Health Condition 1: I238- Other current complications following acute myocardial infarction
Conditions
Interventions
Intervention1: Evaluating Digital Health Interventions for Secondary Prevention of Coronary Artery Disease.: The SMART HEART study utilizes a multi phased digital intervention framework designed to tr
Sponsors
Sri Ramachandra Institute of Higher Education and Research
Eligibility
Inclusion criteria
Inclusion criteria: Patients hospitalized for a cardiac event (acute coronary syndrome or stable ischemic heart disease) who have undergone percutaneous coronary intervention (PCI) Patients may have co-morbid conditions including T2DM, Hypertension, Stage 3a CKD, or Obesity The participant (or a reliable household member) must be able to use a smartphone
Exclusion criteria
Exclusion criteria: Pregnant women . High-risk participants as per AACVPR (2012) and recent AHA/ACC/ESC guidance . Diabetes-related complications . Uncontrolled hypertension .Significant visual or hearing impairment that limits safe app use .Mental or cognitive disability that prevents independent use of the mobile application
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary Outcome Composite CAD Secondary-Prevention Score The primary outcome is the change in the composite secondary-prevention score from baseline to 90 days and 180 days. The composite score includes the following domains: Glycaemic control Blood pressure Lipid profile Diet Physical activity Smoking status Sleep Body mass index Mental health Medication adherence Each domain is scored on a three-level scale, yielding a total composite score that is analyzed as a continuous outcome. Primary comparison: Mean change in the composite score between the intervention group and the standard care group at 90 days and 180 days.Timepoint: Measurement and Outcomes The study tracks progress at 30, 90, and 180 days using a Composite Secondary-Prevention Score (0 100 scale). This score evaluates: Clinical Metrics: Blood pressure, HbA1c (diabetes), LDL cholesterol, and BMI. Behavioral Metrics: Physical activity, diet quality, smoking status, and sleep duration. Mental Health: Anxiety and depression levels. Medication Adherence: Consistency in taking prescribed heart medications. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary Outcomes Functional capacity Blood pressure Glycaemic control Lipid profile Body mass index Tobacco use status Physical activity Diet quality Sleep duration Mental health status Medication adherence Cardiac rehabilitation participation Health-related quality of life Major adverse cardiovascular events Usability of the mobile application Acceptability of the intervention Adherence to the intervention Digital determinants of health Timepoint: Outcomes are assessed at baseline30 days 90 days and 180 days post-randomization with continuous digital data capture in the intervention arm. | — |
Countries
India
Contacts
Public ContactDr Ramesh C PhD
Sri Ramachandra Institute of Higher Education and Research
Outcome results
None listed