From: Smartphones in the secondary prevention of cardiovascular disease: a systematic review
Worringham, 2011 (FUU) | Forman, 2014 (FUU) | Varnfield, 2011 (FUU) | Blasco, 2012 (RCT) | Varnfield, 2014 (RCT) | |
---|---|---|---|---|---|
Patient numbers n = | 6 | 26 | 15 | 102 TMG; 101CG | 60 CAP; 60 TCR |
Program completion | 100% | NR | Internal feasibility study | 87% TMG: 88% (n = 90 of 102) CG: 87% (n = 88 of 101, includes 4 deaths) or 91% (n 92 of 101, excludes 4 deaths) | ++ TMG: 80% (n 48 = of 60) vs CG: 47% (n = 28 of 60) |
Mean age (years) | 53.6 (42–67) | 59 (43–76) 33% > 65 years | 59 | 60.6 ± 1.3 TMG 61.0 ± 12.1 CG | 54.9 ± 9.6 CAP 56.2 ± 10.1 TCR |
Technology (reported inconsistently) | |||||
Feasibility | ✓ | ✓ | NR | ||
Usability/Acceptability | 4.8/5.0 Ease of use | 83% positive experience | Easy (qualitative data) | ||
Technical | 80% of completed sessions had no technical problems | NR | 36% use of Wellness Diary Connected internet -limited by computer and internet access | 42% of TMG withdrawals due to technical issues (n = 5 of 12) | 7% of CAP withdrawals reported technical difficulties |
Engagement/Adherence/Usage/Task completion | 87% completed sessions | 90% daily engagement 78% task completion | 91.5% wellness diary 100% step counter | 98% completed > 50% sessions 83% completed > 75% of sessions | ++ (94% vs 68% adherence) |
Patient | |||||
Uptake | 86% of referred patient | Internal feasibility study | 83.5% | ++ (80% vs 62%) | |
Mentorship | 91% motivational | ||||
CV risk improvement | ++ (ITT) | ||||
Physical activity | ns | ||||
6 Minute Walk Test | + | ǂ †ns | |||
Nutrition | ǂ †ns | ||||
Smoking cessation | ns (ITT) | ||||
Psychological distress | Ç‚ ns | ||||
Depression | + | ǂ †ns | |||
Anxiety | Ç‚ ns | ||||
Quality of Life | + − physical health ns - mental health (SF36) | ++ Physical health ns Mental health (SF36) | ǂ ++ (EQ5D-Index) | ||
Blood pressure (BP) and Heart rate (HR) | ++ BP (ITT) ++ SBP ≠DBP | ++ DBP ns HR ns SBP | |||
Weight | Ç‚ ns | ||||
Body Mass Index | ++ | ||||
Waist circumference | Ç‚ ns | ||||
Haemoglobin A1c (HbA1c) | ++ (ITT) ++ | ns | |||
Plasma lipid level | ns LDL-c (ITT) ++ LDL-c ++ TG | †ns TC ǂ † ≠ TG ns LDL-c |