Effect of a Nurse‐Led Support Program Using Mobile Application Versus Nurse Phone Advice on Patients at Risk of Coronary Artery Disease: A Randomized Controlled Trial.
Background: Coronary artery disease (CAD) is a major health problem of atherosclerotic cardiovascular (CV) disease and early intervention is regarded important. Given the proven effect of a lifestyle intervention with nursing telephone counselling and mHealth use in health care, yet the comparisons...
| Publicado en: | Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) Vol. 22; no. 1; pp. 1 - 13 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Feb2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=183756726&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 183756726 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17416787 NRNX jtl: Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) issn: 17416787 maglogo: N pubinfo: dt: Feb2025 vid: 22 iid: 1 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 183756726 183756726 183756726 10.1111/wvn.12765 183756726 ppf: 1 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Effect of a Nurse‐Led Support Program Using Mobile Application Versus Nurse Phone Advice on Patients at Risk of Coronary Artery Disease: A Randomized Controlled Trial. aug: au: Wong, Eliza M. L. Leung, Doris Y. P. Lam, Simon C. Suen, Lorna K. P. Tang, Anson C. Y. Ko, Shuk Y. Leung, Angela Y. M. affil: School of Nursing, Tung Wah College, Hong Kong, China sug: subj: Coronary Arteriosclerosis Risk Factors Mobile Applications Coronary Arteriosclerosis Nursing Telenursing Exercise Program Evaluation Coronary Arteriosclerosis Prevention and Control Nursing Outcomes Human Male Female Prospective Studies Randomized Controlled Trials Random Assignment Comparative Studies Descriptive Statistics China Funding Source Scales Questionnaires Adult Body Mass Index Triglycerides Blood Waist Circumference Health Promotion Adult: 19-44 years Male Female ab: Background: Coronary artery disease (CAD) is a major health problem of atherosclerotic cardiovascular (CV) disease and early intervention is regarded important. Given the proven effect of a lifestyle intervention with nursing telephone counselling and mHealth use in health care, yet the comparisons of both support are lacking, this study is proposed. Objectives: This study aimed to compare the effects of a coronary artery disease (CAD) support program using a mobile application versus nurse phone advice on exercise amount and physical and psychological outcomes for clients at risk of CAD. Methods: A prospective randomized controlled trial was conducted. Ethical approval was obtained. Two‐hundred and twenty‐six clients were screened, and a total of 168 clients who were at risk of CAD and routinely used smartphones were randomized into the app support group (App group) or the nurse phone advice (NPA) group. Although all participants received the same health talk delivered by a cardiac nurse at the community center, the App group received additional CAD app support, whereas the NPA group received nurse phone advice for 20 min monthly. The app content comprised (1) CAD knowledge in 10 modules, (2) individual exercise records with their own goals and health measures, and (3) a chest pain action list. The intervention lasted for 3 months. Health outcome data were collected at baseline (T0) and after 1 (T1) and 3 (T2) months. The outcomes were the total amount of exercise (primary outcome), self‐efficacy in illness management, perceived stress, and CAD risk profile (body weight, body mass index, and lipid concentration). Generalized estimating equation models were used to assess differential changes in all outcomes within 3 months. Results: The attrition rates at 3 months were 3.49% and 9.30% for the App and NPA groups, respectively. The App support group was superior to the NPA group in significantly increasing total exercise amount and reducing body weight, waist circumference, triglycerides, and increased self‐efficacy in illness management. Linking Evidence to Action: The result provides further insights of app development to support health promotion programs for community‐dwelling adults at risk of CAD. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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