Effectiveness of eHealth on the Self-management of Health Status and QOL Among CAD Patients

Study Overview
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Brief Summary
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This article uses the smart medical case management tracking system, combined with various terminal devices to fully record the measured data (pulse, blood pressure) for case home care tracking to prevent the occurrence and deterioration of the disease. Therefore, with the promotion of the eHealth medical staff and members of the family can instantly grasp the health of the body and cultivate the habits of self-health management and enhance the quality of care. Therefore, we hope to use the Smart Health Cloud as an interventional measure to improve the care of patients with coronary artery disease, improve self-management ability and quality of life.

Detailed Description
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The World Health Organization points out that cardiovascular disease is the number one killer of global deaths, killing 17.1 million people worldwide each year, accounting for 31% of the world's total deaths. Heart disease is the second leading cause of death in China. Coronary artery disease (CAD) is the majority, and coronary artery disease is the most common cardiovascular disease. Good self-management can reduce disease risk factors and improve related prognosis. It is also an important issue in health promotion around the world. This article uses the smart medical case management tracking system, combined with various terminal devices to fully record the measured data (pulse, blood pressure) for case home care tracking to prevent the occurrence and deterioration of the disease. Therefore, with the promotion of the eHealth medical staff and members of the family can instantly grasp the health of the body and cultivate the habits of self-health management and enhance the quality of care. Therefore, we hope to use the Smart Health Cloud as an interventional measure to improve the care of patients with coronary artery disease, improve self-management ability and quality of life.

Official Title
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Effectiveness of eHealth on the Self-management, Physiological Health and Quality of Life Among Coronary Artery Disease Patients

Conditions
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eHealth, Coronary Artery Disease, Quality of Life, Self-management

Intervention / Treatment
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* Combination Product: eHealth


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: A patient who is 20 years of age or older and has a Coronary computed tomography angiography >50% vascular stenosis, has been PTCA、stent or CABG Taiwanese, understand Chinese Exclusion Criteria: Those who can't express their wishes clearly (such as Azheimer's disease, mental dysfunction) mental disorder infectious diseases Patients who participate in other research projects
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: wait list control group RCT
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: eHealth<br>Provide home physiology measurement services, including automatic uploading of measured blood pressure values to the cloud, serial back-end education platform to provide numerical anomaly alarms and health care notifications, monthly measurement data reports, combined with mobile APP management system for immediate enquiry . In addition to the electric visit to the patient's health education guidance, the content includes: 1. Encourage the walking exercise to perform 2. Ask the walking exercise execution progress, please return the daily value of the case to facilitate the record 3. Answer the relevant questions asked during the intervention. | Combination Product: eHealth<br>* The study was randomized (wait-list-control), and it was estimated that 60 subjects were randomly assigned to the immediate treatment group and the wait-list-control group. The two groups were tested for baseline before intervention in the eHealth. After the first questionnaire evaluation, the experimental group was involved in the eHealth for three months, and after three months, the experimental group and the waiting intervention control group were post-tested. To assess the effectiveness of the two groups before and after the eHealth . Control group that waits for intervention in the fourth month from the beginning of the fourth month to the end of the sixth month<br>|
| Experimental: wait list control<br>wait list control for 3 months and then Provide home physiology measurement services, including automatic uploading of measured blood pressure values to the cloud, serial back-end education platform to provide numerical anomaly alarms and health care notifications, monthly measurement data reports, combined with mobile APP management system for immediate enquiry . In addition to the electric visit to the patient's health education guidance, the content includes: 1. Encourage the walking exercise to perform 2. Ask the walking exercise execution progress, please return the daily value of the case to facilitate the record 3. Answer the relevant questions asked during the intervention. | Combination Product: eHealth<br>* The study was randomized (wait-list-control), and it was estimated that 60 subjects were randomly assigned to the immediate treatment group and the wait-list-control group. The two groups were tested for baseline before intervention in the eHealth. After the first questionnaire evaluation, the experimental group was involved in the eHealth for three months, and after three months, the experimental group and the waiting intervention control group were post-tested. To assess the effectiveness of the two groups before and after the eHealth . Control group that waits for intervention in the fourth month from the beginning of the fourth month to the end of the sixth month<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| physiological indicators-HDL-C(T1) | HDL-C, the unit is mg/dL | T1-baseline | 
| physiological indicators-HDL-C(T2) | HDL-C, the unit is mg/dL | T2-three months later | 
| physiological indicators-HDL-C(T3) | HDL-C, the unit is mg/dL | T3-six months later | 
| physiological indicators-LDL-C(T1) | LDL-C, the unit is mg/dL | T1-baseline | 
| physiological indicators-LDL-C(T2) | LDL-C, the unit is mg/dL | T2-three months later | 
| physiological indicators-LDL-C(T3) | LDL-C, the unit is mg/dL | T3-six months later | 
| physiological indicators-Total Cholesterol(T1) | Total Cholesterol, the unit is mg/dL | T1-baseline | 
| physiological indicators-Total Cholesterol(T2) | Total Cholesterol, the unit is mg/dL | T2-three months later | 
| physiological indicators-Total Cholesterol(T3) | Total Cholesterol, the unit is mg/dL | T3-six months later | 
| physiological indicators-Triglyceride(T1) | Triglyceride, the unit is mg/dL | T1-baseline | 
| physiological indicators-Triglyceride(T2) | Triglyceride, the unit is mg/dL | T2-three months later | 
| physiological indicators-Triglyceride(T3) | Triglyceride, the unit is mg/dL | T3-six months later | 
| physiological indicators-GLU(T1) | GLU, the unit is mg/dL | T1-baseline | 
| physiological indicators-GLU(T2) | GLU, the unit is mg/dL | T2-three months later | 
| physiological indicators-GLU(T3) | GLU, the unit is mg/dL | T3-six months later | 
| physiological indicators-HbA1C(T1) | HbA1C, the unit is % | T1-baseline | 
| physiological indicators-HbA1C(T2) | HbA1C, the unit is % | T2-three months later | 
| physiological indicators-HbA1C(T3) | HbA1C, the unit is % | T3-six months later | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| self-management-T1 | use The partners in Health scale. total of 12 questions,The scoring method uses the nine-point Likert Scales score. The score of 0 is divided into self-management performance, and the score of 8 indicates that self-management is good. The total score is 96 points. The higher the score, the better the self-management. | T1-baseline | 
| self-management-T2 | use The partners in Health scale. total of 12 questions,The scoring method uses the nine-point Likert Scales score. The score of 0 is divided into self-management performance, and the score of 8 indicates that self-management is good. The total score is 96 points. The higher the score, the better the self-management. | T2-three months later | 
| self-management-T3 | use The partners in Health scale. total of 12 questions,The scoring method uses the nine-point Likert Scales score. The score of 0 is divided into self-management performance, and the score of 8 indicates that self-management is good. The total score is 96 points. The higher the score, the better the self-management. | T3-six months later | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Coronary artery disease, Remote Care, artificial intelligence, self-management, Quality of Life