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Li Y, Zhou Y, Chen M, Fu MR, Luo B, Yu P, Zheng H, Liu F. A WeChat-Based Rehabilitation Platform for Children and Adolescents with Congenital Heart Disease to Promote Cardiac FITness (HeartFIT): Protocol for a Mixed-Methods Strategy from Evidence-Based Design to Pilot Study. J Multidiscip Healthc 2022; 15:907-920. [PMID: 35519154 PMCID: PMC9064066 DOI: 10.2147/jmdh.s349519] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Accepted: 04/19/2022] [Indexed: 02/05/2023] Open
Abstract
Progress in medical and surgical care has tremendously improved the survival rates of children with congenital heart disease (CHD). However, reduced aerobic capacity and health-related issues remain a threaten to quality survival and prevention of related complications among children and adolescents with CHD. This research program aims to develop and evaluate a WeChat-based health platform (HeartFIT) to facilitate cardiac rehabilitation and promote physical fitness for this rapidly expanding young population. The study protocol describes the use of an iterative process of using a mixed-methods strategy to develop, refine, and pilot test the proposed HeartFIT platform. A sequential problem-solving process comprising four iterative phases with ongoing end-user input will be implemented. In phase 1, relevant literature was systematically reviewed (completed) and then child-parent dyads will be interviewed to understand the broad context and the requirements and considerations of the target population toward the WeChat-based rehabilitation platform. In phase 2, key features and priority functionalities for the platform will be ideated and refined, and a digital interactive prototype will be created. In phase 3, heuristic evaluation and three rounds of end-user testing will be conducted to ensure further refinement and usability of the prototype. In phase 4, a prospective pilot study will be performed to investigate the feasibility, acceptability, and preliminary efficacy of the developed platform over a 12-week intervention period. If HeartFIT intervention is feasible, acceptable, and demonstrates promising efficacy, an adequately powered randomized controlled trial (future work) will be deployed to test the real-world effectiveness of the intervention.
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Affiliation(s)
- Yuan Li
- Nursing Department, West China Second University Hospital, Sichuan University, Chengdu, People's Republic of China.,Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, People's Republic of China.,West China School of Nursing, Sichuan University, Chengdu, People's Republic of China
| | - Yaxin Zhou
- Rehabilitation Medicine Center, Sichuan University, Chengdu, People's Republic of China.,West China Hospital, Sichuan University, Chengdu, People's Republic of China
| | - Miao Chen
- Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, People's Republic of China
| | - Mei R Fu
- Rutgers University, School of Nursing, Camden, NJ, USA
| | - Biru Luo
- Nursing Department, West China Second University Hospital, Sichuan University, Chengdu, People's Republic of China.,Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, People's Republic of China.,West China School of Nursing, Sichuan University, Chengdu, People's Republic of China
| | - Pengming Yu
- Rehabilitation Medicine Center, Sichuan University, Chengdu, People's Republic of China.,West China Hospital, Sichuan University, Chengdu, People's Republic of China.,Key Laboratory of Rehabilitation Medicine in Sichuan Province, Chengdu, People's Republic of China
| | - Hong Zheng
- Nursing Department, West China Second University Hospital, Sichuan University, Chengdu, People's Republic of China.,Department of Pediatric Cardiology, West China Second University Hospital, Sichuan University, Chengdu, People's Republic of China
| | - Fangfei Liu
- Nursing Department, West China Second University Hospital, Sichuan University, Chengdu, People's Republic of China.,Department of Pediatric Cardiology, West China Second University Hospital, Sichuan University, Chengdu, People's Republic of China
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