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This is a protocol for a prospective observational study evaluating patient adherence to a lifestyle monitoring system combining a wearable device and a chatbot in 100 cardiac patients before and after elective intervention.
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This paper describes the protocol for the Care-On prospective observational trial (N=100) in cardiac patients. The study will evaluate adherence to a multimodal lifestyle monitoring system before and after elective cardiac interventions. The system integrates continuous objective data from a wrist-worn device with self-reported data collected via a chatbot interface. Data collection starts one week pre-intervention and continues for one year post-discharge, with participants reporting via the chatbot for 4 days every other week and wearing the device for 7 consecutive days in those same weeks. The primary outcome is adherence to the integrated platform. Secondary outcomes include system usability and determinants of adherence.