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Data · dataset · 2026

<b>Process evaluat</b><b>i</b><b>on of the</b><b> </b><b>I</b><b>ntegrated Card</b><b>i</b><b>ac Rehab</b><b>i</b><b>l</b><b>i</b><b>tat</b><b>i</b><b>on Program Employ</b><b>i</b><b>ng Smartphone Technology (</b><b>I</b><b>-</b><b>CREST</b><b>) for coronary heart d</b><b>i</b><b>sease management</b>

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Description

<p dir="ltr"><b>Aims:</b> To evaluate the Integrated-Cardiac Rehabilitation Employing Smartphone Technology (I-CREST) program’s implementation fidelity, impact mechanisms, experiences, and contextual factors influencing its delivery from post-myocardial infarction participants and healthcare professionals.</p><p dir="ltr"><b>Methods:</b> A mixed-methods approach following the Medical Research Council (MRC) guidelines for complex interventions, focusing on implementation, mechanisms of impact, and context.

Three quantitative data sources were collected: 1) records of intervention delivery; 2) records of intervention delivery time; 3) content analysis on the frequency of contextual factors from the qualitative interview data. Qualitative data were collected through individual semi-structured interviews with 14 I-CREST participants and healthcare professionals (HCPs).</p><p dir="ltr"><b>Results:</b> The I-CREST program achieved a high level of intervention delivery fidelity, with an average delivery time of 3.02 hours per participant over six weeks.

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Deductive content analysis of participants’ experiences found key mechanisms of impact, including knowledge and belief, self-regulation skills and abilities, and social facilitation. Thematic analysis of participants’ experiences found four main themes: benefits of the I-CREST intervention; a change in mindset; life beyond the six-weeks intervention; and the potential of I-CREST. Inductive content analysis of both participants’ and HCPs experiences identified implementation-level factors such as recruitment, interoperability and cost, and mechanism/experience-level factors like work commitments and motivation that influenced the I-CREST program’s implementation, mechanisms of impact, participants’ experiences and trial outcomes.</p><p dir="ltr"><b>Conclusion:</b> The I-CREST program is a promising home-based cardiac telerehabilitation option that was well accepted.

However, further revisions are needed if I-CREST is to achieve its full intended benefits and see successful implementation in real-world clinical settings.</p>

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Inferred from text
Health services and systems 69% · Heart 75%
Provenance · 1 source records, 8 field assertions
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