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 .
Patient-centered disease management (PCDM) for heart failure: study protocol for a randomised controlled trial
Background Chronic heart failure ( HF ) disease management programs have reported inconsistent results and have not included comorbid depression management or specifically focused on improving patient-reported outcomes . The Patient Centered Disease Management ( PCDM ) trial was design ed to test the effectiveness of collaborative care disease management in improving health status ( symptoms , functioning , and quality of life ) in patients with HF who reported poor HF-specific health status . Methods / design Patients with a HF diagnosis at four VA Medical Centers were identified through population -based sampling . Patients with a Kansas City Cardiomyopathy Question naire ( KCCQ , a measure of HF-specific health status ) score of < 60 ( heavy symptom burden and impaired quality of life ) were invited to enroll in the PCDM trial . Enrolled patients were r and omized to receive usual care or the PCDM intervention , which included : ( 1 ) collaborative care management by VA clinicians including a nurse , cardiologist , internist , and psychiatrist , who worked with patients and their primary care providers to provide guideline -concordant care management , ( 2 ) home telemonitoring and guided patient self-management support , and ( 3 ) screening and treatment for comorbid depression . The primary study outcome is change in overall KCCQ score . Secondary outcomes include depression , medication adherence , guideline -based care , hospitalizations , and mortality . Discussion The PCDM trial builds on previous studies of HF disease management by prioritizing patient health status , implementing a collaborative care model of health care delivery , and addressing depression , a key barrier to optimal disease management . The study has been design ed as an ‘ effectiveness trial ’ to support broader implementation in the healthcare system if it is successful . Trial registration Unique identifier :
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 .