Long-term Effectiveness of an mHealth Intervention for Improving the Disease Knowledge and Physical Activity of Youth With Congenital Heart Disease: A Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Congenital Heart Disease
- Sponsor
- National Yang Ming Chiao Tung University
- Enrollment
- 143
- Locations
- 1
- Primary Endpoint
- Cardiac disease knowledge
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
The aims of this study were to evaluate the long-term effectiveness of the Care & Organize Our Lifestyle (COOL) program, a self-regulation theory-based mHealth program, on improving disease knowledge and physical activity in youth with congenital heart disease (CHD). The COOL program is a 12-month randomized controlled trial that compared two active intervention groups to a standard-care control group (n = 47). Participants with simple and moderate CHD aged 15-24 years were recruited from pediatric or adult CHD outpatient departments. Participants in one active intervention group (n = 49) were provided with COOL Passport, a mobile healthcare application. Those in the other group (n = 47) were provided with access to the Health Promotion Cloud system and use of game-based interactive platforms along with COOL Passport. Outcomes were the Leuven Knowledge Questionnaire for CHD and the International Physical Activity Questionnaire-Taiwan Show-Card Version.
Detailed Description
Background: Mobile health initiatives may provide youth with congenital heart disease (CHD) relevant health information and a platform for managing the complex health care needs associated with undergoing transitional care. Aims: To evaluate the long-term effectiveness of the Care \& Organize Our Lifestyle (COOL) program, a self-regulation theory-based mHealth program, on improving disease knowledge and physical activity in youth with CHD. Methods: The COOL program is a 12-month randomized controlled trial that compared two active intervention groups to a standard-care control group (n = 47). Participants with simple and moderate CHD aged 15-24 years were recruited from pediatric or adult CHD outpatient departments. Participants in one active intervention group (n = 49) were provided with COOL Passport, a mobile healthcare application. Those in the other group (n = 47) were provided with access to the Health Promotion Cloud system and use of game-based interactive platforms along with COOL Passport. Outcomes were the Leuven Knowledge Questionnaire for CHD and the International Physical Activity Questionnaire-Taiwan Show-Card Version.
Investigators
Chi-Wen Chen
Professor
National Yang Ming Chiao Tung University
Eligibility Criteria
Inclusion Criteria
- •being diagnosed with CHD by a pediatric cardiologist and qualifying as having simple or moderate CHD complexity according to the 2008 American College of Cardiology/American Heart Association guidelines;
- •having a regular pulse;
- •being 15-24 years of age;
- •being conversant in Mandarin and Taiwanese;
- •possessing a smartphone with Internet connection;
- •agreeing to wear an exercise-monitoring wristband to record physiological data;
- •agreeing to engage in exercises designed to test cardiopulmonary endurance;
- •agreeing to participate in the study and sign an informed consent form for a relevant interview. For participants under 20 years of age, guardian approval by signing a written consent form was required.
Exclusion Criteria
- •having cognitive impairment to the extent of being noncommunicative;
- •having CHD complicated with other congenital abnormalities;
- •having undergone a cardiac catheter-related intervention or surgery within the past 6 months;
- •being pregnant
Outcomes
Primary Outcomes
Cardiac disease knowledge
Time Frame: 12 months
measured by the Leuven Knowledge Questionnaire for CHD
Secondary Outcomes
- Physical activity(12 months)