effectiveness of an mhealth intervention for youth with congenital heart disease

Conditions: Congenital Heart Disease; Adolescent Behavior

Summary: the aims of this study were to evaluate the long-term effectiveness of the care \& organize our lifestyle (cool) program, a self-regulation theory-based mhealth program, on improving disease knowledge and physical activity in youth with congenital heart disease (chd). the cool program is a 12-month randomized controlled trial that compared two active intervention groups to a standard-care control group (n = 47). participants with simple and moderate chd aged 15-24 years were recruited from pediatric or adult chd outpatient departments. participants in one active intervention group (n = 49) were provided with cool passport, a mobile healthcare application. those in the other group (n = 47) were provided with access to the health promotion cloud system and use of game-based interactive platforms along with cool passport. outcomes were the leuven knowledge questionnaire for chd and the international physical activity questionnaire-taiwan show-card version.

background: mobile health initiatives may provide youth with congenital heart disease (chd) relevant health information and a platform for managing the complex health care needs associated with undergoing transitional care. aims: to evaluate the long-term effectiveness of the care \& organize our lifestyle (cool) program, a self-regulation theory-based mhealth program, on improving disease knowledge and physical activity in youth with chd. methods: the cool program is a 12-month randomized controlled trial that compared two active intervention groups to a standard-care control group (n = 47). participants with simple and moderate chd aged 15-24 years were recruited from pediatric or adult chd outpatient departments. participants in one active intervention group (n = 49) were provided with cool passport, a mobile healthcare application. those in the other group (n = 47) were provided with access to the health promotion cloud system and use of game-based interactive platforms along with cool passport. outcomes were the leuven knowledge questionnaire for chd and the international physical activity questionnaire-taiwan show-card version.

Eligibility criteria:
inclusion criteria: * being diagnosed with chd by a pediatric cardiologist and qualifying as having simple or moderate chd complexity according to the 2008 american college of cardiology/american heart association guidelines; * having a regular pulse; * being 15-24 years of age; * being conversant in mandarin and taiwanese; * possessing a smartphone with internet connection; * agreeing to wear an exercise-monitoring wristband to record physiological data; * agreeing to engage in exercises designed to test cardiopulmonary endurance; * agreeing to participate in the study and sign an informed consent form for a relevant interview. for participants under 20 years of age, guardian approval by signing a written consent form was required. exclusion criteria: * having cognitive impairment to the extent of being noncommunicative; * having chd complicated with other congenital abnormalities; * having undergone a cardiac catheter-related intervention or surgery within the past 6 months; * being pregnant