Due to necessary scheduled maintenance, the JMIR Publications website will be unavailable from Wednesday, July 01, 2020 at 8:00 PM to 10:00 PM EST. We apologize in advance for any inconvenience this may cause you.
Who will be affected?
Readers: No access to all 28 journals. We recommend accessing our articles via PubMed Central
Authors: No access to the submission form or your user account.
Reviewers: No access to your user account. Please download manuscripts you are reviewing for offline reading before Wednesday, July 01, 2020 at 7:00 PM.
Editors: No access to your user account to assign reviewers or make decisions.
Copyeditors: No access to user account. Please download manuscripts you are copyediting before Wednesday, July 01, 2020 at 7:00 PM.
Randomized, Controlled Trial of an Information and Communication Technology-based Health Management Program for Patients with Cardiovascular Risk
Young Ho Yun;
EunKyo Kang;
Young Min Cho;
Sang Min Park;
Yong-Jin Kim;
Hae-Young Lee;
Kyae Hyung Kim;
Kiheon Lee;
Hye-Yeon Koo;
Soojeong Kim;
Ye Eun Rhee;
Jihye Lee;
JeongHee Min;
Jin Ah Sim
ABSTRACT
Background:
In addition to medication, the management of health behavior is crucial in patients with multiple risks of cardiovascular mortality.
Objective:
This study aimed to examine the efficacy of a self-management strategy-based information and communication technology (ICT) program.
Methods:
Methods:
This was a randomized, controlled trial of a self-management strategy-based ICT program (n = 53) versus an attention control (n = 53) in 106 patients with at least one indicator of poor disease control and who had hypertension, diabetes, or hypercholesterolemia. Intervention group were provided with the program. Control subjects received basic educational material concerning disease content. The primary outcome was the percentage of patients achieving three clinical indicators after 3 months: HbA1c < 7.0%, systolic blood pressure (SBP) < 130 mmHg, or LDL cholesterol < 130 mg/dL.
Results:
Results:
The intervention group showed a significantly high success rate for achieving all three clinical indicators (p = 0.016). Only patients with hypertension showed a significant improvement in SBP from baseline as compared to controls (72.8% vs 35.7%, p = 0.035). There was a significant reduction in HbA1c in the intervention group compared to controls (difference = 0.54%, p = 0.014). In the intervention group, 20% of patients with diabetes exhibited a ≥ 1% decrease in HbA1c (vs. 0% among controls, p = 0.038).
Conclusions:
Conclusion: A short-term self-management strategy-based ICT intervention may improve clinical outcomes among patients with cardiovascular risk. Clinical Trial: Clinicaltrials.gov. NCT03294044
Citation
Please cite as:
Yun YH, Kang E, Cho YM, Park SM, Kim YJ, Lee HY, Kim KH, Lee K, Koo HY, Kim S, Rhee YE, Lee J, Min J, Sim JA
Efficacy of an Electronic Health Management Program for Patients With Cardiovascular Risk: Randomized Controlled Trial