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Improving coronary heart disease self-management using mobile technologies (Text4Heart): a randomised controlled trial protocol

Dale, Leila Pfaeffli, Whittaker, Robyn, Jiang, Yannan, Stewart, Ralph, Rolleston, Anna and Maddison, Ralph 2014, Improving coronary heart disease self-management using mobile technologies (Text4Heart): a randomised controlled trial protocol, Trials, vol. 15, Article number: 71, pp. 1-9, doi: 10.1186/1745-6215-15-71.

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Title Improving coronary heart disease self-management using mobile technologies (Text4Heart): a randomised controlled trial protocol
Author(s) Dale, Leila Pfaeffli
Whittaker, Robyn
Jiang, Yannan
Stewart, Ralph
Rolleston, Anna
Maddison, RalphORCID iD for Maddison, Ralph orcid.org/0000-0001-8564-5518
Journal name Trials
Volume number 15
Season Article number: 71
Start page 1
End page 9
Total pages 9
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2014-03
ISSN 1745-6215
Keyword(s) Alcohol Drinking
Cardiovascular Agents
Cell Phones
Clinical Protocols
Coronary Disease
Diet
Exercise
Health Behavior
Health Knowledge, Attitudes, Practice
Humans
Life Style
Medication Adherence
New Zealand
Research Design
Risk Reduction Behavior
Self Care
Smoking Cessation
Text Messaging
Time Factors
Treatment Outcome
Summary BACKGROUND: Cardiac rehabilitation (CR) is a secondary prevention program that offers education and support to assist patients with coronary heart disease (CHD) make lifestyle changes. Despite the benefits of CR, attendance at centre-based sessions remains low. Mobile technology (mHealth) has potential to reach more patients by delivering CR directly to mobile phones, thus providing an alternative to centre-based CR. The aim of this trial is to evaluate if a mHealth comprehensive CR program can improve adherence to healthy lifestyle behaviours (for example, physically active, fruit and vegetable intake, not smoking, low alcohol consumption) over and above usual CR services in New Zealand adults diagnosed with CHD.

METHODS/DESIGN: A two-arm, parallel, randomised controlled trial will be conducted at two Auckland hospitals in New Zealand. One hundred twenty participants will be randomised to receive a 24-week evidence- and theory-based personalised text message program and access to a supporting website in addition to usual CR care or usual CR care alone (control). The primary outcome is the proportion of participants adhering to healthy behaviours at 6 months, measured using a composite health behaviour score. Secondary outcomes include overall cardiovascular disease risk, body composition, illness perceptions, self-efficacy, hospital anxiety/depression and medication adherence.

DISCUSSION: This study is one of the first to examine an mHealth-delivered comprehensive CR program. Strengths of the trial include quality research design and in-depth description of the intervention to aid replication. If effective, the trial has potential to augment standard CR practices and to be used as a model for other disease prevention or self-management programs.
Language eng
DOI 10.1186/1745-6215-15-71
Field of Research 111799 Public Health and Health Services not elsewhere classified
1102 Cardiovascular Medicine And Haematology
1103 Clinical Sciences
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2014, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30081519

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.