Clinical Effectiveness and Implementation Evaluation of a Large-Scale Translation Co-Designed Model on Cardiac Rehabilitation Attendance and Completion in Rural Australia Authors

  • A. Beleigoli
  • , L. Gebremichael
  • , N. Bulamu
  • , A. Gulyani
  • , D. Chew
  • , S. Nicholls
  • , J. Ramos
  • , C. Maher
  • , J. Beltrame
  • , B. Kaambwa
  • , V. Versace
  • , J. Hendriks
  • , R. Tavella
  • , J. Foote
  • , K. Nesbitt
  • , S. Powell
  • , M. Pinero de Plaza
  • , W. Keech
  • , M. Ludlow
  • , A. Maeder
  • K. Wanguhu, H. Meyer, I. Prichard, O. Suebkinorn, C. Zeitz, A. Brown, R. Clark

Research output: Contribution to journalConference Abstract/Poster in journalAcademic

Abstract

AimImplementation and utilisation of innovative cardiac rehabilitation (CR) modes of delivery remain low. We aimed to evaluate the Country Heart Attack Prevention (CHAP) model clinical and implementation outcomes in rural Australia.MethodsThe Model for Large-Scale Knowledge Translation guided the CHAP co-design to address low referrals, delivery options, integration with primary care and CR quality. Using a matched prospective cohort design (n=1,913/group), we compared CR attendance/completion (primary outcomes), cardiovascular (CV) re-admissions, mortality, emergency department (ED) visits through mixed effects models and estimated aggregate healthcare costs between CHAP and usual care.ResultsAttendance was similar (24.2% versus 23.8%, p=0.82; OR 1.15, 95%CI 0.89–1.47; p=0.16) and completion was higher in CHAP (77.1% versus 57.5%, p
Original languageEnglish
Pages (from-to)S226-S227
JournalHeart Lung and Circulation
Volume33
Issue numberSupplement 4
DOIs
Publication statusPublished - 2024
Externally publishedYes

Keywords

  • Clinical Effectiveness Implementation Evaluation Large-Scale Translation Co-Designed Model Cardiac Rehabilitation Attendance and Completion Rural Person-centred referral systems

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