Effectiveness of an E-health Educational Intervention for Cardiovascular Disease Adults in Improving Outcomes

NCT02350192 | Completed

• 1 other identifier: 10110301
• Study Type: interventional
• Target: 438
• Locations: 1 country
• Sites: 2

Brief Summary

Cardiovascular disease (CVD) is the leading cause of death globally and e-health educational programs have been proved to be effective support to CVD clients. However, most e-health programs lack personalization and this seldom results in exercise behavioral change. Considering the advantages of e-health programs, as well as the widespread internet use and the rising trend of younger patients having CVD in Hong Kong, we conducted a Randomized Controlled Trial (RCT) to investigate the effectiveness of a home-based interactive e-health educational intervention versus usual care for middle aged cardiac vascular (CV) patients on their total physical exercise, exercise adherence and quality of life.

Conditions

Cardiovascular Disease

Keywords

ehealth; intervention; effectiveness; randomized controlled trial

Outcome Measures

Primary Outcomes (1)

• Changes in total physical exercise (measured by The Godin-Shephard Leisure-Time Physical Activity Questionnaire)

  Change in physical exercise is

  Baseline, 3 Months, 6 Months

Secondary Outcomes (5)

• Changes in exercise efficacy (measured by a validated scale. The scale consists of 9 items and responses are made on a 0-10 scale)

  Baseline, 3 Months, 6 Months

• Exercise adherence (two simple questions will be asked: how often do you do any physical activity per week? and What is the duration of the exercise on average?)

  Baseline, 3 Months, 6 Months

• Changes in anxiety and depression (Chinese version of the Hospital anxiety and depression scale)

  Baseline, 3 Months, 6 Months

• Changes in quality of Life (Chinese version of the health survey questionnaire (SF-12)

  Baseline, 3 Months, 6 Months

• Cardiac risk factor profile (Demographic data will be collected through questionnaire)

  Baseline, 3 Months, 6 Months

Study Arms (2)

e-health educational intervention (eHEI)

EXPERIMENTAL

Participants in the intervention group received usual care and additional individualized educational intervention administered by a trained nurse who was experienced in cardiac nursing. The exercise prescription had been set as walking exercise for 30 minutes per day for 5 days per week. The exercise dosage might be modified with physician's order to suit the individual's physical condition and agreed goals if necessary. The 30- minutes educational intervention was conducted in a private room of the clinic. The content covered general information related to coronary heart disease and benefit of performing exercise, the e-health educational intervention (eHEI) link demonstration and re-demonstration. In addition, one telephone follow-up was conducted at week 2 to facilitate the usage of the e-HEI link.

Behavioral: e-health educational intervention (eHEI)

Control group

NO INTERVENTION

Control group received standard care only. The control group also received standard usual care comprising the doctor follow up with medication. During an individualized educational session conducted by a trained research assistant , a briefing on healthy life style and an an additional educational leaflet about coronary heart disease which is customarily given to patient with cardiovascular risks was given to the patient. In the control group, no e-health educational intervention has been provided to the patients of the control group.

Interventions

e-health educational intervention (eHEI) BEHAVIORAL

The e-HEI link (e-health link http://ehealth.nur.cuhk.edu.hk) provides the content of culture-specific cognitive knowledge related to CVD and measures to modify risk factors. The member area and interactive platform of the e-HEI website allows the self-monitoring of individual health and exercise records. Members can view and retrieve their own exercise records daily, and health measures trend regularly.

e-health educational intervention (eHEI)

Eligibility Criteria

• Age: 30 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• being an ethnic Chinese adult
• who attends regular follow-up treatments for their CVD problems
• aged 30-65
• able to use and access the internet at home
• willing to participate (with corresponding signed consent form)

You may not qualify if:

• those with physical, mental, visual, or cognitive impairments as recorded in their health records
• those who have contra-indications to walking.

Sponsors & Collaborators

• Chinese University of Hong Kong: lead

Study Sites (2)

Tung Wah Eastern Hospital

Causeway Bay, Hong Kong Island, Hong Kong

Location

Pamela Youde Nethersole Eastern Hospital

Chai Wan, Hong Kong Island, Hong Kong

Location

MeSH Terms

Conditions

Cardiovascular Diseases

Study Officials

• Eliza Mi Ling Wong, PhD

  Chinese University of Hong Kong

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: January 21, 2015
• First Posted: January 29, 2015
• Study Start: June 1, 2013
• Primary Completion: July 1, 2015
• Study Completion: July 1, 2015
• Last Updated: July 27, 2016

Record last verified: 2016-07

Data Sharing

• IPD Sharing: Will not share

Locations

HK (2)