Related Experiment Video
Updated: Jul 1, 2026
A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
The effect of a self-management program through a mobile application on lipid profile among persons with coronary
Rapin Polsook1, Yupin Aungsuroch1
1Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand.
Insights
A mobile self-management program significantly reduced cholesterol, triglyceride, and low-density lipoprotein levels in coronary artery disease patients. This approach offers a promising strategy for improving lipid profiles and patient well-being.
Area of Science:
- Cardiovascular Disease Management
- Digital Health Interventions
- Lipid Metabolism
Background:
- Lipid levels (cholesterol, triglycerides, LDL) are critical for managing coronary artery disease (CAD).
- While medications help, lipid profiles often remain suboptimal in CAD patients.
- Mobile self-management programs are essential for reducing CAD incidence and improving patient outcomes.
Purpose of the Study:
- To assess the effectiveness of a mobile self-management program.
- To evaluate the impact on lipid profiles (cholesterol, triglycerides, LDL) in CAD patients.
Main Methods:
- Randomized controlled trial conducted in Thailand (June 2022-June 2023).
- 48 participants assigned to either a control group (conventional care) or an experimental group.
- Experimental group used a mobile app and phone for four weeks of self-management.
Main Results:
- The experimental group showed statistically significant reductions in cholesterol, triglycerides, and LDL levels compared to the control group.
- Specific p-values indicate significant differences for cholesterol (p=0.039), triglycerides (p=0.046), and LDL (p=0.040).
- The mobile self-management intervention effectively lowered lipid levels.
Conclusions:
- Mobile application-based self-management programs can significantly decrease lipid levels in CAD patients short-term.
- These findings underscore the importance of mobile health strategies in cardiovascular care.
- Nurses can leverage these digital tools to enhance patient self-care and management of coronary artery disease.
Background:
Cholesterol, triglycerides, and low-density lipoprotein levels are key indicators of patients' self-care in coronary artery disease; although medications can improve lipid profiles, the results often remain above targets. Implementing mobile self-management programs is crucial for reducing the incidence of coronary artery disease, preventing cardiac events, and enhancing well-being.
Objective:
This study aimed to evaluate the impact of a self-management program on cholesterol, triglycerides, and low-density lipoprotein levels in people with coronary artery disease.
Methods:
A randomized controlled trial design was employed at a tertiary hospital in Thailand between June 2022 and June 2023. Forty-eight people were randomly assigned to one of two groups: control or experimental. The experimental group used applications and the telephone for four weeks to self-manage cholesterol, triglyceride, and low-density lipoprotein levels, while the control group received conventional care. Data were gathered about cholesterol, triglyceride, and low-density lipoprotein levels. Descriptive statistics, independent t-tests, and dependent t-tests were employed to analyze between-group and within-group differences. Effect sizes (Cohen's d) with 95% confidence intervals were calculated.
Results:
Results showed that the experimental group had a statistically significant reduction in cholesterol (t = 2.121, df = 46, p = 0.039), triglyceride (t = 2.060, df = 46, p = 0.046), and low-density lipoprotein levels (t = 2.115, df = 46, p = 0.040) compared to the control group. This study demonstrates that a mobile application self-management program can lower lipid levels.
Conclusions:
The findings indicate that a mobile application-based self-management program can significantly reduce cholesterol, triglyceride, and low-density lipoprotein levels in people with coronary artery disease in the short term. These findings highlight the crucial role of nurses applying these strategies to enhance patient care.
Trial Registry Number:
Thai Clinical Trials Registry (TCTR20250129001).
Related Concept Videos
01:26Atherosclerosis III: Management
01:26Coronary Artery Disease IV: Preventive Measures
01:25Blood Studies for Cardiovascular System III: Serum Lipid Profile
Serum lipids are fats and fatty substances in the blood and are crucial for various bodily functions, including energy storage, cellular structure, and hormone production. Serum lipids consist of cholesterol, triglycerides, and phospholipids.
Cholesterol is a soft, fat-like substance found in all body cells. It is crucial for producing hormones, vitamin D, and substances that aid...
01:23Atherosclerosis IV: Nursing Management