While the results of this systematic review are promising , there is insufficient evidence to draw conclusions on the effectiveness of text message-based interventions for adherence to medications for secondary prevention of CVD .
BACKGROUND Worldwide at least 100 million people are thought to have prevalent cardiovascular disease ( CVD ) .
This population has a five times greater chance of suffering a recurrent cardiovascular event than people without known CVD .
Secondary CVD prevention is defined as action aim ed to reduce the probability of recurrence of such events .
Drug interventions have been shown to be cost-effective in reducing this risk and are recommended in international guidelines .
However , adherence to recommended treatments remains sub-optimal .
In order to influence non-adherence , there is a need to develop scalable and cost-effective behaviour-change interventions .
OBJECTIVES To assess the effects of mobile phone text messaging in patients with established arterial occlusive events on adherence to treatment , fatal and non-fatal cardiovascular events , and adverse effects .
Acceptability of a Mobile Health Exercise-Based Cardiac Rehabilitation Intervention: A RANDOMIZED TRIAL
BACKGROUND : Mobile technologies ( mHealth ) have recently been used to deliver behavior change interventions ; however , few have investigated the application of mHealth for treatment of ischemic heart disease ( IHD ) . The Heart Exercise And Remote Technologies trial examined the effectiveness of an mHealth intervention to increase exercise behavior in adults with IHD . As a part of this trial , a process evaluation was conducted . METHODS : One hundred seventy-one adults with IHD were r and omized to receive a 6-month mHealth intervention ( n = 85 ) plus usual care or usual care alone ( n = 86 ) . The intervention delivered a theory-based , automated package of exercise prescription and behavior change text messages and a supporting Web site . Three sources of data were triangulated to assess intervention participant perceptions : ( 1 ) Web site usage statistics ; ( 2 ) feedback surveys ; and ( 3 ) semistructured exit interviews . Descriptive information from survey and Web data were merged with qualitative data and analyzed using a semantic thematic approach . RESULTS : At 24 weeks , all intervention participants provided Web usage statistics , 75 completed the feedback survey , and 17 were interviewed . Participants reported reading the text messages ( 70/75 ; 93 % ) and liked the content ( 55/75 ; 73 % ) . The program motivated participants to exercise . Several suggestions to improve the program included further tailoring of the content ( 7/75 ; 7 % ) and increased personal contact ( 10/75 ; 13 % ) . CONCLUSIONS : Adults with IHD were able to use an mHealth program and reported that text messaging is a good way to deliver exercise information . While mHealth is design ed to be automated , programs might be improved if content and delivery were tailored to individual needs
While the results of this systematic review are promising , there is insufficient evidence to draw conclusions on the effectiveness of text message-based interventions for adherence to medications for secondary prevention of CVD .
BACKGROUND Worldwide at least 100 million people are thought to have prevalent cardiovascular disease ( CVD ) .
This population has a five times greater chance of suffering a recurrent cardiovascular event than people without known CVD .
Secondary CVD prevention is defined as action aim ed to reduce the probability of recurrence of such events .
Drug interventions have been shown to be cost-effective in reducing this risk and are recommended in international guidelines .
However , adherence to recommended treatments remains sub-optimal .
In order to influence non-adherence , there is a need to develop scalable and cost-effective behaviour-change interventions .
OBJECTIVES To assess the effects of mobile phone text messaging in patients with established arterial occlusive events on adherence to treatment , fatal and non-fatal cardiovascular events , and adverse effects .