{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:29:44Z","timestamp":1790774984619,"version":"4.1.0"},"reference-count":28,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2021,11,2]],"date-time":"2021-11-02T00:00:00Z","timestamp":1635811200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["GNT1169893"],"award-info":[{"award-number":["GNT1169893"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Telemed Telecare"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:p>We aim to report the co-design of the implementation strategy of a telehealth-enabled cardiac rehabilitation model of care in rural and remote areas of Australia. The goal of this model of care is to increase cardiac rehabilitation attendance and completion by country patients with cardiovascular diseases.<\/jats:p>\n                  <jats:p>We hypothesise that a model of care co-designed with stakeholders will address patients\u2019 needs and preferences and increase participation. We applied the Model for Large Scale Knowledge Translation and engaged with patients, clinicians and health service managers across six local health networks in rural South Australia. They informed the design of a web-based cardiac rehabilitation programme and the delivery of the expanded telehealth service.<\/jats:p>\n                  <jats:p>The stakeholders defined face-to-face, telephone, web-based or combinations as choices of mode of delivery to patients referred to cardiac rehabilitation. A case-managed programme supported by a web portal with an interface for patients and clinicians was considered more appropriate to the local context than a self-managed programme. A business model was developed to enable the sustainability of cardiac rehabilitation clinical assessments through primary care. The impact of the model of care on cardiac rehabilitation attendance\/completion, clinical outcomes, patient-reported outcomes and patient-reported experiences and cost-effectiveness will be tested in a 12-month follow-up study.<\/jats:p>","DOI":"10.1177\/1357633x211048400","type":"journal-article","created":{"date-parts":[[2021,11,2]],"date-time":"2021-11-02T16:01:15Z","timestamp":1635868875000},"page":"685-690","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":21,"title":["A co-designed telehealth-based model of care to improve attendance and completion to cardiac rehabilitation of rural and remote Australians: The Country Heart Attack Prevention (CHAP) project"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7848-3183","authenticated-orcid":false,"given":"Alline","family":"Beleigoli","sequence":"first","affiliation":[{"name":"Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Champion","sequence":"additional","affiliation":[{"name":"Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosy","family":"Tirimacco","sequence":"additional","affiliation":[{"name":"Integrated Cardiovascular Clinical Network, Rural Support Service, SA Health, Adelaide, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Nesbitt","sequence":"additional","affiliation":[{"name":"College of Nursing and Health Sciences, Flinders University, Adelaide, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Tideman","sequence":"additional","affiliation":[{"name":"Integrated Cardiovascular Clinical Network, Rural Support Service, SA Health, Adelaide, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robyn A","family":"Clark","sequence":"additional","affiliation":[{"name":"Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,11,2]]},"reference":[{"key":"bibr1-1357633X211048400","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2014.12.008"},{"key":"bibr2-1357633X211048400","first-page":"CD001800","volume":"2016","author":"Anderson L","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr3-1357633X211048400","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-019-02338-y"},{"key":"bibr4-1357633X211048400","doi-asserted-by":"publisher","DOI":"10.5694\/mja16.00368"},{"key":"bibr5-1357633X211048400","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehs215"},{"key":"bibr6-1357633X211048400","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.09.017"},{"key":"bibr7-1357633X211048400","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2013-305296"},{"key":"bibr8-1357633X211048400","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2019.03.015"},{"key":"bibr9-1357633X211048400","doi-asserted-by":"publisher","DOI":"10.1097\/JCN.0000000000000332"},{"key":"bibr10-1357633X211048400","doi-asserted-by":"publisher","DOI":"10.1177\/2047487316630085"},{"key":"bibr11-1357633X211048400","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2014.10.154"},{"key":"bibr12-1357633X211048400","doi-asserted-by":"publisher","DOI":"10.1177\/2047487313501093"},{"key":"bibr13-1357633X211048400","unstructured":"Health services urged to resume face-to-face rehab for heart patients. Media Release 03 February 2021, https:\/\/www.heartfoundation.org.au\/media-releases\/Health-services-urged-to-resume-face-to-face-cardi (2021, accessed 23\/02\/2021)."},{"key":"bibr14-1357633X211048400","unstructured":"Australian Bureau of Statistics. 2016 Census Quick Stats. South Australia, https:\/\/quickstats.censusdata.abs.gov.au\/census_services\/getproduct\/census\/2016\/quickstat\/4?opendocument (2016, accessed 16\/06\/2021)."},{"key":"bibr15-1357633X211048400","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2015.06.790"},{"key":"bibr16-1357633X211048400","doi-asserted-by":"publisher","DOI":"10.5694\/mja13.10645"},{"key":"bibr17-1357633X211048400","doi-asserted-by":"crossref","unstructured":"Clemensen J, Rothmann MJ, Smith AC. Participatory design methods in telemedicine research. 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