: This article will provide an in-depth understanding of the feasibility associated with implementing a digital health intervention in an acute care setting and the potential of Corrie as a self-management tool for acute myocardial infarction recovery.
KW - blood pressure
KW - cardiovascular diseases
KW - healthy lifestyle
KW - hospitalization
KW - myocardial infarction
KW - patient readmission
KW - smartphone
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U2 - 10.1161/CIRCOUTCOMES.119.005509
DO - 10.1161/CIRCOUTCOMES.119.005509
M3 - Article
C2 - 31043065
AN - SCOPUS:85065517756
VL - 12
JO - Circulation: Cardiovascular Quality and Outcomes
JF - Circulation: Cardiovascular Quality and Outcomes
SN - 1941-7713
IS - 5
M1 - e005509
ER -