J Telemed Telecare - A randomised controlled trial of providing personalised cardiovascular risk information to modify health behaviour.

Tópicos

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{ group(2977) signific(1463) compar(1072) }
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{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
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{ can(981) present(881) function(850) }
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{ cancer(2502) breast(956) screen(824) }
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{ detect(2391) sensit(1101) algorithm(908) }

Resumo

We conducted a feasibility study of a web-based intervention, which provided personalized cardiovascular disease (CVD) risk information, behavioural risk reduction strategies and educational resources. Participants were block-randomized to the 3-month intervention (n = 47) or to usual care (n = 49). Participants in the intervention group were presented with their CVD risk based on the Framingham risk score, and in three subsequent online encounters could select two behavioural/lifestyle modules, giving them an opportunity to complete six modules over the course of the study. Because it was self-guided, participants had differing levels of engagement with intervention materials. Most intervention group participants (77%, n = 36) completed all modules. After 3 months there were no significant differences between the intervention and usual care groups for systolic blood pressure, body-mass index, CVD risk, smoking cessation or medication non-adherence. The study suggests that modest clinical improvements can be achieved by interventions that are entirely web-administered. However, web-based interventions do not replace the need for human interaction to communicate CVD risk and assist with decision-making.

Resumo Limpo

conduct feasibl studi webbas intervent provid person cardiovascular diseas cvd risk inform behaviour risk reduct strategi educ resourc particip blockrandom month intervent n usual care n particip intervent group present cvd risk base framingham risk score three subsequ onlin encount select two behaviourallifestyl modul give opportun complet six modul cours studi selfguid particip differ level engag intervent materi intervent group particip n complet modul month signific differ intervent usual care group systol blood pressur bodymass index cvd risk smoke cessat medic nonadher studi suggest modest clinic improv can achiev intervent entir webadminist howev webbas intervent replac need human interact communic cvd risk assist decisionmak

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