# Development of Mobile Software “SRCardioCare” Prototype for Implementing Home-Based Exercise Program Among Patients After Adult Cardiac Surgical Revascularization: Qualitative Feasibility Study

## TL;DR

This paper introduces a mobile app called SRCardioCare to help heart surgery patients do home-based exercise safely with professional support.

## Contribution

The novel contribution is the development of a mobile platform for cardiac rehabilitation with integrated communication and feedback features.

## Key findings

- The SRCardioCare app was developed with input from healthcare professionals for cardiac rehabilitation.
- The app includes e-media content and regular feedback to support remote physical activity.
- Healthcare professionals expressed optimism about the app's potential for future implementation.

## Abstract

Noncommunicable diseases are a global concern with high mortality. Among these, cardiovascular disease requires more attention due to recurrence with altered physical activity. “SRCardioCare” (Sri Ramachandra Cardio Care) is an integrated mobile software that was developed to engage patients with effective communication and e-media support. We intend to explore the development of mobile software and its perceived impacts among health care professionals.

This study aimed to develop a more economical and feasible platform for cardiac rehabilitation following conservatively managed coronary arterial disease, heart failure, postoperative adult cardiac surgical revascularization, and other cardiac surgeries, and to develop software that facilitates effective communication among participants and health care professionals.

The software application was developed based on the experts’ interviews. The core components that are included in the software were assessed for their usefulness and applicability among people with cardiac disease using standardized questions. Physicians, nurse practitioners, and physiotherapists’ opinions were obtained. The developed app features providing e-media content for patients and pre- or postphysical activity response, including vitals and feedback from patients at set regular intervals, which were updated to the software.

Opinions obtained from practicing physicians (cardiologists), nurse practitioners, and physiotherapists were hopeful for the development and future implementation of “SRCardioCare” among patients. “SRCardioCare” is designed for the effective implementation of physical activity among patients after conservatively managed coronary arterial disease, heart failure, postoperative adult cardiac surgical revascularization, and other cardiac surgeries. An integrated communication medium and regular postphysical activity feedback of vitals may offer safety in implementing physical activity among the vulnerable in a remote setup.

Remote rehabilitation is an essential and unexplored forum of practice in the field of rehabilitation, yet it requires wearable technology for remote monitoring and virtual reality and mixed reality for enhancing the adherence of the participants. To incorporate the telehealth forum effectively, especially in settings like India, the design must include an economically feasible and convenient model.