Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Jun 16, 2019
Open Peer Review Period: Jun 19, 2019 - Aug 10, 2019
Date Accepted: Oct 26, 2019
(closed for review but you can still tweet)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Randomized, Controlled Trial of an Information and Communication Technology-based Health Management Program for Patients with Cardiovascular Risk
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
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