对冠状动脉疾病患者风险因子修改的以生活方式为重点的短信的影响:随机临床试验
Clara K Chow1, Julie Redfern2, Graham S Hillis3
1The George Institute for Global Health, Sydney Medical School, University of Sydney, Sydney, Australia2Westmead Hospital, Sydney, Australia.
JAMA
|September 23, 2015
概括
在冠心病患者中,手机短信改善了心血管健康. 这项以生活方式为重点的计划适度降低了LDL胆固醇,并改善了其他危险因素,尽管长期结果需要进一步研究.
科学领域:
- 心脏病学
- 预防医学
- 数字健康
背景情况:
- 通过改变生活方式预防心血管疾病至关重要,
- 移动健康 (mHealth) 策略具有潜力,但缺乏强有力的治疗效益证据.
- 烟草,运动和饮食信息 (TEXT ME) 试验通过评估手机短信干预来解决这一问题.
研究的目的:
- 评估半个性化的,以生活方式为重点的手机短信程序对心血管风险因素的影响.
- 确定mHealth干预措施在患有冠心病的患者中控制心血管疾病风险的有效性.
主要方法:
- 一个平行组,单盲,随机临床试验,涉及710名冠心病患者.
- 干预组在6个月内每周收到4个短信;对照组接受通常的护理.
- 根据基线特征进行半个性化信息; 该程序没有交互性.
主要成果:
- 在6个月后,低密度脂蛋白胆固醇 (LDL- C),缩血压和体重指数 (BMI) 显著降低.
- 观察到体力活动水平显著增加,吸烟率显著降低.
- 大多数参与者认为短信有用,易于理解,
结论:
- 一个以生活方式为重点的短信服务适度改善了LDL-C水平,并显著改善了冠心病患者的其他心血管疾病风险因素.
- 这项干预表明了mHealth在预防心血管疾病方面的潜力.
- 需要进一步的研究来确定这种干预的长期影响和临床结果.
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