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HL7 mFHAST Research & Development Environmental Scan

Text Message and Internet Support for Coronary Heart Disease Self-Management

An article from the Journal of Medical Internet Research

Results posted in the PubMed abstract: "Eligible patients (N=123) recruited from 2 large metropolitan hospitals were randomized to the intervention (n=61) or the control (n=62) group. Participants were predominantly male (100/123, 81.3%), New Zealand European (73/123, 59.3%), with a mean age of 59.5 (SD 11.1) years. A significant treatment effect in favor of the intervention was observed for the primary outcome at 3 months (AOR 2.55, 95% CI 1.12-5.84; P=.03), but not at 6 months (AOR 1.93, 95% CI 0.83-4.53; P=.13). The intervention group reported significantly greater medication adherence score (mean difference: 0.58, 95% CI 0.19-0.97; P=.004). The majority of intervention participants reported reading all their text messages (52/61, 85%). The number of visits to the website per person ranged from zero to 100 (median 3) over the 6-month intervention period."

Study RegionNew Zealand
OrganizationUniversity of Auckland,
Issue or ProblemReducing adverse cardiovascular events
Tech MediumSMS
Technology DeviceMobile phone
mFHAST ImplicationOpportunity for SMS interventions to increase adherence behavior changes needed to reduce coronary heart disease

More links

  • Link to the original article in PubMedA mHealth CR intervention plus usual care showed a positive effect on adherence to multiple lifestyle behavior changes at 3 months in New Zealand adults with CHD compared to usual care alone. The effect was not sustained to the end of the 6-month intervention. A larger study is needed to determine the size of the effect in the longer term and whether the change in behavior reduces adverse cardiovascular events.
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