Active+me: patient self-monitoring solution using Activ8rlives (www.activ8rlives.com) suite of products for patients self-monitoring physiological signs and symptoms at home, starting their recovery after heart intervention (procedure) or pulmonary exacerbation.
Used alongside clinically-proven rehabilitation pathways, it supports patients that have two or more morbidities, to become expert at self-management of their conditions, improving outcomes and reduce NHS service utilisation.
Active+me combines: medical technologies, devices, stratified healthcare and digital health. Culmination of 8 years product development and implementation of technology-enabled self-management trials for older people with multiple morbidities, as recovery pathway from illnesses such as cardiovascular disease or respiratory exacerbation (asthma, COPD, non-CF bronchiectasis).
• Safe, supervised and evidence-based group classes, delivered in the community by a Physical Activity Specialist (PAS).• Education in the use of Activ8rlives health monitoring technologies empowering participants to self-care, is delivered alongside the exercise classes.• Peer support group(s) during which there are review session by PAS staff using participants-recorded data on the Activ8rlives portal, evidencing psychologically-based benefits to both participants and stakeholders.• Increased skills, knowledge and confidence of participants to better manage their own condition, measured through Patient Activation Measure (PAM).
NICE-approved rehabilitation classes are sometimes described as Level 3 or Phase 3, and typically follow NICE-approved syllabus delivered over 8-week period, usually with 2 classes/week. These are delivered by clinically-trained personnel in an acute treatment setting, with very close observation of the individuals during exercise. Once discharged from Level 3 rehabilitation, often there are no follow-up processes or rehabilitation classes other than outpatient appointments.
Active+me fills the gap between existing health and care services, with the intention of improving health outcomes and minimising expensive interventions resulting from deterioration. Evidence shows that people who are more activated are more likely to adopt positive behaviours and have clinical indicators within a normal range, resulting in 8% lower costs than those less activated in the fist year of support and 21% less in the second year.
PHCs at local leisure or community centres mentor and provide "light-touch" guidance, leading toward greater engagement of patients in proven Phase III CR programmes, while providing technical training alongside, in small "bite-sized pieces."