{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T12:19:00Z","timestamp":1789733940709,"version":"4.0.1"},"reference-count":49,"publisher":"BMJ","issue":"6","funder":[{"name":"Sky Innovation Technology (Shanghai) Limited"},{"DOI":"10.13039\/501100001797","name":"Curtin University of Technology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001797","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2018,5,15]]},"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>The burden of cardiovascular disease (CVD) is rapidly increasing in developing countries, however access to cardiac rehabilitation and secondary prevention (CR\/SP) in these countries is limited. Alternative delivery models that are low-cost and easy to access are urgently needed to address this service gap. The objective of this study is to investigate whether a smartphone and social media-based (WeChat) home CR\/SP programme can facilitate risk factor monitoring and modification to improve disease self-management and health outcomes in patients with coronary heart disease (CHD), after percutaneous coronary intervention (PCI) therapy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and analysis<\/jats:title>\n                  <jats:p>We propose a single-blind, randomised controlled trial of 300 patients post-PCI with follow-up over 12 months. The intervention group will receive a smartphone-based and WeChat-based CR\/SP programme providing education and support for risk factor monitoring and modification. SMART-CR\/SP incorporates core components of modern CR\/SP: physical activity tracking with interactive feedback and goal setting; education modules addressing CHD understanding and self-management; remote blood pressure monitoring and strategies to improve medication adherence. Furthermore, a dedicated data portal and a CR\/SP coach will facilitate individualised supervision and counselling. The control group will receive usual care but no formal CR\/SP programme. The primary outcome is change in exercise capacity measured by 6\u2009minute walk test distance. Secondary outcomes include knowledge and awareness of CHD, risk factor status, medication adherence, psychological well-being and quality of life, major cardiovascular events, re-hospitalisations and all-cause mortality. To assess the feasibility and patients\u2019 acceptance of the intervention, a process evaluation will be performed at the conclusion of the study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Ethics and dissemination<\/jats:title>\n                  <jats:p>Ethics approval was granted by both the Human Research Ethics Committee of Fudan University Zhongshan Hospital (HREC B2016-058) and Curtin University Human Research Ethics Office (HRE2016-0120). Results will be disseminated via peer-reviewed publications and presentations at conferences.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical trial registration number<\/jats:title>\n                  <jats:p>ChiCTR-INR-16009598; Pre-results.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjopen-2018-021908","type":"journal-article","created":{"date-parts":[[2018,6,30]],"date-time":"2018-06-30T05:26:18Z","timestamp":1530336378000},"page":"e021908","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":54,"title":["SMARTphone and social media-based Cardiac Rehabilitation and Secondary Prevention (SMART-CR\/SP) for patients with coronary heart disease in China: a randomised controlled trial protocol"],"prefix":"10.1136","volume":"8","author":[{"given":"Tashi","family":"Dorje","sequence":"first","affiliation":[{"name":"School of Physiotherapy and Exercise Science, Curtin University, Perth, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gang","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Fudan University Zhongshan Hospital, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Scheer","sequence":"additional","affiliation":[{"name":"School of Physiotherapy and Exercise Science, Curtin University, Perth, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lhamo","family":"Tsokey","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Fudan University Zhongshan Hospital, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Fudan University Zhongshan Hospital, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaolin","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Fudan University Zhongshan Hospital, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khandro","family":"Tso","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Qilian County Hospital, Qinghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B-K","family":"Tan","sequence":"additional","affiliation":[{"name":"School of Physiotherapy and Exercise Science, Curtin University, Perth, Western Australia, Australia"},{"name":"Allied Health Department, Armadale Health Service, Perth, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junbo","family":"Ge","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Fudan University Zhongshan Hospital, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Maiorana","sequence":"additional","affiliation":[{"name":"School of Physiotherapy and Exercise Science, Curtin University, Perth, Western Australia, Australia"},{"name":"Allied Health Department, Advanced Heart Failure and Cardiac Transplant Service, Fiona Stanley Hospital, Perth, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,6,30]]},"reference":[{"key":"2025101813463642000_8.6.e021908.1","first-page":"521","article-title":"Outline of the report on cardiovascular diseases in China 2016","volume":"32","author":"Weiwei","year":"2017","journal-title":"China Journal of Circulation"},{"key":"2025101813463642000_8.6.e021908.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.12.044"},{"key":"2025101813463642000_8.6.e021908.3","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.109.910711"},{"key":"2025101813463642000_8.6.e021908.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)09358-3"},{"key":"2025101813463642000_8.6.e021908.5","doi-asserted-by":"publisher","DOI":"10.1097\/HJR.0b013e328013f11a"},{"key":"2025101813463642000_8.6.e021908.6","doi-asserted-by":"crossref","unstructured":"Frederix I , Hansen D , Coninx K , et al . 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