Care Assessment Platform Research Project

The study involves continuous monitoring of movement and cardiac signals in three patient groups: 1. Management and tertiary prevention: patients with developed cardiovascular diseases and/or COPD that are assessed and managed by Home Based Acute Care services. 2. Secondary prevention: early detection and early management of disease markers. These patients live at home at attend rehab clinics twice weekly for exercise and other intervention therapy. 3. Primary prevention: preventing and reducing risk factors. This cohort will be healthy community participants, serving as a control group. Participants will be monitored 24hours/day for 10-15 weeks, using a device worn on the hip, containing accelerometers and a single channel ECG module, connected to the chest via leads & adhesive electrode pads. The following observations will be made at the completion of the study: • Degree of adjustment to patient therapy as a result of frequent / continuous assessment of mobility; • Ability to identify patients that respond well to certain exercise /education from those that don’t respond; • Patient activity levels through the week between visits to rehabilitation clinics; • Extent of changes in activity levels as a direct consequence of modifying medications; • Contribution of ECG monitoring to the management and care of participants; • Duplication levels in patient assessment; • Ability to use monitoring for benchmarking rehabilitation services; • Patient and clinician perceived continuum of care and communication of health information; • Activity levels of study participants over previous levels; • Hospital admission and length of stay data for participants in the study.