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Personalized E-Coaching in Cardiovascular Risk Reduction: A Randomized Controlled Trial.

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Personalized electronic coaching did not add cardiovascular risk reduction to standard care for high-risk individuals. Comprehensive health checks modestly reduced risk, but e-coaching showed no additional benefit.

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Area of Science:

  • Cardiology
  • Digital Health
  • Preventive Medicine

Background:

  • Individuals at increased cardiovascular risk benefit from comprehensive health checks.
  • The role of digital interventions like e-coaching in enhancing cardiovascular risk reduction is under investigation.

Purpose of the Study:

  • To evaluate if personalized electronic (e-) coaching, combined with standard care, offers additional cardiovascular risk reduction compared to standard care alone.
  • To assess the impact of e-coaching on lifestyle and risk factors in high-risk individuals.

Main Methods:

  • A randomized controlled trial involving 402 participants with a 10-year QRISK2 cardiovascular risk of ≥10% was conducted.
  • Participants received either e-coaching plus standard of care (SOC) or SOC alone.
  • The primary endpoint was the change in carotid-femoral pulse wave velocity (PWV) at six months, with secondary outcomes including blood pressure and weight changes.

Main Results:

  • No significant difference in PWV reduction was observed between the e-coaching and SOC groups.
  • Improvements in blood pressure, weight, and cardiovascular risk scores (Framingham, QRISK2) were similar across both groups.
  • Higher education levels were associated with more favorable PWV changes, independent of e-coaching intervention.

Conclusions:

  • Personalized e-coaching does not provide additional cardiovascular risk reduction when added to standard care in individuals at increased risk.
  • While 'health check' programs show modest risk reduction, current evidence does not support routine recommendation of e-coaching within these programs.