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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Main Authors: Maria Boszko, Bartosz Krzowski, Michał Peller, Paulina Hoffman, Natalia Żurawska, Kamila Skoczylas, Gabriela Osak, Łukasz Kołtowski, Marcin Grabowski, Grzegorz Opolski, Paweł Balsam
Format: Article
Language:English
Published: MDPI AG 2023-10-01
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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