杂志文章@ 1438- 8871% I JMIR出版公司V 17% N卡塔尔世界杯8强波胆分析 10% P e237% T冠心病自我管理的短信和互联网支持:来自Text4Heart随机对照试验%A Pfaeffli Dale,Leila %A Whittaker,Robyn %A Jiang,Yannan %A Stewart,Ralph %A Rolleston,Anna %A Maddison,Ralph %+国家健康创新研究所，奥克兰大学人口健康学院，Tamaki校区，Morrin路261号，奥克兰，1072，新西兰，64 9 373 7599，l.pfaeffli@auckland.ac.nz %K短信%K移动健康%K手机%K心血管疾病%K干预%K生活方式改变%K行为%D 2015 %7 21.10.2015 %9原始论文%J J医学互联网Res %G英语%X背景:移动技术有潜力以适中的成本提供行为改变干预(mHealth)以减少冠心病(CHD)。之前的研究主要集中在单一行为上;然而，心脏康复(CR)作为冠心病自我管理的一个组成部分，需要解决多种危险因素。目的:目的是调查在常规护理(传统CR)之外，一个由医疗保健提供的综合CR计划(Text4Heart)的有效性，以提高对推荐生活方式行为(戒烟、体育活动、健康饮食和无害饮酒)的依从性。方法:在被诊断为冠心病的新西兰成年人中进行了一项2组、平行、随机对照试验。参与者在医院内被招募，并被鼓励参加以中心为基础的CR(常规护理控制)。此外，干预组接受了24周的个性化移动健康计划，该计划以社会认知理论为框架，由全自动的每日短消息服务(SMS)文本消息和支持网站发送。主要结局是在3个月和6个月时使用自我报告的综合健康行为评分(≥3)来衡量对健康生活方式行为的坚持程度。 Secondary outcomes included clinical outcomes, medication adherence score, self-efficacy, illness perceptions, and anxiety and/or depression at 6 months. Baseline and 6-month follow-up assessments (unblinded) were conducted in person. Results: Eligible patients (N=123) recruited from 2 large metropolitan hospitals were randomized to the intervention (n=61) or the control (n=62) group. Participants were predominantly male (100/123, 81.3%), New Zealand European (73/123, 59.3%), with a mean age of 59.5 (SD 11.1) years. A significant treatment effect in favor of the intervention was observed for the primary outcome at 3 months (AOR 2.55, 95% CI 1.12-5.84; P=.03), but not at 6 months (AOR 1.93, 95% CI 0.83-4.53; P=.13). The intervention group reported significantly greater medication adherence score (mean difference: 0.58, 95% CI 0.19-0.97; P=.004). The majority of intervention participants reported reading all their text messages (52/61, 85%). The number of visits to the website per person ranged from zero to 100 (median 3) over the 6-month intervention period. Conclusions: A mHealth CR intervention plus usual care showed a positive effect on adherence to multiple lifestyle behavior changes at 3 months in New Zealand adults with CHD compared to usual care alone. The effect was not sustained to the end of the 6-month intervention. A larger study is needed to determine the size of the effect in the longer term and whether the change in behavior reduces adverse cardiovascular events. Trial Registration: ACTRN 12613000901707; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=364758&isReview=true (Archived by WebCite at http://www.webcitation.org/6c4qhcHKt) %M 26490012 %R 10.2196/jmir.4944 %U //www.mybigtv.com/2015/10/e237/ %U https://doi.org/10.2196/jmir.4944 %U http://www.ncbi.nlm.nih.gov/pubmed/26490012