Related Experiment Video

Updated: Feb 10, 2026

Analysis of Coronary Vessels in Cleared Embryonic Hearts
08:25

Analysis of Coronary Vessels in Cleared Embryonic Hearts

Published on: December 7, 2016

8.6K

Healthcare resource utilisation by patients with coronary heart disease receiving a lifestyle-focused text message

Jay Thakkar1, Julie Redfern1, Ehsan Khan1

  • 1The University of Sydney, Sydney, NSW 2006, Australia.

Australian Journal of Primary Health
|May 24, 2018
PubMed

Insights

The TEXT ME study found that text message support improved cardiovascular risk factors in coronary heart disease patients. This intervention did not increase the use of conventional healthcare services, indicating direct benefits.

Area of Science:

  • Cardiology
  • Digital Health
  • Public Health

Background:

  • Coronary heart disease (CHD) management requires ongoing patient engagement with healthcare.
  • Text message interventions show promise for improving health behaviors and risk factors.
  • Understanding the impact of digital health tools on healthcare resource utilization is crucial.

Purpose of the Study:

  • To determine if the 'Tobacco, Exercise and Diet Messages' (TEXT ME) intervention influenced the use of conventional healthcare resources in patients with CHD.
  • To assess the association between receiving text message support and engagement with general practitioner consultations, medical investigations, and cardiac medication prescriptions.

Main Methods:

  • A secondary analysis of the 6-month, single-centre randomized clinical trial (RCT) database (N=710).
  • Linking the TEXT ME study database with routinely collected health department data.
  • Comparing the number of doctor consultations, investigations, and cardiac medication prescriptions between the intervention and control groups.

Main Results:

  • The TEXT ME text messaging program did not increase the utilization of Medicare Benefits Schedule (MBS) or Pharmaceutical Benefits Scheme (PBS) captured healthcare services.
  • The most frequent healthcare service accessed was General Practitioner consultations (mean 7.1).
  • Numbers of medical consultations, biochemical tests, cardiac-specific investigations, and cardiac medication prescriptions (statin, ACEI/ARBs, β-blockers) were similar between study groups.

Conclusions:

  • The benefits of the TEXT ME intervention on cardiovascular risk factors are likely due to direct effects of the program itself.
  • The text message support program does not appear to increase reliance on conventional healthcare resources.
  • Digital health interventions can potentially improve patient outcomes independently of traditional healthcare engagement.

More Related Videos

Novel Percutaneous Approach for Deployment of 3D Printed Coronary Stenosis Implants in Swine Models of Ischemic Heart Disease06:39

Novel Percutaneous Approach for Deployment of 3D Printed Coronary Stenosis Implants in Swine Models of Ischemic Heart Disease

Published on: February 18, 2020

7.2K
Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease06:16

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

958

Related Concept Videos

Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
1.2K
Coronary Artery Disease II: Pathophysiology01:26

Coronary Artery Disease II: Pathophysiology

Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
510
Anatomy of the Heart01:27

Anatomy of the Heart

The human heart is made up of three layers of tissue that are surrounded by the pericardium, a membrane that protects and confines the heart. The outermost layer, closest to the pericardium, is the epicardium. The pericardial cavity separates the pericardium from the epicardium. Beneath the epicardium is the myocardium, the middle layer, and the endocardium, the innermost layer. There are four chambers of the heart: the right atrium, the right ventricle, the left atrium, and the left ventricle.
120.1K
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
654
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
298
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
541