Publications

@article{Comachio2024,

title = {Identifying and counteracting fraudulent responses in online recruitment for health research: a scoping review},

author = {Josielli Comachio and Adam Poulsen and Adeola Bamgboje-Ayodele and Aidan Tan and Julie Ayre and Rebecca Raeside and Rajshri Roy and Edel O’Hagan},

doi = {10.1136/bmjebm-2024-113170},

issn = {2515-4478},

year  = {2025},

date = {2025-06-00},

journal = {BMJ EBM},

volume = {30},

number = {3},

pages = {173--182},

publisher = {BMJ},

abstract = {

                  Objectives

                  This study aimed to describe how health researchers identify and counteract fraudulent responses when recruiting participants online.

               

               

                  Design

                  Scoping review.

               

               

                  Eligibility criteria

                  Peer-reviewed studies published in English; studies that report on the online recruitment of participants for health research; and studies that specifically describe methodologies or strategies to detect and address fraudulent responses during the online recruitment of research participants.

               

               

                  Sources of evidence

                  Nine databases, including Medline, Informit, AMED, CINAHL, Embase, Cochrane CENTRAL, IEEE Xplore, Scopus and Web of Science, were searched from inception to April 2024.

               

               

                  Charting methods

                  Two authors independently screened and selected each study and performed data extraction, following the Joanna Briggs Institute’s methodological guidance for scoping reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines. A predefined framework guided the evaluation of fraud identification and mitigation strategies within the studies included. This framework, adapted from a participatory mapping study that identified indicators of fraudulent survey responses, allowed for systematic assessment and comparison of the effectiveness of various antifraud strategies across studies.

               

               

                  Results

                  23 studies were included. 18 studies (78%) reported encountering fraudulent responses. Among the studies reviewed, the proportion of participants excluded for fraudulent or suspicious responses ranged from as low as 3% to as high as 94%. Survey completion time was used in six studies (26%) to identify fraud, with completion times under 5 min flagged as suspicious. 12 studies (52%) focused on non-confirming responses, identifying implausible text patterns through specific questions, consistency checks and open-ended questions. Four studies examined temporal events, such as unusual survey completion times. Seven studies (30%) reported on geographical incongruity, using IP address verification and location screening. Incentives were reported in 17 studies (73%), with higher incentives often increasing fraudulent responses. Mitigation strategies included using in-built survey features like Completely Automated Public Turing test to tell Computers and Humans Apart (34%), manual verification (21%) and video checks (8%). Most studies recommended multiple detection methods to maintain data integrity.

               

               

                  Conclusion

                  There is insufficient evaluation of strategies to mitigate fraud in online health research, which hinders the ability to offer evidence-based guidance to researchers on their effectiveness. Researchers should employ a combination of strategies to counteract fraudulent responses when recruiting online to optimise data integrity.

               },

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pubstate = {published},

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}

@article{Tse2024,

title = {Retrospective analysis of regional and metropolitan school food environments using Google Street View: A case study in New South Wales, Australia with youth consultation},

author = {Kitty Tse and Michelle X. Zeng and Alice A. Gibson and Stephanie R. Partridge and Rebecca Raeside and Radhika Valanju and Emily McMahon and Bowen Ren and Fulin Yan and Margaret Allman‐Farinelli and Si Si Jia},

doi = {10.1002/hpja.930},

issn = {2201-1617},

year  = {2025},

date = {2025-04-00},

journal = {Health Prom J of Aust},

volume = {36},

number = {2},

publisher = {Wiley},

abstract = {AbstractIssue AddressedFood environments surrounding schools have a strong influence on the adolescent's food choices. Moreover, the prevalence of diet‐related chronic diseases is higher in regional than metropolitan areas in Australia. Understanding school food environments in these different settings is crucial for informing future strategies to improve adolescent health.MethodsGoogle Street View was used to identify food outlets within 1.6 km around all secondary schools in Wagga Wagga and Blacktown in New South Wales which were selected as regional and metropolitan case study areas. Based on food outlet type, healthfulness categories were assigned, and Chi‐squared tests were performed. The Health Advisory Panel for Youth at the University of Sydney (HAPYUS) were engaged to obtain their perspectives on findings.ResultsUnhealthful food outlets were consistently most prevalent around schools in Wagga Wagga and Blacktown over 17 years. In 2023, these were predominantly restaurants (19.4% vs. 21.1%), cafés (16.8% vs. 11.1%), fast‐food franchise outlets (15.1% vs. 17.4%) and independent takeaway stores (14.1% vs. 9.6%). No significant difference in healthfulness between regional and metropolitan areas was found. Youth advisors recognised price and social reasons as major contributors to food choices.ConclusionsGoogle Street View was used as a novel resource to examine school food environments in regional and metropolitan areas which have remained consistently unhealthful for nearly two decades.So What?Unhealthful school food environments may encourage poor diets and exacerbate rates of adolescent overweight and obesity. Critical government action is needed to improve school food environments.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Raeside2025,

title = {Advancing adolescent health promotion in the digital era},

author = {Rebecca Raeside},

doi = {10.1093/heapro/daae172},

issn = {1460-2245},

year  = {2025},

date = {2025-03-05},

volume = {40},

number = {2},

publisher = {Oxford University Press (OUP)},

abstract = {Abstract

               Adolescents globally are calling for high-quality digital services to support and improve their health and well-being. Digital technologies are playing an increasing role in healthcare and whilst today's adolescents have been exposed to digital media since birth, there are unique challenges to their use that must be considered. This review aims to synthesize the literature on adolescent health promotion in the digital era. It provides evidence from adolescent perspectives and identifies that community-based and ‘digital only’ settings hold scope for further research to advance the field. The article recommends that when working with adolescents to develop digital health promotion tools, we should look to use youth engagement frameworks that are relevant to their context. Secondly, it demands stronger governance over digital media to protect adolescents, whilst allowing safe digital access. Finally, it demonstrates how listening to adolescents may help to address the emerging digital determinants of health and avoid exacerbating health disparities. Adolescents are powerful advocates to make global change. Stakeholders across research, policy and practice should examine how they incorporate adolescent voices to drive change in health promotion in the digital era.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Candelaria2025,

title = {Patient activation improves with a multi-component personalized mHealth intervention in older patients at risk of cardiovascular disease: a pilot randomized controlled trial},

author = {Dion Candelaria and Marysol Cacciata and Reimund Serafica and Andrew Thomas Reyes and Jung-Ah Lee and Janett A Hildebrand and Axel Sta. Maria and Anna Strömberg and Lorraine S Evangelista},

doi = {10.1093/eurjcn/zvae159},

issn = {1873-1953},

year  = {2025},

date = {2025-03-03},

volume = {24},

number = {2},

pages = {316--322},

publisher = {Oxford University Press (OUP)},

abstract = {Abstract

               

                  Aims

                  This study aimed to determine the effect of a multi-component mHealth intervention on patient activation and examine its predictors among older adults at risk of cardiovascular disease (CVD).

               

               

                  Methods and results

                  This pilot randomized controlled trial compared two groups: Get FIT (control), who received healthy lifestyle counselling from a licensed health coach, a mHealth app (MyFitnessPal) with push alerts, and an activity tracker, and Get FIT + (intervention), who received the same interventions and had personalized text messages with 3- and 6-month follow-up periods. Patient activation was measured using the 13-item Patient Activation Measure; higher scores indicated better activation. Linear mixed-effects models were used to investigate between-group changes in outcomes across time. The participants’ (n = 54) mean age was 65.4 ± 6.0 years; 61% were female; and 61% were married. Baseline characteristics were comparable between groups. Significant improvements in mean patient activation scores were observed in the Get FIT + group at 3 months [mean 3.53 points, 95% confidence interval (CI) 0.11, 6.96; P = 0.043] and 6 months (mean 4.37 points, 95% CI 0.91, 7.83; P = 0.014), whereas improvements in the Get FIT group were non-significant. Adjusting for age, gender, education, employment, marital status, social support, smartphone confidence, and self-perceived health, we found that only social support was associated with higher patient activation overall (B = 5.14, 95% CI 1.00, 9.27; P = 0.015).

               

               

                  Conclusion

                  The findings indicate that personalized text messaging can improve the self-care of older adults at risk of CVD. Findings also emphasize the importance of social support in the success of mHealth interventions for older adults.

               

               

                  Registration

                  The study is registered in ClinicalTrials.gov (NCT03720327).

               },

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pubstate = {published},

tppubtype = {article}

}

@article{Lönn2025,

title = {Physical Activity and Sedentary Behaviour Thresholds for Secondary Prevention of Coronary Heart Disease: Morbidity Survival Tree Analysis},

author = {Amanda Lönn and Theo Niyonsenga and Suzanne J. Carroll and Adrian Bauman and Rachel Davey and Robyn Gallagher and Nicole Freene},

doi = {10.1016/j.cjca.2024.11.025},

issn = {0828-282X},

year  = {2025},

date = {2025-03-00},

journal = {Canadian Journal of Cardiology},

volume = {41},

number = {3},

pages = {494--503},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Li2025,

title = {Understand nurse’s perspectives on communication with Chinese-speaking cardiac patients},

author = {Jialin Li and Ling Zhang and Nicole Lowres and Wendan Shi and Kazuma Honda and Robyn Gallagher},

doi = {10.1016/j.pec.2024.108405},

issn = {0738-3991},

year  = {2025},

date = {2025-01-00},

journal = {Patient Education and Counseling},

volume = {130},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Zhang2025,

title = {Patient education in ethnic minority and migrant patients with heart disease: A scoping review},

author = {Ling Zhang and Gabriela Lima de Melo Ghisi and Wendan Shi and Maureen Pakosh and Emilia Main and Robyn Gallagher},

doi = {10.1016/j.pec.2024.108480},

issn = {0738-3991},

year  = {2025},

date = {2025-01-00},

journal = {Patient Education and Counseling},

volume = {130},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Tu2024b,

title = {Impacts of hypertension and diabetes on the incidence of cardiovascular diseases and all-cause mortality: findings from the China Health and Retirement Longitudinal Study cohort},

author = {Qiang Tu and Karice Hyun and Shuanglan Lin and Nashid Hafiz and Deborah Manandi and Emily Li and Xinzheng Wang and Haisheng Wu and Julie Redfern},

doi = {10.1097/hjh.0000000000003946},

issn = {1473-5598},

year  = {2025},

date = {2025-00-00},

volume = {43},

number = {4},

pages = {623--630},

publisher = {Ovid Technologies (Wolters Kluwer Health)},

abstract = {

            Objective:

            The study aimed to examine the individual and joint effects of hypertension and diabetes on cardiovascular diseases and all-cause mortality among the middle-aged and older Chinese population.

          

          

            Methods:

            A total of 9681 individuals without preexisting CVD from the China Health and Retirement Longitudinal Study (CHARLS) were included. Participants were classified into four different groups: hypertension alone, diabetes alone, both conditions, neither condition. Multivariate Cox proportional hazards models were performed to estimate the risks of all-cause mortality and CVD.

          

          

            Results:

            During the 7-year follow-up, 967 deaths and 1535 CVD events were documented. Compared to individuals without hypertension and diabetes, hypertension alone [adjusted hazard ratio (aHR) 1.571, 95% confidence interval (CI) 1.316–1.875, P < 0.001], diabetes alone (aHR 1.618, 95% CI 1.187–2.205, P < 0.01) and comorbid hypertension and diabetes (aHR 2.041, 95% CI 1.557–2.677, P < 0.001) increased risks of all-cause mortality. The aHRs for CVD events in individuals with both conditions, hypertension alone and diabetes only were 2.011 (95% CI 1.651–2.449, P < 0.001), 1.408 (95% CI 1.233–1.608, P < 0.001) and 1.036 (95% CI 0.808–1.327, P > 0.05), respectively. The risk of CVD among those with comorbid hypertension and diabetes exceeded the sum of the risks due to hypertension and diabetes alone (relative excess risk ratio = 0.567, 95% CI 0.136–0.999).

          

          

            Conclusion:

            Individuals with comorbid hypertension and diabetes had greater risks of CVD and all-cause mortality, beyond those associated with either condition alone. The synergistic interaction between hypertension and diabetes aggravated the risk of CVD.

          },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Candelaria2024b,

title = {Person-centredness in cardiovascular care: the need for a whole-systems perspective},

author = {Dion Candelaria and Vaibhav Tyagi and Robyn Gallagher and Jeroen Hendriks and Brendan McCormack},

doi = {10.1093/eurjcn/zvae052},

issn = {1873-1953},

year  = {2024},

date = {2024-12-16},

volume = {23},

number = {8},

pages = {e161--e163},

publisher = {Oxford University Press (OUP)},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Pettersen2024,

title = {Beyond testing: understanding the patient perspective of medication adherence in hypertension},

author = {Trond Røed Pettersen and Dion Candelaria},

doi = {10.1093/eurjcn/zvae131},

issn = {1873-1953},

year  = {2024},

date = {2024-12-16},

volume = {23},

number = {8},

pages = {e189--e190},

publisher = {Oxford University Press (OUP)},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Raeside2024b,

title = {Recruitment of Adolescents to Virtual Clinical Trials: Recruitment Results From the Health4Me Randomized Controlled Trial},

author = {Rebecca Raeside and Allyson R Todd and Sarah Barakat and Sean Rom and Stephanie Boulet and Sarah Maguire and Kathryn Williams and Seema Mihrshahi and Maree L Hackett and Julie Redfern and Stephanie R Partridge and },

doi = {10.2196/62919},

issn = {2561-6722},

year  = {2024},

date = {2024-12-16},

journal = {JMIR Pediatr Parent},

volume = {7},

pages = {e62919--e62919},

publisher = {JMIR Publications Inc.},

abstract = {Abstract

          

            Background

            Preventive interventions are needed to provide targeted health support to adolescents to improve health behaviors. Engaging adolescents in preventive interventions remains a challenge, highlighting the need for innovative recruitment strategies. Given adolescents’ lives are intertwined with digital technologies, attention should be focused on these avenues for recruitment. The evolving nature of clinical trials, including the emergence of virtual clinical trials, requires new recruitment approaches, which must be evaluated.

          

          

            Objective

            This study aimed to examine the effectiveness and cost of various digital recruitment strategies for recruiting adolescents to a virtual clinical trial, evaluate the progression of participants from screening to enrollment, and explore factors associated with nonparticipation. This was conducted using data from the Health4Me Study, a preventive digital health intervention to improve physical activity and nutrition behaviors among adolescents aged 12 to 18 years.

          

          

            Methods

            Participants were recruited into the Health4Me Study via social media advertisements on various contemporary platforms, emails to schools, emails to contacts within known networks, and emails to relevant youth organizations. Data were collected from social media advertisements, screening, and recruitment logs. Data analysis included summary and descriptive statistics, as well as chi-square tests to explore factors associated with nonparticipation.

          

          

            Results

            From 2369 expressions of interest, 390 (16.4%) participants were enrolled. A total of 19 advertisements were placed on social media, and 385 promotional emails were sent to schools, contacts within known networks, and relevant youth organizations. Social media advertisements reached 408,077 unique accounts. Advertisements mostly reached those living in populous states in Australia (306,489/408,077, 75.11% of unique accounts) and those identifying as female (177,698/408,077, 43.55% of unique accounts). A total of 24.97% (101,907/408,077) of advertisements were delivered to accounts with uncategorized genders. The total cost per participant enrolled was Aus $3.89 (approximately US $2.58). Most participants (1980/2305, 85.90%) found out about this study through Instagram. Differences in screening characteristics between eligible participants who did and did not enroll were found to be statistically significant for gender (P=.02), with fewer males and more individuals reporting their gender as “other” enrolling than expected by chance alone. The recruitment method also differed (P<.001), with fewer participants enrolling through Instagram and more enrolling through other methods (eg, known networks or word of mouth) than expected by chance alone.

          

          

            Conclusions

            This study found that virtual clinical trial recruitment was found to be low-cost, with the potential to increase trial participation. Social media was the most effective recruitment method, reaching all states and territories, including hard-to-reach populations. Future action is needed to explore recruitment methods that are more effective for males and to build trust among adolescents regarding clinical trial recruitment via social media.

          },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Weddell2024b,

title = {Cognitive and physical fatigue—the experience and consequences of ‘brain fog’ after spontaneous coronary artery dissection: a qualitative study},

author = {Joseph Weddell and Michelle C Rogerson and Robyn Gallagher and Stephanie Hesselson and Siiri E Iismaa and Robert M Graham and Alun C Jackson and Julie Redfern and Thomas Buckley and Barbara M Murphy},

doi = {10.1093/eurjcn/zvae097},

issn = {1873-1953},

year  = {2024},

date = {2024-12-16},

volume = {23},

number = {8},

pages = {855--862},

publisher = {Oxford University Press (OUP)},

abstract = {Abstract

               

                  Aims

                  Brain fog and fatigue are common issues after acute coronary syndrome. However, little is known about the nature and impact of these experiences in spontaneous coronary artery dissection (SCAD) survivors. The aim of this study was to understand the experiences of brain fog and the coping strategies used after SCAD.

               

               

                  Methods and results

                  Participants were recruited from the Victor Chang Cardiac Research Institute Genetics Study database and considered eligible if their event occurred within 12 months. Seven semi-structured online focus groups were conducted between December and January 2021–22, with this study reporting findings related to brain fog and fatigue. Interviews were transcribed and thematically analysed using an iterative approach. Participants (n = 30) had a mean age of 52.2 (±9.5) and were mostly female (n = 27, 90%). The overarching theme of brain fog after SCAD included four main themes: how brain fog is experienced, perceived causes, impacts, and how people cope. Experiences included memory lapses, difficulty concentrating and impaired judgement, and perceived causes, including medication, fatigue and tiredness, and menopause and hormonal changes. Impacts of brain fog included rumination, changes in self-perception, disruption to hobbies/pastimes, and limitations at work. Coping mechanisms included setting reminders and expectations, being one's own advocate, lifestyle and self-determined medication adjustments, and support from peers.

               

               

                  Conclusion

                  Brain fog is experienced by SCAD survivors, and the impacts are varied and numerous, including the capacity to work. Spontaneous coronary artery dissection survivors reported difficulty understanding causes and found their own path to coping. Recommendations for clinicians are provided.

               },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Zhao2024c,

title = {Post-operative delirium following open heart surgery: a commentary},

author = {Emma Zhao and Joseph Weddell and Robyn Gallagher},

doi = {10.1093/eurjcn/zvae088},

issn = {1873-1953},

year  = {2024},

date = {2024-12-16},

volume = {23},

number = {8},

pages = {e171--e172},

publisher = {Oxford University Press (OUP)},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Bam2024,

title = {Quality indicators for the primary prevention of cardiovascular disease in primary care: A systematic review},

author = {Kiran Bam and Muideen T. Olaiya and Dominique A. Cadilhac and Julie Redfern and Mark R. Nelson and Lauren M. Sanders and Vijaya Sundararajan and Nadine E. Andrew and Lisa Murphy and Monique F. Kilkenny},

editor = {André Ramalho},

doi = {10.1371/journal.pone.0312137},

issn = {1932-6203},

year  = {2024},

date = {2024-12-05},

journal = {PLoS ONE},

volume = {19},

number = {12},

publisher = {Public Library of Science (PLoS)},

abstract = {

Background

Primary care is usually the entry point for preventing cardiovascular disease (CVD). Quality indicators can be used to assess and monitor the quality of care provided in a primary care setting. In this systematic review, we aimed to identify, summarise, and assess the methodological quality of indicators reported in the articles for the primary prevention of CVD in primary care.





Methods

We searched Ovid MEDLINE, Ovid EMBASE, CINAHL Plus, SCOPUS, and grey literature for articles containing quality indicators published in English language. Quality indicators were categorised using the Donabedian framework: Structure (organisation of care), Process (assessment of metabolic risk factors, global risk assessment, lifestyle management, prescription of medications, risk communication/advice, referral), and Outcome (attainment of risk factor targets). Articles were reviewed by two authors, using the Appraisal of Indicators through Research and Evaluation (AIRE) instrument, where a score of ≥50% for each domain indicated strong methodological quality (e.g., stakeholder involvement).





Results

We identified 282 articles for full-text review; 57 articles were included for extraction. A total of 726 (681 unique) quality indicators were extracted. Three out of four (76%) were process indicators (56 articles), followed by 15% outcome indicators (40 articles), and 9% structure indicators (12 articles). One-third of process indicators were related to the assessment of metabolic risk factors (222/726 indicators, 41 articles), followed by lifestyle management (153/726 indicators, 39 articles), prescription of medications (122/726 indicators, 37 articles), and global risk assessment (27/726, 14 articles). Few indicators were related to risk communication/advice (20/726 indicators, 7 articles) and referral (9/726 indicators, 6 articles). Only 26/57 (46%) articles were found to have strong methodological quality.





Conclusion

We summarised and appraised the methodological quality of indicators for the primary prevention of CVD. The next step requires prioritising a minimum set of quality indicators to encourage standardised collection and monitoring across countries.

},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Reddan2024,

title = {From ocean to emotion: a pilot study exploring acute mood effects following consumption of a DHA-rich powder compared with placebo in middle-aged Australian men},

author = {Jeffery M. Reddan and Sarah Gauci and Lauren M. Young and Greg Kennedy and Renee Rowsell and Anne Marie Minihane and Andrew Scholey and Andrew Pipingas},

doi = {10.1017/s0007114524002204},

issn = {1475-2662},

year  = {2024},

date = {2024-12-03},

journal = {Br J Nutr},

pages = {1--11},

publisher = {Cambridge University Press (CUP)},

abstract = {Abstract

	  While there is evidence that long-chain n-3 PUFA supplementation benefits mood, the extent to which a single high dose of n-3 PUFA can induce acute mood effects has not been examined. The present study investigated whether a single dose of a DHA-rich powder affects self-reported mood in middle-aged males during elevated cognitive demand. In a randomised, double-blind, placebo-controlled trial with a balanced crossover design, twenty-nine healthy males (age M = 52.8 years, sd = 5.3) were administered a powder (in a meal) containing 4·74 g n-3 PUFA (DHA 4020 mg; EPA 720 mg) or placebo in random order on two different testing days separated by a washout period of 7 ± 3 d. Participants completed mood assessments before and after completing two cognitive test batteries at baseline and again 3·5–4·0 h following the consumption of the active treatment or placebo. While completion of the cognitive test batteries increased negative mood, differential effects for alertness (P = 0·008) and stress (P = 0·04) followed consumption of the DHA-rich powder compared with placebo. Although alertness declined when completing the cognitive batteries, it was higher following consumption of the DHA-rich powder compared with placebo (P = 0·006). Conversely, stress was lower following consumption of the DHA-rich powder relative to placebo, though this difference only approached significance (P = 0·05). Overall, results from this pilot study demonstrate that a single high dose of n-3 PUFA may deliver acute mood benefits following elevated cognitive demand in healthy middle-aged males.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Brown2024,

title = {A systematic review of healthcare experiences of women and men living with coronary heart disease},

author = {Helen Brown and James J. Lucas and Sarah Gauci and Courtney Brown and Susan Brumby and Tiana Felmingham and Crystal M. Y. Lee and Sean Randall and George Mnatzaganian and Suzanne Robinson and Lan Gao and James Boyd and Adrienne O’Neil and Dan Xu and Kieva Richards and Ling Lee and Rachel R. Huxley},

doi = {10.1038/s44294-024-00043-x},

issn = {2948-1716},

year  = {2024},

date = {2024-12-00},

journal = {npj Womens Health},

volume = {2},

number = {1},

publisher = {Springer Science and Business Media LLC},

abstract = {AbstractCoronary heart disease (CHD) is the leading cause of morbidity and mortality for people worldwide, yet differences in the likelihood of receiving optimal care occur depend on gender. This study therefore aimed to explore the healthcare experiences of men and women living with CHD. A systematic search of qualitative research was undertaken, following PRISMA guidelines. Forty-three studies were included for review, involving 1512 people (62% women, 38% men; 0% non-binary or gender diverse). Thematic synthesis of the data identified four themes: (1) assumptions about CHD; (2) gender assigned roles; (3) interactions with health care; and (4) return to ‘normal’ life. A multilevel approach across the entire ecosystem of healthcare is required to improve equity in care experienced by people living with CHD. This will involve challenging both the individuals’ knowledge of CHD and awareness of health professionals to entrenched gender bias in the health system that predominantly favours men.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Candelaria2024,

title = {Data-driven collaborative QUality improvement in Cardiac Rehabilitation (QUICR) to increase program completion: protocol for a cluster randomized controlled trial},

author = {Dion Candelaria and Julie Redfern and Adrienne O’Neil and David Brieger and Robyn A Clark and Tom Briffa and Adrian Bauman and Karice Hyun and Michelle Cunich and Gemma A Figtree and Susie Cartledge and Robyn Gallagher},

doi = {10.1186/s12872-024-03971-3},

issn = {1471-2261},

year  = {2024},

date = {2024-12-00},

journal = {BMC Cardiovasc Disord},

volume = {24},

number = {1},

publisher = {Springer Science and Business Media LLC},

abstract = {Abstract

                Background

                Coronary heart disease (CHD) is the leading cause of deaths and disability worldwide. Cardiac rehabilitation (CR) effectively reduces the risk of future cardiac events and is strongly recommended in international clinical guidelines. However, CR program quality is highly variable with divergent data systems, which, when combined, potentially contribute to persistently low completion rates. The QUality Improvement in Cardiac Rehabilitation (QUICR) trial aims to determine whether a data-driven collaborative quality improvement intervention delivered at the program level over 12 months: (1) increases CR program completion in eligible patients with CHD (primary outcome), (2) reduces hospital admissions, emergency department presentations and deaths, and costs, (3) improves the proportion of patients receiving guideline-indicated CR according to national and international benchmarks, and (4) is feasible and sustainable for CR staff to implement routinely.

              

                Methods

                QUICR is a multi-centre, type-2, hybrid effectiveness-implementation cluster-randomized controlled trial (cRCT) with 12-month follow-up. Eligible CR programs (n = 40) and the individual patient data within them (n ~ 2,000) recruited from two Australian states (New South Wales and Victoria) are randomized 1:1 to the intervention (collaborative quality improvement intervention that uses data to identify and manage gaps in care) or control (usual care with data collection only). This sample size is required to achieve 80% power to detect a difference in completion rate of 22%. Outcomes will be assessed using intention-to-treat principles. Mixed-effects linear and logistic regression models accounting for clusters within allocated groupings will be applied to analyse primary and secondary outcomes.

              

                Discussion

                Addressing poor participation in CR by patients with CHD has been a longstanding challenge that needs innovative strategies to change the status-quo. This trial will harness the collaborative power of CR programs working simultaneously on common problem areas and using local data to drive performance. The use of data linkage for collection of outcomes offers an efficient way to evaluate this intervention and support the improvement of health service delivery.

              

                Ethics

                Primary ethical approval was obtained from the Northern Sydney Local Health District Human Research Ethics Committee (2023/ETH01093), along with site-specific governance approvals.

              

                Trial registration

                Australian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12623001239651 (30/11/2023) (https://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=386540&isReview=true).

              },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Ho2024,

title = {Multimorbidity impacts cardiovascular disease risk following percutaneous coronary intervention: latent class analysis of the Melbourne Interventional Group (MIG) registry},

author = {Chau Le Bao Ho and Si Si and Angela Brennan and Tom Briffa and Dion Stub and Andrew Ajani and Christopher M Reid},

doi = {10.1186/s12872-023-03636-7},

issn = {1471-2261},

year  = {2024},

date = {2024-12-00},

journal = {BMC Cardiovasc Disord},

volume = {24},

number = {1},

publisher = {Springer Science and Business Media LLC},

abstract = {Abstract

                Background

                Multimorbidity is strongly associated with disability or functional decline, poor quality of life and high consumption of health care services. This study aimed (1) To identify patterns of multimorbidity among patients undergoing first recorded percutaneous coronary intervention (PCI); (2) To explore the association between the identified patterns of multimorbidity on length of hospital stay, 30-day and 12- month risk of major adverse cardiac and cerebrovascular events (MACCE) after PCI.

              

                Methods

                A retrospective cohort study of the Melbourne Interventional Group (MIG) registry. This study included 14,025 participants who underwent their first PCI from 2005 to 2015 in Victoria, Australia. Based on a probabilistic modelling approach, Latent class analysis was adopted to classify clusters of people who shared similar combinations and magnitude of the comorbidity of interest. Logistic regression models were used to estimate odd ratios and 95% confidence interval (CI) for the 30-day and 12-month MACCE.

              

                Results

                More than two-thirds of patients had multimorbidity, with the most prevalent conditions being hypertension (59%) and dyslipidaemia (60%). Four distinctive multimorbidity clusters were identified each with significant associations for higher risk of 30-day and 12-month MACCE. The cluster B had the highest risk of 30-day MACCE event that was characterised by a high prevalence of reduced estimated glomerular filtration rate (92%), hypertension (73%) and reduced ejection fraction (EF) (57%). The cluster C, characterised by a high prevalence of hypertension (94%), dyslipidaemia (88%), reduced eGFR (87%), diabetes (73%) and reduced EF (65%) had the highest risk of 12-month MACCE and highest length of hospital stay.

              

                Conclusion

                Hypertension and dyslipidaemia are prevalent in at least four in ten patients undergoing coronary angioplasty. This study showed that clusters of patients with multimorbidity had significantly different risk of 30-day and 12-month MACCE after PCI. This suggests the necessity for treatment approaches that are more personalised and customised to enhance patient outcomes and the quality of care delivered to patients in various comorbidity clusters. These results should be validated in a prospective cohort and to evaluate the potential impacts of these clusters on the prevention of MACCE after PCI.

              },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Lopez2024,

title = {Comparative Algorithms for Identifying and Counting Hospitalisation Episodes of Care for Coronary Heart Disease Using Administrative Data},

author = {Derrick Lopez and Juan Lu and Frank Sanfilippo and Judith Katzenellenbogen and Tom Briffa and Lee Nedkoff},

doi = {10.2147/clep.s497760},

issn = {1179-1349},

year  = {2024},

date = {2024-12-00},

journal = {CLEP},

volume = {Volume 16},

pages = {921--928},

publisher = {Informa UK Limited},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Morris2024,

title = {The effect of alcohol consumption on human physiological and perceptual responses to heat stress: a systematic scoping review},

author = {Nathan B. Morris and Nicholas Ravanelli and Georgia K. Chaseling},

doi = {10.1186/s12940-024-01113-y},

issn = {1476-069X},

year  = {2024},

date = {2024-12-00},

journal = {Environ Health},

volume = {23},

number = {1},

publisher = {Springer Science and Business Media LLC},

abstract = {Abstract

                Background

                Ethyl alcohol (ethanol) consumption is ostensibly known to increase the risk of morbidity and mortality during hot weather and heatwaves. However, how alcohol independently alters physiological, perceptual, and behavioral responses to heat stress remains poorly understood. Therefore, we conducted a systematic scoping review to understand how alcohol consumption affects thermoregulatory responses to the heat.

              

                Methods

                We searched five databases employing the following eligibility criteria, studies must have: 1) involved the oral consumption of ethanol, 2) employed a randomized or crossover-control study design with a control trial consisting of a volume-matched, non-alcoholic beverage, 3) been conducted in healthy adult humans, 4) reported thermophysiological, perceptual, hydration status markers, and/or behavioral outcomes, 5) been published in English, 6) been conducted in air or water at temperatures of > 28°C, 7) involved passive rest or exercise, and 8) been published before October 4th, 2023.

              

                Results

                After removing duplicates, 7256 titles were screened, 29 papers were assessed for eligibility and 8 papers were included in the final review. Across the 8 studies, there were a total of 93 participants (93 male/0 female), the average time of heat exposure was 70 min and average alcohol dose was 0.68 g·kg1. There were 23 unique outcome variables analyzed from the studies. The physiological marker most influenced by alcohol was core temperature (lowered with alcohol consumption in 3/4 studies). Additionally, skin blood flow was increased with alcohol consumption in the one study that measured it. Typical markers of dehydration, such as increased urine volume (1/3 studies), mass loss (1/3 studies) and decreased plasma volume (0/2 studies) were not consistently observed in these studies, except for in the study with the highest alcohol dose.

              

                Conclusion

                The effect of alcohol consumption on thermoregulatory responses is understudied, and is limited by moderate doses of alcohol consumption, short durations of heat exposure, and only conducted in young-healthy males. Contrary to current heat-health advice, the available literature suggests that alcohol consumption does not seem to impair physiological responses to heat in young healthy males.

              },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Partridge2024,

title = {Engaging adolescents in chronic disease prevention research: insights from researchers about establishing and facilitating a youth advisory group},

author = {Stephanie R. Partridge and Mariam Mandoh and Allyson Todd and Rebecca Raeside},

doi = {10.1186/s40900-024-00559-1},

issn = {2056-7529},

year  = {2024},

date = {2024-12-00},

journal = {Res Involv Engagem},

volume = {10},

number = {1},

publisher = {Springer Science and Business Media LLC},

abstract = {AbstractOur comment discusses our experience establishing a youth advisory group focused on chronic disease prevention research. The comment highlights three key learnings: the need for researchers to adapt their working style, the importance of redefining the power dynamics, and disrupting traditional research structures to align with co-researcher engagement models.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Partridge2024b,

title = {Addressing disparities: A systematic review of digital health equity for adolescent obesity prevention and management interventions},

author = {Stephanie R. Partridge and Amber Knight and Allyson Todd and Bronwyn McGill and Sara Wardak and Laura Alston and Katherine M. Livingstone and Anna Singleton and Louise Thornton and Sisi Jia and Julie Redfern and Rebecca Raeside},

doi = {10.1111/obr.13821},

issn = {1467-789X},

year  = {2024},

date = {2024-12-00},

journal = {Obesity Reviews},

volume = {25},

number = {12},

publisher = {Wiley},

abstract = {SummaryAdolescence is a high‐risk life stage for obesity. Digital strategies are needed to prevent and manage obesity among adolescents. We assessed if digital health interventions are contributing to disparities in obesity outcomes and assessed the adequacy of reporting of digital health equity criteria across four levels of influence within the digital environment. The systematic search was conducted on 10 major electronic databases and limited to randomized controlled trials (RCTs) or cluster‐RCTs for prevention or management of obesity among 10–19 year olds. Primary outcome was mean body mass index (BMI), or BMI z‐score change. The Adapted Digital Health Equity Assessment Framework was applied to all studies. Thirty‐three articles (27 unique studies with 8483 participants) were identified, with only eight studies targeting adolescents from disadvantaged populations. Post‐intervention, only three studies reported significantly lower BMI outcomes in the intervention compared to control. Of the 432 digital health equity criteria assessed across 27 studies, 82% of criteria were “not addressed.” Studies are not addressing digital health equity criteria or inadequately reporting information to assess if digital health interventions are contributing to disparities in obesity outcomes. Enhanced reporting is needed to inform decision‐makers and support the development of equitable interventions to prevent and manage obesity among adolescents.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Redfern2024,

title = {Cardiac rehabilitation and secondary prevention of CVD: time to think about cardiovascular health rather than rehabilitation},

author = {Julie Redfern and Robyn Gallagher and Andrew Maiorana and Dion Candelaria and Matthew Hollings and Sarah Gauci and Adrienne O’Neil and Georgia K. Chaseling and Ling Zhang and Emma E. Thomas and Gabriela L. M. Ghisi and Irene Gibson and Karice Hyun and Alexis Beatty and Tom Briffa and Rod S. Taylor and Ross Arena and Catriona Jennings and David Wood and Sherry L. Grace},

doi = {10.1038/s44325-024-00017-7},

issn = {2948-2836},

year  = {2024},

date = {2024-12-00},

journal = {npj Cardiovasc Health},

volume = {1},

number = {1},

publisher = {Springer Science and Business Media LLC},

abstract = {AbstractDuring the past century, there have been major developments in the medical and surgical treatment of cardiovascular disease (CVD). These advancements have resulted in more people surviving initial events and having reduced length of stay in hospital; consequently, there is an increasing number of people in need of ongoing and lifelong cardiovascular risk management. The physical and emotional effects of living with CVD are ongoing with broad challenges ranging from the individual to system level. However, post-discharge care of people with coronary disease continues to follow a 50-year-old cardiac rehabilitation model which focuses on the sub-acute phase and is of a finite in duration. The aim of this paper is to consider the concept of supporting survivors to live well with CVD rather than ‘rehabilitating’ them and propose factors for consideration in reframing secondary prevention towards optimizing cardiovascular health. We discuss deeply-held potential considerations and challenges associated with the concept of supporting survivors achieve optimal cardiovascular health and live well with CVD rather than ‘rehabilitating’ them. We propose the concept of 5 x P’s for reframing traditional cardiac rehabilitation towards the concept of cardiovascular health for survivors beyond ‘rehabilitation’. These include the need for personalization, processes, patient-centered care, parlance, and partnership. Taken together, consideration of challenges at the systems and population level will ultimately improve engagement with secondary prevention as well as outcomes for all people who need it.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Sherman2024,

title = {Randomised controlled pilot trial of the EndoSMS supportive text message intervention for individuals with endometriosis: Feasibility and acceptability results},

author = {Kerry A. Sherman and Melissa J. Pehlivan and Chantelle Pereira and Alex Hawkey and Anna C. Singleton and Julie Redfern and Mike Armour and Tanya Duckworth and Donna Ciccia and Blake Dear and Michael Cooper},

doi = {10.1016/j.jpsychores.2024.111929},

issn = {0022-3999},

year  = {2024},

date = {2024-12-00},

journal = {Journal of Psychosomatic Research},

volume = {187},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Singleton2024,

title = {Text message intervention delivered from Australian general practices to improve breast cancer survivors’ physical activity and cardiovascular risk factors: protocol for the EMPOWER-SMS-GP effectiveness implementation randomised controlled trial},

author = {Anna C Singleton and Stephanie R Partridge and Karice K Hyun and Christine Mitchell and Rebecca Raeside and Nashid Hafiz and Brooke Nickel and David Mizrahi and Allyson Ruth Todd and Jennifer McIntosh and Raymond J Chan and Kirsty E Stuart and Carolyn Ee and Elisabeth Elder and Julie Redfern},

doi = {10.1136/bmjopen-2024-090984},

issn = {2044-6055},

year  = {2024},

date = {2024-12-00},

journal = {BMJ Open},

volume = {14},

number = {12},

publisher = {BMJ},

abstract = {IntroductionAustralian breast cancer survivors are at increased risk of cardiovascular disease and mortality, partly due to behavioural risk factors, including unhealthy diet and physical inactivity. Guidelines recommend health promotion delivered by general practitioners (GPs), but resources (ie, time and funding) are limited. Text message interventions sent from general practice to survivors may offer a low-resource solution but have not been evaluated. This randomised controlled trial (RCT) aims to evaluate the effectiveness and implementation of a text message intervention called EMPOWER-SMS-GP in Australian general practices.Methods and analysisMulti-centre single-blind hybrid I RCT (n=678; 1:1 allocation) comparing EMPOWER-SMS-GP (n=339) to usual care (n=339) at 6 months (postintervention), 12, 18 and 24 months (maintenance) and parallel mixed-methods process evaluation using the Reach, Effectiveness, Adoption, Implementation and Maintenance framework. Inclusion: adults (≥18 years old) with early-stage breast cancer, completed active treatment ≤3 years ago, have a mobile phone and attended ≥1 GP appointment within 24 months. Primary outcome: between-group difference in mean physical activity (metabolic equivalent minutes/day) at 6 months, measured using an accelerometer. Secondary outcomes include self-reported physical activity, diet, quality of life, financial or psychological distress, fear of cancer recurrence, endocrine therapy adherence and body mass index. Statistical analyses (intention-to-treat) will include t-test (primary outcome) and linear and logistic mixed-effects regression models.Ethics and disseminationApproval received from the University of Sydney Human Research Ethics Committee (Number 2023/081). Trial results will be disseminated in peer-reviewed publications, presentations, lay summaries, videos and audio for scientific, government and public audiences.Trial registration numberAustralia and New Zealand Clinical Trial Registry (ACTRN12624000591550, 09/05/2024; U1111-1307-3454).},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Thornton2024,

title = {The Triple E project: a factorial randomised controlled trial to enhance engagement with eHealth approaches to improve health risk behaviours among adolescents},

author = {Louise Thornton and Clare Corliss and Hannah Deen and Maree Teesson and Katrina E. Champion and Stephanie R. Partridge and Milena Heinsch and Bonnie Spring and Lauren A. Gardner and Debra Rickwood and Matthew Sunderland and Nicola C. Newton and Sarah Zaman and Julie Redfern and Bridie Osman and Jessica Wilson and Matthew Watt and Frances Kay-Lambkin},

doi = {10.1186/s12889-024-20124-5},

issn = {1471-2458},

year  = {2024},

date = {2024-12-00},

journal = {BMC Public Health},

volume = {24},

number = {1},

publisher = {Springer Science and Business Media LLC},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Gallagher2024,

title = {A Self-Administered Gamified Mobile Application for Secondary Prevention of Heart Disease in Patients Following a Cardiac Event (MyHeartMate): Process Evaluation from a Randomized Controlled Trial},

author = {Robyn Gallagher and Lis Neubeck and Angus Davis and Julie Redfern and Helen M. Parker and Karice Hyun and Clara Chow and David S. Celermajer and Thomas Buckley and Tracy Schumacher and Geoffrey Tofler and Gemma Figtree},

doi = {10.1089/g4h.2024.0174},

issn = {2161-7856},

year  = {2024},

date = {2024-11-25},

journal = {Games for Health Journal},

publisher = {Mary Ann Liebert Inc},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Ghisi2024,

title = {Psychometric validation of the short version of the Information Needs in Cardiac Rehabilitation scale through a first global assessment},

author = {Gabriela Lima de Melo Ghisi and Mayara Moura Alves da Cruz and Luiz Carlos Marques Vanderlei and Xia Liu and Zhimin Xu and Mariya Prakash Jiandani and Lucky Cuenza and Evangelia Kouidi and Francesco Giallauria and Jibril Mohammed and Lela Maskhulia and Patricia Fernandes Trevizan and Ladislav Batalik and Danielle Gomes Pereira and Nidal Tourkmani and Ivana Burazor and Elio Venturini and Gerlene Grudka Lira and Manuella Bennaton Cardoso Vieira Rehfeld and Victor Ribeiro Neves and Geovana de Jesus Borges and Won-Seok Kim and Seungwoo Cha and Ling Zhang and Sherry L Grace},

doi = {10.1093/eurjpc/zwae148},

issn = {2047-4881},

year  = {2024},

date = {2024-11-18},

volume = {31},

number = {16},

pages = {1927--1936},

publisher = {Oxford University Press (OUP)},

abstract = {Abstract

               

                  Aims

                  Tailored education is recommended for cardiac patients, yet little is known about information needs in areas of the world where it is most needed. This study aims to assess (i) the measurement properties of the Information Needs in Cardiac Rehabilitation short version (INCR-S) scale and (ii) patient’s information needs globally.

               

               

                  Methods and results

                  In this cross-sectional study, English, simplified Chinese, Portuguese, or Korean versions of the INCR-S were administered to in- or out-patients via Qualtrics (January 2022–November 2023). Members of the International Council of Cardiovascular Prevention and Rehabilitation community facilitated recruitment. Importance and knowledge sufficiency of 36 items were rated. Links to evidence-based lay education were provided where warranted. A total of 1601 patients from 19 middle- and high-income countries across the world participated. Structural validity was supported upon factor analysis, with five subscales extracted: symptom response/medication, heart diseases/diagnostic tests/treatments, exercise and return-to-life roles/programmes to support, risk factors, and healthy eating/psychosocial management. Cronbach’s alpha was 0.97. Construct validity was supported through significantly higher knowledge sufficiency ratings for all items and information importance ratings for all subscales in cardiac rehabilitation (CR) enrolees vs. non-enrolees (all P < 0.001). All items were rated as very important—particularly regarding cardiac events, nutrition, exercise benefits, medications, symptom response, risk factor control, and CR—but more so in high-income countries in the Americas and Western Pacific. Knowledge sufficiency ranged from 30.0 to 67.4%, varying by region and income class. Ratings were highest for medications and lowest for support groups, resistance training, and alternative medicine.

               

               

                  Conclusion

                  Identification of information needs using the valid and reliable INCR-S can inform educational approaches to optimize patients’ health outcomes across the globe.

               },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Walton2024,

title = {Transient Ischemic Attack and Mild Stroke Participant Perspectives on Barriers and Enablers to Participation in Cardiovascular Rehabilitation},

author = {Lucy Walton and Juliana De Mendonca and Elisabeth Preston and Rachel Davey and Allyson Flynn and Nicole Freene},

doi = {10.1097/jcn.0000000000001155},

issn = {1550-5049},

year  = {2024},

date = {2024-11-12},

journal = {J Cardiovasc Nurs},

publisher = {Ovid Technologies (Wolters Kluwer Health)},

abstract = {

            Background

            Exercise-based cardiac rehabilitation reduces the risk factors and recurrence of cardiovascular disease in patients with coronary heart disease. Despite similar risk factors, people with transient ischemic attack (TIA) and mild stroke do not attend cardiac rehabilitation. Cardiovascular rehabilitation (CVR), including TIA, stroke, and coronary heart disease, could be a solution for increasing participation. Perspectives from TIA and stroke survivors on barriers and enablers to participation in CVR are limited, and implementation strategies for CVR are currently unknown.

          

          

            Objectives

            We sought to determine (1) What were the perspectives of participants with TIA and mild stroke on barriers and enablers to uptake, engagement, and participation in CVR? and (2) What implementation strategies may influence people with TIA and mild stroke to participate in CVR?

          

          

            Methods

            In-depth semistructured interviews were conducted with CVR participants. Inductive thematic analysis was completed before deductively mapping themes to implementation frameworks, the Capability, Opportunity, Motivation, and Behavior Model and Theoretical Domains Framework.

          

          

            Results

            Twenty participants aged 73 ± 11 years were interviewed. Most were men, stroke survivors, tertiary educated, and retired. Six themes were generated to explain the barriers and enablers to CVR participation. Themes and subthemes mapped to 8 Theoretical Domains Framework domains and 5 Capability, Opportunity, Motivation, and Behavior constructs. Prioritizing participants' physical and social opportunities, reflective motivation, and physical and psychological capabilities may improve their participation in CVR.

          

          

            Conclusions

            Barriers and enablers to CVR participation were similar to those in the coronary heart disease population. Increasing access and availability of CVR for people with TIA and mild stroke should be prioritized for future implementation.

          },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Chaseling2024,

title = {Simple Strategies to Reduce Cardiac Strain in Older Adults in Extreme Heat},

author = {Georgia K. Chaseling and Nicole T. Vargas and Lily Hospers and Hadiatou Barry and Amy Harwood and Connor Graham and Audrey-Ann Bartlett and Amélie Debray and Grant Lynch and Anthony Capon and Craig G. Crandall and Maria Fiatarone Singh and Yorgi Mavros and Peng Bi and Anil Nigam and Malorie Chabot-Blanchet and Daniel Gagnon and Ollie Jay},

doi = {10.1056/nejmc2407812},

issn = {1533-4406},

year  = {2024},

date = {2024-11-07},

journal = {N Engl J Med},

volume = {391},

number = {18},

pages = {1754--1756},

publisher = {Massachusetts Medical Society},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Figtree2024,

title = {The national Cardiovascular Health Leadership Research Forum: a new data‐driven model placing research at the centre of improving patient outcomes},

author = {Gemma A Figtree and Kerry Doyle and Lee Nedkoff and Dominique A Cadilhac and Jason Kovacic and },

doi = {10.5694/mja2.52482},

issn = {1326-5377},

year  = {2024},

date = {2024-11-04},

journal = {Medical Journal of Australia},

volume = {221},

number = {9},

pages = {452--456},

publisher = {Wiley},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Anderson2024,

title = {The Effect of Water Dousing on Heat Strain and Performance During Endurance Running in the Heat},

author = {Mitchell Anderson and Clint Bellenger and Georgia K. Chaseling and Samuel Chalmers},

doi = {10.1123/ijspp.2024-0044},

issn = {1555-0273},

year  = {2024},

date = {2024-11-01},

volume = {19},

number = {11},

pages = {1291--1298},

publisher = {Human Kinetics},

abstract = {Objectives: Assess the effect of water dousing on heat strain and performance during self- and fixed-paced exercise in the heat. Design: Crossover, block-randomized controlled trial. Methods: Thirteen trained runners completed a 10-km time trial (TT) and 60-minute fixed-pace run (60% velocity of ) in a 30.4 °C, 47.4% relative humidity environment using either water dousing (DOUSE) or no dousing (CON). Results: Ten-kilometer TT performance was faster in DOUSE compared to CON (44:11 [40:48, 47:34] vs 44:38 [41:21, 47:56] min:s; P = .033). Change in core temperature (Tc) was not different between groups during the TT (+0.02 [−0.04, 0.07] °C in DOUSE; P = .853) or fixed-pace run (+0.02 [−0.15, 0.18] °C; P = .848). Change in mean skin temperature was lower in DOUSE during the TT (−1.80 [−2.15, −1.46] °C; P < .001) and fixed-pace run (−1.38 [−1.81, −0.96] °C; P < .001). Heart rate was lower for DOUSE during the fixed-pace run (−3.5 [−6.8, −0.2] beats/min; P = .041) but not during the TT (−0.2 [−2.5, 2.1] beats/min; P = .853). Thermal sensation was lower for DOUSE during the TT (−49.3 [−72.1, −26.1] mm; P < .001) and fixed-pace run (−44.7 [−59.7, −29.6] mm; P < .001). Rating of perceived exertion was not different between groups for the TT (−0.2 [−0.7, 0.3]; P = .390) or fixed-pace run (−0.2 [−0.8, 0.4]; P = .480). Sweat rate was lower for DOUSE for the TT (−0.37 [−0.53, −0.22] L/h; P < .001) and fixed-pace run (−0.37 [−0.48, −0.26] L/h; P < .001). Conclusion: Water dousing improves 10-km TT performance in the heat but does not affect Tc. The positive change in thermal perception (via lower skin temperature) during the TT likely drives this benefit.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Hickling2024,

title = {Single high-sensitivity troponin-I for ruling out acute coronary syndrome: a detection limit approach},

author = {Siobhan Hickling and Chelsea J Francis and Derek P Chew and Biswadev Mitra and Graham S Hillis},

editor = {Magnus Bäck},

doi = {10.1093/ehjopen/oeae094},

issn = {2752-4191},

year  = {2024},

date = {2024-11-01},

volume = {4},

number = {6},

publisher = {Oxford University Press (OUP)},

abstract = {Abstract

               

                  Aims

                  The aim of this study was determine the incidence of major adverse cardiac events within 30 and 365-days among patients discharged from emergency departments (EDs), following a single high-sensitivity cardiac troponin I test result below or close to the limits of detection (LoD).

               

               

                  Methods and results

                  Patients ≥20 years old who presented to four EDs from mid-2014 to end-2015, underwent a single high-sensitivity troponin test and were discharged were included. Data from ED presentations, hospital admissions, mortality records, and pathology laboratories were linked and harmonized. High-sensitivity troponin levels were categorized as below (<2 ng/L) or close to (<5 ng/L) the LoD. The primary outcome was cardiovascular death and myocardial infarction (MI), identified using ICD-10-AM codes. In a cohort of 6633 patients, 49% had high-sensitivity troponin levels below the LoD (<2 ng/L), and 79% had levels <5 ng/L. There were no primary outcome events at 30-day follow-up among patients with high-sensitivity troponin results below 2 or 5 ng/L. At 365-days, there were 5 (0.15%) and 11 (0.21%) primary outcome events for patients with high-sensitivity troponin results below 2 and 5 ng/L, indicating negative predictive values of 99.85% and 99.79%.

               

               

                  Conclusion

                  These findings confirm that patients with a single very low level of high-sensitivity troponin on presentation to EDs are at low risk of MI and cardiovascular death at 30 and 365 days, supporting the safety of a triage strategy incorporating a single high-sensitivity troponin result below the LoD to identify patients at low-risk, who may be suitable for expedited discharge.

               },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Anderson2024b,

title = {The Effect of Water Dousing on Heat Strain and Performance During Endurance Running in the Heat},

author = {Mitchell Anderson and Clint Bellenger and Georgia K. Chaseling and Samuel Chalmers},

doi = {10.1123/ijspp.2024-0044},

issn = {1555-0273},

year  = {2024},

date = {2024-11-01},

volume = {19},

number = {11},

pages = {1291--1298},

publisher = {Human Kinetics},

abstract = {Objectives: Assess the effect of water dousing on heat strain and performance during self- and fixed-paced exercise in the heat. Design: Crossover, block-randomized controlled trial. Methods: Thirteen trained runners completed a 10-km time trial (TT) and 60-minute fixed-pace run (60% velocity of ) in a 30.4 °C, 47.4% relative humidity environment using either water dousing (DOUSE) or no dousing (CON). Results: Ten-kilometer TT performance was faster in DOUSE compared to CON (44:11 [40:48, 47:34] vs 44:38 [41:21, 47:56] min:s; P = .033). Change in core temperature (Tc) was not different between groups during the TT (+0.02 [−0.04, 0.07] °C in DOUSE; P = .853) or fixed-pace run (+0.02 [−0.15, 0.18] °C; P = .848). Change in mean skin temperature was lower in DOUSE during the TT (−1.80 [−2.15, −1.46] °C; P < .001) and fixed-pace run (−1.38 [−1.81, −0.96] °C; P < .001). Heart rate was lower for DOUSE during the fixed-pace run (−3.5 [−6.8, −0.2] beats/min; P = .041) but not during the TT (−0.2 [−2.5, 2.1] beats/min; P = .853). Thermal sensation was lower for DOUSE during the TT (−49.3 [−72.1, −26.1] mm; P < .001) and fixed-pace run (−44.7 [−59.7, −29.6] mm; P < .001). Rating of perceived exertion was not different between groups for the TT (−0.2 [−0.7, 0.3]; P = .390) or fixed-pace run (−0.2 [−0.8, 0.4]; P = .480). Sweat rate was lower for DOUSE for the TT (−0.37 [−0.53, −0.22] L/h; P < .001) and fixed-pace run (−0.37 [−0.48, −0.26] L/h; P < .001). Conclusion: Water dousing improves 10-km TT performance in the heat but does not affect Tc. The positive change in thermal perception (via lower skin temperature) during the TT likely drives this benefit.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Ding2024,

title = {The association of diet quality and physical activity with cardiovascular disease and mortality in 85,545 older Australians: A longitudinal study},

author = {Ding Ding and Joe Van Buskirk and Stephanie Partridge and Philip Clare and Edward Giovannucci and Adrian Bauman and Nicole Freene and Robyn Gallagher and Binh Nguyen},

doi = {10.1016/j.jshs.2024.05.011},

issn = {2095-2546},

year  = {2024},

date = {2024-11-00},

journal = {Journal of Sport and Health Science},

volume = {13},

number = {6},

pages = {841--850},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Tu2024d,

title = {Individual and joint effects of diabetes and depression on incident cardiovascular diseases and all-cause mortality: Results from a population-based cohort study},

author = {Qiang Tu and Karice Hyun and Shuanglan Lin and Nashid Hafiz and Deborah Manandi and Qian Zhang and Xinzheng Wang and Na Zhang and Haisheng Wu and Julie Redfern},

doi = {10.1016/j.jdiacomp.2024.108878},

issn = {1056-8727},

year  = {2024},

date = {2024-11-00},

journal = {Journal of Diabetes and its Complications},

volume = {38},

number = {11},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Zhao2024,

title = {Detecting and managing cognitive impairment in cardiac patients: insights from qualitative interviews with nurses},

author = {Emma Zhao and Jacqueline Bloomfield and Nicole Lowres and Robyn Gallagher},

doi = {10.1080/10376178.2024.2415896},

issn = {1839-3535},

year  = {2024},

date = {2024-11-00},

journal = {Contemporary Nurse},

volume = {60},

number = {6},

pages = {697--709},

publisher = {Informa UK Limited},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Hyun2024,

title = {Cardiac rehabilitation attendance and outcomes 3 years after acute coronary syndrome (ACS): Linked national data of the SNAPSHOT ACS audit},

author = {K Hyun and M Hollings and T Briffa and D Brieger and D Chew and J French and C Astley and R Gallagher and C Ellis and B Carr and K Nallaiah and K Lintern and L Neubeck and D Candelaria and J Redfern},

doi = {10.1093/eurheartj/ehae666.2976},

issn = {1522-9645},

year  = {2024},

date = {2024-10-28},

volume = {45},

number = {Supplement_1},

publisher = {Oxford University Press (OUP)},

abstract = {Abstract

               

                  Background

                  In international guidelines, cardiac rehabilitation is recommended to reduce readmissions, mortality and improve disease management. However, evidence from a long-term follow-up in a representative cohort is scarce.

               

               

                  Purpose

                  To compare 3-year outcomes among acute coronary syndrome (ACS) survivors who attended cardiac rehabilitation programs and those who did not.

               

               

                  Methods

                  This was a follow-up of the SNAPSHOT ACS cohort in 1,920 Australians. Clinical data of those presenting with suspected ACS, hospitalised, discharged alive and followed for 18 months were linked to jurisdictional/national regulatory hospitalisation, mortality and pharmacotherapy records. Outcomes were all-cause and cardiovascular mortality, myocardial infarction (MI) and cardiovascular readmissions. Cox regression was used to analyse all-cause mortality, and Fine and Gray competing risk model for cardiovascular mortality, MI and cardiovascular readmissions, where non-cardiovascular mortality or all-cause mortality were competing events. The models were adjusted for age, sex, discharge diagnosis and coronary revascularisation.

               

               

                  Results

                  The cohort was aged 66±13.5 years; 60% were male, 31% had a discharge diagnosis of MI, and 490 (26%) attended cardiac rehabilitation. Cardiac rehabilitation attendees more frequently received coronary revascularisation and had a discharge diagnosis of MI during index admission. Attendees were more likely to be men (70% vs 57%, p<0.001) with a family history of coronary disease (43% vs 36%, p=0.008). The prescription of ≥3 guideline-indicated medications was higher in cardiac rehabilitation attendees. Compared to those who did not attend cardiac rehabilitation, the hazard of all-cause mortality was lower for the attendees (4.3% vs 8.6%, HR: 0.55, 95% CI: 0.34-0.91), but the hazard of MI and cardiovascular readmissions significantly greater in the attendees (17% vs 8.5%, HR: 1.99, 95% CI: 1.41-2.82; 42% vs 33%, HR: 1.34, 95% CI: 1.10-1.63; respectively) (Figure). There was insufficient cardiovascular mortality between groups to fit a statistical model (n=7 (1.4%) vs n=24 (1.7%), p=0.705).

               

               

                  Conclusions

                  Survivors of ACS attending cardiac rehabilitation were associated with reduced all-cause mortality and increased readmissions related to MI and cardiovascular disease at 3 years follow-up. These findings support secondary prevention strategies to mitigate mortality risk after ACS.

               },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Gibson2024,

title = {Development of a Digital Health Intervention for the Secondary Prevention of Cardiovascular Disease (INTERCEPT): Co-Design and Usability Testing Study},

author = {Irene Gibson and Lis Neubeck and Marissa Corcoran and Chris Morland and Steve Donovan and Jennifer Jones and Caroline Costello and Lisa Hynes and Aisling Harris and Mary Harrahill and Mary Lillis and Alison Atrey and Chantal F Ski and Vilius Savickas and Molly Byrne and Andrew W Murphy and John William McEvoy and David Wood and Catriona Jennings},

doi = {10.2196/63707},

issn = {2292-9495},

year  = {2024},

date = {2024-10-23},

journal = {JMIR Hum Factors},

volume = {11},

publisher = {JMIR Publications Inc.},

abstract = {

            Background

            Secondary prevention is an important strategy to reduce the burden of cardiovascular disease (CVD), a leading cause of death worldwide. Despite the growing evidence for the effectiveness of digital health interventions (DHIs) for the secondary prevention of CVD, the majority are designed with minimal input from target end users, resulting in poor uptake and usage.

          

          

            Objective

            This study aimed to optimize the acceptance and effectiveness of a DHI for the secondary prevention of CVD through co-design, integrating end users’ perspectives throughout.

          

          

            Methods

            A theory-driven, person-based approach using co-design was adopted for the development of the DHI, known as INTERCEPT. This involved a 4-phase iterative process using online workshops. In phase 1, a stakeholder team of health care professionals, software developers, and public and patient involvement members was established. Phase 2 involved identification of the guiding principles, content, and design features of the DHI. In phase 3, DHI prototypes were reviewed for clarity of language, ease of navigation, and functionality. To anticipate and interpret DHI usage, phase 4 involved usability testing with participants who had a recent cardiac event (<2 years). To assess the potential impact of usability testing, the System Usability Scale was administered before and after testing. The GUIDED (Guidance for Reporting Intervention Development Studies in Health Research) checklist was used to report the development process.

          

          

            Results

            Five key design principles were identified: simplicity and ease of use, behavioral change through goal setting and self-monitoring, personalization, system credibility, and social support. Usability testing resulted in 64 recommendations for the app, of which 51 were implemented. Improvements in System Usability Scale scores were observed when comparing the results before and after implementing the recommendations (61 vs 83; P=.02).

          

          

            Conclusions

            Combining behavior change theory with a person-based, co-design approach facilitated the development of a DHI for the secondary prevention of CVD that optimized responsiveness to end users’ needs and preferences, thereby potentially improving future engagement.

          },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Verdicchio2024,

title = {Understanding what factors underpin change in walking distance in patients with depression following completion of cardiac rehabilitation: commentary},

author = {Christian V Verdicchio and Matthew Hollings and Nicole Freene},

doi = {10.1093/eurjcn/zvae078},

issn = {1873-1953},

year  = {2024},

date = {2024-10-21},

volume = {23},

number = {7},

pages = {e144--e145},

publisher = {Oxford University Press (OUP)},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Freene2024d,

title = {Dose–Response Independent and Joint Associations of Physical Activity and Sedentary Behavior With Mortality Risk in 40 156 Australian Adults With Coronary Heart Disease},

author = {Nicole Freene and Amanda Lönn and Suzanne Carroll and Theo Niyonsenga and Adrian Bauman and Robyn Gallagher and Ding Ding and Rachel Davey},

doi = {10.1161/jaha.124.035803},

issn = {2047-9980},

year  = {2024},

date = {2024-10-18},

journal = {JAHA},

publisher = {Ovid Technologies (Wolters Kluwer Health)},

abstract = {

            Background

            Little is known about the relationship between physical activity (PA) and sedentary behavior (SB) with death in people with coronary heart disease. The aim was to examine the independent and joint associations of PA and SB with death.

          

          

            Methods and Results

            This is a prospective cohort study including Australian participants aged ≥45 years with self‐reported coronary heart disease (2006–2020). Self‐reported PA (min/wk) and SB (h/d) were the exposures. Cardiac and all‐cause death were the main outcomes. The cohort included 40 156 participants (mean age, 70.3 (SD, 10.3) years; 15 278 women [38%]). During a median follow‐up of 11.1 (interquartile range, 6.2–14.4) years, 2497 cardiac and 12 240 all‐cause deaths were recorded. Compared with no PA, a 20% to 30% lower risk of cardiac and all‐cause death was associated with any level of PA. Walking and moderate to vigorous PA at 150 to 300 min/wk was associated with a 43% to 44% lower risk of cardiac death and 35% to 40% lower risk of all‐cause death. Compared with ≥10.5 h/d of SB, participants who were sedentary for 7 to 10.4 h/d experienced an ≈25% reduced associated risk of cardiac and all‐cause death. A 56% associated reduction in all‐cause mortality risk was found if SB was limited to <3.4 h/d. If participants completed >150 min/wk moderate to vigorous PA and spent <7 h/d in SB, the associated risk of cardiac and all‐cause death was reduced by ≈70%.

          

          

            Conclusions

            All people with coronary heart disease should be encouraged to meet the PA guidelines and limit SB to <7 h/d, noting any increase in physical activity and decrease in SB is better than none to prevent premature death.

          },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{McEvoy2024,

title = {Variation in secondary prevention of coronary heart disease: the INTERASPIRE study},

author = {John William McEvoy and Catriona Jennings and Kornelia Kotseva and Dirk De Bacquer and Guy De Backer and Iris Erlund and Terhi Vihervaara and Gregory Y H Lip and Kausik K Ray and Lars Rydén and Ana Abreu and Wael Almahmeed and Ade Meidian Ambari and Junbo Ge and Hosam Hasan-Ali and Yong Huo and Piotr Jankowski and Rodney M Jimenez and Yong Li and Ahmad Syadi Mahmood Zuhdi and Abel Makubi and Amam Chinyere Mbakwem and Lilian Mbau and Jose Luis Navarro Estrada and Okechukwu Samuel Ogah and Elijah Nyainda Ogola and Adalberto Quintero–Baiz and Mahmoud Umar Sani and Maria Ines Sosa Liprandi and Jack Wei Chieh Tan and Miguel Alberto Urina Triana and Tee Joo Yeo and Sandra Ganly and Agnieszka Adamska and David Wood},

doi = {10.1093/eurheartj/ehae558},

issn = {1522-9645},

year  = {2024},

date = {2024-10-14},

volume = {45},

number = {39},

pages = {4184--4196},

publisher = {Oxford University Press (OUP)},

abstract = {Abstract

               

                  Background and Aims

                  INTERASPIRE is an international study of coronary heart disease (CHD) patients, designed to measure if guideline standards for secondary prevention and cardiac rehabilitation are being achieved in a timely manner.

               

               

                  Methods

                  Between 2020 and 2023, adults hospitalized in the preceding 6–24 months with incident or recurrent CHD were sampled in 14 countries from all 6 World Health Organization regions and invited for a standardized interview and examination. Direct age and sex standardization was used for country-level prevalence estimation.

               

               

                  Results

                  Overall, 4548 (21.1% female) CHD patients were interviewed a median of 1.05 (interquartile range .76–1.45) years after index hospitalization. Among all participants, 24.6% were obese (40.7% centrally). Only 38.6% achieved a blood pressure (BP) < 130/80 mmHg and 16.6% a LDL cholesterol (LDL-C) of <1.4 mmol/L. Of those smoking at hospitalization, 48% persisted at interview. Of those with known diabetes, 55.2% achieved glycated haemoglobin (HbA1c) of <7.0%. A further 9.8% had undetected diabetes and 26.9% impaired glucose tolerance. Females were less likely to achieve the targets: BP (females 36.8%, males 38.9%), LDL-C (females 12.0%, males 17.9%), and HbA1c in diabetes (females 47.7%, males 57.5%). Overall, just 9.0% (inter-country range 3.8%–20.0%) reported attending cardiac rehabilitation and 1.0% (inter-country range .0%–2.4%) achieved the study definition of optimal guideline adherence.

               

               

                  Conclusions

                  INTERASPIRE demonstrates inadequate and heterogeneous international implementation of guideline standards for secondary prevention in the first year after CHD hospitalization, with geographic and sex disparity. Investment aimed at reducing between-country and between-individual variability in secondary prevention will promote equity in global efforts to reduce the burden of CHD.

               },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Nguyen2024,

title = {“What concerns me or what is most interesting to me”: A qualitative study about what influences adolescent engagement with public health issues},

author = {Binh Nguyen and Rebecca Raeside and James Kite and Becky Freeman and Philayrath Phongsavan and Hoi Lun Cheng and Katharine Steinbeck and Louise Alison Baur and Stephanie Ruth Partridge},

doi = {10.1002/hpja.869},

issn = {2201-1617},

year  = {2024},

date = {2024-10-00},

journal = {Health Prom J of Aust},

volume = {35},

number = {4},

pages = {1295--1301},

publisher = {Wiley},

abstract = {AbstractIssues AddressedPromoting public health messages in adolescence may influence future health outcomes. A better understanding of what influences adolescent engagement with public health issues is needed.MethodsAdolescents aged 13–19 years from New South Wales, Australia, were recruited via study advertisements to participate in an online focus group. All provided informed consent and completed a short survey including demographics and selection of leading public health issues of concern. Participants attended a 75–90 min focus group conducted through Zoom teleconference that explored top public health issues of concern to participants, and barriers/enablers to engage with these issues. Qualitative data was thematically analysed using NVivo. A working group reached consensus on final themes.ResultsOut of 18 participants (mean 15.4 [SD: 2.2] years; 50% female), most attended high school (83%), spoke predominantly English at home (89%), and resided in metropolitan areas (94%). The top public health issues of concern selected were mental health (56%) and the environment/climate change (56%). From the thematic analysis, underlying drivers of adolescent engagement with public health issues included: personal connection to these issues, broader societal impact, and exposure to public health issues on digital media. Barriers included feeling unempowered, and a lack of support and opportunities.ConclusionsThis study provides insights on the barriers and enablers of adolescents engaging with public health issues of concern to them.So What?Understanding this may help health professionals and researchers to design more influential public health campaigns and interventions, including through co‐design processes, which may improve future health outcomes.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Todd2024,

title = {Adolescent Involvement in Health Research: Insights From Young People, Ph.D. Candidates and Early Career Researchers},

author = {Allyson R. Todd and Rebecca Raeside and Sisi Jia and Stephanie R. Partridge},

doi = {10.1016/j.jadohealth.2024.04.031},

issn = {1054-139X},

year  = {2024},

date = {2024-10-00},

journal = {Journal of Adolescent Health},

volume = {75},

number = {4},

pages = {686--687},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Zemedikun2024,

title = {Temporal trends in concordance between ICD-coded and cardiac biomarker-classified hospitalisation rates for acute coronary syndromes: a linked hospital and biomarker data study},

author = {Dawit Zemedikun and Joseph Hung and Derrick Lopez and Matthew Knuiman and David Youens and Tom G Briffa and Frank Sanfilippo and Lee Nedkoff},

doi = {10.1136/openhrt-2024-002995},

issn = {2053-3624},

year  = {2024},

date = {2024-10-00},

journal = {Open Heart},

volume = {11},

number = {2},

publisher = {BMJ},

abstract = {

                  Background

                  Since 2000, the definition of myocardial infarction (MI) has evolved with reliance on cardiac troponin (cTn) tests. The implications of this change on trends of acute coronary syndrome (ACS) subtypes obtained from routinely collected hospital morbidity data are unclear. Using person-linked hospitalisation data, we compared International Classification of Diseases (ICD)-coded data with biomarker-classified admission rates for ST-segment elevation MI (STEMI), non-STEMI (NSTEMI) and unstable angina (UA) in Western Australia (WA).

               

               

                  Methods

                  We used linked hospitalisation data from all WA tertiary hospitals to identify patients with a principal diagnosis of STEMI, NSTEMI or UA between 2002 and 2016. Linked biomarker results were classified as ‘diagnostic’ for MI according to established criteria. We calculated age-standardised and sex-standardised rates (ASSRs) for ICD-coded versus biomarker-classified admissions by ACS subtypes and estimated annual change in admissions using Poisson regression adjusting for age and sex.

               

               

                  Results

                  There were 37 272 ACS admissions in 30 683 patients (64.2% male), and 96% of cases had linked biomarker data, predominantly conventional cTn at the start and high-sensitive cTn from late 2013. Despite lower ASSRs, trends in MI classified with a diagnostic biomarker were concordant with ICD-coded admissions rates for both STEMI and NSTEMI. Between 2002 and 2010, STEMI rates declined by 4.1% (95% CI 5.0%, 3.1%) and 3.4% (95% CI 4.6%, 2.3%) in ICD-coded and biomarker-classified admissions, respectively, and both plateaued thereafter. For NSTEMI between 2002 and 2010, the ICD-coded and biomarker-classified rates increased 8.0% per year (95% CI 7.2%, 8.9%) and 8.0% (95% CI 7.0%, 9.0%), respectively, and both subsequently declined. For UA, both ICD-coded and biomarker-classified UA admission rates declined in a steady and concordant manner between 2002 and 2016.

               

               

                  Conclusions

                  The present study supports the validity of using administrative data to monitor population trends in ACS subtypes as they appear to generally reflect the redefinition of MI in the troponin era.

               },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Shi2024,

title = {Illness perception as a mediator of disease severity, psychological stress, and health-related quality of life in patients with acute coronary syndrome: a commentary},

author = {Wendan Shi and Joseph Weddell and Robyn Gallagher and Dion Candelaria},

doi = {10.1093/eurjcn/zvae042},

issn = {1873-1953},

year  = {2024},

date = {2024-09-05},

volume = {23},

number = {6},

pages = {e109--e110},

publisher = {Oxford University Press (OUP)},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Shi2024b,

title = {Evaluation of a digital patient education programme for Chinese immigrants after a heart attack},

author = {Wendan Shi and Ling Zhang and Gabriela L M Ghisi and Lise Panaretto and Paul Oh and Robyn Gallagher},

doi = {10.1093/eurjcn/zvad128},

issn = {1873-1953},

year  = {2024},

date = {2024-09-05},

volume = {23},

number = {6},

pages = {599--607},

publisher = {Oxford University Press (OUP)},

abstract = {Abstract

               

                  Aims

                  To evaluate a self-administered digital education resource for patients after a heart attack (adapted simplified Chinese version of Cardiac College™) on secondary prevention knowledge and health behaviour change outcomes.

               

               

                  Methods and results

                  Chinese immigrants recovering from a heart attack were recruited from cardiac rehabilitation programmes at four metropolitan tertiary hospitals. Participants provided access to Cardiac College™ (adapted simplified Chinese version), a self-learning secondary prevention virtual education resource over 4 weeks. The web-based resources include 9 booklets and 10 pre-recorded video education sessions. Assessments included health literacy, secondary prevention knowledge, self-management behaviours, self-reported physical activity, and a heart-healthy diet. Satisfaction, acceptability, and engagement were also assessed.

                  From 81 patients screened, 67 were recruited, and 64 (95.5%) completed the study. The participants’ mean age was 67.2 ± 8.1 years old, 81.2% were males, and the majority had no English proficiency (65.6%). Following the intervention, significant improvements were observed for secondary prevention knowledge overall and in all subdomains, with the most improvement occurring in medical, exercise, and psychological domains (P < 0.001). Dietary and self-management behaviours also improved significantly (P < 0.05). According to participants, the educational materials were engaging (100%), and the content was adequate (68.8%); however, 26.6% found the information overwhelming. Overall, 46.9% were highly satisfied with the resources.

               

               

                  Conclusion

                  A self-learning virtual patient-education package improved secondary prevention knowledge and self-care behaviour in Chinese immigrants after a heart attack. The culturally adapted version of Cardiac College™ offers an alternative education model where bilingual staff or translated resources are limited.

               },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Freene2024c,

title = {Validity of the Active Australia Survey in an Australian cardiac rehabilitation population},

author = {Nicole Freene and Susan Hartono and Margaret McManus and Tarryn Mair and Ren Tan and Rachel Davey},

doi = {10.1016/j.jsams.2024.04.016},

issn = {1440-2440},

year  = {2024},

date = {2024-08-00},

journal = {Journal of Science and Medicine in Sport},

volume = {27},

number = {8},

pages = {545--550},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Gebremichael2024,

title = {\textit{Missed opportunity}: a clinical data linkage study of guideline‐directed medical therapy and clinical outcomes of patients discharged with acute coronary syndrome who attended cardiac rehabilitation programs},

author = {Lemlem G. Gebremichael and Alline Beleigoli and Jonathon W. Foote and Norma B. Bulamu and Joyce S. Ramos and Orathai Suebkinorn and Julie Redfern and Robyn A. Clark and },

doi = {10.1002/jppr.1923},

issn = {2055-2335},

year  = {2024},

date = {2024-08-00},

journal = {Pharmacy Practice and Res},

volume = {54},

number = {4},

pages = {314--322},

publisher = {Wiley},

abstract = {AbstractBackgroundAlthough guidelines recommend guideline‐directed medical therapy (GDMT) for patients with acute coronary syndrome (ACS), implementation is limited in clinical practice.AimTo assess the level of GDMT in ACS patients after discharge who attended cardiac rehabilitation (CR) programs and association with clinical outcomes.MethodA cross‐sectional study was conducted in 13 rural and 10 metropolitan CR programs via all modes of delivery (face‐to‐face, telephone, or general practice‐hybrid) operating in South Australia, Australia. ACS patients were included if they were ≥18 years of age and were referred and attended CR programs with medication details recorded in their hospital discharge summary. GDMT was assessed according to the Australian clinical guidelines for the management of acute coronary syndromes 2016. Prescription of all the four recommended medication classes was considered optimal. Logistic regression and χ2 test were used for association. Ethical approval was granted by the South Australian Department for Health and Wellbeing Human Research Ethics Committee (Reference No. HREC/15/SAH/63) and the Northern Territory Department of Health Human Research Ethics Committee (Reference No. HREC 2015‐2484) which included a waiver of consent per the National Statement on Ethical Conduct in Human Research and the study conforms with the Good Clinical Practice Guidelines.ResultsOf the 1229 patients included, 74.6% were male and 41.1% had acute myocardial infarction. Only 39.7% of patients received optimal prescription. Prescription of any three or two medication class combinations occurred for 78.3% and 94.1% of patients, respectively. Optimal GDMT was associated with fewer hospital admissions (odds ratio = 0.647, 95% confidence interval 0.424–0.987, p = 0.043) with no significant gender association. Women were less likely to be prescribed angiotensin converting enzyme inhibitors (p = 0.003), angiotensin receptor blockers (p = 0.007), statins (p = 0.005), and any two (p < 0.001) and three combinations (p = 0.023) of medication classes.ConclusionGDMT prescription was suboptimal in patients with ACS before attendance at CR. Primary care and CR clinicians have missed an opportunity to implement best practice guideline recommendations, particularly for women.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Tu2024c,

title = {The effects of multidisciplinary collaborative care on cardiovascular risk factors among patients with diabetes in primary care settings: A systematic review and meta-analysis},

author = {Qiang Tu and Shuanglan Lin and Karice Hyun and Nashid Hafiz and Deborah Manandi and Angela S. Koh and Julie Redfern},

doi = {10.1016/j.pcd.2024.05.003},

issn = {1751-9918},

year  = {2024},

date = {2024-08-00},

journal = {Primary Care Diabetes},

volume = {18},

number = {4},

pages = {381--392},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}