一个移动健康行为改变干预对冠状动脉心脏病妇女:一个随机控制的试点研究
Theresa M Beckie1, Avijit Sengupta, Arup Kanti Dey
1College of Nursing, University of South Florida, Tampa, the United States (Drs Beckie and Ji); Business School, University of Queensland, Brisbane, Australia (Dr Sengupta); College of Engineering, University of South Florida, Tampa, the United States (Drs Dey and Chellappan); and College of Business, University of South Florida, Tampa, the United States (Dr Dutta).
与常规护理相比,HerBeat移动健康干预改善了心脏病患者的运动能力和其他健康结果. 需要进一步的研究来证实这些发现在更大的群体.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 行为科学 行为科学
背景情况:
- 冠心病 (CHD) 不成比例地影响女性,需要量身定制的干预.
- 现有的心脏康复项目往往缺乏长期参与和个性化支持.
- 移动健康 (mHealth) 干预为改善慢性疾病管理提供了一个有希望的途径.
研究的目的:
- 评估HerBeat mHealth干预措施提高心脏病患者运动能力 (EC) 和患者报告的结果的疗效.
- 为了比较HerBeat干预与教育常规护理 (E-UC) 的影响.
主要方法:
- 一项随机对照试验,涉及47名患有心血管疾病的妇女.
- 干预组接受了HerBeat mHealth计划 (智能手机,智能手表,健康教练).
- 对照组接受了标准化的心脏康复工作簿 (E-UC).
- 主要终点:通过3个月的6分钟步行测试 (6MWT) 测量EC.
主要成果:
- 从基线看,HerBeat组的6MWT显著改善 (P = .016),而E-UC组没有 (P = .894).
- 赫比特的参与者在焦虑,饮食信心,自我效能,透气血压,一般健康感知,疼痛感知和腰围方面表现出显著的改善.
- 对于任何结果,在E-UC组中没有观察到显著的改善.
结论:
- 在3个月内,HerBeat mHealth干预有效地改善了患有心血管疾病的妇女的EC和次要结果.
- 虽然在统计学上并不显著,但在HerBeat组中观察到改善EC的趋势.
- 赫比特的干预证明了可行性,可接受性和最小的磨损,这表明它有可能得到更广泛的实施.
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