Integrated Text Messaging (ITM) for people attending cardiac and pulmonary rehabilitation: A multicentre randomised controlled trial

作者：Julie Redfern, Anna Singleton, Rebecca Raeside, Karla Santo, Nashid Hafiz, Lissa Spencer, Regina WM Leung, Mary M. Roberts, Meredith King, Jin‐Gun Cho, Bridie Carr, Christine Jenkins, Stephanie R. Partridge, Alison Hayes, Clara K Chow, Karice Hyun · 发表于：Annals of Physical and Rehabilitation Medicine · 年份：2023 · DOI：10.1016/j.rehab.2023.101800 · 被引用次数：10 · 研究领域：Cardiac Health and Mental Health、Mobile Health and mHealth Applications、Stroke Rehabilitation and Recovery

BACKGROUND: People living with cardiac and respiratory disease require improved post-hospital support that is readily available and efficient. OBJECTIVES: To 1) test the effectiveness of an automated, semi-personalised text message support program on clinical and lifestyle outcomes amongst people attending cardiac and pulmonary rehabilitation. Also, 2) to evaluate the program's acceptability and utility using patient-reported outcome and experience measures. METHODS: Multicentre randomised controlled trial (3:1, intervention:control) amongst cardiac and pulmonary rehabilitation attendees. Control received usual care (no message program). Intervention also received a 6-month text message lifestyle and support program. Primary outcome was 6-minute walk distance (6MWD). Secondary outcomes included clinical measures, lifestyle, patient-reported outcome and experience measures, medication adherence and rehabilitation attendance. RESULTS: A total of 316 participants were recruited. They had a mean age of 66.7 (SD 10.1) years. Sixty percent were male (190/316) and 156 were cardiac rehabilitation participants. The cohort's mean baseline 6MWD was higher in the intervention than the control group. At 6 months, 6MWD improved in both groups; it was significantly greater amongst intervention than control participants (unadjusted mean difference of 43.4 m, 95 % CI 4.3 to 82.4; P = 0.0296). After adjustment for baseline values, there was no significant difference between intervention and co...