背景:心脏康复在从冠状动脉事件中恢复的患者中至关重要,和mHealth技术可能构成一个有用的工具,提供基于科学证据的指南,有吸引力,和用户友好的格式。
目的:本研究旨在比较涉及eMOTIVA应用程序的mHealth干预措施和常规护理在生活方式方面对心脏康复指南的依从性的疗效。心血管危险因素,急性冠脉综合征患者的满意度。
方法:进行平行组设计的随机对照临床试验。它包括300名患者(mHealth组,150;对照组,150),因急性冠状动脉综合征而接受经皮冠状动脉介入治疗。两组最初(住院期间)以及3和6个月(面对面咨询)后进行评估。eMOTIVA应用程序包含一个虚拟教室,提供有关健康生活方式的音频和视频信息,自我记录心血管危险因素的部分,以及用于反馈消息和游戏化的部分。主要结果变量是(1)坚持地中海饮食和食物消费频率;(2)身体活动水平,久坐的时间,和运动能力;(3)戒烟和尼古丁依赖;(4)有关心血管危险因素的知识水平;(5)应用程序满意度和可用性。
结果:该研究分析了287名患者(mHealth组,145;对照组,142).大多数参与者是男性(207/300,69.0%),平均年龄为62.53(SD8.65)岁。与对照组相比,在6个月时观察到显着改善;在以下方面:(1)坚持地中海饮食(平均11.92,SD1.70vs8.92,SD2.66分;P<.001)和食用食物的频率(红肉[≤1/周]:141/143,97.9%vs96/141,68.1%;工业糕点中的平均89.64%/P<1.81.81.1.1.1.1.1.1.应用程序满意度很高(平均42.53,SD6.38分),其可用性非常好(平均95.60,SD4.03分)。
结论:使用eMOTIVA应用程序,在坚持地中海饮食方面,干预组获得了良好的结果,吃某些食物的频率,身体活动,久坐的时间,锻炼能力,知识水平,收缩压,心率,和血糖水平。此外,参与者报告应用程序满意度高,并将其可用性评为优秀。因此,这个创新工具非常有前途。
背景:ClinicalTrials.govNCT05247606;https://clinicaltrials.gov/study/NCT05247606。
BACKGROUND: Cardiac rehabilitation is fundamental among patients recovering from a coronary event, and mHealth technology may constitute a useful tool that provides
guidelines based on scientific evidence in an entertaining, attractive, and user-friendly format.
OBJECTIVE: This study aimed to compare the efficacy of an mHealth intervention involving the eMOTIVA app and that of usual care regarding compliance with cardiac rehabilitation
guidelines in terms of lifestyle, cardiovascular risk factors, and satisfaction among patients with acute coronary syndrome.
METHODS: A randomized controlled clinical trial with a parallel group design was conducted. It included 300 patients (mHealth group, 150; control group, 150) who underwent percutaneous coronary intervention for acute coronary syndrome. Both groups underwent evaluations initially (during hospitalization) and after 3 and 6 months (face-to-face consultations). The eMOTIVA app incorporates a virtual classroom providing audio and video information about a healthy lifestyle, a section for self-recording cardiovascular risk factors, and a section for feedback messages and gamification. The primary outcome variables were (1) adherence to the Mediterranean diet and the frequency of consumption of food; (2) physical activity level, sedentary time, and exercise capacity; (3) smoking cessation and nicotine dependence; (4) level of knowledge about cardiovascular risk factors; and (5) app satisfaction and usability.
RESULTS: The study analyzed 287 patients (mHealth group, 145; control group, 142). Most participants were male (207/300, 69.0%), and the mean age was 62.53 (SD 8.65) years. Significant improvements were observed in the mHealth group compared with the control group at 6 months in terms of (1) adherence to the Mediterranean diet (mean 11.92, SD 1.70 vs 8.92, SD 2.66 points; P<.001) and frequency of eating foods (red meat [≤1/week]: 141/143, 97.9% vs 96/141, 68.1%; industrial pastries [<2/week]: 129/143, 89.6% vs 80/141, 56.8%; oily fish [≥2/week]: 124/143, 86.1% vs 64/141, 41.4%; vegetables [≥2/day]: 130/143, 90.3% vs 78/141, 55.3%; fruit [≥2/day]: 128/143, 88.9% vs 85/141, 60.2%; all P<.001); (2) physical activity (mean 2112.66, SD 1196.67 vs 1372.60, SD 944.62 metabolic equivalents/week; P<.001) and sedentary time (mean 8.38, SD 1.88 vs 9.59, SD 2.09 hours; P<.001); (3) exercise capacity (distance: mean 473.49, SD 102.28 vs 447.25, SD 93.68 meters; P=.04); and (4) level of knowledge (mean 117.85, SD 3.83 vs 111.00, SD 7.11 points; P<.001). App satisfaction was high (mean 42.53, SD 6.38 points), and its usability was excellent (mean 95.60, SD 4.03 points).
CONCLUSIONS: With the eMOTIVA app, favorable results were obtained in the intervention group in terms of adherence to the Mediterranean diet, frequency of eating certain foods, physical activity, sedentary time, exercise capacity, knowledge level, systolic blood pressure, heart rate, and blood sugar level. Furthermore, participants reported high app satisfaction and rated its usability as excellent. Thus, this innovative tool is very promising.
BACKGROUND: ClinicalTrials.gov NCT05247606; https://clinicaltrials.gov/study/NCT05247606.