Behavioural intervention to increase physical activity among patients with coronary heart disease: Protocol for a randomised controlled trial

Alsaleh, Eman; Blake, Holly; Windle, Richard

doi:10.1016/j.ijnurstu.2012.07.004

Cited by 9 publications

(6 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…141,147 While there are yet no data from LMICs, one study is under way in Jordan. 147,148 Given the penetrance of mobile technology in many LMICs, these models have significant potential to increase delivery of CR.…”

Section: Alternative Models Of Cr Delivery To Increase Reachmentioning

confidence: 99%

Global availability of cardiac rehabilitation

2014

View full text Add to dashboard Cite

The most prevalent non-communicable disease globally, namely cardiovascular disease (CVD), is also the leading cause of mortality, with over 80% of the deaths occurring in low-and middleincome countries. To lessen the impact of CVDs on individuals and societies, a comprehensive approach is needed. Cardiac rehabilitation (CR) involves delivery of structured exercise, education and risk reduction, in a cost-effective manner. Robust evidence demonstrates it reduces mortality up to 25%, improves functional capacity, as well as decreases re-hospitalization. Despite its benefits, and clinical practice guideline recommendations to refer cardiac patients, CR programs are grossly under-used. Worldwide, there is low availability of CR; only 38.8% of countries globally have CR programs. Specifically, 68.0% of high-income and 23% of LMICs (28.2% for middle-and 8.3% for low-income countries) have CR. CR density estimates ranged from 1 program per 0.1-6.4 million inhabitants. CR availability is much lower than that of other evidencebased secondary prevention therapies, such as revascularization and pharmacological therapies. Multi-level strategies to augment CR capacity and availability at national and international levels such as supportive public health policies, systematic referral strategies, and alternative models of delivery are needed.

show abstract

Section: Alternative Models Of Cr Delivery To Increase Reachmentioning

confidence: 99%

Global availability of cardiac rehabilitation

2014

View full text Add to dashboard Cite

show abstract

“…However, several groups of investigators have published promising study designs for evaluating the use of mobile technology for delivery of cardiac rehabilitation (Table 3). 23–26 These studies expand on the existing literature by including the core components of cardiac rehabilitation, basing their interventions on behavior change theory, evaluating a wide array of patient‐centered health outcomes, and employing randomized clinical trial designs (to reduce bias due to confounding from baseline differences in mobile versus traditional groups).…”

Section: Existing Studiesmentioning

confidence: 99%

“…35–36 To date, published studies of mobile cardiac rehabilitation have not specifically addressed behavior change strategies in their design. However, several of the ongoing studies specifically incorporate behavior change strategies, including short‐ and long‐term goal setting, 23–24,26 motivational messages and reminders, 23,25–26 application of behavior change theories, 24–26 and attention to promoting self‐efficacy. 24–26 Attention to principles from behavior change theories in the design of mobile interventions for cardiac rehabilitation may significantly increase the likelihood of success.…”

Section: Proposed Frameworkmentioning

confidence: 99%

See 1 more Smart Citation

Using Mobile Technology for Cardiac Rehabilitation: A Review and Framework for Development and Evaluation

Beatty

Fukuoka

Whooley

2013

JAHA

176

166

View full text Add to dashboard Cite

“…Variability in the reporting of intervention content is common, yet the use of a tool offering criteria for the standardisation of definitions of the techniques included in behaviour change interventions is a valuable approach. There is a widespread use of mobile phone technology as an adjunctive intervention or single aspect of a multicomponent health promotion programme4 and these studies will also require review for a thorough understanding of diversity in methods of implementation. Participants often indicate that mobile-technology-based interventions are feasible and acceptable in diverse settings and populations, although cost-effectiveness requires further attention, high attrition rates are a concern and evidence of longer term outcomes is often lacking.…”

Section: Commentarymentioning

confidence: 99%

Text messaging interventions increase adherence to antiretroviral therapy and smoking cessation

Blake

2013

Evid Based Med

Self Cite

View full text Add to dashboard Cite

ContextPromoting the uptake of healthier behaviour, either in health promotion or in disease management, presents significant challenges, both at the individual and population levels, and calls for innovative strategies and methods. As mobile technologies have advanced exponentially in recent years, 1 2 there is an increased scope for low-cost health promotion interventions with economy of scale, and for individualised self-management support for healthcare consumers which allows for personal tailored messaging and temporal synchronisation of intervention delivery. Communication technologies have radically changed how individuals access health information and communicate, and this generates a need to examine the effectiveness of mobile technology-based interventions delivered to healthcare consumers for health behaviour change and also for the management of diseases. MethodsThis systematic review by Free and colleagues includes studies in which mobile technology was the primary intervention component under evaluation. The primary outcome was any objective measure of health, or health service delivery or use. Secondary outcomes included self-reported health behaviours, disease management, health service delivery or use and cognitive outcomes. Excluded studies were those in which mixed mobile technologies were adopted, or those evaluating non-mobile technology-based interventions in which the treatment and control group both received the technology-based component or those interventions in which the treatment and control group differed in additional ways besides the use of mobile technology. Two reviewers identified potentially eligible trials and independently extracted data. The authors searched MEDLINE, EMBASE, PsycINFO, Global Health, Web of Science, the Cochrane Library and the Health Technology Assessment (HTA) database from 1990 to September 2010. They applied a taxonomy of behaviour change techniques to classify behaviour change interventions 3 and assessed the risk of bias according to the criteria outlined by the Cochrane Collaboration. Risk ratios and standard mean differences were calculated, and the authors used random effects meta-analysis to give pooled estimates when there were two or more trials using the same technology function (eg, short message service (SMS)) and targeting the same disease (eg, diabetes control) or behaviour (eg, physical activity) and reporting the same outcome. Heterogeneity was examined visually and statistically, and funnel plots were included to assess the evidence of publication bias. FindingsThere were 75 controlled trials which met the review criteria: 49 targeted disease management for healthcare consumers (6832 participants, with sample sizes ranging from 17 to 5800) and 26 targeted health behaviour change (10 706 participants with sample sizes ranging from 16 to 273). Almost all the trials were conducted in high-income countries and the majority were of low quality; only two trials of disease management and two trials of health behaviour management had a low risk of ...

show abstract

Behavioural intervention to increase physical activity among patients with coronary heart disease: Protocol for a randomised controlled trial

Abstract: The study is registered as a clinical trial at ISRCTN register (ISRCTN48570595).

Cited by 9 publications

References 20 publications

Global availability of cardiac rehabilitation

Global availability of cardiac rehabilitation

Using Mobile Technology for Cardiac Rehabilitation: A Review and Framework for Development and Evaluation

Text messaging interventions increase adherence to antiretroviral therapy and smoking cessation

Contact Info

Product

Resources

About