Evaluation of physical exercise adherence in a Home-Based Care Model for Outpatient Cardiac Rehabilitation based on Mobile Technologies.

The intervention is a home based stage 2 cardiac rehabilitation based on information and communication technologies over 6 week mentoring program and 6 month follow-up period. Intervention involves: Pre-assessment and education at the care centre at the start of the 6 week program. Weekly 30 minute mentoring sessions via normal or video calls using the mobile phone involving education and goal setting. Mentoring includes exercise, diet, risk factors, stress and other behavioural counselling. Mentors can view patients self observations and measurement data such as walking activity on a web-portal prior the mentoring sessions. Patients will record daily measurements and self observations on the mobile phone regarding their weight, blood pressure, exercise, stress, diet, sleeping, smoking and alcohol use. Walking activity (steps) is automatically measured by the phone. All data is transferred to the web-portal that also the patient can access. Patient will receive educational and motivational text- messages on the mobile phone 2 times per day. Patient is reminded to view educational video clips stored on the phone regarding cardiovascular disease, healthy lifestyle and risk factors. The phone includes relaxation audio files that the patient can listen to any time. At the end of the 6week program there will be a post-assessment at the care centre and the mentoring sessions will not continue. During the 6 month follow-up period the patients will continue to use the mobile phone and web-portal tools for self management. The patients can also use the care centre gym without supervison