Key result
Based on needs assessments, a multifaceted mHealth intervention comprising a provider-facing app and patient-directed messaging was developed to improve secondary prevention of coronary heart disease.
A multifaceted mHealth intervention was developed to improve secondary prevention of CHD in China, incorporating both provider and patient-directed components.
Supports mHealth design for CHD secondary prevention; hypothesis-generating for clinical efficacy.
Coronary heart disease (CHD) is a major disease burden globally and in China, but secondary prevention among CHD patients remains insufficient. Mobile health (mHealth) technology holds promise for improving secondary prevention but few previous studies included both provider-facing and patient-directed measures. We conducted a physician needs assessment survey (n = 59), physician interviews (n = 6), one focus group and a short cellphone message validation survey (n = 14) in Shanghai and Hainan, China. Based on these results, we developed a multifaceted mHealth intervention that includes: (1) a provider-facing bilingual mobile app guiding prescription of evidence-based medications for secondary prevention and (2) a patient-directed short messaging system automatically sending reminders to patients regarding medication adherence and lifestyle changes (4-5 messages per week for 12 weeks). This combined intervention has the potential to improve secondary prevention of CHD and to be adapted to other countries and healthcare conditions.
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Chen et al. (2016) studied Coronary heart disease (n=79). Multifaceted mHealth intervention was evaluated. Based on needs assessments, a multifaceted mHealth intervention comprising a provider-facing app and patient-directed messaging was developed to improve secondary prevention of coronary heart disease.
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