Publications

@article{Barry2024,

title = {The Effect of Heat Exposure on Myocardial Blood Flow and Cardiovascular Function},

author = {Hadiatou Barry and Josep Iglesies-Grau and Georgia K. Chaseling and Jade Paul and Camila Gosselin and Caroline D’Oliviera-Sousa and Martin Juneau and Francois Harel and David Kaiser and Matthieu Pelletier-Galarneau and Daniel Gagnon},

doi = {10.7326/m24-3504},

issn = {1539-3704},

year  = {2024},

date = {2024-07-00},

journal = {Ann Intern Med},

volume = {177},

number = {7},

pages = {901--910},

publisher = {American College of Physicians},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Zhao2024b,

title = {Current Practices and Attitudes of Cardiac Nurses Regarding Cognitive Screening in Patients With Acute Coronary Syndrome},

author = {Emma Zhao and Nicole Lowres and Jacqueline Bloomfield and Joseph Weddell and Geoffrey Tofler and Robyn Gallagher},

doi = {10.1016/j.hlc.2024.01.017},

issn = {1443-9506},

year  = {2024},

date = {2024-07-00},

journal = {Heart, Lung and Circulation},

volume = {33},

number = {7},

pages = {1050--1057},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Dawson2024,

title = {Ten‐Year Risk Equations for Incident Heart Failure in Established Atherosclerotic Cardiovascular Disease Populations},

author = {Luke P. Dawson and Melinda J. Carrington and Tilahun Haregu and Shane Nanayakkara and Garry Jennings and Anthony Dart and Dion Stub and Michael Inouye and David Kaye},

doi = {10.1161/jaha.124.034254},

issn = {2047-9980},

year  = {2024},

date = {2024-06-04},

journal = {JAHA},

volume = {13},

number = {11},

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

abstract = {

            Background

            Ten‐year risk equations for incident heart failure (HF) are available for the general population, but not for patients with established atherosclerotic cardiovascular disease (ASCVD), which is highly prevalent in HF cohorts. This study aimed to develop and validate 10‐year risk equations for incident HF in patients with known ASCVD.

          

          

            Methods and Results

            Ten‐year risk equations for incident HF were developed using the United Kingdom Biobank cohort (recruitment 2006–2010) including participants with established ASCVD but free from HF at baseline. Model performance was validated using the Australian Baker Heart and Diabetes Institute Biobank cohort (recruitment 2000–2011) and compared with the performance of general population risk models. Incident HF occurred in 13.7% of the development cohort (n=31 446, median 63 years, 35% women, follow‐up 10.7±2.7 years) and in 21.3% of the validation cohort (n=1659, median age 65 years, 25% women, follow‐up 9.4±3.7 years). Predictors of HF included in the sex‐specific models were age, body mass index, systolic blood pressure (treated or untreated), glucose (treated or untreated), cholesterol, smoking status, QRS duration, kidney disease, myocardial infarction, and atrial fibrillation. ASCVD‐HF equations had good discrimination and calibration in development and validation cohorts, with superior performance to general population risk equations.

          

          

            Conclusions

            ASCVD‐specific 10‐year risk equations for HF outperform general population risk models in individuals with established ASCVD. The ASCVD‐HF equations can be calculated from readily available clinical data and could facilitate screening and preventative treatment decisions in this high‐risk group.

          },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Hafiz2024,

title = {Process evaluation of a data-driven quality improvement program within a cluster randomised controlled trial to improve coronary heart disease management in Australian primary care},

author = {Nashid Hafiz and Karice Hyun and Qiang Tu and Andrew Knight and Charlotte Hespe and Clara K. Chow and Tom Briffa and Robyn Gallagher and Christopher M. Reid and David L. Hare and Nicholas Zwar and Mark Woodward and Stephen Jan and Emily R. Atkins and Tracey-Lea Laba and Elizabeth Halcomb and Tracey Johnson and Deborah Manandi and Tim Usherwood and Julie Redfern},

editor = {Anandakumar Haldorai},

doi = {10.1371/journal.pone.0298777},

issn = {1932-6203},

year  = {2024},

date = {2024-06-04},

journal = {PLoS ONE},

volume = {19},

number = {6},

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

abstract = {

Background

This study evaluates primary care practices’ engagement with various features of a quality improvement (QI) intervention for patients with coronary heart disease (CHD) in four Australian states.





Methods

Twenty-seven practices participated in the QI intervention from November 2019 –November 2020. A combination of surveys, semi-structured interviews and other materials within the QUality improvement in primary care to prevent hospitalisations and improve Effectiveness and efficiency of care for people Living with heart disease (QUEL) study were used in the process evaluation. Data were summarised using descriptive statistical and thematic analyses for 26 practices.





Results

Sixty-four practice team members and Primary Health Networks staff provided feedback, and nine of the 63 participants participated in the interviews. Seventy-eight percent (40/54) were either general practitioners or practice managers. Although 69% of the practices self-reported improvement in their management of heart disease, engagement with the intervention varied. Forty-two percent (11/26) of the practices attended five or more learning workshops, 69% (18/26) used Plan-Do-Study-Act cycles, and the median (Interquartile intervals) visits per practice to the online SharePoint site were 170 (146–252) visits. Qualitative data identified learning workshops and monthly feedback reports as the key features of the intervention.





Conclusion

Practice engagement in a multi-featured data-driven QI intervention was common, with learning workshops and monthly feedback reports identified as the most useful features. A better understanding of these features will help influence future implementation of similar interventions.





Trial registration

Australian New Zealand Clinical Trials Registry (ANZCTR) number ACTRN12619001790134.

},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Jia2024,

title = {Use of online food retail platforms throughout the COVID‐19 pandemic and associated diet‐related chronic disease risk factors: A systematic review of emerging evidence},

author = {Si Si Jia and Rebecca Raeside and Emma Sainsbury and Sara Wardak and Philayrath Phongsavan and Julie Redfern and Margaret Allman‐Farinelli and Melissa A. Fernandez and Stephanie R. Partridge and Alice A. Gibson},

doi = {10.1111/obr.13720},

issn = {1467-789X},

year  = {2024},

date = {2024-06-00},

journal = {Obesity Reviews},

volume = {25},

number = {6},

publisher = {Wiley},

abstract = {SummaryFood accessibility was considerably impacted by restrictions during the coronavirus disease 2019 (COVID‐19) pandemic, leading to growth in the online food retail sector, which offered contact‐free delivery. This systematic review aimed to assess the change in use of online food retail platforms during COVID‐19. The secondary aim was to identify diet‐related chronic disease risk factors including dietary intake, eating behaviors, and/or weight status associated with the use of online food retail platforms during the pandemic. The review was registered in the International Prospective Register of Systematic Reviews (PROSPERO) (CRD42022320498) and adhered to the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines. Nine electronic databases were searched between January 2020 and October 2023. Studies that reported the frequency or change in use of online groceries, meal delivery applications, and/or meal‐kit delivery services before and during the pandemic were included. A total of 53 studies were identified, including 46 cross‐sectional studies, 4 qualitative studies, 2 longitudinal cohort studies, and 1 mixed‐methods study. Overall, 96% (43/45) of outcomes showed an increase in the use of online groceries during COVID‐19, while 55% (22/40) of outcomes showed a decrease in meal delivery applications. Eight of nine outcomes associated the use of online food retail with weight gain and emotional eating. Further research is needed to investigate the links between online food retail and obesity.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Munot2024,

title = {Bystander cardiopulmonary resuscitation differences by sex – The role of arrest recognition},

author = {Sonali Munot and Janet E. Bray and Julie Redfern and Adrian Bauman and Simone Marschner and Christopher Semsarian and Alan Robert Denniss and Andrew Coggins and Paul M. Middleton and Garry Jennings and Blake Angell and Saurabh Kumar and Pramesh Kovoor and Matthew Vukasovic and Jason C. Bendall and T. Evens and Clara K. Chow},

doi = {10.1016/j.resuscitation.2024.110224},

issn = {0300-9572},

year  = {2024},

date = {2024-06-00},

journal = {Resuscitation},

volume = {199},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Raidah2024,

title = {Promoting cardiac rehabilitation program quality in low-resource settings: Needs assessment and evaluation of the International Council of Cardiovascular Prevention and Rehabilitation's registry quality improvement supports},

author = {Fabbiha Raidah and Gabriela L.M. Ghisi and Claudia V. Anchique and Nabila N. Soomro and Dion Candelaria and Sherry L. Grace},

doi = {10.1016/j.ijcard.2024.131962},

issn = {0167-5273},

year  = {2024},

date = {2024-06-00},

journal = {International Journal of Cardiology},

volume = {404},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Vernon2024,

title = {Health economic analysis of polygenic risk score use in primary prevention of coronary artery disease – A system dynamics model},

author = {Stephen T. Vernon and Stuart Brentnall and Danielle J Currie and Cindy Peng and Michael P. Gray and Giordano Botta and Deo Mujwara and Stephen J. Nicholls and Stuart M. Grieve and Julie Redfern and Clara Chow and Jean-Frederic Levesque and Peter J. Meikle and Garry Jennings and Zanfina Ademi and Andrew Wilson and Gemma A. Figtree},

doi = {10.1016/j.ajpc.2024.100672},

issn = {2666-6677},

year  = {2024},

date = {2024-06-00},

journal = {American Journal of Preventive Cardiology},

volume = {18},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Gallegos-Rejas2024,

title = {Key features in telehealth-delivered cardiac rehabilitation required to optimize cardiovascular health in coronary heart disease: a systematic review and realist synthesis},

author = {Victor M Gallegos-Rejas and Jonathan C Rawstorn and Robyn Gallagher and Ray Mahoney and Emma E Thomas},

doi = {10.1093/ehjdh/ztad080},

issn = {2634-3916},

year  = {2024},

date = {2024-05-20},

volume = {5},

number = {3},

pages = {208--218},

publisher = {Oxford University Press (OUP)},

abstract = {Abstract

               Telehealth-delivered cardiac rehabilitation (CR) programmes can potentially increase participation rates while delivering equivalent outcomes to facility-based programmes. However, key components of these interventions that reduce cardiovascular risk factors are not yet distinguished. This study aims to identify features of telehealth-delivered CR that improve secondary prevention outcomes, exercise capacity, participation, and participant satisfaction and develop recommendations for future telehealth-delivered CR. The protocol for our review was registered with the Prospective Register of Systematic Reviews (#CRD42021236471). We systematically searched four databases (PubMed, Scopus, EMBASE, and Cochrane Database) for randomized controlled trials comparing telehealth-delivered CR programmes to facility-based interventions or usual care. Two independent reviewers screened the abstracts and then full texts. Using a qualitative review methodology (realist synthesis), included articles were evaluated to determine contextual factors and potential mechanisms that impacted cardiovascular risk factors, exercise capacity, participation in the intervention, and increased satisfaction. We included 37 reports describing 26 randomized controlled trials published from 2010 to 2022. Studies were primarily conducted in Europe and Australia/Asia. Identified contextual factors and mechanisms were synthesized into four theories required to enhance participant outcomes and participation. These theories are as follows: (i) early and regular engagement; (ii) personalized interventions and shared goals; (iii) usable, accessible, and supported interventions; and (iv) exercise that is measured and monitored. Providing a personalized approach with frequent opportunities for bi-directional interaction was a critical feature for success across telehealth-delivered CR trials. Real-world effectiveness studies are now needed to complement our findings.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Lu2024,

title = {Predicting multifaceted risks using machine learning in atrial fibrillation: insights from GLORIA-AF study},

author = {Juan Lu and Arnaud Bisson and Mohammed Bennamoun and Yalin Zheng and Frank M Sanfilippo and Joseph Hung and Tom Briffa and Brendan McQuillan and Jonathon Stewart and Gemma Figtree and Menno V Huisman and Girish Dwivedi and Gregory Y H Lip},

doi = {10.1093/ehjdh/ztae010},

issn = {2634-3916},

year  = {2024},

date = {2024-05-20},

volume = {5},

number = {3},

pages = {235--246},

publisher = {Oxford University Press (OUP)},

abstract = {Abstract

               

                  Aims

                  Patients with atrial fibrillation (AF) have a higher risk of ischaemic stroke and death. While anticoagulants are effective at reducing these risks, they increase the risk of bleeding. Current clinical risk scores only perform modestly in predicting adverse outcomes, especially for the outcome of death. We aimed to test the multi-label gradient boosting decision tree (ML-GBDT) model in predicting risks for adverse outcomes in a prospective global AF registry.

               

               

                  Methods and results

                  We studied patients from phase II/III of the Global Registry on Long-Term Oral Anti-Thrombotic Treatment in Patients with Atrial Fibrillation registry between 2011 and 2020. The outcomes were all-cause death, ischaemic stroke, and major bleeding within 1 year following the AF. We trained the ML-GBDT model and compared its discrimination with the clinical scores in predicting patient outcomes. A total of 25 656 patients were included [mean age 70.3 years (SD 10.3); 44.8% female]. Within 1 year after AF, ischaemic stroke occurred in 215 (0.8%), major bleeding in 405 (1.6%), and death in 897 (3.5%) patients. Our model achieved an optimized area under the curve in predicting death (0.785, 95% CI: 0.757–0.813) compared with the Charlson Comorbidity Index (0.747, P = 0.007), ischaemic stroke (0.691, 0.626–0.756) compared with CHA2DS2-VASc (0.613, P = 0.028), and major bleeding (0.698, 0.651–0.745) as opposed to HAS-BLED (0.607, P = 0.002), with improvement in net reclassification index (10.0, 12.5, and 23.6%, respectively).

               

               

                  Conclusion

                  The ML-GBDT model outperformed clinical risk scores in predicting the risks in patients with AF. This approach could be used as a single multifaceted holistic tool to optimize patient risk assessment and mitigate adverse outcomes when managing AF.

               },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Arnoldy2024,

title = {Towards consistency in dietary pattern scoring: standardising scoring workflows for healthy dietary patterns using 24-h recall and two variations of a food frequency questionnair},

author = {Lizanne Arnoldy and Sarah Gauci and Annie-Claude M. Lassemillante and Joris C. Verster and Helen Macpherson and Anne-Marie Minihane and Andrew Scholey and Andrew Pipingas and David J. White},

doi = {10.1017/s0007114524000072},

issn = {1475-2662},

year  = {2024},

date = {2024-05-14},

journal = {Br J Nutr},

volume = {131},

number = {9},

pages = {1554--1577},

publisher = {Cambridge University Press (CUP)},

abstract = {AbstractHealthy dietary patterns such as the Mediterranean diet (MeDi), Dietary Approaches to Stop Hypertension (DASH) and the Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) have been evaluated for their potential association with health outcomes. However, the lack of standardisation in scoring methodologies can hinder reproducibility and meaningful cross-study comparisons. Here we provide a reproducible workflow for generating the MeDi, DASH and MIND dietary pattern scores from frequently used dietary assessment tools including the 24-h recall tool and two variations of FFQ. Subjective aspects of the scoring process are highlighted and have led to a recommended reporting checklist. This checklist enables standardised reporting with sufficient detail to enhance the reproducibility and comparability of their outcomes. In addition to these aims, valuable insights in the strengths and limitations of each assessment tool for scoring the MeDi, DASH and MIND diet can be utilised by researchers and clinicians to determine which dietary assessment tool best meets their needs.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Arnoldy2024b,

title = {Towards consistency in dietary pattern scoring: standardising scoring workflows for healthy dietary patterns using 24-h recall and two variations of a food frequency questionnair},

author = {Lizanne Arnoldy and Sarah Gauci and Annie-Claude M. Lassemillante and Joris C. Verster and Helen Macpherson and Anne-Marie Minihane and Andrew Scholey and Andrew Pipingas and David J. White},

doi = {10.1017/s0007114524000072},

issn = {1475-2662},

year  = {2024},

date = {2024-05-14},

journal = {Br J Nutr},

volume = {131},

number = {9},

pages = {1554--1577},

publisher = {Cambridge University Press (CUP)},

abstract = {AbstractHealthy dietary patterns such as the Mediterranean diet (MeDi), Dietary Approaches to Stop Hypertension (DASH) and the Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) have been evaluated for their potential association with health outcomes. However, the lack of standardisation in scoring methodologies can hinder reproducibility and meaningful cross-study comparisons. Here we provide a reproducible workflow for generating the MeDi, DASH and MIND dietary pattern scores from frequently used dietary assessment tools including the 24-h recall tool and two variations of FFQ. Subjective aspects of the scoring process are highlighted and have led to a recommended reporting checklist. This checklist enables standardised reporting with sufficient detail to enhance the reproducibility and comparability of their outcomes. In addition to these aims, valuable insights in the strengths and limitations of each assessment tool for scoring the MeDi, DASH and MIND diet can be utilised by researchers and clinicians to determine which dietary assessment tool best meets their needs.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Raeside2024,

title = {Accelerating implementation of adolescent digital health prevention programs: analysis of insights from Australian stakeholders},

author = {Rebecca Raeside and Allyson Todd and Kyra A. Sim and Melissa Kang and Seema Mihrshahi and Lauren A. Gardner and Katrina E. Champion and John Skinner and Liliana Laranjo and Katharine Steinbeck and Julie Redfern and Stephanie R. Partridge},

doi = {10.3389/fpubh.2024.1389739},

issn = {2296-2565},

year  = {2024},

date = {2024-05-03},

journal = {Front. Public Health},

volume = {12},

publisher = {Frontiers Media SA},

abstract = {BackgroundChronic disease risk factors are increasing amongst adolescents, globally. Digital health prevention programs, which provide education and information to reduce chronic disease risk factors need to be equitable and accessible for all. For their success, multiple highly engaged stakeholders should be involved in development and implementation. This study aimed to evaluate stakeholders’ support for, and perspectives on potential public health impact of digital health prevention programs for adolescents and potential pathways for future implementation.MethodsQualitative semi-structured online interviews with stakeholders. Stakeholder mapping identified key individuals, groups and organizations across Australia that may influence the implementation of digital health prevention programs for adolescents. Recorded and transcribed interviews were analyzed within the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) Framework, using deductive content analysis.FindingsNineteen interviews were conducted in 2023 with stakeholders from government, health, non-government organizations, youth services, education, community settings and others. Four overarching themes were identified: (i) existing digital health initiatives are not fit for purpose; (ii) the co-creation of digital health prevention programs is critical for successful implementation; (iii) digital health prevention programs must address equity and the unique challenges raised by technology and; (iv) system level factors must be addressed.InterpretationStakeholders broadly supported digital health prevention programs, yet raised unique insights to ensure that future programs create public health impact by improving chronic disease risk factors among adolescents. These insights can be applied in future development of digital health prevention programs for adolescents to strengthen widespread implementation.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Deshayes2024,

title = {Responses of Healthy Young and Older Adults to Short-Term Passive Heat Acclimation},

author = {Thomas Deshayes and Hadiatou Barry and Georgia Chaseling and Philippe Gendron and Daniel Gagnon},

doi = {10.1152/physiol.2024.39.s1.683},

issn = {1548-9221},

year  = {2024},

date = {2024-05-00},

journal = {Physiology},

volume = {39},

number = {S1},

publisher = {American Physiological Society},

abstract = { Context: Aging is accompanied by a reduced capacity to dissipate heat. Heat acclimation has been shown to improve heat loss capacity in young healthy adults, yet few studies have investigated the capacity of older adults to adapt to repeated bouts of heat exposure, particularly when using a passive heat acclimation protocol. Furthermore, it remains unclear whether the magnitude of adaptations is affected by age. Objective and hypothesis: To compare physiological adaptations following 7 consecutive days of passive heat exposure between healthy young and older adults. We hypothesized that heat acclimation would enhance heat loss capacity in both groups but to a higher extent in young than in older adults. Methods: Fourteen healthy young (5F/9M, 27 ± 5 years) and 9 older adults (6F/3M, 66 ± 5 years) were exposed to passive heat stress with a water-perfused suit before (pre) and after (post) 7 consecutive days of immersion in 40°C water (~30 min to reach a rectal temperature of 38.5°C, followed by 60 min ≥38.5°C). During the pre/post heat stress test, mean body temperature was computed as 0.8 × esophageal temperature + 0.2 × mean skin temperature. Local sweat rate (LSR) and cutaneous vascular conductance (CVC) were measured at the forearm level. The mean body temperature onset thresholds of LSR and CVC were determined by segmented linear regression. During acclimation visits, rectal temperature and change in body mass were measured. Data are presented as means ± standard deviation or mean differences [95% confidence interval]. Results: Immersion duration (young: 90 ± 10, older: 92 ± 9 min, p=0.53), water temperature (young: 40.3 ± 0.3, older: 40.0 ± 0.5°C, p=0.09) and mean rectal temperature (young: 38.9 ± 0.1, older: 38.8 ± 0.1°C, p=0.07) during heat acclimation did not differ significantly between groups. In response to heat acclimation, rectal temperature decreased similarly ( p=0.36) in young (-0.33°C [-0.50, -0.16]) and older adults (-0.46°C [-0.68, -0.25]) from day 1 to day 7 whereas sweat rate increased to a higher extent ( p=0.05) in young (+511 mL/h [285, 738]) compared with older adults (+232 mL/h [112, 352]). Heat acclimation similarly reduced the mean body temperature onset threshold for CVC in young (-0.18°C [-0.32, -0.05]) and older adults (-0.19°C [-0.36, -0.02]) ( p=0.91), as well as, the mean body temperature onset threshold for LSR (young: -0.13°C [-0.25, -0.01], older: -0.15°C [-0.30, 0.00], p=0.84) during the pre/post heat stress test. Conclusion: These results suggest that passive heat acclimation improves heat loss capacity in young and older adults. However, age may blunt the increase in whole-body sweat rate that accompanies passive heat acclimation, but not other classical markers of human heat acclimation.  Natural Sciences and Engineering Research Council of Canada.  This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process. },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Hollings2024,

title = {Characteristics and Outcomes of Cardiac Rehabilitation Patients With and Without Cancer: Insights From Western Sydney},

author = {Matthew Hollings and Nicole Gordon and Julie Redfern and Liza Thomas and Anna Singleton and Qiang Tu and Robert Zecchin},

doi = {10.1016/j.hlc.2023.11.017},

issn = {1443-9506},

year  = {2024},

date = {2024-05-00},

journal = {Heart, Lung and Circulation},

volume = {33},

number = {5},

pages = {730--737},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Singleton2024b,

title = {Integrating Cardio-Oncology Across the Research Pipeline, Policy, and Practice in Australia—An Australian Cardiovascular Alliance Perspective},

author = {Anna C. Singleton and Julie Redfern and Abbey Diaz and Bogda Koczwara and Stephen J. Nicholls and Kazuaki Negishi and Andre La Gerche and David Playford and Rachel Conyers and Daniel A. Cehic and Gail Garvey and Trent D. Williams and Lee Hunt and Kerry Doyle and Gemma A. Figtree and Doan T.M. Ngo and Aaron L. Sverdlov and Mary Kavurma and Alex Pinto and Grant Drummond and Rebecca Ritchie and Peter Barlis and Peter Meikle and Alicia Jenkins and Chris Reid and Vincent Thijs and Lee Nedkoff and Dominique Cadilhac and Garry Jennings AO and Julie Redfern},

doi = {10.1016/j.hlc.2024.01.011},

issn = {1443-9506},

year  = {2024},

date = {2024-05-00},

journal = {Heart, Lung and Circulation},

volume = {33},

number = {5},

pages = {564--575},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Tu2024,

title = {Utilisation of Chronic Disease and Mental Health Management Services and Cardioprotective Medication Prescriptions in Primary Care for Patients With Cardiovascular Diseases and Cancer: A Cross-Sectional Study},

author = {Qiang Tu and Karice Hyun and Nashid Hafiz and Andrew Knight and Charlotte Hespe and Clara K. Chow and Tom Briffa and Robyn Gallagher and Christopher M. Reid and David L. Hare and Nicholas Zwar and Mark Woodward and Stephen Jan and Emily R. Atkins and Tracey-Lea Laba and Elizabeth Halcomb and Matthew Hollings and Anna Singleton and Tim Usherwood and Julie Redfern},

doi = {10.1016/j.hlc.2024.01.030},

issn = {1443-9506},

year  = {2024},

date = {2024-05-00},

journal = {Heart, Lung and Circulation},

volume = {33},

number = {5},

pages = {738--746},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Freene2024,

title = {The Physical Activity Advice Continuum—A Guide for Physical Activity Promotion in Health Care},

author = {Nicole Freene and Stephen Barrett and Emily R. Cox and Jessica Hill and Roger Lay and Jessica Seymour and Kimberley Szeto and Sjaan R. Gomersall},

doi = {10.1123/jpah.2023-0748},

issn = {1543-5474},

year  = {2024},

date = {2024-04-01},

volume = {21},

number = {4},

pages = {311--315},

publisher = {Human Kinetics},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Ferrel-Yui2024,

title = {Uptake and implementation of cardiac telerehabilitation: A systematic review of provider and system barriers and enablers},

author = {Daniel Ferrel-Yui and Dion Candelaria and Trond Røed Pettersen and Robyn Gallagher and Wendan Shi},

doi = {10.1016/j.ijmedinf.2024.105346},

issn = {1386-5056},

year  = {2024},

date = {2024-04-00},

journal = {International Journal of Medical Informatics},

volume = {184},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Weddell2024,

title = {Online information for spontaneous coronary artery dissection (SCAD) survivors and their families: A systematic appraisal of content and quality of websites},

author = {Joseph Weddell and Danielle Jawad and Thomas Buckley and Julie Redfern and Zarin Mansur and Natalie Elliott and Coral L Hanson and Robyn Gallagher},

doi = {10.1016/j.ijmedinf.2024.105372},

issn = {1386-5056},

year  = {2024},

date = {2024-04-00},

journal = {International Journal of Medical Informatics},

volume = {184},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Freene2024b,

title = {Activity counseling early postelective percutaneous coronary intervention (ACE‐PCI): Mixed‐methods pilot randomized controlled trial},

author = {Nicole Freene and Suzanne J. Carroll and Allyson Flynn and Sarah Bowen and Roslyn Holley and Kerry Rodway and Theo Niyonsenga and Rachel Davey},

doi = {10.1002/hsr2.1963},

issn = {2398-8835},

year  = {2024},

date = {2024-03-00},

journal = {Health Science Reports},

volume = {7},

number = {3},

publisher = {Wiley},

abstract = {AbstractBackgroundPhysical activity (PA) levels of people with coronary heart disease are low in the first 30 days after percutaneous coronary intervention (PCI), increasing the risk of recurrent cardiac events. Following PCI, PA counseling delivered by a physiotherapist before discharge may increase the PA levels of patients. Preliminary work is required to determine the effects of the counseling session compared to usual care.ObjectivesTo investigate the feasibility and potential efficacy of a brief physiotherapist‐led PA counseling session immediately after an elective PCI compared to usual care for improved PA early post‐PCI.MethodsUsing concealed allocation and blinded assessments, eligible participants (n = 30) were randomized to a physiotherapist‐led PA counseling session (30 min) or usual care (nurse‐led PA advice < 5 min). The primary outcome was daily minutes of moderate‐to‐vigorous PA (accelerometry; 3 weeks). Secondary outcomes included cardiac rehabilitation intention, anxiety and depression levels (Hospital Anxiety and Depression Scale), and quality‐of‐life (MacNew questionnaire). Recruitment, retention, and attrition were assessed for feasibility. Semistructured interviews were conducted with 13 participants to determine intervention acceptability, and barriers and enablers to PA.ResultsBetween and within‐group comparisons were not significant in intention‐to‐treat analyses. All feasibility criteria were met except for retention and attrition of participants. At 3 weeks, only 25% of participants were planning to attend cardiac rehabilitation, with no between‐group differences. Increased PA at 3 weeks was associated with participants that were younger, without other chronic disease,s and more active immediately following discharge. Interviews revealed personal, environmental, and program‐based themes for barriers and enablers to PA.ConclusionsA physiotherapist‐led PA counseling session may not improve PA levels early post‐elective PCI compared to very brief PA advice delivered by nurses. A larger multicentre randomized controlled trial is feasible with minor modifications to participant follow‐up. Further research is required.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Hollings2024b,

title = {Lower cardiac rehabilitation enrolment occurs in acute coronary syndrome patients who report low levels of physical activity at four weeks post-event: A prospective observational study using physical activity tracker data},

author = {Matthew Hollings and Emma Zhao and Joseph Weddell and Sharon Naismith and Geoffrey Tofler and Adrian Bauman and Robyn Gallagher},

doi = {10.1016/j.hrtlng.2023.12.007},

issn = {0147-9563},

year  = {2024},

date = {2024-03-00},

journal = {Heart & Lung},

volume = {64},

pages = {143--148},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Nedkoff2024,

title = {Sex- and Age-Specific Differences in Risk Profiles and Early Outcomes in Adults With Acute Coronary Syndromes},

author = {Lee Nedkoff and Melanie Greenland and Karice Hyun and Jasmin P. Htun and Julie Redfern and Samantha Stiles and Frank Sanfilippo and Tom Briffa and Derek P. Chew and David Brieger},

doi = {10.1016/j.hlc.2023.11.016},

issn = {1443-9506},

year  = {2024},

date = {2024-03-00},

journal = {Heart, Lung and Circulation},

volume = {33},

number = {3},

pages = {332--341},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Redfern2024b,

title = {Mobile phone text messaging for medication adherence in secondary prevention of cardiovascular disease},

author = {Julie Redfern and Qiang Tu and Karice Hyun and Matthew A Hollings and Nashid Hafiz and Clara Zwack and Caroline Free and Pablo Perel and Clara K Chow},

editor = { },

doi = {10.1002/14651858.cd011851.pub3},

issn = {1465-1858},

year  = {2024},

date = {2024-03-00},

volume = {2024},

number = {3},

publisher = {Wiley},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Lane2024,

title = {Ultra-processed food exposure and adverse health outcomes: umbrella review of epidemiological meta-analyses},

author = {Melissa M Lane and Elizabeth Gamage and Shutong Du and Deborah N Ashtree and Amelia J McGuinness and Sarah Gauci and Phillip Baker and Mark Lawrence and Casey M Rebholz and Bernard Srour and Mathilde Touvier and Felice N Jacka and Adrienne O’Neil and Toby Segasby and Wolfgang Marx},

doi = {10.1136/bmj-2023-077310},

issn = {1756-1833},

year  = {2024},

date = {2024-02-28},

journal = {BMJ},

publisher = {BMJ},

abstract = {AbstractObjectiveTo evaluate the existing meta-analytic evidence of associations between exposure to ultra-processed foods, as defined by the Nova food classification system, and adverse health outcomes.DesignSystematic umbrella review of existing meta-analyses.Data sourcesMEDLINE, PsycINFO, Embase, and the Cochrane Database of Systematic Reviews, as well as manual searches of reference lists from 2009 to June 2023.Eligibility criteria for selecting studiesSystematic reviews and meta-analyses of cohort, case-control, and/or cross sectional study designs. To evaluate the credibility of evidence, pre-specified evidence classification criteria were applied, graded as convincing (“class I”), highly suggestive (“class II”), suggestive (“class III”), weak (“class IV”), or no evidence (“class V”). The quality of evidence was assessed using the GRADE (Grading of Recommendations, Assessment, Development, and Evaluations) framework, categorised as “high,” “moderate,” “low,” or “very low” quality.ResultsThe search identified 45 unique pooled analyses, including 13 dose-response associations and 32 non-dose-response associations (n=9 888 373). Overall, direct associations were found between exposure to ultra-processed foods and 32 (71%) health parameters spanning mortality, cancer, and mental, respiratory, cardiovascular, gastrointestinal, and metabolic health outcomes. Based on the pre-specified evidence classification criteria, convincing evidence (class I) supported direct associations between greater ultra-processed food exposure and higher risks of incident cardiovascular disease related mortality (risk ratio 1.50, 95% confidence interval 1.37 to 1.63; GRADE=very low) and type 2 diabetes (dose-response risk ratio 1.12, 1.11 to 1.13; moderate), as well as higher risks of prevalent anxiety outcomes (odds ratio 1.48, 1.37 to 1.59; low) and combined common mental disorder outcomes (odds ratio 1.53, 1.43 to 1.63; low). Highly suggestive (class II) evidence indicated that greater exposure to ultra-processed foods was directly associated with higher risks of incident all cause mortality (risk ratio 1.21, 1.15 to 1.27; low), heart disease related mortality (hazard ratio 1.66, 1.51 to 1.84; low), type 2 diabetes (odds ratio 1.40, 1.23 to 1.59; very low), and depressive outcomes (hazard ratio 1.22, 1.16 to 1.28; low), together with higher risks of prevalent adverse sleep related outcomes (odds ratio 1.41, 1.24 to 1.61; low), wheezing (risk ratio 1.40, 1.27 to 1.55; low), and obesity (odds ratio 1.55, 1.36 to 1.77; low). Of the remaining 34 pooled analyses, 21 were graded as suggestive or weak strength (class III-IV) and 13 were graded as no evidence (class V). Overall, using the GRADE framework, 22 pooled analyses were rated as low quality, with 19 rated as very low quality and four rated as moderate quality.ConclusionsGreater exposure to ultra-processed food was associated with a higher risk of adverse health outcomes, especially cardiometabolic, common mental disorder, and mortality outcomes. These findings provide a rationale to develop and evaluate the effectiveness of using population based and public health measures to target and reduce dietary exposure to ultra-processed foods for improved human health. They also inform and provide support for urgent mechanistic research.Systematic review registrationPROSPERO CRD42023412732.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Thomas2023,

title = {Expanding access to telehealth in Australian cardiac rehabilitation services: a national survey of barriers, enablers, and uptake},

author = {Emma E Thomas and Susie Cartledge and Barbara Murphy and Bridget Abell and Robyn Gallagher and Carolyn Astley},

doi = {10.1093/ehjdh/ztad055},

issn = {2634-3916},

year  = {2024},

date = {2024-01-22},

volume = {5},

number = {1},

pages = {21--29},

publisher = {Oxford University Press (OUP)},

abstract = {Abstract

               

                  Aims

                  Cardiac rehabilitation (CR) is traditionally delivered in-person; however, the COVID-19 pandemic provided impetus for alternative offerings such as telehealth. We investigated uptake, barriers, and enablers in a national survey during the pandemic in Australia.

               

               

                  Methods and results

                  We surveyed CR programmes between April and June 2021 using professional association networks. The anonymous online questionnaire addressed programme characteristics, COVID-19 impacts, and barriers to and enablers of telehealth use. Open-text responses were coded and presented as themes. In total, there were responses from 105 programmes (33% response rate). All states and geographical areas were represented. The use of every modality of telehealth care (telephone, video conferencing, text messaging, and web-based) increased significantly during and after COVID with a strong preference for telephone (85% of services). Respondents perceived video (53%) and telephone (47%) formats as safe and effective for delivering CR. The most common barriers to telehealth were difficulties conducting assessments and reduced engagement with patients. Prominent enablers were increased reach and reduced patient barriers to CR access.

               

               

                  Conclusion

                  Telehealth use by CR programmes increased during the peak pandemic period. However, additional support is required to ensure that telehealth services can be maintained. There is considerable potential to increase the reach of CR by embedding telehealth into existing models of care.

               },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Wood2024,

title = {WHF Roadmap on Secondary Prevention of CVD},

author = {David A. Wood},

doi = {10.5334/gh.1294},

issn = {2211-8179},

year  = {2024},

date = {2024-01-22},

volume = {19},

number = {1},

publisher = {Ubiquity Press, Ltd.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Bulto2023,

title = {Effectiveness of nurse-led interventions versus usual care to manage hypertension and lifestyle behaviour: a systematic review and meta-analysis},

author = {Lemma N Bulto and Jacqueline Roseleur and Sara Noonan and Maria Alejandra Pinero de Plaza and Stephanie Champion and Hila Ariela Dafny and Vincent Pearson and Katie Nesbitt and Lemlem G Gebremichael and Alline Beleigoli and Aarti Gulyani and Timothy Schultz and Sonia Hines and Robyn A Clark and Jeroen M Hendriks},

doi = {10.1093/eurjcn/zvad040},

issn = {1873-1953},

year  = {2024},

date = {2024-01-12},

volume = {23},

number = {1},

pages = {21--32},

publisher = {Oxford University Press (OUP)},

abstract = {Abstract

               

                  Aims

                  This review aimed to investigate the effectiveness of nurse-led interventions vs. usual care on hypertension management, lifestyle behaviour, and patients’ knowledge of hypertension and associated risk factors.

               

               

                  Methods

                  A systematic review with meta-analysis was conducted following Joanna Briggs Institute (JBI) guidelines. MEDLINE (Ovid), EmCare (Ovid), CINAHL (EBSCO), Cochrane library, and ProQuest (Ovid) were searched from inception to 15 February 2022. Randomized controlled trials (RCTs) examining the effect of nurse-led interventions on hypertension management were identified. Title and abstract, full text screening, assessment of methodological quality, and data extraction were conducted by two independent reviewers using JBI tools. A statistical meta-analysis was conducted using STATA version 17.0.

               

               

                  Results

                  A total of 37 RCTs and 9731 participants were included. The overall pooled data demonstrated that nurse-led interventions may reduce systolic blood pressure (mean difference −4.66; 95% CI −6.69, −2.64; I2 = 83.32; 31 RCTs; low certainty evidence) and diastolic blood pressure (mean difference −1.91; 95% CI −3.06, −0.76; I2 = 79.35; 29 RCTs; low certainty evidence) compared with usual care. The duration of interventions contributed to the magnitude of blood pressure reduction. Nurse-led interventions had a positive impact on lifestyle behaviour and effectively modified diet and physical activity, but the effect on smoking and alcohol consumption was inconsistent.

               

               

                  Conclusion

                  This review revealed the beneficial effects of nurse-led interventions in hypertension management compared with usual care. Integration of nurse-led interventions in routine hypertension treatment and prevention services could play an important role in alleviating the rising global burden of hypertension.

               

               

                  Registration

                  PROSPERO: CRD42021274900

               },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Lan2024,

title = {Gender Differences in Coronary Artery Disease Severity and Revascularisation in Patients Referred for Coronary Angiography From Rural and Remote Western Australia},

author = {Nick S.R. Lan and Mikhail Alexander and Graham S. Hillis and Brendan M. McQuillan and Tom G. Briffa and Frank M. Sanfilippo and Girish Dwivedi and James M. Rankin and Abdul Rahman Ihdayhid},

doi = {10.1016/j.hlc.2023.10.007},

issn = {1443-9506},

year  = {2024},

date = {2024-01-00},

journal = {Heart, Lung and Circulation},

volume = {33},

number = {1},

pages = {142--143},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Kynoch2023,

title = {Exploring approaches to contemporary clinical incident analysis methods within acute care settings: a scoping review protocol},

author = {Kathryn Kynoch and Xianliang Liu and Jing-Yu (Benjamin) Tan and Wendan Shi and Judeil Krlan Teus and Mary-Anne Ramis},

doi = {10.11124/jbies-23-00343},

issn = {2689-8381},

year  = {2024},

date = {2024-00-00},

volume = {22},

number = {3},

pages = {505--512},

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

abstract = {

            Objective:

            This review will explore the literature on contemporary incident analysis methods used in acute hospital settings, identifying types and characteristics of these methods and how they are used to minimize, prevent, or learn from errors and improve patient safety.

          

          

            Introduction:

            Safety is a major focus in health care; however, despite best efforts, errors and incidents still occur, leading to harm or potential harm to patients, families, carers, staff, or the organization. Incident analysis methods aim to reduce risk of harm. Traditional methods have been criticized for failing to consider the complexity of health care and the dynamic nature of acute care settings. Alternative methodologies are being sought to achieve higher levels of patient safety and care quality care in hospitals. Learning from errors and communicating with those involved in incidents are key requirements in contemporary incident analysis.

          

          

            Inclusion criteria:

            This review will consider empirical research published since 2013, reporting on the use of clinical incident analysis methods within acute care settings. The review will explore ways in which consumers or stakeholders (eg, clinicians or other hospital workers, patients, families, carers, visitors) have been included in these analysis methods and how data have been used to support changes in the service or organization.

          

          

            Methods:

            Following JBI methods and PRISMA-ScR reporting guidance, we will search PubMed, CINAHL (EBSCOhost), Embase, Scopus, the Cochrane Library, Web of Science, and ProQuest Dissertations and Theses. Studies will be reviewed independently, with results presented in tables, figures, and narrative summaries according to the concepts of interest.

          },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Manandi2023,

title = {The evaluation of the Plan–Do–Study–Act cycles for a healthcare quality improvement intervention in primary care},

author = {Deborah Manandi and Qiang Tu and Nashid Hafiz and Rebecca Raeside and Julie Redfern and Karice Hyun},

doi = {10.1071/py23123},

issn = {1836-7399},

year  = {2024},

date = {2024-00-00},

journal = {Aust. J. Prim. Health},

volume = {30},

number = {1},

publisher = {CSIRO Publishing},

abstract = {Background   The Plan–Do–Study–Act (PDSA) cycle is an iterative framework that has been gaining traction in primary care for quality improvement. However, its implementation remains understudied. This study evaluated the completion, achievement of goal, content quality, and enablers and barriers associated with completion of high-quality PDSA cycles in cardiovascular disease management in general practices.     Methods   This study analysed data from intervention practices of the QUality improvement in primary care to prevent hospitalisations and improve Effectiveness and efficiency of care for people Living people with coronary heart disease (QUEL) study. Content quality of cycles was assessed using a scoring system created based on established criteria of ideal PDSA cycles in the healthcare context. Practice-level factors associated with completion and cycles achieving the planned goal were explored through logistic regression models, and with content quality score through linear regression model. Enablers and barriers were assessed using thematic analysis of practices’ responses to the PDSA sections.     Results   Ninety-seven cycles were reported by 18/26 (69%) practices. Seventy-seven percent of the cycles were completed and 68% achieved the planned goal. Content quality was low, with a median score of 56% (interquartile interval: 44%, 67%). Odds of cycles that were completed and achieved what was planned increased by 3.6- and 9.6-fold, respectively, with more general practitioners (GPs) within practices. Content quality was higher by 15% with more GPs. Lack of interprofessional engagement was a barrier to implementation.     Conclusions   Cycles were well completed, but poor in content quality, with high variability between practices. Human or capital resources and organisational support may be critical for the completion and cycles achieving the planned goals.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Patterson2023,

title = {Implementing a Sedentary Behavior Change Smartphone App in Cardiac Rehabilitation},

author = {Kacie Patterson and Richard Keegan and Rachel Davey and Nicole Freene},

doi = {10.1097/jcn.0000000000000983},

issn = {1550-5049},

year  = {2024},

date = {2024-00-00},

journal = {J Cardiovasc Nurs},

volume = {39},

number = {1},

pages = {E12--E20},

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

abstract = {

            Background

            Smartphone apps used in research offer a variety of capabilities to track and influence behavior; however, they often do not translate well into real-world use. Implementation strategies for using apps to reduce sedentary behavior in cardiac rehabilitation are currently unknown.

          

          

            Objective

            The aim of this study was to explore (1) barriers and enablers for use of a behavioral smartphone app (Vire and ToDo-CR program) for reducing sedentary behavior in cardiac rehabilitation participants and (2) implementation strategies for future smartphone apps aimed at reducing sedentary behavior in this population.

          

          

            Methods

            In-depth semistructured interviews were conducted with cardiac rehabilitation participants in the ToDo-CR randomized controlled trial. Participants had used the Vire app and a wearable activity tracker for 6 months. Interviews were audio recorded and transcribed. The researchers used thematic analysis and deductive mapping of themes to the Theoretical Domains Framework and the Capability, Opportunity, and Motivation-Behavior model. Sociodemographic and clinical variables were recorded.

          

          

            Results

            Fifteen participants aged 59 ± 14 years were interviewed. Most were male, tertiary educated, and employed, and had varying experiences with smartphone apps and wearable activity trackers. Five core themes explaining the user experiences of cardiac rehabilitation participants with the Vire app were identified: (1) being tech savvy can be both an enabler and a barrier, (2) app messaging needs to be clear—set expectations from the beginning, (3) get to know me—personalization is important, (4) curious to know more instant feedback, and (5) first impression is key. The themes and subthemes mapped to 12 of the 14 Theoretical Domains Framework domains. Improving engagement and implementation of future smartphone apps for sedentary behavior may be aided by building psychological capability, physical opportunity, and reflective motivation.

          

          

            Conclusions

            Shifting to in-the-moment behavioral nudges, setting clear expectations, assisting participants to monitor their sitting time, increasing the frequency of tailoring, and understanding more about the participant as well as their experiences and needs for reducing sedentary behavior in cardiac rehabilitation are important future directions.

          },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Shi2023,

title = {Effectiveness of Telehealth Cardiac Rehabilitation Programs on Health Outcomes of Patients With Coronary Heart Diseases},

author = {Wendan Shi and Heidi Green and Nqobile Sikhosana and Ritin Fernandez},

doi = {10.1097/hcr.0000000000000807},

issn = {1932-7501},

year  = {2024},

date = {2024-00-00},

volume = {44},

number = {1},

pages = {15--25},

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

abstract = {

            Purpose:

            The aim of this study was to conduct an umbrella review summarizing the evidence from existing systematic reviews of telehealth cardiac rehabilitation (CR) on health outcomes of patients with coronary heart disease (CHD).

          

          

            Review Methods:

            An umbrella review of systematic reviews was undertaken in accordance with the PRISMA and JBI guidelines. A systematic search was conducted in Medline, APA PsycINFO, Embase, CINAHL, Web of Science, Cochrane database of systematic reviews, JBI evidence synthesis, Epistemonikos, and PROSPERO, searching for systematic reviews published from 1990 to current and was limited to the language source of English and Chinese. Outcomes of interest were health behaviors and modifiable CHD risk factors, psychosocial outcomes, and other secondary outcomes. Study quality was appraised using the JBI checklist for systematic reviews. A narrative analysis was conducted, and meta-analysis results were synthesized.

          

          

            Summary:

            From 1301 identified reviews, 13 systematic reviews (10 meta-analyses) comprised 132 primary studies conducted in 28 countries. All the included reviews have high quality, with scores ranging 73-100%. Findings to the health outcomes remained inconclusive, except solid evidence was found in the significant improvement in physical activity (PA) levels and behaviors from telehealth interventions, exercise capacity from mobile health (m-health) only and web-based only interventions, and medication adherence from m-health interventions. Telehealth CR programs, work adjunct or in addition to traditional CR and standard care, are effective in improving health behaviors and modifiable CHD risk factors, particularly in PA. In addition, it does not increase the incidence in terms of mortality, adverse events, hospital readmission, and revascularization.

          },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Atkins2023,

title = {Improving prioritization processes for clinical practice guidelines: new methods and an evaluation from the National Heart Foundation of Australia},

author = {Brooke Atkins and Tom Briffa and Cia Connell and Amanda K. Buttery and Garry L. R. Jennings},

doi = {10.1186/s12961-022-00953-9},

issn = {1478-4505},

year  = {2023},

date = {2023-12-00},

journal = {Health Res Policy Sys},

volume = {21},

number = {1},

publisher = {Springer Science and Business Media LLC},

abstract = {Abstract

                Background

                Releasing timely and relevant clinical guidelines is challenging for organizations globally. Priority-setting is crucial, as guideline development is resource-intensive. Our aim, as a national organization responsible for developing cardiovascular clinical guidelines, was to develop a method for generating and prioritizing topics for future clinical guideline development in areas where guidance was most needed.

              

                Methods

                Several novel processes were developed, adopted and evaluated, including (1) initial public consultation for health professionals and the general public to generate topics; (2) thematic and qualitative analysis, according to the International Classification of Diseases (ICD-11), to aggregate topics; (3) adapting a criteria-based matrix tool to prioritize topics; (4) achieving consensus through a modified-nominal group technique and voting on priorities; and (5) process evaluation via survey of end-users. The latter comprised the organization’s Expert Committee of 12 members with expertise across cardiology and public health, including two citizen representatives.

              

                Results

                Topics (n = 405; reduced to n = 278 when duplicates removed) were identified from public consultation responses (n = 107 respondents). Thematic analysis synthesized 127 topics that were then categorized into 37 themes using ICD-11 codes. Exclusion criteria were applied (n = 32 themes omitted), resulting in five short-listed topics: (1) congenital heart disease, (2) valvular heart disease, (3) hypercholesterolaemia, (4) hypertension and (5) ischaemic heart diseases and diseases of the coronary artery. The Expert Committee applied the prioritization matrix to all five short-listed topics during a consensus meeting and voted to prioritize topics. Unanimous consensus was reached for the topic voted the highest priority: ischaemic heart disease and diseases of the coronary arteries, resulting in the decision to update the organization’s 2016 clinical guidelines for acute coronary syndromes. Evaluation indicated that initial public consultation was highly valued by the Expert Committee, and the matrix tool was easy to use and improved transparency in priority-setting.

              

                Conclusion

                Developing a multistage, systematic process, incorporating public consultation and an international classification system led to improved transparency in our clinical guideline priority-setting processes and that topics chosen would have the greatest impact on health outcomes. These methods are potentially applicable to other national and international organizations responsible for developing clinical guidelines.

              },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Bauman2023,

title = {Impact of the first year of the “This Girl Can” physical activity and sport mass media campaign in Australia},

author = {Adrian Bauman and Nicola McNeil and Matthew Nicholson and Paul O’Halloran and Emma Seal and Erica Randle and Arthur Stukas},

doi = {10.1186/s12889-023-15091-2},

issn = {1471-2458},

year  = {2023},

date = {2023-12-00},

journal = {BMC Public Health},

volume = {23},

number = {1},

publisher = {Springer Science and Business Media LLC},

abstract = {Abstract

                Introduction

                Addressing gender inequalities in physical activity is an important public health goal. A major campaign, ‘This Girl Can’ (TGC) was conducted by Sport England from 2015, and TGC was licenced in 2018 by VicHealth in Australia for development and use in a 3-year mass media campaign. The campaign was adapted through formative testing to Australian conditions and implemented within the state of Victoria. The purpose of this evaluation was to assess the initial population impact of the first wave of the TGC-Victoria.

              

                Methods

                We assessed campaign impact using serial population surveys, with the target population being women living in Victoria who were not meeting the current physical activity guidelines. Two surveys were carried out before the campaign (October 2017 and March 2018), and the post-campaign survey immediately following the first wave of TGC-Victoria mass media (May 2018). Analyses were primarily on the cohort sample of 818 low-active women followed across all three surveys. We measured campaign effects using campaign awareness and recall, and self-report measures of physical activity behaviour and perceptions of being judged. Changes in perceptions of being judged and in reported physical activity were assessed in relation to campaign awareness over time.

              

                Results

                Overall, TGC-Victoria campaign recall increased from 11.2% pre-campaign to 31.9% post-campaign, with campaign awareness more likely among younger and more educated women. There was a slight increase of 0.19 days in weekly physical activity following the campaign. Feeling that being judged was a barrier to physical activity declined at follow up, as did the single item perceptions of feeling judged (P < 0.01). Feeling embarrassed decreased, and self-determination increased, but exercise relevance, theory of planned behaviour and self-efficacy scores did not change.

              

                Conclusions

                The initial wave of the TGC-Victoria mass media campaign showed reasonably high levels of community awareness and encouraging decreases in women feeling judged whilst being active, but these did not yet translate into overall physical activity gains. Further waves of the TGC-V campaign are in progress to reinforce these changes and further influence the perception of being judged among low-active Victorian women.

              },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Mandoh2023,

title = {How are adolescents engaged in obesity and chronic disease prevention policy and guideline development? A scoping review},

author = {Mariam Mandoh and Julie Redfern and Seema Mihrshahi and Hoi Lun Cheng and Philayrath Phongsavan and Stephanie R. Partridge},

doi = {10.1186/s41256-023-00294-2},

issn = {2397-0642},

year  = {2023},

date = {2023-12-00},

journal = {glob health res policy},

volume = {8},

number = {1},

publisher = {Springer Science and Business Media LLC},

abstract = {Abstract

                Background

                Adolescent consumer engagement is widely accepted, with global calls to meaningfully involve adolescents for effective and tailored policy and guideline development. However, it is still unclear if and how adolescents are engaged. The aim of this review was to determine if and how adolescents meaningfully participate in policy and guideline development for obesity and chronic disease prevention.



              

                Methods

                A scoping review was conducted guided by the Arksey and O’Malley six stage framework. Official government websites for Australia, Canada, United Kingdom, and United States including intergovernmental organizations (World Health Organisation and United Nations) were examined. Universal databases Tripdatabase and Google advanced search were also searched. Current and published international and national obesity or chronic disease prevention policies, guidelines, strategies, or frameworks that engaged adolescents aged 10–24 years in meaningful decision-making during the development process were included. The Lansdown-UNICEF conceptual framework was used to define mode of participation.

              

                Results

                Nine policies and guidelines (n = 5 national, n = 4 international) engaged adolescents in a meaningful capacity, all focused on improving ‘health and well-being’. Demographic characteristics were poorly reported, still most ensured representation from disadvantaged groups. Adolescents were primarily engaged in consultative modes (n = 6), via focus groups and consultation exercises. Predominantly in formative phases e.g., scoping the topic or identifying needs (n = 8) and to a lesser extent in the final stage of policy and guideline development e.g., implementation or dissemination (n = 4). No policy or guideline engaged adolescents in all stages of the policy and guideline development process.

              

                Conclusion

                Overall, adolescent engagement in obesity and chronic disease prevention policy and guideline development is consultative and rarely extends throughout the entire development and implementation process.

              },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Senanayake2023,

title = {Hybrid cardiac telerehabilitation for coronary artery disease in Australia: a cost-effectiveness analysis},

author = {Sameera Senanayake and Ureni Halahakone and Bridget Abell and Sanjeewa Kularatna and Victoria McCreanor and Steven M. McPhail and Julie Redfern and Tom Briffa and William Parsonage},

doi = {10.1186/s12913-023-09546-w},

issn = {1472-6963},

year  = {2023},

date = {2023-12-00},

journal = {BMC Health Serv Res},

volume = {23},

number = {1},

publisher = {Springer Science and Business Media LLC},

abstract = {Abstract

                Background

                Traditional cardiac rehabilitation programs are centre-based and clinically supervised, with their safety and effectiveness well established. Notwithstanding the established benefits, cardiac rehabilitation remains underutilised. A possible alternative would be a hybrid approach where both centre-based and tele-based methods are combined to deliver cardiac rehabilitation to eligible patients. The objective of this study was to determine the long-term cost-effectiveness of a hybrid cardiac telerehabilitation and if it should be recommended to be implemented in the Australian context.

              

                Methods

                Following a comprehensive literature search, we chose the Telerehab III trial intervention that investigated the effectiveness of a long-term hybrid cardiac telerehabilitation program. We developed a decision analytic model to estimate the cost-effectiveness of the Telerehab III trial using a Markov process. The model included stable cardiac disease and hospitalisation health states and simulations were run using one-month cycles over a five-year time horizon. The threshold for cost-effectiveness was set at $AU 28,000 per quality-adjusted life-year (QALY). For the base analysis, we assumed that 80% completed the programme. We tested the robustness of the results using probabilistic sensitivity and scenario analyses.

              

                Results

                Telerehab III intervention was more effective but more costly and was not cost-effective, at a threshold of $28,000 per QALY. For every 1,000 patients who undergo cardiac rehabilitation, employing the telerehabilitation intervention would cost $650,000 more, and 5.7 QALYs would be gained, over five years, compared to current practice. Under probabilistic sensitivity analysis, the intervention was cost-effective in only 18% of simulations. Similarly, if the intervention compliance was increased to 90%, it was still unlikely to be cost-effective.

              

                Conclusion

                Hybrid cardiac telerehabilitation is highly unlikely to be cost-effective compared to the current practice in Australia. Exploration of alternative models of delivering cardiac telerehabilitation is still required. The results presented in this study are useful for policymakers wanting to make informed decisions about investment in hybrid cardiac telerehabilitation programs.

              },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Weber2023,

title = {Unplanned 30-day readmissions, comorbidity and impact on one-year mortality following incident heart failure hospitalisation in Western Australia, 2001–2015},

author = {Courtney Weber and Joseph Hung and Siobhan Hickling and Ian Li and Kevin Murray and Tom Briffa},

doi = {10.1186/s12872-022-03020-x},

issn = {1471-2261},

year  = {2023},

date = {2023-12-00},

journal = {BMC Cardiovasc Disord},

volume = {23},

number = {1},

publisher = {Springer Science and Business Media LLC},

abstract = {Abstract

                Background

                Readmissions within 30 days after heart failure (HF) hospitalisation is considered an important healthcare quality metric, but their impact on medium-term mortality is unclear within an Australian setting. We determined the frequency, risk predictors and relative mortality risk of 30-day unplanned readmission in patients following an incident HF hospitalisation.



              

                Methods

                From the Western Australian Hospitalisation Morbidity Data Collection we identified patients aged 25–94 years with an incident (first-ever) HF hospitalisation as a principal diagnosis between 2001 and 2015, and who survived to 30-days post discharge. Unplanned 30-day readmissions were categorised by principal diagnosis. Logistic and Cox regression analysis determined the independent predictors of unplanned readmissions in 30-day survivors and the multivariable-adjusted hazard ratio (HR) of readmission on mortality within the subsequent year.



              

                Results

                The cohort comprised 18,241 patients, mean age 74.3 ± 13.6 (SD) years, 53.5% males, and one-third had a modified Charlson Comorbidity Index score of ≥ 3. Among 30-day survivors, 15.5% experienced one or more unplanned 30-day readmission, of which 53.9% were due to cardiovascular causes; predominantly HF (31.4%). The unadjusted 1-year mortality was 15.9%, and the adjusted mortality HR in patients with 1 and ≥ 2 cardiovascular or non-cardiovascular readmissions (versus none) was 1.96 (95% confidence interval (CI) 1.80–2.14) and 3.04 (95% CI, 2.51–3.68) respectively. Coexistent comorbidities, including ischaemic heart disease/myocardial infarction, peripheral arterial disease, pneumonia, chronic kidney disease, and anaemia, were independent predictors of both 30-day unplanned readmission and 1-year mortality.

              

                Conclusion

                Unplanned 30-day readmissions and medium-term mortality remain high among patients who survived to 30 days after incident HF hospitalisation. Any cardiovascular or non-cardiovascular readmission was associated with a two to three-fold higher adjusted HR for death over the following year, and various coexistent comorbidities were important associates of readmission and mortality risk. Our findings support the need to optimize multidisciplinary HF and multimorbidity management to potentially reduce repeat hospitalisation and improve survival.



              },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Zwack2023,

title = {The evolution of digital health technologies in cardiovascular disease research},

author = {Clara C. Zwack and Milad Haghani and Matthew Hollings and Ling Zhang and Sarah Gauci and Robyn Gallagher and Julie Redfern},

doi = {10.1038/s41746-022-00734-2},

issn = {2398-6352},

year  = {2023},

date = {2023-12-00},

journal = {npj Digit. Med.},

volume = {6},

number = {1},

publisher = {Springer Science and Business Media LLC},

abstract = {AbstractWhen implemented in practice, digital technologies have shown improvements in morbidity and mortality outcomes in patients with cardiovascular disease (CVD). For scholars, research into digital technologies in cardiovascular care has been relatively recent, thus it is important to understand the history of digital health technology in cardiovascular research—its emergence, rate of growth, hot topics, and its temporal evolution. The aim of this study was to analyse more than 16,000 articles in this domain based on their scientometric indicators. Web of Science (WoS) Core Collection was accessed and searched at several levels, including titles, abstracts, keywords, authors, sources and individual articles. Analysis examined the temporal shifts in research and scholarly focus based on keywords, networks of collaboration, topical divisions in relation to digital technologies, and influential publications. Findings showed this research area is growing exponentially. Co-citation analysis revealed twenty prominent research streams and identified variation in the magnitude of activities in each stream. A recent emergence of research activities in digital technology in cardiovascular rehabilitation (CR), out-of-hospital cardiac arrest (OHCA), and arrythmia research was also demonstrated. Conversely, wearable technologies, activity tracking and electronic medical records research are now past their peak of reported research activity. With increasing amounts of novel technologies becoming available and more patients taking part in remote health care monitoring, further evaluation and research into digital technologies, including their long-term effectiveness, is needed. Furthermore, emerging technologies, which are evaluated and/or validated should be considered for implementation into clinical practice as treatment and prevention modalities for CVD.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Sanfilippo2023,

title = {Determinants and Outcomes of Invasive Coronary Angiography in Unselected Patients Presenting With Chest Pain to Emergency Departments in Western Australian Teaching Hospitals},

author = {Frank M. Sanfilippo and Kevin Murray and Graham S. Hillis and Jamie M. Rankin and Donald Latchem and Carl J. Schultz and Jongsay Yong and Ian W. Li and Abdul Ihdayhid and Tom G. Briffa},

doi = {10.1016/j.hlc.2023.09.011},

issn = {1443-9506},

year  = {2023},

date = {2023-12-00},

journal = {Heart, Lung and Circulation},

volume = {32},

number = {12},

pages = {1465--1474},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Nedkoff2023b,

title = {Global Trends in Atherosclerotic Cardiovascular Disease},

author = {Lee Nedkoff and Tom Briffa and Dawit Zemedikun and Saranne Herrington and F. Lucy Wright},

doi = {10.1016/j.clinthera.2023.09.020},

issn = {0149-2918},

year  = {2023},

date = {2023-11-00},

journal = {Clinical Therapeutics},

volume = {45},

number = {11},

pages = {1087--1091},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Butters2023,

title = {The Australian Genetic Heart Disease Registry: Protocol for a Data Linkage Study},

author = {Alexandra Butters and Bianca Blanch and Anna Kemp-Casey and Judy Do and Laura Yeates and Felicity Leslie and Christopher Semsarian and Lee Nedkoff and Tom Briffa and Jodie Ingles and Joanna Sweeting},

doi = {10.2196/48636},

issn = {1929-0748},

year  = {2023},

date = {2023-09-20},

journal = {JMIR Res Protoc},

volume = {12},

publisher = {JMIR Publications Inc.},

abstract = {

            Background

            Genetic heart diseases such as hypertrophic cardiomyopathy can cause significant morbidity and mortality, ranging from syncope, chest pain, and palpitations to heart failure and sudden cardiac death. These diseases are inherited in an autosomal dominant fashion, meaning family members of affected individuals have a 1 in 2 chance of also inheriting the disease (“at-risk relatives”). The health care use patterns of individuals with a genetic heart disease, including emergency department presentations and hospital admissions, are poorly understood. By linking genetic heart disease registry data to routinely collected health data, we aim to provide a more comprehensive clinical data set to examine the burden of disease on individuals, families, and health care systems.

          

          

            Objective

            The objective of this study is to link the Australian Genetic Heart Disease (AGHD) Registry with routinely collected whole-population health data sets to investigate the health care use of individuals with a genetic heart disease and their at-risk relatives. This linked data set will allow for the investigation of differences in outcomes and health care use due to disease, sex, socioeconomic status, and other factors.

          

          

            Methods

            The AGHD Registry is a nationwide data set that began in 2007 and aims to recruit individuals with a genetic heart disease and their family members. In this study, demographic, clinical, and genetic data (available from 2007 to 2019) for AGHD Registry participants and at-risk relatives residing in New South Wales (NSW), Australia, were linked to routinely collected health data. These data included NSW-based data sets covering hospitalizations (2001-2019), emergency department presentations (2005-2019), and both state-wide and national mortality registries (2007-2019). The linkage was performed by the Centre for Health Record Linkage. Investigations stratifying by diagnosis, age, sex, socioeconomic status, and gene status will be undertaken and reported using descriptive statistics.

          

          

            Results

            NSW AGHD Registry participants were linked to routinely collected health data sets using probabilistic matching (November 2019). Of 1720 AGHD Registry participants, 1384 had linkages with 11,610 hospital records, 7032 emergency department records, and 60 death records. Data assessment and harmonization were performed, and descriptive data analysis is underway.

          

          

            Conclusions

            We intend to provide insights into the health care use patterns of individuals with a genetic heart disease and their at-risk relatives, including frequency of hospital admissions and differences due to factors such as disease, sex, and socioeconomic status. Identifying disparities and potential barriers to care may highlight specific health care needs (eg, between sexes) and factors impacting health care access and use.

          

          

            International Registered Report Identifier (IRRID)

            DERR1-10.2196/48636

          },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Chan2023,

title = {Evaluating the reach and impact of Still Six Lives: A national stillbirth public awareness campaign in Australia},

author = {Lilian Chan and Katherine B. Owen and Christine J. Andrews and Adrian Bauman and Leigh Brezler and Keren Ludski and Jacquelyn Mead and Karin Birkner and Ajay Vatsayan and Vicki J. Flenady and Adrienne Gordon},

doi = {10.1016/j.wombi.2023.02.006},

issn = {1871-5192},

year  = {2023},

date = {2023-09-00},

journal = {Women and Birth},

volume = {36},

number = {5},

pages = {446--453},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Alexander2023,

title = {Clinical outcomes and health care costs of transferring rural Western Australians for invasive coronary angiography, and a cost‐effective alternative care model: a retrospective cross‐sectional study},

author = {Mikhail Alexander and Nick S R Lan and Michael J Dallo and Tom G Briffa and Frank M Sanfilippo and Andrew Hooper and Helen Bartholomew and Loletta Hii and Graham S Hillis and Brendan M McQuillan and Girish Dwivedi and James M Rankin and Abdul Rahman Ihdayhid},

doi = {10.5694/mja2.52018},

issn = {1326-5377},

year  = {2023},

date = {2023-08-21},

journal = {Medical Journal of Australia},

volume = {219},

number = {4},

pages = {155--161},

publisher = {Wiley},

abstract = {AbstractObjectivesTo examine the severity of coronary artery disease (CAD) in people from rural or remote Western Australia referred for invasive coronary angiography (ICA) in Perth and their subsequent management; to estimate the cost savings were computed tomography coronary angiography (CTCA) offered in rural centres as a first line investigation for people with suspected CAD.DesignRetrospective cohort study.Setting, participantsAdults with stable symptoms in rural and remote WA referred to Perth public tertiary hospitals for ICA evaluation during the 2019 calendar year.Main outcome measuresSeverity and management of CAD (medical management or revascularisation); health care costs by care model (standard care or a proposed alternative model with local CTCA assessment).ResultsThe mean age of the 1017 people from rural and remote WA who underwent ICA in Perth was 62 years (standard deviation, 13 years); 680 were men (66.9%), 245 were Indigenous people (24.1%). Indications for referral were non‐ST elevation myocardial infarction (438, 43.1%), chest pain with normal troponin level (394, 38.7%), and other (185, 18.2%). After ICA assessment, 619 people were medically managed (60.9%) and 398 underwent revascularisation (39.1%). None of the 365 patients (35.9%) without obstructed coronaries (< 50% stenosis) underwent revascularisation; nine patients with moderate CAD (50–69% stenosis; 7%) and 389 with severe CAD (≥ 70% stenosis or occluded vessel; 75.5%) underwent revascularisation. Were CTCA used locally to determine the need for referral, 527 referrals could have been averted (53%), the ICA:revascularisation ratio would have improved from 2.6 to 1.6, and 1757 metropolitan hospital bed‐days (43% reduction) and $7.3 million in health care costs (36% reduction) would have been saved.ConclusionMany rural and remote Western Australians transferred for ICA in Perth have non‐obstructive CAD and are medically managed. Providing CTCA as a first line investigation in rural centres could avert half of these transfers and be a cost‐effective strategy for risk stratification of people with suspected CAD.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Alexander2023b,

title = {Clinical outcomes and health care costs of transferring rural Western Australians for invasive coronary angiography, and a cost‐effective alternative care model: a retrospective cross‐sectional study},

author = {Mikhail Alexander and Nick S R Lan and Michael J Dallo and Tom G Briffa and Frank M Sanfilippo and Andrew Hooper and Helen Bartholomew and Loletta Hii and Graham S Hillis and Brendan M McQuillan and Girish Dwivedi and James M Rankin and Abdul Rahman Ihdayhid},

doi = {10.5694/mja2.52018},

issn = {1326-5377},

year  = {2023},

date = {2023-08-21},

journal = {Medical Journal of Australia},

volume = {219},

number = {4},

pages = {155--161},

publisher = {Wiley},

abstract = {AbstractObjectivesTo examine the severity of coronary artery disease (CAD) in people from rural or remote Western Australia referred for invasive coronary angiography (ICA) in Perth and their subsequent management; to estimate the cost savings were computed tomography coronary angiography (CTCA) offered in rural centres as a first line investigation for people with suspected CAD.DesignRetrospective cohort study.Setting, participantsAdults with stable symptoms in rural and remote WA referred to Perth public tertiary hospitals for ICA evaluation during the 2019 calendar year.Main outcome measuresSeverity and management of CAD (medical management or revascularisation); health care costs by care model (standard care or a proposed alternative model with local CTCA assessment).ResultsThe mean age of the 1017 people from rural and remote WA who underwent ICA in Perth was 62 years (standard deviation, 13 years); 680 were men (66.9%), 245 were Indigenous people (24.1%). Indications for referral were non‐ST elevation myocardial infarction (438, 43.1%), chest pain with normal troponin level (394, 38.7%), and other (185, 18.2%). After ICA assessment, 619 people were medically managed (60.9%) and 398 underwent revascularisation (39.1%). None of the 365 patients (35.9%) without obstructed coronaries (< 50% stenosis) underwent revascularisation; nine patients with moderate CAD (50–69% stenosis; 7%) and 389 with severe CAD (≥ 70% stenosis or occluded vessel; 75.5%) underwent revascularisation. Were CTCA used locally to determine the need for referral, 527 referrals could have been averted (53%), the ICA:revascularisation ratio would have improved from 2.6 to 1.6, and 1757 metropolitan hospital bed‐days (43% reduction) and $7.3 million in health care costs (36% reduction) would have been saved.ConclusionMany rural and remote Western Australians transferred for ICA in Perth have non‐obstructive CAD and are medically managed. Providing CTCA as a first line investigation in rural centres could avert half of these transfers and be a cost‐effective strategy for risk stratification of people with suspected CAD.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Arnoldy2023,

title = {The association of dietary and nutrient patterns on neurocognitive decline: A systematic review of MRI and PET studies},

author = {Lizanne Arnoldy and Sarah Gauci and Lauren M. Young and Wolfgang Marx and Helen Macpherson and Andrew Pipingas and Oren Civier and David J. White},

doi = {10.1016/j.arr.2023.101892},

issn = {1568-1637},

year  = {2023},

date = {2023-06-00},

journal = {Ageing Research Reviews},

volume = {87},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Nedkoff2023,

title = {Risk of early recurrence and mortality in high-risk myocardial infarction patients: A population-based linked data study},

author = {Lee Nedkoff and Tom Briffa and Kevin Murray and James Gaw and Andrea Yates and Frank M. Sanfilippo and Stephen J. Nicholls},

doi = {10.1016/j.ijcrp.2023.200185},

issn = {2772-4875},

year  = {2023},

date = {2023-06-00},

journal = {International Journal of Cardiology Cardiovascular Risk and Prevention},

volume = {17},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Plotnikoff2023,

title = {mHealth to Support Outdoor Gym Resistance Training: The ecofit Effectiveness RCT},

author = {Ronald C. Plotnikoff and Anna K. Jansson and Mitch J. Duncan and Jordan J. Smith and Adrian Bauman and John Attia and David R. Lubans},

doi = {10.1016/j.amepre.2023.01.031},

issn = {0749-3797},

year  = {2023},

date = {2023-06-00},

journal = {American Journal of Preventive Medicine},

volume = {64},

number = {6},

pages = {853--864},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Marques-Vidal2023,

title = {Dietary management of patients at high risk for cardiovascular disease; EUROASPIRE V},

author = {Pedro Marques-Vidal and Piotr Jankowski and Željko Reiner and Dirk De Bacquer and Kornelia Kotseva},

doi = {10.1016/j.clnesp.2023.03.005},

issn = {2405-4577},

year  = {2023},

date = {2023-06-00},

journal = {Clinical Nutrition ESPEN},

volume = {55},

pages = {144--150},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Han2023,

title = {Feasibility and Acceptability of Chatbots for Nutrition and Physical Activity Health Promotion Among Adolescents: Systematic Scoping Review With Adolescent Consultation},

author = {Rui Han and Allyson Todd and Sara Wardak and Stephanie R Partridge and Rebecca Raeside},

doi = {10.2196/43227},

issn = {2292-9495},

year  = {2023},

date = {2023-05-05},

journal = {JMIR Hum Factors},

volume = {10},

publisher = {JMIR Publications Inc.},

abstract = {

            Background

            Reducing lifestyle risk behaviors among adolescents depends on access to age-appropriate health promotion information. Chatbots—computer programs designed to simulate conversations with human users—have the potential to deliver health information to adolescents to improve their lifestyle behaviors and support behavior change, but research on the feasibility and acceptability of chatbots in the adolescent population is unknown.

          

          

            Objective

            This systematic scoping review aims to evaluate the feasibility and acceptability of chatbots in nutrition and physical activity interventions among adolescents. A secondary aim is to consult adolescents to identify features of chatbots that are acceptable and feasible.

          

          

            Methods

            We searched 6 electronic databases from March to April 2022 (MEDLINE, Embase, Joanna Briggs Institute, the Cumulative Index to Nursing and Allied Health, the Association for Computing Machinery library, and the IT database Institute of Electrical and Electronics Engineers). Peer-reviewed studies were included that were conducted in the adolescent population (10-19 years old) without any chronic disease, except obesity or type 2 diabetes, and assessed chatbots used nutrition or physical activity interventions or both that encouraged individuals to meet dietary or physical activity guidelines and support positive behavior change. Studies were screened by 2 independent reviewers, with any queries resolved by a third reviewer. Data were extracted into tables and collated in a narrative summary. Gray literature searches were also undertaken. Results of the scoping review were presented to a diverse youth advisory group (N=16, 13-18 years old) to gain insights into this topic beyond what is published in the literature.

          

          

            Results

            The search identified 5558 papers, with 5 (0.1%) studies describing 5 chatbots meeting the inclusion criteria. The 5 chatbots were supported by mobile apps using a combination of the following features: personalized feedback, conversational agents, gamification, and monitoring of behavior change. Of the 5 studies, 2 (40.0%) studies focused on nutrition, 2 (40.0%) studies focused on physical activity, and 1 (20.0%) focused on both nutrition and physical activity. Feasibility and acceptability varied across the 5 studies, with usage rates above 50% in 3 (60.0%) studies. In addition, 3 (60.0%) studies reported health-related outcomes, with only 1 (20.0%) study showing promising effects of the intervention. Adolescents presented novel concerns around the use of chatbots in nutrition and physical activity interventions, including ethical concerns and the use of false or misleading information.

          

          

            Conclusions

            Limited research is available on chatbots in adolescent nutrition and physical activity interventions, finding insufficient evidence on the acceptability and feasibility of chatbots in the adolescent population. Similarly, adolescent consultation identified issues in the design features that have not been mentioned in the published literature. Therefore, chatbot codesign with adolescents may help ensure that such technology is feasible and acceptable to an adolescent population.

          },

keywords = {},

pubstate = {published},

tppubtype = {article}

}