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 .
An eHealth Diary and Symptom-Tracking Tool Combined With Person-Centered Care for Improving Self-Efficacy After a Diagnosis of Acute Coronary Syndrome: A Substudy of a Randomized Controlled Trial
Background Patients with cardiovascular diseases managed by a person-centered care ( PCC ) approach  have been observed to have better treatment outcomes and satisfaction than with traditional care . eHealth may facilitate the often slow transition to more person-centered health care by increasing patients ’ beliefs in their own capacities ( self-efficacy ) to manage their care trajectory . eHealth is being increasingly used , but most studies continue to focus on health care professionals ’ logic of care . Knowledge is lacking regarding the effects of an eHealth tool on self-efficacy when combined with PCC for patients with chronic heart diseases . Objective The objective of our study was to investigate the effect of an eHealth diary and symptom-tracking tool in combination with PCC for patients with acute coronary syndrome ( ACS ) . Methods This was a sub study of a r and omized controlled trial investigating the effects of PCC in patients hospitalized with ACS . In total , 199 patients with ACS aged < 75 years were r and omly assigned to a PCC intervention ( n=94 ) or st and ard treatment ( control group , n=105 ) and were followed up for 6 months . Patients in the intervention arm could choose to use a Web-based or mobile-based eHealth tool , or both , for at least 2 months after hospital discharge . The primary end point was a composite score of changes in general self-efficacy , return to work or prior activity level , and rehospitalization or death 6 months after discharge . Results Of the 94 patients in the intervention arm , 37 ( 39 % ) used the eHealth tool at least once after the index hospitalization . Most of these ( 24/37 , 65 % ) used the mobile app and not the Web-based app as the primary source of daily self-rating input . Patients used the eHealth tool a mean of 38 times during the first 8 weeks ( range 1–118 , SD 33 ) and 64 times over a 6-month period ( range 1–597 , SD 104 ) . Patients who used the eHealth tool in combination with the PCC intervention had a 4-fold improvement in the primary end point compared with the control group ( odds ratio 4.0 , 95 % CI 1.5–10.5 ; P=.005 ) . This improvement was driven by a significant increase in general self-efficacy compared with the control group ( P=.011 ) . Patients in the PCC group who did not use the eHealth tool ( n=57 ) showed a nonsignificant composite score improvement compared with those in the control group ( n=105 ) ( odds ratio 2.0 , 95 % CI 0.8–5.2 ; P=.14 ) . Conclusions We found a significant effect on improved general self-efficacy and the composite score for patients using an eHealth diary and symptom-tracking tool in combination with PCC compared with traditional care . Trial Registration Swedish registry , Research web.org , ID NR 65 791
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 .