A Text Messaging Intervention to Improve Heart Failure Self-Management After Hospital Discharge in a Largely African-American Population: Before-After Study

Nundy, Shantanu; Razi, Rabia R.; Dick, Jonathan; Smith, Bryan; Mayo, Ainoa; O’Connor, Anne; Meltzer, David

doi:10.2196/jmir.2317

Cited by 107 publications

(160 citation statements)

References 19 publications

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“…To our knowledge, the literature related specifically to technology use for self-management in Blacks with heart failure is limited to four studies: one that investigates the use of an e-Health intervention [37], one a text messaging program [38••], one a telephone-based motivational interviewing and coaching program [39], and the fourth a transtelephonic monitoring program [40]. Four themes were identified from the synthesis of the four articles: (1) participants reported positive usability and acceptability of the technological intervention, (2) participants desired more instruction and training in using the technology, (3) participants viewed technology as a means of providing support, (4) technologically based interventions largely improved outcomes.…”

Section: Resultsmentioning

confidence: 99%

“…Heart failure patients were largely satisfied with and responded positively to the technologically based intervention [37, 38••, 39]. In the text messaging intervention, participants (n = 6) reported 100 % satisfaction with the mobile-based heart failure self-management program and said that they would recommend the program to a friend or family member [38••]; participants (n = 44) in the e-Health online management program reported high confidence with using telemonitoring devices (mean = 27.1, SD 18.9, range = 3-30) and with using web-based learning modules (mean = 7.6, SD = 3.2, range = 1-10), and stated that the program was easy to use [37].…”

Section: Resultsmentioning

confidence: 99%

“…In the text messaging intervention, participants (n = 6) reported 100 % satisfaction with the mobile-based heart failure self-management program and said that they would recommend the program to a friend or family member [38••]; participants (n = 44) in the e-Health online management program reported high confidence with using telemonitoring devices (mean = 27.1, SD 18.9, range = 3-30) and with using web-based learning modules (mean = 7.6, SD = 3.2, range = 1-10), and stated that the program was easy to use [37]. There were no significant differences in the confidence for using telemonitoring devices and readiness to use the internet between the Black and White participants [37].…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Racial Disparities and the Use of Technology for Self-Management in Blacks with Heart Failure: A Literature Review

Hughes

Granger

2014

Curr Heart Fail Rep

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Heart failure is a debilitating illness that requires patients to be actively engaged in self-management. Self-management practices, including maintenance and management of an evidence-based medication regimen, are associated with improved outcomes. Yet, sustained engagement with self-management practices remains a challenge. Both self-management practices and clinical outcomes differ by race, with the poorest self-management and clinical outcomes reported in Blacks. Contemporary interventions to address self-management and reverse current trends in outcomes have evaluated the use of technology. Technological innovations, such as text messaging, social networking, and online learning platforms may provide a more accessible means for self-management of heart failure, yet these innovations have been understudied in the population at greatest risk – Blacks with heart failure. We conducted a review and discovered only four studies evaluating use of technology for self-management in Blacks. More studies are needed to close the gap on racial disparities and use of technology for self-management.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Racial Disparities and the Use of Technology for Self-Management in Blacks with Heart Failure: A Literature Review

Hughes

Granger

2014

Curr Heart Fail Rep

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“…[8][9][10] These studies showed use of SMS interventions overcame external barriers such as time and distance, but faced challenges with response rate as well as technical difficulties. 8 One study found that an SMS educational intervention had a significantly better effect on breast cancer knowledge in obstetrics-gynecology residents compared with traditional paper-based teaching.…”

Section: Current Use Of Smartphone Technology In Gmementioning

confidence: 99%

Smartphones, Trainees, and Mobile Education: Implications for Graduate Medical Education

Short¹,

Lin²,

Merianos³

et al. 2014

Journal of Graduate Medical Education

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S martphones are one of the fastest-growing sectors in the technology industry, and they continue to evolve to combine faster processors, better memory, and more efficient operating systems into a compact handheld device. Smartphones also offer a dynamic tool for use in personal and professional environments. 1 The role of smartphones in medicine continues to expand as additional uses and applications emerge. An estimated 80% of physicians, trainees, and medical students use smartphones, and this percentage is expected to increase.2-4 Smartphones provide a multifaceted platform for mobile health care, allowing users to access a vast amount of information and interact with resources conveniently and quickly.5 Applications range from patient monitoring to use as a tool for diagnosis, to communication and medical education.Recent advances in smartphone technology have led many educators to extend their teaching methods into the mobile learning environment, providing an ''anytime, anywhere'' approach to learning. Mobile learning has been shown to have efficacy within the traditional classroom environment, and brief communications via short message service (SMS) supplement interactive classroom sessions, resulting in enhanced interest in and attention to classroom activity.6 Given the nature of graduate medical education (GME), where trainees are expected to assimilate a vast amount of information that is constantly evolving, and often are away from traditional classroom settings, the benefits of mobile learning with its uninterrupted access to educational resources can be particularly advantageous.In this perspective, we characterize the current and potential uses of smartphone technology in GME and provide recommendations for future studies on incorporating smartphone technology as an educational platform. Smartphones and EducationThe smartphone, in addition to having voice and text communication capabilities, is equipped with Internet access, a high-quality camera, and a recording device. With each new generation, smartphones come with more memory, faster computing capabilities, bigger screens, and sharper resolution. These features allow for instant and reliable access not only to the Internet and its wealth of information, but also for constant social connectivity to personal and professional peer groups. Given these functionalities, the potential for smartphone technology to enhance traditional educational methods is tremendous.Smartphones provide several mechanisms through which educational interventions can be administered (T A B L E). Mobile learning makes use of web-based and mobile-based platforms already in common use among young adults and the public. In fact, up to 35% of Americans use a smartphone, 7 and development of educational material into text messages, applications (apps), or mobile website formats has the potential to target a broad audience. Incorporation of information on social networking sites into curricula also is feasible. The trend toward universal smartphone ownership and trainees' wil...

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“…[21] In addition, African Americans are the largest consumers of text messaging. [22] This realization has led to the development of mHealth pilot and feasibility studies targeting heart disease management, [23] diabetes, [24] physical activity, [25,26] and weight loss maintenance. [27] Although these studies demonstrate the acceptability, feasibility, and potential effectiveness of mHealth interventions designed for African American adults, few have utilized randomized controlled designs and few were specifically designed to promote weight loss.…”

Section: Introductionmentioning

confidence: 99%

A Church-Based Weight Loss Intervention in African American Adults using Text Messages (LEAN Study): Cluster Randomized Controlled Trial (Preprint)

Newton¹,

Carter²,

Johnson³

et al. 2018

Preprint

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Word count: 3984Study Protocol: The study protocol can be obtained from the corresponding author (RLNJr).1 Background: African Americans experience a high prevalence of obesity and its associated comorbidities, including diabetes. Church-based interventions have been shown to be effective in decreasing weight in this population. mHealth interventions have the ability to address two needs for obesity treatment in this community, including enhancing weight loss and providing wide dissemination.Objective: To assess the feasibility and efficacy of a church-based weight loss intervention that incorporated mHealth technology. Methods:Eight churches (n = 97) were randomly assigned to the intervention or delayedintervention condition. Participants were recruited through their respective church. Volunteer church members were trained by study staff to deliver the 10-session, 6-month intervention.Participants in the intervention attended group sessions and received automated text messages designed to reinforce behavioral strategies. Participants in the delayed intervention received text messages related to health conditions relevant for African Americans. Measures of body composition, blood pressure, blood glucose, and cholesterol were taken.Results: Ninety-seven African American adults (mean age = 56.0 (10.3) years; 91.8% female; mean BMI = 38.6 (6.4) kg/m 2 ) were successfully recruited into the study and attended churches that were randomized into the intervention (n = 68) or delayed intervention (n = 29) condition. Seventy-two (74.2%) of these individuals (69.1% intervention; 86.2% delayed intervention) completed the 6-month assessment. The average attendance was 55%. There was a significant difference in weight loss (p = 0.041) between participants in the intervention (-1.5 kg (0.5)) and control (0.11 kg (0.6)) groups. There was a marginally significant difference (p = 0.067) in percent body fat (-0.4% (0.8) Trial registration:The study is registered in clinicaltrials.gov [NCT02863887].

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A Text Messaging Intervention to Improve Heart Failure Self-Management After Hospital Discharge in a Largely African-American Population: Before-After Study

Cited by 107 publications

References 19 publications

Racial Disparities and the Use of Technology for Self-Management in Blacks with Heart Failure: A Literature Review

Racial Disparities and the Use of Technology for Self-Management in Blacks with Heart Failure: A Literature Review

Smartphones, Trainees, and Mobile Education: Implications for Graduate Medical Education

A Church-Based Weight Loss Intervention in African American Adults using Text Messages (LEAN Study): Cluster Randomized Controlled Trial (Preprint)

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