Impact of AfterAMI Mobile App on Quality of Life, Depression, Stress and Anxiety in Patients with Coronary Artery Disease: Open Label, Randomized Trial
mHealth solutions optimize cardiovascular risk factor control in coronary artery disease. The aim of this study was to investigate the influence of mobile app AfterAMI on quality of life in patients after myocardial infarction. 100 participants were randomized (1:1 ratio) into groups: (1) with a reh...
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MDPI AG
2023-10-01
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Series: | Life |
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Online Access: | https://www.mdpi.com/2075-1729/13/10/2015 |
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author | Maria Boszko Bartosz Krzowski Michał Peller Paulina Hoffman Natalia Żurawska Kamila Skoczylas Gabriela Osak Łukasz Kołtowski Marcin Grabowski Grzegorz Opolski Paweł Balsam |
author_facet | Maria Boszko Bartosz Krzowski Michał Peller Paulina Hoffman Natalia Żurawska Kamila Skoczylas Gabriela Osak Łukasz Kołtowski Marcin Grabowski Grzegorz Opolski Paweł Balsam |
author_sort | Maria Boszko |
collection | DOAJ |
description | mHealth solutions optimize cardiovascular risk factor control in coronary artery disease. The aim of this study was to investigate the influence of mobile app AfterAMI on quality of life in patients after myocardial infarction. 100 participants were randomized (1:1 ratio) into groups: (1) with a rehabilitation program and access to afterAMI or (2) standard rehabilitation alone (control group, CG). 3 questionnaires (MacNew, DASS21 and EQ-5D-5L) were used at baseline, 1 month and 6 months after discharge. Median age was 61 years; 35% of patients were female. At 1 month follow up patients using AfterAMI had higher general quality of life scores both in MacNew [5.78 vs. 5.5 in CG, <i>p</i> = 0.037] and EQ-5D-5L [80 vs. 70 in CG, <i>p</i> = 0.007]. At 6 months, according to MacNew, the app group had significantly higher scores in emotional [6.09 vs. 5.45 in CG, <i>p</i>= 0.017] and physical [6.2 vs. 6 in CG, <i>p</i> = 0.027] aspects. The general MacNew quality of life score was also higher in the AfterAMI group [6.11 vs. 5.7 in CG, <i>p</i> = 0.015], but differences in EQ-5D-5L were not significant. There were no differences between groups in the DASS21 questionnaire. mHealth interventions may improve quality of care in secondary prevention, however further studies are warranted. |
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spelling | doaj.art-f9d96ed50e4048deb02f1c13d59ec5ce2023-11-19T17:06:10ZengMDPI AGLife2075-17292023-10-011310201510.3390/life13102015Impact of AfterAMI Mobile App on Quality of Life, Depression, Stress and Anxiety in Patients with Coronary Artery Disease: Open Label, Randomized TrialMaria Boszko0Bartosz Krzowski1Michał Peller2Paulina Hoffman3Natalia Żurawska4Kamila Skoczylas5Gabriela Osak6Łukasz Kołtowski7Marcin Grabowski8Grzegorz Opolski9Paweł Balsam101st Chair and Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland1st Chair and Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland1st Chair and Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland1st Chair and Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland1st Chair and Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland1st Chair and Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland1st Chair and Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland1st Chair and Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland1st Chair and Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland1st Chair and Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland1st Chair and Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, PolandmHealth solutions optimize cardiovascular risk factor control in coronary artery disease. The aim of this study was to investigate the influence of mobile app AfterAMI on quality of life in patients after myocardial infarction. 100 participants were randomized (1:1 ratio) into groups: (1) with a rehabilitation program and access to afterAMI or (2) standard rehabilitation alone (control group, CG). 3 questionnaires (MacNew, DASS21 and EQ-5D-5L) were used at baseline, 1 month and 6 months after discharge. Median age was 61 years; 35% of patients were female. At 1 month follow up patients using AfterAMI had higher general quality of life scores both in MacNew [5.78 vs. 5.5 in CG, <i>p</i> = 0.037] and EQ-5D-5L [80 vs. 70 in CG, <i>p</i> = 0.007]. At 6 months, according to MacNew, the app group had significantly higher scores in emotional [6.09 vs. 5.45 in CG, <i>p</i>= 0.017] and physical [6.2 vs. 6 in CG, <i>p</i> = 0.027] aspects. The general MacNew quality of life score was also higher in the AfterAMI group [6.11 vs. 5.7 in CG, <i>p</i> = 0.015], but differences in EQ-5D-5L were not significant. There were no differences between groups in the DASS21 questionnaire. mHealth interventions may improve quality of care in secondary prevention, however further studies are warranted.https://www.mdpi.com/2075-1729/13/10/2015coronary artery diseasecardiac rehabilitationmyocardial infarctionquality of lifetelemedicinemobile health |
spellingShingle | Maria Boszko Bartosz Krzowski Michał Peller Paulina Hoffman Natalia Żurawska Kamila Skoczylas Gabriela Osak Łukasz Kołtowski Marcin Grabowski Grzegorz Opolski Paweł Balsam Impact of AfterAMI Mobile App on Quality of Life, Depression, Stress and Anxiety in Patients with Coronary Artery Disease: Open Label, Randomized Trial Life coronary artery disease cardiac rehabilitation myocardial infarction quality of life telemedicine mobile health |
title | Impact of AfterAMI Mobile App on Quality of Life, Depression, Stress and Anxiety in Patients with Coronary Artery Disease: Open Label, Randomized Trial |
title_full | Impact of AfterAMI Mobile App on Quality of Life, Depression, Stress and Anxiety in Patients with Coronary Artery Disease: Open Label, Randomized Trial |
title_fullStr | Impact of AfterAMI Mobile App on Quality of Life, Depression, Stress and Anxiety in Patients with Coronary Artery Disease: Open Label, Randomized Trial |
title_full_unstemmed | Impact of AfterAMI Mobile App on Quality of Life, Depression, Stress and Anxiety in Patients with Coronary Artery Disease: Open Label, Randomized Trial |
title_short | Impact of AfterAMI Mobile App on Quality of Life, Depression, Stress and Anxiety in Patients with Coronary Artery Disease: Open Label, Randomized Trial |
title_sort | impact of afterami mobile app on quality of life depression stress and anxiety in patients with coronary artery disease open label randomized trial |
topic | coronary artery disease cardiac rehabilitation myocardial infarction quality of life telemedicine mobile health |
url | https://www.mdpi.com/2075-1729/13/10/2015 |
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