Designing a Health Coach-Augmented mHealth System for the Secondary Prevention of Coronary Heart Disease Among Women

Sengupta, Avijit; Dutta, Kaushik; Beckie, Theresa M.; Chellappan, Sriram

doi:10.1109/tem.2020.2997662

Cited by 8 publications

(2 citation statements)

References 76 publications

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“…Descriptions of the theoretical underpinnings, system architecture, and usability testing of our prototype are found elsewhere. 27,28 HerBeat focuses on improving the health behaviors of women (eg, physical activity [PA], eating behavior, and stress management). Our primary aim was to evaluate, in a randomized controlled pilot study, whether participants in the HerBeat compared with participants in the educational usual care (E-UC) group improved exercise capacity (EC) at 3 mo measured by the 6-min walk test (6MWT).…”

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confidence: 99%

“…Our previously developed gender-specific CBCR25,26 was translated to a gender-specific mHealth SP behavior change intervention, called HerBeat. Descriptions of the theoretical underpinnings, system architecture, and usability testing of our prototype are found elsewhere 27,28. HerBeat focuses on improving the health behaviors of women (eg, physical activity [PA], eating behavior, and stress management).…”

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confidence: 99%

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A Mobile Health Behavior Change Intervention for Women With Coronary Heart Disease

Beckie

Sengupta

Dey

et al. 2023

Journal of Cardiopulmonary Rehabilitation and Prevention

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C enter-based cardiac rehabilitation (CBCR), the gold standard of secondary prevention (SP) of coronary heart disease (CHD), 1 provides irrefutable health benefits. 2 Support for healthy behavior change is a vital component of contemporary CBCR. 3 However, fewer women than men are referred to CBCR 4,5 and as few as 10-20% of women enroll with up to a 56% noncompletion rate. [6][7][8][9] Welldocumented barriers contribute to the underutilization of CBCR 10 including inadequate health insurance and costly copayments. 11 Women with transportation challenges, less social support, family obligations, depression, or anxiety and women of color are least likely to utilize CBCR. 8,[12][13][14] These barriers have prompted the need to redesign and expand SP alternatives for women. [15][16][17] Individualized SP programs that incorporate sex-specific components hold promise for improving the health behaviors of women. [18][19][20] Moreover, mobile health (mHealth) technology has the potential to increase scalability of SP through broader reach seamlessly in daily life and improved intervention effectiveness. 21 Although technology-enhanced home-based cardiac rehabilitation (CR) offers a possible adjunct to poor CBCR participation, 22 evidence for improved reach and effectiveness for women is limited. 23 Theoretically driven mHealth SP interventions designed specifically for women unable to access CBCR are lacking. 24 Our previously developed gender-specific CBCR 25,26 was translated to a gender-specific mHealth SP behavior change intervention, called HerBeat. Descriptions of the theoretical underpinnings, system architecture, and usability testing of our prototype are found elsewhere. 27,28 HerBeat focuses on improving the health behaviors of women (eg, physical activity [PA], eating behavior, and stress management). Our primary aim was to evaluate, in a randomized controlled pilot study, whether participants in the HerBeat compared with participants in the educational usual care (E-UC) group improved exercise capacity (EC) at 3 mo measured by the 6-min walk test (6MWT). Secondary outcomes included PA, blood pressure (BP), resting heart rate (RHR), body mass index (BMI),

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confidence: 99%

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confidence: 99%

A Mobile Health Behavior Change Intervention for Women With Coronary Heart Disease

Beckie

Sengupta

Dey

et al. 2023

Journal of Cardiopulmonary Rehabilitation and Prevention

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Exploring Women-Centric Health Technology Design: A Scoping Review

Akanbi,

Lekwa,

Prabhakar

2024

Lecture Notes in Networks and Systems

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Leveraging Digital Health to Improve the Cardiovascular Health of Women

Azizi,

Adedinsewo,

Rodriguez

et al. 2023

Curr Cardiovasc Risk Rep

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Purpose of Review In this review, we present a comprehensive discussion on the population-level implications of digital health interventions (DHIs) to improve cardiovascular health (CVH) through sex- and gender-specific prevention strategies among women. Recent Findings Over the past 30 years, there have been significant advancements in the diagnosis and treatment of cardiovascular diseases, a leading cause of morbidity and mortality among men and women worldwide. However, women are often underdiagnosed, undertreated, and underrepresented in cardiovascular clinical trials, which all contribute to disparities within this population. One approach to address this is through DHIs, particularly among racial and ethnic minoritized groups. Implementation of telemedicine has shown promise in increasing adherence to healthcare visits, improving BP monitoring, weight control, physical activity, and the adoption of healthy behaviors. Furthermore, the use of mobile health applications facilitated by smart devices, wearables, and other eHealth (defined as electronically delivered health services) modalities has also promoted CVH among women in general, as well as during pregnancy and the postpartum period. Overall, utilizing a digital health approach for healthcare delivery, decentralized clinical trials, and incorporation into daily lifestyle activities has the potential to improve CVH among women by mitigating geographical, structural, and financial barriers to care. Summary Leveraging digital technologies and strategies introduces novel methods to address sex- and gender-specific health and healthcare disparities and improve the quality of care provided to women. However, it is imperative to be mindful of the digital divide in specific populations, which may hinder accessibility to these novel technologies and inadvertently widen preexisting inequities.

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Designing a Health Coach-Augmented mHealth System for the Secondary Prevention of Coronary Heart Disease Among Women

Cited by 8 publications

References 76 publications

A Mobile Health Behavior Change Intervention for Women With Coronary Heart Disease

A Mobile Health Behavior Change Intervention for Women With Coronary Heart Disease

Exploring Women-Centric Health Technology Design: A Scoping Review

Leveraging Digital Health to Improve the Cardiovascular Health of Women

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