Lifestyle and Treatment Adherence Intervention after a Coronary Event Based on an Interactive Web Application (EVITE): Randomized Controlled Clinical Trial Protocol
Coronary heart disease is one of the main causes of morbimortality around the world. Patients that survive a coronary event suffer a high risk of readmission, relapse and mortality, attributed to the sub-optimal control of cardiovascular risk factors (CVRF), which highlights the need to improve seco...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-05-01
|
| Series: | Nutrients |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2072-6643/13/6/1818 |
| _version_ | 1797532484119822336 |
|---|---|
| author | María Ángeles Bernal-Jiménez Germán Calle-Pérez Alejandro Gutiérrez-Barrios Livia Gheorghe Ana María Solano-Mulero Amelia Rodríguez-Martín Josep A. Tur Rafael Vázquez-García María José Santi-Cano |
| author_facet | María Ángeles Bernal-Jiménez Germán Calle-Pérez Alejandro Gutiérrez-Barrios Livia Gheorghe Ana María Solano-Mulero Amelia Rodríguez-Martín Josep A. Tur Rafael Vázquez-García María José Santi-Cano |
| author_sort | María Ángeles Bernal-Jiménez |
| collection | DOAJ |
| description | Coronary heart disease is one of the main causes of morbimortality around the world. Patients that survive a coronary event suffer a high risk of readmission, relapse and mortality, attributed to the sub-optimal control of cardiovascular risk factors (CVRF), which highlights the need to improve secondary prevention strategies aimed at improving their lifestyle and adherence to treatment. Through a randomized controlled clinical trial, this study aims to evaluate the effect of an intervention involving an online health application supported by a mobile telephone or tablet (mHealth) on lifestyle (diet, physical activity, and tobacco consumption) and treatment adherence among people with coronary heart disease after percutaneous coronary intervention. The sample will comprise 240 subjects (120 in each arm: intervention and usual care). They are assessed immediately and nine months after their hospital discharge about sociodemographic, clinical, CVRF, lifestyle, and treatment adherence characteristics. The educative intervention, involving a follow-up and self-monitoring, will be performed using an online mHealth tool consisting of an application for mobile phones and tablets. The quantitative primary outcomes from the two groups will be compared using an analysis of covariance (ANCOVA) adjusted for age and gender. A multivariate analysis will be performed to examine the association of the intervention with lifestyle habits, the control of CVRFs, and outcomes after discharge in terms of the use of health services, emergency visits, cardiovascular events and readmissions. |
| first_indexed | 2024-03-10T11:00:53Z |
| format | Article |
| id | doaj.art-ce57ea12184547f9a05fa6f53a8cb3d4 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T11:00:53Z |
| publishDate | 2021-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-ce57ea12184547f9a05fa6f53a8cb3d42023-11-21T21:33:48ZengMDPI AGNutrients2072-66432021-05-01136181810.3390/nu13061818Lifestyle and Treatment Adherence Intervention after a Coronary Event Based on an Interactive Web Application (EVITE): Randomized Controlled Clinical Trial ProtocolMaría Ángeles Bernal-Jiménez0Germán Calle-Pérez1Alejandro Gutiérrez-Barrios2Livia Gheorghe3Ana María Solano-Mulero4Amelia Rodríguez-Martín5Josep A. Tur6Rafael Vázquez-García7María José Santi-Cano8Faculty of Nursing and Physiotherapy, University of Cádiz, 11009 Cádiz, SpainInstitute of Biomedical Research and Innovation of Cádiz (INiBICA), 11009 Cádiz, SpainInstitute of Biomedical Research and Innovation of Cádiz (INiBICA), 11009 Cádiz, SpainInstitute of Biomedical Research and Innovation of Cádiz (INiBICA), 11009 Cádiz, SpainCardiology Unit, Puerta del Mar Hospital, 11009 Cadiz, SpainFaculty of Nursing and Physiotherapy, University of Cádiz, 11009 Cádiz, SpainResearch Group on Community Nutrition & Oxidative Stress, University of the Balearic Islands, IDISBA & CIBEROBN, 07122 Palma de Mallorca, SpainInstitute of Biomedical Research and Innovation of Cádiz (INiBICA), 11009 Cádiz, SpainFaculty of Nursing and Physiotherapy, University of Cádiz, 11009 Cádiz, SpainCoronary heart disease is one of the main causes of morbimortality around the world. Patients that survive a coronary event suffer a high risk of readmission, relapse and mortality, attributed to the sub-optimal control of cardiovascular risk factors (CVRF), which highlights the need to improve secondary prevention strategies aimed at improving their lifestyle and adherence to treatment. Through a randomized controlled clinical trial, this study aims to evaluate the effect of an intervention involving an online health application supported by a mobile telephone or tablet (mHealth) on lifestyle (diet, physical activity, and tobacco consumption) and treatment adherence among people with coronary heart disease after percutaneous coronary intervention. The sample will comprise 240 subjects (120 in each arm: intervention and usual care). They are assessed immediately and nine months after their hospital discharge about sociodemographic, clinical, CVRF, lifestyle, and treatment adherence characteristics. The educative intervention, involving a follow-up and self-monitoring, will be performed using an online mHealth tool consisting of an application for mobile phones and tablets. The quantitative primary outcomes from the two groups will be compared using an analysis of covariance (ANCOVA) adjusted for age and gender. A multivariate analysis will be performed to examine the association of the intervention with lifestyle habits, the control of CVRFs, and outcomes after discharge in terms of the use of health services, emergency visits, cardiovascular events and readmissions.https://www.mdpi.com/2072-6643/13/6/1818lifestylecoronary eventonline applicationcoronary heart diseasetreatment adherencesecondary prevention |
| spellingShingle | María Ángeles Bernal-Jiménez Germán Calle-Pérez Alejandro Gutiérrez-Barrios Livia Gheorghe Ana María Solano-Mulero Amelia Rodríguez-Martín Josep A. Tur Rafael Vázquez-García María José Santi-Cano Lifestyle and Treatment Adherence Intervention after a Coronary Event Based on an Interactive Web Application (EVITE): Randomized Controlled Clinical Trial Protocol Nutrients lifestyle coronary event online application coronary heart disease treatment adherence secondary prevention |
| title | Lifestyle and Treatment Adherence Intervention after a Coronary Event Based on an Interactive Web Application (EVITE): Randomized Controlled Clinical Trial Protocol |
| title_full | Lifestyle and Treatment Adherence Intervention after a Coronary Event Based on an Interactive Web Application (EVITE): Randomized Controlled Clinical Trial Protocol |
| title_fullStr | Lifestyle and Treatment Adherence Intervention after a Coronary Event Based on an Interactive Web Application (EVITE): Randomized Controlled Clinical Trial Protocol |
| title_full_unstemmed | Lifestyle and Treatment Adherence Intervention after a Coronary Event Based on an Interactive Web Application (EVITE): Randomized Controlled Clinical Trial Protocol |
| title_short | Lifestyle and Treatment Adherence Intervention after a Coronary Event Based on an Interactive Web Application (EVITE): Randomized Controlled Clinical Trial Protocol |
| title_sort | lifestyle and treatment adherence intervention after a coronary event based on an interactive web application evite randomized controlled clinical trial protocol |
| topic | lifestyle coronary event online application coronary heart disease treatment adherence secondary prevention |
| url | https://www.mdpi.com/2072-6643/13/6/1818 |
| work_keys_str_mv | AT mariaangelesbernaljimenez lifestyleandtreatmentadherenceinterventionafteracoronaryeventbasedonaninteractivewebapplicationeviterandomizedcontrolledclinicaltrialprotocol AT germancalleperez lifestyleandtreatmentadherenceinterventionafteracoronaryeventbasedonaninteractivewebapplicationeviterandomizedcontrolledclinicaltrialprotocol AT alejandrogutierrezbarrios lifestyleandtreatmentadherenceinterventionafteracoronaryeventbasedonaninteractivewebapplicationeviterandomizedcontrolledclinicaltrialprotocol AT liviagheorghe lifestyleandtreatmentadherenceinterventionafteracoronaryeventbasedonaninteractivewebapplicationeviterandomizedcontrolledclinicaltrialprotocol AT anamariasolanomulero lifestyleandtreatmentadherenceinterventionafteracoronaryeventbasedonaninteractivewebapplicationeviterandomizedcontrolledclinicaltrialprotocol AT ameliarodriguezmartin lifestyleandtreatmentadherenceinterventionafteracoronaryeventbasedonaninteractivewebapplicationeviterandomizedcontrolledclinicaltrialprotocol AT josepatur lifestyleandtreatmentadherenceinterventionafteracoronaryeventbasedonaninteractivewebapplicationeviterandomizedcontrolledclinicaltrialprotocol AT rafaelvazquezgarcia lifestyleandtreatmentadherenceinterventionafteracoronaryeventbasedonaninteractivewebapplicationeviterandomizedcontrolledclinicaltrialprotocol AT mariajosesanticano lifestyleandtreatmentadherenceinterventionafteracoronaryeventbasedonaninteractivewebapplicationeviterandomizedcontrolledclinicaltrialprotocol |