Presentations for Acute Coronary Syndrome (ACS) are common in people previously hospitalized for coronary heart disease (CHD). Secondary prevention is recommended for all patients to reduce their risk of another cardiovascular event and prolong survival, however participation in cardiac rehabilitation and knowledge of risk factors is poor in this population.

This project builds on previous work by researchers at the University of Sydney and Flinders University who developed the ‘Six Steps to Cardiac Recovery’ app based on the Heart Foundation’s education program of the same name. The app utilises avatar technology as a novel way to deliver education. The avatar mimics a human’s voice, facial expressions and gestures which may be more engaging than written information, especially for people with poor literacy.

This project evaluates the effectiveness of a nurse-avatar, discharge education app on CHD knowledge, clinical outcomes and modifiable cardiovascular risk factors in a randomised controlled trial. Satisfaction and cost effectiveness are also evaluated. The app is currently available on the iOS and Android app stores.