Lifestyle and Treatment Adherence Intervention after a Coronary Event Based on an Interactive Web Application (EVITE): Randomized Controlled Clinical Trial Protocol

Coronary heart disease is one of the main causes of morbimortality around the world. Patients that survive a coronary event suffer a high risk of readmission, relapse and mortality, attributed to the sub-optimal control of cardiovascular risk factors (CVRF), which highlights the need to improve seco...

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Veröffentlicht in:Nutrients 2021-05, Vol.13 (6), p.1818
Hauptverfasser: Bernal-Jiménez, María Ángeles, Calle-Pérez, Germán, Gutiérrez-Barrios, Alejandro, Gheorghe, Livia, Solano-Mulero, Ana María, Rodríguez-Martín, Amelia, Tur, Josep A, Vázquez-García, Rafael, Santi-Cano, María José
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container_issue 6
container_start_page 1818
container_title Nutrients
container_volume 13
creator Bernal-Jiménez, María Ángeles
Calle-Pérez, Germán
Gutiérrez-Barrios, Alejandro
Gheorghe, Livia
Solano-Mulero, Ana María
Rodríguez-Martín, Amelia
Tur, Josep A
Vázquez-García, Rafael
Santi-Cano, María José
description Coronary heart disease is one of the main causes of morbimortality around the world. Patients that survive a coronary event suffer a high risk of readmission, relapse and mortality, attributed to the sub-optimal control of cardiovascular risk factors (CVRF), which highlights the need to improve secondary prevention strategies aimed at improving their lifestyle and adherence to treatment. Through a randomized controlled clinical trial, this study aims to evaluate the effect of an intervention involving an online health application supported by a mobile telephone or tablet (mHealth) on lifestyle (diet, physical activity, and tobacco consumption) and treatment adherence among people with coronary heart disease after percutaneous coronary intervention. The sample will comprise 240 subjects (120 in each arm: intervention and usual care). They are assessed immediately and nine months after their hospital discharge about sociodemographic, clinical, CVRF, lifestyle, and treatment adherence characteristics. The educative intervention, involving a follow-up and self-monitoring, will be performed using an online mHealth tool consisting of an application for mobile phones and tablets. The quantitative primary outcomes from the two groups will be compared using an analysis of covariance (ANCOVA) adjusted for age and gender. A multivariate analysis will be performed to examine the association of the intervention with lifestyle habits, the control of CVRFs, and outcomes after discharge in terms of the use of health services, emergency visits, cardiovascular events and readmissions.
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Patients that survive a coronary event suffer a high risk of readmission, relapse and mortality, attributed to the sub-optimal control of cardiovascular risk factors (CVRF), which highlights the need to improve secondary prevention strategies aimed at improving their lifestyle and adherence to treatment. Through a randomized controlled clinical trial, this study aims to evaluate the effect of an intervention involving an online health application supported by a mobile telephone or tablet (mHealth) on lifestyle (diet, physical activity, and tobacco consumption) and treatment adherence among people with coronary heart disease after percutaneous coronary intervention. The sample will comprise 240 subjects (120 in each arm: intervention and usual care). They are assessed immediately and nine months after their hospital discharge about sociodemographic, clinical, CVRF, lifestyle, and treatment adherence characteristics. 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subjects Angioplasty
Applications programs
Cardiac patients
Cardiovascular disease
Cardiovascular diseases
Cardiovascular system
Cell Phone
Cell phones
Cellular telephones
Clinical outcomes
Clinical trials
Coronary artery disease
Coronary Disease - prevention & control
Coronary Disease - therapy
Coronary heart disease
Diet
Disease prevention
Exercise
Health aspects
Health risks
Health services
Heart
Heart diseases
Hospitals
Humans
Interactive control
Internet
Internet access
Intervention
Life Style
Lifestyles
Medical personnel
Medical research
Medicine, Experimental
Mobile Applications
Multivariate analysis
Optimal control
Patient compliance
Physical activity
Product development
Risk analysis
Risk factors
Risk management
Secondary Prevention - methods
Smartphones
Telemedicine - methods
Text Messaging
Tobacco
Transluminal angioplasty
Treatment Adherence and Compliance
title Lifestyle and Treatment Adherence Intervention after a Coronary Event Based on an Interactive Web Application (EVITE): Randomized Controlled Clinical Trial Protocol
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