Accepted for/Published in: JMIR Formative Research
Date Submitted: Jan 15, 2024
Open Peer Review Period: Jan 15, 2024 - Mar 11, 2024
Date Accepted: Jul 3, 2024
(closed for review but you can still tweet)
Exploring the Feasibility and Initial Impact of a Mobile Health-Based Disease Management Program for Chronic Ischemic Heart Disease: Formative Study
ABSTRACT
Background:
Ischemic Heart Disease (IHD) requires specialized management, particularly in controlling LDL cholesterol levels, a key risk factor for the disease. Recent advances in mobile health (mHealth) technologies offer promising tools for chronic disease management, including IHD. However, there's a gap in research regarding mHealth's long-term effectiveness in managing LDL cholesterol during the maintenance phase of IHD, underscoring the need for further investigation in this area.J
Objective:
This study aimed to evaluate the effectiveness of the Mobile Health-Based Disease Management Program in among people with Ischemic Heart Disease (IHD).
Methods:
A retrospective observational study was conducted using data from PREVENT Inc., Japan. Participants with a history of IHD who enrolled in the Mobile Health-Based Disease Management program between December 2018 and October 2022 were included. The program, spanning six months, incorporated bi-weekly phone sessions, health tracking via a smartphone app, and regular progress reports to physicians. The primary outcome was the change in LDL cholesterol levels.
Results:
Out of 272 initial participants, 266 completed the program. Significant reductions in LDL cholesterol were observed, decreasing from an average of 98.82 (SD 40.92) to 86.62 (SD 39.86). The intervention was particularly effective in participants with high initial LDL levels. Additional improvements in body weight and triglyceride levels were noted, suggesting the program's broader impact on metabolic health. However, personality traits did not significantly correlate with changes in LDL cholesterol levels.
Conclusions:
he Mobile Health-Based Disease Management Program effectively reduced LDL cholesterol levels, especially in patients with higher initial levels, indicating its potential in cardiovascular risk management. While personality traits showed no direct correlation with LDL changes, the program's comprehensive approach to lifestyle modification proved beneficial. Further research is needed to address the study's limitations and explore the wider applicability of such programs.
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