Community-based cardiac rehabilitation for Chinese migrants in Australia

INTERVENTION: Participants will be given a community‐based cardiac rehabilitation program for 24 weeks. This program was co‐designed through a qualitative study by our research team, health care practitioners, Tai Chi instructors and patients from Chinese migrants. It includes health education via text messages, programmed Shared Medical Appointment, and online live Tai Chi class. Participants will receive 4 messages per week (Monday to Friday between 9am to 5pm) for 24 weeks. The text message is semi‐personalised, in simplified Chinese and traditional Chinese, covering topics of diet/nutrition, physical activity, smoking cessation, and general cardiac rehabilitation knowledge. Each message will take around 10 seconds to 40 seconds to read. For example, ‘[Preferred Name], research shows eating 2 serves of fruit & 5 serves of veggies reduces your risk of heart disease, stroke, diabetes & some cancers’. The messages will be semi‐personalised. For example, only participants who are smokers will receive messages relevant to quitting smoking. The messages will be delivered by TextCare, a text message service developed by Westmead Applied Research Centre, University of Sydney by clinicians and researchers. It is a system that delivers customised messages to participants with their consent and provides a channel for communication, support, and education. The co‐design process of the text messages included: a. Selecting messages in English from an existing text messages bank in TextCare developed based on behaviour change techniques and national cardiac rehabilitation guidelines, b. Refining messages according to the expert review including academics, clinicians, and Tai Chi instructors, c. Translating text messages from English into simplified and traditional Chinese,