Compliance and behavioural modification post myocardial infarction (MI)

Flagship Program: Changing Health Trajectories in Chronic Disease

Project Description

This project aims to develop a suite of tools for healthcare providers and individuals to foster improved health outcomes, following hospitalisation for myocardial infarction (MI).

In particular, the tools will be designed to assist the individual to better participate in their own health, and better understand the issues that both led to their heart attack and will contribute to improving their immediate and future risks.

By understanding their condition and the implications of self care, as well as the care provided by the wider healthcare team – including specialists, GPs, nurses and allied health professionals – this deeper understanding is expected to better support compliance and behaviour change during the individual’s recovery and thereafter.

The tools and materials will focus on the individual following their MI, and be in the form of artificial intelligence (AI) driven educational information, underpinned by specific behaviour change principles to encourage health change, relevant health-driven guidelines, medication tracking and compliance/adherence advice.

Through this, the project aims to prevent recurrent MIs and other complications, improve long-term prognosis and health outcomes, and reduce medium- and long-term healthcare costs.

Development of the tools will leverage behavioural science expertise at Monash University.

Multiple sources suggest that health outcomes are not being optimised when it comes to chronic conditions. While there are clear gaps in personal knowledge and accountability for health behaviour, systems issues also prevent specific directives or information flow to address chronic conditions.

These systems issues either inhibit or do not facilitate information flow from one part of the health system to another (eg. hospital-GP, hospital-patient, GP-patient, patient-healthcare provider). Better understanding information flow within the health system, and being able to co-ordinate care between providers in specific support of the individual, will be an important objective of the interventions.

The project aims to identify opportunities for interventions, and also how to potentially address the most common points of information failure.

A centralised resource will be developed (eg. a website, app and/or other suitable technology platform) to provide relevant health-related information to support positive behaviour change.

Attention will be paid to scalability to other Australian healthcare services, other chronic conditions and international markets.

Project Objectives

Develop and pilot technology (eg. chatbot and/or other interactive tools) with the goal of supporting the behaviour change strategies necessary to adhere to care pathways and clinical guidelines and achieve sustainable lifestyle changes.

Specific aims or opportunities include:

  • improve health outcomes / other individual-centred outcomes post MI, and prevent recurrent events and other complications
  • drive behaviour change until a satisfactory reinforcement of knowledge prevents the waning of adherence by the patient
  • provide quality, evidence-based health information to support patient knowledge
  • test information provision and breadth – what information is most important, in what form, and how to satisfy personal needs?
  • integration of specific health information pathways (including personal data) that potentially loop back to health providers to demonstrate key performance metrics on outcomes (eg. lipids, weight, blood pressure)

Industry Participant

Amgen Australia Pty Ltd
Sean Lybrand — Director Value, Access and Policy

Bupa Foundation (Australia) Ltd
Annette Schmiede, Executive Leader

Other Project Participants

Research Participant

Monash University
Professor Antonio Verdejo-Garcia — Professor of Psychology;
Professor Danny Liew — Chair of Clinical Outcomes Research

Project Value: