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    2 Information about the technologies

    2.1

    Digital technologies to support cardiac rehabilitation are a possible treatment option for people with cardiovascular disease (CVD). They can be used on mobile phones, tablets or computers. They are intended to be offered as an option to support cardiac rehabilitation programmes remotely. This would enable people with CVD to self-manage their care at a time and location that is convenient to them.

    2.2

    Thirteen technologies were included in the scope and external assessment report (EAR). Many of the technologies are in use in the NHS. Some of the technologies are indicated for a specific CVD population.

    2.4

    Digital platforms for cardiac rehabilitation vary in terms of the mode of delivery (through websites or applications), the components of cardiac rehabilitation that are offered, target populations, duration of programme, frequency and level of support by healthcare professionals, and other features. See tables 1 and 2 for comparisons of the features of the technologies included in this evaluation.

    Technology

    Health behaviour change and exercise

    Lifestyle risk factor management

    Medical risk management

    Psychosocial health

    Long-term strategies

    Activate Your Heart

    Yes

    Yes

    Yes

    Yes

    Yes

    Beat Better

    Yes

    Yes

    Yes

    Yes

    Yes

    Datos Health

    Yes

    Yes

    Yes

    No

    No

    D REACH-HF

    Yes

    Yes

    Yes

    Yes

    Yes

    Digital Heart Manual

    Yes

    Yes

    Yes

    Yes

    Yes

    Get Ready

    Yes

    Yes

    Yes

    Yes

    Yes

    Gro Health HeartBuddy

    Yes

    Yes

    Yes

    Yes

    Yes

    KiActiv

    Yes

    Yes

    Yes

    Yes

    Yes

    Luscii vitals

    Yes

    Yes

    No

    No

    No

    myHeart

    Yes

    Yes

    Yes

    Yes

    Yes

    Pumping Marvellous

    Yes

    Yes

    No

    Yes

    Yes

    R Plus Health

    Yes

    Yes

    Yes

    Yes

    Yes

    Sword Health

    Yes

    Yes

    Yes

    Yes

    Yes

    Table 1: Core components of cardiac rehabilitation
    Table 2: Other features of the technologies

    Technology

    CE or UKCA mark

    Length of programme (weeks)

    Clinician dashboard

    Remote monitoring

    Connectivity to other devices

    Communication with NHS HCP via platform

    Access to company-employed rehabilitation support staff

    Activate Your Heart

    NR

    6

    Yes

    No

    No

    Yes

    No

    Beat Better

    NR

    Average 12

    Yes

    No

    No

    Yes

    Yes

    Datos Health

    No

    24

    Yes

    No

    Yes

    Yes

    Yes

    D REACH-HF

    NR

    12

    Yes

    Yes

    No

    Yes

    No

    Digital Heart Manual

    NR

    6

    No

    No

    No

    No

    No

    Get Ready

    Class 1

    Seeking class 2a

    Flexible

    Yes

    Yes

    Yes

    Yes

    Yes

    Gro Health HeartBuddy

    Class 1

    12

    Yes

    Yes

    Yes

    Yes

    Yes

    KiActiv

    Seeking class 1

    Flexible

    Yes

    Yes

    No

    No

    Yes

    Luscii vitals

    Class 2a

    Flexible

    Yes

    Yes

    Yes

    Yes

    myHeart

    Class 1

    UKCA

    12

    Yes

    Yes

    Yes

    No

    Yes

    Pumping Marvellous

    NR

    8

    No

    No

    No

    No

    Yes

    R Plus Health

    Class 1

    Flexible

    Yes

    Yes

    Yes

    Yes

    Yes

    Sword Health

    Seeking class 1

    Flexible

    Yes

    Yes

    Yes

    Yes

    Yes

    Abbreviations: HCP, healthcare professional; NR, not required; UKCA, UK Conformity Assessed.

    Activate Your Heart (University Hospitals of Leicester NHS Trust)

    2.5

    Activate Your Heart is a web-based cardiac rehabilitation platform for a range of cardiac conditions including:

    • all coronary heart disease conditions

    • rehabilitation after bypass or valve surgery

    • spontaneous coronary artery dissection

    • heart failure

    • arrhythmias.

      It is part of the i-IMPACT online platform. The platform personalises features such as exercise programmes and educational resources using input from a healthcare professional and the user.

    Beat Better (Avegen Ltd)

    2.6

    Beat Better is a web and app-based cardiac rehabilitation platform for people who have had a myocardial infarction or coronary artery bypass graft. Healthcare professionals can use the platform to provide exercise and dietary recommendations, and educational resources on heart health and symptom recognition. Users can track health measurements, exercise symptoms, mood and medication using the app, which can be reviewed by healthcare professionals.

    Datos Health (Datos Health Ltd)

    2.7

    Datos Health is a digital remote monitoring AI-enabled platform for supporting cardiac rehabilitation. The Datos CareApp allows users to track vitals such as heart rate, blood pressure and weight, report symptoms, complete assessments, and receive personalised educational content.

    D REACH-HF (Health & Care Innovations Ltd)

    2.8

    D REACH-HF is a website-based digital platform developed for people with heart failure. It is adapted from the paper REACH-HF programme, which includes exercise programmes, educational content, progress tracking and resources for family and friends. D REACH-HF needs support from a healthcare professional.

    Digital Heart Manual (NHS Lothian)

    2.9

    The Digital Heart Manual is a website-based digital version of the paper Heart Manual Programme (NHS Lothian). There are different versions available for people who have had:

    • a myocardial infarction or angioplasty

    • revascularisation (angioplasty and coronary bypass) but no myocardial infarction.

      The platform includes an exercise guide, education, diet, medication and psychological support. The healthcare professional can review and adjust goals in collaboration with the user based on their input through standard NHS communication channels.

    Get Ready (Medtronic)

    2.10

    Get Ready is a website- and app-based management, remote monitoring and patient engagement platform. It can be used to support cardiac rehabilitation for people with CVD, including people who with heart failure and those who have had coronary revascularisation, valve repair or replacement. The platform delivers educational content on cardiac conditions and risk factors, and general guidance on daily activities, which can be customised by healthcare professionals for local needs.

    Gro Health HeartBuddy (DDM health)

    2.11

    Gro Health HeartBuddy is an app-based cardiac rehabilitation platform for people:

    • who have had:

      • a myocardial infarction

      • percutaneous coronary intervention

      • a coronary artery bypass graft

      • a new diagnosis of heart failure or atrial fibrillation

    • after acute admissions for decompensated heart failure or uncontrolled atrial fibrillation.

      The platform personalises content on education, exercise programmes, health tracking, dietary support, medication adherence support, psychosocial support, lifestyle and behavioural modifications and healthcare professional engagement based on input from the user.

    KiActiv (Ki Performance Lifestyle Limited)

    2.12

    KiActiv is a digital platform for cardiac rehabilitation that incorporates a web application, mobile application and a proprietary wearable device that collects and processes physical activity data. It can be used by people with cardiac conditions including acute coronary syndromes, heart failure, cardiomyopathy, congenital heart disease and post-cardiac surgery. Data collected through the applications and from the wearable device help users create personalised cardiac rehabilitation programmes. KiActiv provides interactive tools for users to log and self-monitor medication use, physical activity data, pain, stress, fatigue, overall health, lifestyle behaviours and symptoms. A mentor employed by KiActiv signposts users to educational resources related to nutrition, medical risk management, smoking cessation, and psychosocial health (including peer-support groups) at set times.

    Luscii vitals (Luscii healthtech B.V.)

    2.13

    Luscii vitals is an app that can be used to support cardiac rehabilitation. It provides personalised exercise plans that are developed with the cardiac rehabilitation team. Users can self-monitor by recording their symptoms or completing questionnaires, and outputs such as educational resources can be personalised based on these inputs.

    myHeart (my mhealth Limited)

    2.14

    myHeart is an app- and web-based cardiac rehabilitation platform for people with heart disease or recovering from cardiac surgery. The platform automatically personalises educational content and guidance using the user's diagnosis and information about their lifestyle including smoking and weight. This can be done remotely to complement face-to-face sessions. The platform provides lifestyle and risk factor interventions such as symptom trackers, an activity diary, a medication diary, and electrocardiograph and echocardiogram results tracking as well as psychosocial support.

    Pumping Marvellous Cardiac Rehab Platform (Pumping Marvellous Foundation)

    2.15

    The Pumping Marvellous Foundation is a heart failure charity that provides a web-based online cardiac rehabilitation platform for people with heart failure. It provides structured exercise programmes based on the person's ability to exercise (low and medium). The platform also provides educational material and psychosocial support through a peer-to-peer online community.

    R Plus Health (RPlusHealth Limited)

    2.16

    R Plus Health is an app and web-based platform that provides exercise prescription and heart rate monitoring for people with a chronic heart condition including heart failure, stable angina, coronary revascularisation and post-cardiac surgery. The app allows users to follow their exercise prescriptions, access health education materials, record vitals such as heart rate, blood pressure, weight and diet, and complete questionnaires personalised by their healthcare professional. Users are prompted to measure vitals at intervals during exercise sessions, which can trigger alerts to healthcare professionals if abnormal. Healthcare professionals can prescribe long-term exercise prescriptions and set follow-up plans after the initial programme.

    Sword Move (Sword Health)

    2.17

    Sword Move is an app-based cardiac rehabilitation platform for people recovering from acute coronary syndrome, cardiac surgery, and people diagnosed with heart failure. It provides personalised exercise and guidance developed with a company-employed physical health specialist. The platform uses a proprietary AI model to analyse and collect the user's history and performance, suggest actions and alert abnormalities to the physical health specialists through the healthcare professional portal. The platform also provides personalised educational content, resources and guided meditation and breathing exercises.

    Carbon Reduction Plans

    The following companies did not disclose a Carbon Reduction Plan:

    • Avegen Ltd

    • Datos Health

    • Health and Care Innovations Ltd

    • Ki Performance Lifestyle Ltd

    • Luscii vitals

    • Medtronic

    • My mHealth

    • Pumping Marvellous Foundation

    • Sword Health

    • University Hospitals Leicester NHS Foundation Trust.