ITM support for patients with chronic respiratory and cardiovascular diseases: a protocol for a randomised controlled trial

IntroductionSimple and scalable strategies are needed to improve ‘out-of-hospital’ support and management for people living with cardiovascular disease (CVD) and respiratory disease. Text messaging via mobile phones has been shown to be effective in helping promote lifestyle change and is supported...

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Published inBMJ open Vol. 9; no. 3; p. e023863
Main Authors Redfern, Julie, Hyun, Karice, Singleton, Anna, Hafiz, Nashid, Raeside, Rebecca, Spencer, Lissa, Carr, Bridie, Caterson, Ian, Cullen, John, Ferry, Cate, Santo, Karla, Hayes, Alison, Leung, Regina W M, Raadsma, Simon, Swinbourne, Jessica, Cho, Jin G, King, Meredith, Roberts, Mary, Kok, Cindy, Jenkins, Christine, Chow, Clara
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group LTD 01.03.2019
BMJ Publishing Group
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Online AccessGet full text
ISSN2044-6055
2044-6055
DOI10.1136/bmjopen-2018-023863

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Abstract IntroductionSimple and scalable strategies are needed to improve ‘out-of-hospital’ support and management for people living with cardiovascular disease (CVD) and respiratory disease. Text messaging via mobile phones has been shown to be effective in helping promote lifestyle change and is supported by quantitative and qualitative evidence. The aim of this study is to test the effectiveness and implementation of a 6-month text messaging support programme for people with CVD and respiratory disease as an addition to cardiac and pulmonary outpatient rehabilitation.Methods and analysisPragmatic randomised controlled trial (n=310) to test the effectiveness of a 6-month text message support programme on clinical outcomes in people with CVD and chronic respiratory disease who are attending outpatient cardiac and pulmonary rehabilitation. The study includes a nested process evaluation to inform scalability and implementation across settings. The intervention group will receive a text message support programme comprising five messages per week for 26 weeks and the control group will continue with standard care. The primary outcome is exercise capacity (6 min walk distance). Secondary outcomes include clinical measures (proportion of people meeting the Australian guideline-recommended blood pressure and cholesterol targets), lifestyle outcomes (smoking rates, achievement of national guidelines for nutrition and physical activity), quality of life, mood (Hospital Anxiety and Depression Scale), medication adherence and attendance at and completion of rehabilitation.Ethics and disseminationPrimary ethics approval was received from the Sydney Local Health District Hospital Human Research Ethics Committee and associated Governance committees at sites. Results will be disseminated via the usual scientific forums including peer-reviewed publications and presentations at international conferences. At its conclusion, the study will determine the effectiveness and implementation of a simple programme that aims to improve health outcomes and attendance at rehabilitation for people with CVD and chronic respiratory disease.Trial registration numberACTRN12616001167459
AbstractList IntroductionSimple and scalable strategies are needed to improve ‘out-of-hospital’ support and management for people living with cardiovascular disease (CVD) and respiratory disease. Text messaging via mobile phones has been shown to be effective in helping promote lifestyle change and is supported by quantitative and qualitative evidence. The aim of this study is to test the effectiveness and implementation of a 6-month text messaging support programme for people with CVD and respiratory disease as an addition to cardiac and pulmonary outpatient rehabilitation.Methods and analysisPragmatic randomised controlled trial (n=310) to test the effectiveness of a 6-month text message support programme on clinical outcomes in people with CVD and chronic respiratory disease who are attending outpatient cardiac and pulmonary rehabilitation. The study includes a nested process evaluation to inform scalability and implementation across settings. The intervention group will receive a text message support programme comprising five messages per week for 26 weeks and the control group will continue with standard care. The primary outcome is exercise capacity (6 min walk distance). Secondary outcomes include clinical measures (proportion of people meeting the Australian guideline-recommended blood pressure and cholesterol targets), lifestyle outcomes (smoking rates, achievement of national guidelines for nutrition and physical activity), quality of life, mood (Hospital Anxiety and Depression Scale), medication adherence and attendance at and completion of rehabilitation.Ethics and disseminationPrimary ethics approval was received from the Sydney Local Health District Hospital Human Research Ethics Committee and associated Governance committees at sites. Results will be disseminated via the usual scientific forums including peer-reviewed publications and presentations at international conferences. At its conclusion, the study will determine the effectiveness and implementation of a simple programme that aims to improve health outcomes and attendance at rehabilitation for people with CVD and chronic respiratory disease.Trial registration numberACTRN12616001167459
Simple and scalable strategies are needed to improve 'out-of-hospital' support and management for people living with cardiovascular disease (CVD) and respiratory disease. Text messaging via mobile phones has been shown to be effective in helping promote lifestyle change and is supported by quantitative and qualitative evidence. The aim of this study is to test the effectiveness and implementation of a 6-month text messaging support programme for people with CVD and respiratory disease as an addition to cardiac and pulmonary outpatient rehabilitation. Pragmatic randomised controlled trial (n=310) to test the effectiveness of a 6-month text message support programme on clinical outcomes in people with CVD and chronic respiratory disease who are attending outpatient cardiac and pulmonary rehabilitation. The study includes a nested process evaluation to inform scalability and implementation across settings. The intervention group will receive a text message support programme comprising five messages per week for 26 weeks and the control group will continue with standard care. The primary outcome is exercise capacity (6 min walk distance). Secondary outcomes include clinical measures (proportion of people meeting the Australian guideline-recommended blood pressure and cholesterol targets), lifestyle outcomes (smoking rates, achievement of national guidelines for nutrition and physical activity), quality of life, mood (Hospital Anxiety and Depression Scale), medication adherence and attendance at and completion of rehabilitation. Primary ethics approval was received from the Sydney Local Health District Hospital Human Research Ethics Committee and associated Governance committees at sites. Results will be disseminated via the usual scientific forums including peer-reviewed publications and presentations at international conferences. At its conclusion, the study will determine the effectiveness and implementation of a simple programme that aims to improve health outcomes and attendance at rehabilitation for people with CVD and chronic respiratory disease. ACTRN12616001167459.
Simple and scalable strategies are needed to improve 'out-of-hospital' support and management for people living with cardiovascular disease (CVD) and respiratory disease. Text messaging via mobile phones has been shown to be effective in helping promote lifestyle change and is supported by quantitative and qualitative evidence. The aim of this study is to test the effectiveness and implementation of a 6-month text messaging support programme for people with CVD and respiratory disease as an addition to cardiac and pulmonary outpatient rehabilitation.INTRODUCTIONSimple and scalable strategies are needed to improve 'out-of-hospital' support and management for people living with cardiovascular disease (CVD) and respiratory disease. Text messaging via mobile phones has been shown to be effective in helping promote lifestyle change and is supported by quantitative and qualitative evidence. The aim of this study is to test the effectiveness and implementation of a 6-month text messaging support programme for people with CVD and respiratory disease as an addition to cardiac and pulmonary outpatient rehabilitation.Pragmatic randomised controlled trial (n=310) to test the effectiveness of a 6-month text message support programme on clinical outcomes in people with CVD and chronic respiratory disease who are attending outpatient cardiac and pulmonary rehabilitation. The study includes a nested process evaluation to inform scalability and implementation across settings. The intervention group will receive a text message support programme comprising five messages per week for 26 weeks and the control group will continue with standard care. The primary outcome is exercise capacity (6 min walk distance). Secondary outcomes include clinical measures (proportion of people meeting the Australian guideline-recommended blood pressure and cholesterol targets), lifestyle outcomes (smoking rates, achievement of national guidelines for nutrition and physical activity), quality of life, mood (Hospital Anxiety and Depression Scale), medication adherence and attendance at and completion of rehabilitation.METHODS AND ANALYSISPragmatic randomised controlled trial (n=310) to test the effectiveness of a 6-month text message support programme on clinical outcomes in people with CVD and chronic respiratory disease who are attending outpatient cardiac and pulmonary rehabilitation. The study includes a nested process evaluation to inform scalability and implementation across settings. The intervention group will receive a text message support programme comprising five messages per week for 26 weeks and the control group will continue with standard care. The primary outcome is exercise capacity (6 min walk distance). Secondary outcomes include clinical measures (proportion of people meeting the Australian guideline-recommended blood pressure and cholesterol targets), lifestyle outcomes (smoking rates, achievement of national guidelines for nutrition and physical activity), quality of life, mood (Hospital Anxiety and Depression Scale), medication adherence and attendance at and completion of rehabilitation.Primary ethics approval was received from the Sydney Local Health District Hospital Human Research Ethics Committee and associated Governance committees at sites. Results will be disseminated via the usual scientific forums including peer-reviewed publications and presentations at international conferences. At its conclusion, the study will determine the effectiveness and implementation of a simple programme that aims to improve health outcomes and attendance at rehabilitation for people with CVD and chronic respiratory disease.ETHICS AND DISSEMINATIONPrimary ethics approval was received from the Sydney Local Health District Hospital Human Research Ethics Committee and associated Governance committees at sites. Results will be disseminated via the usual scientific forums including peer-reviewed publications and presentations at international conferences. At its conclusion, the study will determine the effectiveness and implementation of a simple programme that aims to improve health outcomes and attendance at rehabilitation for people with CVD and chronic respiratory disease.ACTRN12616001167459.TRIAL REGISTRATION NUMBERACTRN12616001167459.
Author Cho, Jin G
Cullen, John
Hyun, Karice
Swinbourne, Jessica
Caterson, Ian
Santo, Karla
Roberts, Mary
Raeside, Rebecca
Ferry, Cate
Hafiz, Nashid
Hayes, Alison
Raadsma, Simon
Redfern, Julie
Spencer, Lissa
Leung, Regina W M
King, Meredith
Jenkins, Christine
Kok, Cindy
Chow, Clara
Singleton, Anna
Carr, Bridie
AuthorAffiliation 9 Sydney Medical School , University of Sydney , Sydney , New South Wales , Australia
10 School of Public Health , University of Sydney , Sydney , Australia
14 Westmead Clinical School , University of Sydney , Sydney , New South Wales , Australia
1 Westmead Applied Research Centre, Faculty of Medicine and Health , University of Sydney , Sydney , New South Wales , Australia
16 Western Sydney Local Health District , Westmead , New South Wales , Australia
15 Chronic Disease Community Rehabilitation Service , Northern Sydney Local Health District , Sydney , New South Wales , Australia
11 Faculty of Health Sciences , University of Sydney , Sydney , New South Wales , Australia
17 Institute of Respiratory Medicine , Royal Prince Alfred Hospital , Sydney , New South Wales , Australia
12 Behavioural Insights Unit , NSW Department of Premier and Cabinet , Sydney , New South Wales , Australia
2 Cardiovascular Division , The George Institute for Global Health, Sydney Medical School, University of Sydney ,
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/30826759$$D View this record in MEDLINE/PubMed
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Issue 3
Keywords cardiovascular disease
rehabilitation medicine
respiratory medicine (see thoracic medicine)
text message
implementation
chronic obstructive pulmonary disease
Language English
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Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
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Snippet IntroductionSimple and scalable strategies are needed to improve ‘out-of-hospital’ support and management for people living with cardiovascular disease (CVD)...
Simple and scalable strategies are needed to improve 'out-of-hospital' support and management for people living with cardiovascular disease (CVD) and...
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SubjectTerms Australia
Blood Pressure
Body mass index
Cardiovascular disease
Cardiovascular Diseases - therapy
Cell Phone
Cellular telephones
Chronic Disease
Chronic illnesses
Chronic obstructive pulmonary disease
Clinical trials
Diet
Disease management
Disease prevention
Evidence-based medicine
Exercise
Humans
Life Style
Lifestyles
Medication Adherence
Motivation
Participation
Patient Education as Topic - methods
Patient satisfaction
Physical fitness
Pragmatic Clinical Trials as Topic
Quality of Life
Quality standards
Rehabilitation
Rehabilitation Medicine
Reminder Systems
Respiratory diseases
Respiratory Tract Diseases - therapy
Self Care - methods
Smoking cessation
Text Messaging
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Title ITM support for patients with chronic respiratory and cardiovascular diseases: a protocol for a randomised controlled trial
URI https://bmjopen.bmj.com/content/9/3/e023863.full
https://www.ncbi.nlm.nih.gov/pubmed/30826759
https://www.proquest.com/docview/2187124193
https://www.proquest.com/docview/2187956569
https://pubmed.ncbi.nlm.nih.gov/PMC6430023
Volume 9
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