| Autor: |
Leah L, Zullig, Eric D, Peterson, Bimal R, Shah, Steven C, Grambow, Eugene Z, Oddone, Felicia, McCant, Jennifer Hoff, Lindquist, Hayden B, Bosworth |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Patient Education and Counseling. 105:2962-2968 |
| ISSN: |
0738-3991 |
| Popis: |
We evaluated the impact of a low intensity web-based and intensive nurse-administered intervention to reduce systolic blood pressure (SBP) among patients with prior MI.Secondary Prevention Risk Interventions via Telemedicine and Tailored Patient Education (SPRITE) was a three-arm trial. Patients were randomized to 1) post-MI education-only; 2) nurse-administered telephone program; or 3) web-based interactive tool. The study was conducted 2009-2013.Participants (n = 415) had a mean age of 61 years (standard deviation [SD], 11). Relative to the education-only group, the 12-month differential improvement in SBP was - 3.97 and - 3.27 mmHg for nurse-administered telephone and web-based groups, respectively. Neither were statistically significant. Post hoc exploratory subgroup analyses found participants who received a higher dose (12 encounters) in the nurse-administered telephone intervention (n = 60; 46%) had an 8.8 mmHg (95% CI, 0.69, 16.89; p = 0.03) differential SBP improvement versus low dose (11 encounters; n = 71; 54%). For the web-based intervention, those who had higher dose (n = 73; 53%;1 web encounter) experienced a 2.3 mmHg (95% CI, -10.74, 6.14; p = 0.59) differential SBP improvement versus low dose (n = 65; 47%).The main effects were not statistically significant.Completing the full dose of the intervention may be essential to experience the intervention effect.The unique identifier is NCT00901277 (http://www.gov/ct2/show/NCT00901277?term=NCT00901277rank=1). |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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