Keeping on Track: exploring the activity levels and use of healthcare services of patients after discharge from hospital for a cardiac event.

Brief Name Using a phone with tracking and activity software to objectively measure activity levels and utilization of local health care resources after discharge following Acute Coronary Syndrome (ACS). Why The use of measured data, rather than self-report or using clinical outcomes as a proxy, over a longer time period will provide the first objective insight into cardiac patients activities immediately following discharge, and whether these align with the discharge education they received before they left hospital. What Prior to discharge, participants will be provided with a Samsung Galaxy J1 mini mobile phone (or similar), equipped with a data-only SIM card and loaded with a pedometer (step counting) app and a GPS tracking app. Accessories will include the charging cable and armband to carry the phone in that position if desired. The study nurse will activate the phone and instruct the participant on how to charge it; written instructions will also be supplied. The participants are not expected to interact with the phone except for wearing and charging. Procedures Participants will be asked to carry the phone during waking hours for the duration of the study and charge it every night. The study nurse will call each participant once a week to check that they are not having any problems with the phone. If requested they will also provide a summary of the participants step count for the previous week. A short questionnaire will also be administered at this time, and a slightly longer one after the first 4 weeks and at the end of the study. At the week 4 call the participant will be asked if they wish continue with the study- if no they will be informed that there is no penalty with stopping at that point and thanked for their participation. Participants will be able to keep the phone on completion of the study. Who provided An experienced Registered Nurse and/or Aboriginal Liaison Officer will be trained on the operation of the phone and apps and the conduct of the interviews. How Initial recruitment, baseline data collection and provision and activation of the phone will be conducted face to face. All further contact will be by telephone. Where Recruitment will occur in two major Adelaide metropolitan hospitals. Monitoring will occur in the participants homes and communities as they go about their usual daily activities. Data from the GPS will only be analysed when it occurs at health service locations previously agreed to by the participant. When and how much Data will be recorded continuously during waking hours for a period of at least 30 days and up to 90 days from enrollment. How well Correlation of the recorded activity with that reported during the weekly phone contact will be performed to assess adherence.