Using Digital Health Technology to Promote Cardiovascular Disease Risk Reduction in Secondary Prevention

Comparative Effectiveness of Lifestyle Intervention on Fasting Plasma Glucose in Normal Weight Versus Overweight and Obese Adults With Prediabetes

“…Moreover, the effectiveness of the LHC program in terms of improvements in cardiovascular disease risk factors has previously been verified in multiple peer-reviewed publications, including randomized clinical trials. 12,13…”

“…The LHC program, including its evidence-based design, has been described in detail elsewhere. 12,13 Briefly, the LHC program is based on multiple programmatic designs for the delivery of lifestyle management and chronic disease risk reduction interventions shown to be effective in randomized clinical trials and is conducted in accordance with published national evidence-based clinical guidelines, where appropriate. Moreover, the effectiveness of the LHC program in terms of improvements in cardiovascular disease risk factors has previously been verified in multiple peer-reviewed publications, including randomized clinical trials.…”

“…Moreover, the effectiveness of the LHC program in terms of improvements in cardiovascular disease risk factors has previously been verified in multiple peerreviewed publications, including randomized clinical trials. 12,13 LHC included counseling on exercise training, nutrition, weight management, stress management, and smoking cessation. Participants were preassigned to receive up to 18 one-on-one live LHC sessions during the first year of program participation, with at least 50% of the sessions generally occurring within the first 3 months of intervention.…”

“…The LHC program included the following core components: (a) initial assessment; (b) formulation of individualized cardiovascular disease risk factor goals (including for FPG) based on national clinical guidelines; (c) formulation of an individualized action plan for achieving risk factor goals through evidence-based lifestyle intervention and, where appropriate, physician referrals for consideration of medication changes to optimize blood pressure and/or lipid management in accordance with national clinical guidelines; (d) action plan implementation, including one-on-one behaviorally oriented live coaching (face-to-face in community-based settings or, predominantly, via telephone and the Internet); (e) online access to a variety of resources specifically designed to supplement the coaching process, including personalized goals, action plan and progress reports, an individualized series of standardized behaviorally oriented educational modules with accompanying audios, interactive self-monitoring diaries and logs, recipes, and health-related challenges; and (f) reassessment after a mean of ~6 months. 12,13 During LHC, counselling on exercise training focused on the achievement of ≥150 minutes of moderate intensity aerobic exercise per week. Counseling on nutrition focused on a healthy eating pattern that, depending on each subject's preferences, was consistent with the Dietary Approaches to Stop Hypertension (DASH) and/or Mediterranean dietary patterns.…”