J. Med. Internet Res. - A text messaging intervention to improve heart failure self-management after hospital discharge in a largely African-American population: before-after study.


{ intervent(3218) particip(2042) group(1664) }
{ survey(1388) particip(1329) question(1065) }
{ age(1611) year(1155) adult(843) }
{ blood(1257) pressur(1144) flow(957) }
{ patient(2837) hospit(1953) medic(668) }
{ group(2977) signific(1463) compar(1072) }
{ health(1844) social(1437) communiti(874) }
{ model(2656) set(1616) predict(1553) }
{ cost(1906) reduc(1198) effect(832) }
{ patient(1821) servic(1111) care(1106) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ research(1085) discuss(1038) issu(1018) }
{ state(1844) use(1261) util(961) }
{ data(3008) multipl(1320) sourc(1022) }
{ time(1939) patient(1703) rate(768) }
{ method(2212) result(1239) propos(1039) }
{ system(1976) rule(880) can(841) }
{ patient(2315) diseas(1263) diabet(1191) }
{ studi(2440) review(1878) systemat(933) }
{ treatment(1704) effect(941) patient(846) }
{ error(1145) method(1030) estim(1020) }
{ data(1714) softwar(1251) tool(1186) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ howev(809) still(633) remain(590) }
{ system(1050) medic(1026) inform(1018) }
{ model(2341) predict(2261) use(1141) }
{ model(3480) simul(1196) paramet(876) }
{ result(1111) use(1088) new(759) }
{ imag(1947) propos(1133) code(1026) }
{ take(945) account(800) differ(722) }
{ chang(1828) time(1643) increas(1301) }
{ featur(1941) imag(1645) propos(1176) }
{ perform(999) metric(946) measur(919) }
{ compound(1573) activ(1297) structur(1058) }
{ health(3367) inform(1360) care(1135) }
{ monitor(1329) mobil(1314) devic(1160) }
{ research(1218) medic(880) student(794) }
{ medic(1828) order(1363) alert(1069) }
{ use(2086) technolog(871) perceiv(783) }
{ implement(1333) system(1263) develop(1122) }
{ detect(2391) sensit(1101) algorithm(908) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ case(1353) use(1143) diagnosi(1136) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ import(1318) role(1303) understand(862) }
{ visual(1396) interact(850) tool(830) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ ehr(2073) health(1662) electron(1139) }
{ data(2317) use(1299) case(1017) }
{ signal(2180) analysi(812) frequenc(800) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
{ activ(1138) subject(705) human(624) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }


CKGROUND: There is increasing interest in finding novel approaches to reduce health disparities in readmissions for acute decompensated heart failure (ADHF). Text messaging is a promising platform for improving chronic disease self-management in low-income populations, yet is largely unexplored in ADHF.OBJECTIVE: The purpose of this pre-post study was to assess the feasibility and acceptability of a text message-based (SMS: short message service) intervention in a largely African American population with ADHF and explore its effects on self-management.METHODS: Hospitalized patients with ADHF were enrolled in an automated text message-based heart failure program for 30 days following discharge. Messages provided self-care reminders and patient education on diet, symptom recognition, and health care navigation. Demographic and cell phone usage data were collected on enrollment, and an exit survey was administered on completion. The Self-Care of Heart Failure Index (SCHFI) was administered preintervention and postintervention and compared using sample t tests (composite) and Wilcoxon rank sum tests (individual). Clinical data were collected through chart abstraction.RESULTS: Of 51 patients approached for recruitment, 27 agreed to participate and 15 were enrolled (14 African-American, 1 White). Barriers to enrollment included not owning a personal cell phone (n=12), failing the Mini-Mental exam (n=3), needing a proxy (n=2), hard of hearing (n=1), and refusal (n=3). Another 3 participants left the study for health reasons and 3 others had technology issues. A total of 6 patients (5 African-American, 1 White) completed the postintervention surveys. The mean age was 50 years (range 23-69) and over half had Medicaid or were uninsured (60%, 9/15). The mean ejection fraction for those with systolic dysfunction was 22%, and at least two-thirds had a prior hospitalization in the past year. Participants strongly agreed that the program was easy to use (83%), reduced pills missed (66%), and decreased salt intake (66%). Maintenance (mean composite score 49 to 78, P=.003) and management (57 to 86, P=.002) improved at 4 weeks, whereas confidence did not change (57 to 75, P=.11). Of the 6 SCHFI items that showed a statistically significant improvement, 5 were specifically targeted by the texting intervention.CONCLUSIONS: Over half of ADHF patients in an urban, largely African American community were eligible and interested in participating in a text messaging program following discharge. Access to mobile phones was a significant barrier that should be addressed in future interventions. Among the participants who completed the study, we observed a high rate of satisfaction and preliminary evidence of improvements in heart failure self-management.

Resumo Limpo

ckground increas interest find novel approach reduc health dispar readmiss acut decompens heart failur adhf text messag promis platform improv chronic diseas selfmanag lowincom popul yet larg unexplor adhfobject purpos prepost studi assess feasibl accept text messagebas sms short messag servic intervent larg african american popul adhf explor effect selfmanagementmethod hospit patient adhf enrol autom text messagebas heart failur program day follow discharg messag provid selfcar remind patient educ diet symptom recognit health care navig demograph cell phone usag data collect enrol exit survey administ complet selfcar heart failur index schfi administ preintervent postintervent compar use sampl t test composit wilcoxon rank sum test individu clinic data collect chart abstractionresult patient approach recruit agre particip enrol africanamerican white barrier enrol includ own person cell phone n fail miniment exam n need proxi n hard hear n refus n anoth particip left studi health reason other technolog issu total patient africanamerican white complet postintervent survey mean age year rang half medicaid uninsur mean eject fraction systol dysfunct least twothird prior hospit past year particip strong agre program easi use reduc pill miss decreas salt intak mainten mean composit score p manag p improv week wherea confid chang p schfi item show statist signific improv specif target text interventionconclus half adhf patient urban larg african american communiti elig interest particip text messag program follow discharg access mobil phone signific barrier address futur intervent among particip complet studi observ high rate satisfact preliminari evid improv heart failur selfmanag

Resumos Similares

Appl Clin Inform - Case report: patient portal versus telephone recruitment for a surgical research study. ( 0,890678322209624 )
J. Med. Internet Res. - The Sexunzipped trial: optimizing the design of online randomized controlled trials. ( 0,885260126281281 )
J. Med. Internet Res. - Effects of a web-based patient activation intervention to overcome clinical inertia on blood pressure control: cluster randomized controlled trial. ( 0,843502756087798 )
J. Med. Internet Res. - Impact and costs of incentives to reduce attrition in online trials: two randomized controlled trials. ( 0,830647792346507 )
J Am Med Inform Assoc - Increasing the response rate of text messaging data collection: a delayed randomized controlled trial. ( 0,827044849372357 )
J. Med. Internet Res. - Usage and effectiveness of a fully automated, open-access, Spanish Web-based smoking cessation program: randomized controlled trial. ( 0,825460306421409 )
J. Med. Internet Res. - Predictors of retention in an online follow-up study of men who have sex with men. ( 0,821725824486912 )
J. Med. Internet Res. - Text messaging data collection for monitoring an infant feeding intervention program in rural China: feasibility study. ( 0,817311739722455 )
Telemed J E Health - Effectiveness of healthy relationships video-group-A videoconferencing group intervention for women living with HIV: preliminary findings from a randomized controlled trial. ( 0,817128582740403 )
J. Med. Internet Res. - Effectiveness of web-based tailored advice on parents' child safety behaviors: randomized controlled trial. ( 0,816079016906679 )
J Telemed Telecare - Attitudes of women in midlife to web-based interventions for promoting physical activity. ( 0,815918713423113 )
J. Med. Internet Res. - Effects of a Web-based tailored intervention to reduce alcohol consumption in adults: randomized controlled trial. ( 0,815474460613021 )
J. Med. Internet Res. - Partnership for health-2, a web-based versus print smoking cessation intervention for childhood and young adult cancer survivors: randomized comparative effectiveness study. ( 0,814083433018886 )
J. Med. Internet Res. - Using web-based and paper-based questionnaires for collecting data on fertility issues among female childhood cancer survivors: differences in response characteristics. ( 0,81133702704287 )
J Telemed Telecare - Personalised electronic messages to improve sun protection in young adults. ( 0,808782583946952 )
Int J Med Inform - Engagement in My Child's Asthma, an interactive web-based pediatric asthma management intervention. ( 0,804901135471505 )
J. Med. Internet Res. - Enhancing retention of an Internet-based cohort study of men who have sex with men (MSM) via text messaging: randomized controlled trial. ( 0,797665037521544 )
J. Med. Internet Res. - From online randomized controlled trials to participant preference studies: morphing the San Francisco Stop Smoking site into a worldwide smoking cessation resource. ( 0,791940222670365 )
Telemed J E Health - Effectiveness of home telehealth in comorbid diabetes and hypertension: a randomized, controlled trial. ( 0,789576799138309 )
J. Med. Internet Res. - Web-enhanced tobacco tactics with telephone support versus 1-800-QUIT-NOW telephone line intervention for operating engineers: randomized controlled trial. ( 0,787093179316033 )
Telemed J E Health - Evaluating opportunities for text message communication: a survey of parents and teens. ( 0,786169836958687 )
J. Med. Internet Res. - Preventing smoking relapse via Web-based computer-tailored feedback: a randomized controlled trial. ( 0,78224892443447 )
BMC Med Inform Decis Mak - Protocol for population testing of an Internet-based Personalised Decision Support system for colorectal cancer screening. ( 0,780708466399779 )
J. Med. Internet Res. - Effectiveness of a web-based intervention for problem drinkers and reasons for dropout: randomized controlled trial. ( 0,776930238533133 )
J. Med. Internet Res. - Effectiveness of a Web-based tailored intervention (E-health4Uth) and consultation to promote adolescents' health: randomized controlled trial. ( 0,776823599027605 )
J. Med. Internet Res. - Type 1 diabetes eHealth psychoeducation: youth recruitment, participation, and satisfaction. ( 0,77572304241282 )
J Telemed Telecare - Recruitment challenges associated with a randomised controlled trial within a general telephone counselling service. ( 0,772951292370915 )
J. Med. Internet Res. - Initial and sustained participation in an internet-delivered long-term worksite health promotion program on physical activity and nutrition. ( 0,772454386920168 )
J. Med. Internet Res. - Effects of internet-based tailored advice on the use of cholesterol-lowering interventions: a randomized controlled trial. ( 0,771642781373451 )
J. Med. Internet Res. - Surviving and thriving with cancer using a Web-based health behavior change intervention: randomized controlled trial. ( 0,770015163067402 )
J. Med. Internet Res. - Effectiveness of a Web-based multiple tailored smoking cessation program: a randomized controlled trial among Dutch adult smokers. ( 0,76962025914198 )
J. Med. Internet Res. - Reducing alcohol use during pregnancy via health counseling by midwives and internet-based computer-tailored feedback: a cluster randomized trial. ( 0,764396085160202 )
J. Med. Internet Res. - Impact of seasonality on recruitment, retention, adherence, and outcomes in a web-based smoking cessation intervention: randomized controlled trial. ( 0,76210064860945 )
J Telemed Telecare - Results of a telehealth-enabled chronic care management service to support people with long-term conditions at home. ( 0,761227481093242 )
J. Med. Internet Res. - Motivators and motivations to persist with online psychological interventions: a qualitative study of treatment completers. ( 0,757543379485976 )
J. Med. Internet Res. - Effect of tailoring in an internet-based intervention for smoking cessation: randomized controlled trial. ( 0,756456283085695 )
J. Med. Internet Res. - The effect of program design on engagement with an internet-based smoking intervention: randomized factorial trial. ( 0,756214482079265 )
Int J Med Inform - Results of a randomized controlled trial to assess the effects of a mobile SMS-based intervention on treatment adherence in HIV/AIDS-infected Brazilian women and impressions and satisfaction with respect to incoming messages. ( 0,754182726252013 )
J. Med. Internet Res. - Cardiovascular health effects of internet-based encouragements to do daily workplace stair-walks: randomized controlled trial. ( 0,750078724321139 )
Telemed J E Health - Can an evidence-based book club intervention delivered via a tablet computer improve physical activity in middle-aged women? ( 0,749740777708838 )
Int J Med Inform - Evaluation of mobile phone and Internet intervention on waist circumference and blood pressure in post-menopausal women with abdominal obesity. ( 0,749308709938846 )
J. Med. Internet Res. - Development and preliminary evaluation of an internet-based healthy eating program: randomized controlled trial. ( 0,748540120922148 )
J Telemed Telecare - Efficacy of a programme for workers with metabolic syndrome based on an e-health system in the workplace: a pilot study. ( 0,748443557400754 )
J Telemed Telecare - Tailored mobile phone text messages as an adjunct to obesity treatment for adolescents. ( 0,748365164910598 )
J. Med. Internet Res. - Effectiveness of a web-based brief alcohol intervention and added value of normative feedback in reducing underage drinking: a randomized controlled trial. ( 0,747832189487067 )
J. Med. Internet Res. - Impact of length or relevance of questionnaires on attrition in online trials: randomized controlled trial. ( 0,747825850973417 )
J. Med. Internet Res. - Effectiveness of a web-based physical activity intervention in patients with knee and/or hip osteoarthritis: randomized controlled trial. ( 0,747687692821739 )
J. Med. Internet Res. - Prevention of generalized anxiety disorder using a web intervention, iChill: randomized controlled trial. ( 0,747655075616108 )
J. Med. Internet Res. - Web-based cognitive behavioral self-help intervention to reduce cocaine consumption in problematic cocaine users: randomized controlled trial. ( 0,746958554784099 )
J. Med. Internet Res. - Do email and mobile phone prompts stimulate primary school children to reuse an Internet-delivered smoking prevention intervention? ( 0,745793207490291 )
J. Med. Internet Res. - Efficacy of a Web-based computer-tailored smoking prevention intervention for Dutch adolescents: randomized controlled trial. ( 0,745792406054629 )
J Telemed Telecare - Effects of tooth scaling reminders for dental outpatients. ( 0,745230013289616 )
J. Med. Internet Res. - Adherence to a smartphone application for weight loss compared to website and paper diary: pilot randomized controlled trial. ( 0,744831757872689 )
J. Med. Internet Res. - The effectiveness of loyalty rewards to promote the use of an Internet-based heart health program. ( 0,743765664913813 )
BMC Med Inform Decis Mak - Process evaluation of a web-based intervention aimed at empowerment of disability benefit claimants. ( 0,743507256263062 )
J. Med. Internet Res. - Internet-based recruitment to a depression prevention intervention: lessons from the Mood Memos study. ( 0,742395877745987 )
J. Med. Internet Res. - Use of a text message program to raise type 2 diabetes risk awareness and promote health behavior change (part I): assessment of participant reach and adoption. ( 0,742346583979243 )
J. Med. Internet Res. - Curbing alcohol use in male adults through computer generated personalized advice: randomized controlled trial. ( 0,741632365963574 )
J. Med. Internet Res. - Effects of a guided web-based smoking cessation program with telephone counseling: a cluster randomized controlled trial. ( 0,741429722339942 )
J. Med. Internet Res. - Providing web-based feedback and social norms information to reduce student alcohol intake: a multisite investigation. ( 0,740773147080413 )
J. Med. Internet Res. - Effectiveness of a self-guided web-based cannabis treatment program: randomized controlled trial. ( 0,740184563933185 )
J. Med. Internet Res. - Engagement promotes abstinence in a web-based cessation intervention: cohort study. ( 0,73976647284027 )
J. Med. Internet Res. - Improving adherence to antiretroviral therapy for youth living with HIV/AIDS: a pilot study using personalized, interactive, daily text message reminders. ( 0,739607676272191 )
J. Med. Internet Res. - Efficacy of a text message-based smoking cessation intervention for young people: a cluster randomized controlled trial. ( 0,739583189433528 )
J. Med. Internet Res. - Participants, usage, and use patterns of a web-based intervention for the prevention of depression within a randomized controlled trial. ( 0,73832557755366 )
J. Med. Internet Res. - A theory-based video messaging mobile phone intervention for smoking cessation: randomized controlled trial. ( 0,737748524387234 )
Med Decis Making - Participation in cancer clinical trials: why are patients not participating? ( 0,735841157067883 )
J Telemed Telecare - The effect of psychosocial interventions delivered by telephone and videophone on quality of life in early-stage breast cancer survivors and their supportive partners. ( 0,734503426355923 )
J. Med. Internet Res. - The Sexunzipped trial: young people's views of participating in an online randomized controlled trial. ( 0,734170083887771 )
J. Med. Internet Res. - Participant profiles according to recruitment source in a large Web-based prospective study: experience from the Nutrinet-Sant? study. ( 0,732564026582998 )
J. Med. Internet Res. - A text messaging-based smoking cessation program for adult smokers: randomized controlled trial. ( 0,731885006843421 )
Telemed J E Health - Soldiers' preferences for follow-up communications with behavioral health providers. ( 0,731217754744724 )
BMC Med Inform Decis Mak - e-Monitoring of Asthma Therapy to Improve Compliance in children using a real-time medication monitoring system (RTMM): the e-MATIC study protocol. ( 0,729515299866395 )
BMC Med Inform Decis Mak - The feasibility of collecting information from people with Multiple Sclerosis for the UK MS Register via a web portal: characterising a cohort of people with MS. ( 0,728407324925946 )
J. Med. Internet Res. - Long-term outcomes of internet-based self-management support in adults with asthma: randomized controlled trial. ( 0,727932625913711 )
J. Med. Internet Res. - Effectiveness of Web-based versus face-to-face delivery of education in prescription of falls-prevention exercise to health professionals: randomized trial. ( 0,726790871303706 )
J. Med. Internet Res. - Periodic email prompts to re-use an internet-delivered computer-tailored lifestyle program: influence of prompt content and timing. ( 0,725657827093456 )
J. Med. Internet Res. - A web-based program improves physical activity outcomes in a primary care angina population: randomized controlled trial. ( 0,724288728826898 )
J. Med. Internet Res. - Effectiveness of a proactive mail-based alcohol Internet intervention for university students: dismantling the assessment and feedback components in a randomized controlled trial. ( 0,724197436728135 )
J Telemed Telecare - The effect of SMS messaging on the compliance with iron supplementation among pregnant women in Iran: a randomized controlled trial. ( 0,724133153431751 )
J Telemed Telecare - A pilot programme using mobile phones for HIV prevention. ( 0,723842529045354 )
J Telemed Telecare - Effects on diabetes management of a health-care provider mediated, remote coaching system via a PDA-type glucometer and the Internet. ( 0,723756336958183 )
J. Med. Internet Res. - The effects of combining Web-based eHealth with telephone nurse case management for pediatric asthma control: a randomized controlled trial. ( 0,722707484398479 )
J. Med. Internet Res. - Evaluation of a Web-based intervention to promote hand hygiene: exploratory randomized controlled trial. ( 0,721192868872487 )
J. Med. Internet Res. - Dropout, nonusage attrition, and pretreatment predictors of nonusage attrition in a commercial Web-based weight loss program. ( 0,720984616132102 )
J. Med. Internet Res. - Short-term effectiveness of web-based guided self-help for phobic outpatients: randomized controlled trial. ( 0,720977170449304 )
J. Med. Internet Res. - A web-based sexual violence bystander intervention for male college students: randomized controlled trial. ( 0,720273641689442 )
J. Med. Internet Res. - Internal versus external motivation in referral of primary care patients with depression to an internet support group: randomized controlled trial. ( 0,720268774211953 )
J. Med. Internet Res. - Economic evaluation of a web-based tailored lifestyle intervention for adults: findings regarding cost-effectiveness and cost-utility from a randomized controlled trial. ( 0,719655807967603 )
J. Med. Internet Res. - Assessing adolescent asthma symptoms and adherence using mobile phones. ( 0,718335522873569 )
Telemed J E Health - Physical activity behavior, barriers to activity, and opinions about a smartphone-based physical activity intervention among rural residents. ( 0,717125070491461 )
BMC Med Inform Decis Mak - Effects of and satisfaction with short message service reminders for patient medication adherence: a randomized controlled study. ( 0,71661744313933 )
J. Med. Internet Res. - Changes in depressive symptoms, social support, and loneliness over 1 year after a minimum 3-month videoconference program for older nursing home residents. ( 0,713717203868006 )
J. Med. Internet Res. - Adherence to self-monitoring via interactive voice response technology in an eHealth intervention targeting weight gain prevention among Black women: randomized controlled trial. ( 0,713710977656124 )
J Telemed Telecare - Randomized controlled feasibility trial of two telemedicine medication reminder systems for older adults with heart failure. ( 0,712974987873581 )
J Am Med Inform Assoc - The Diabetes Telemonitoring Study Extension: an exploratory randomized comparison of alternative interventions to maintain glycemic control after withdrawal of diabetes home telemonitoring. ( 0,712288664719778 )
J. Med. Internet Res. - An Internet- and mobile-based tailored intervention to enhance maintenance of physical activity after cardiac rehabilitation: short-term results of a randomized controlled trial. ( 0,712220211170049 )
BMC Med Inform Decis Mak - A cohort study of a tailored web intervention for preconception care. ( 0,711731633968761 )
Telemed J E Health - A mobile phone short message service improves perceived control of asthma: a randomized controlled trial. ( 0,710661191497225 )
J. Med. Internet Res. - Use of email and telephone prompts to increase self-monitoring in a Web-based intervention: randomized controlled trial. ( 0,709410082412894 )