Mobile Health Strategies for Veterans
| Status: | Recruiting |
|---|---|
| Conditions: | Peripheral Vascular Disease, Cardiology, Cardiology |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | 21 - Any |
| Updated: | 3/28/2019 |
| Start Date: | December 2016 |
| End Date: | November 2020 |
| Contact: | Linda Park, PhD, MS, FNP |
| Email: | Linda.Park@ucsf.edu |
Mobile Health Strategies for Veterans With Coronary Heart Disease
The purpose of this study is to determine whether text messages/messaging (TM) or a mobile
application (app), compared with an educational website-control provided to all Veterans, can
improve adherence to antiplatelet therapy among patients following acute coronary syndrome or
percutaneous coronary intervention (ACS/PCI).
application (app), compared with an educational website-control provided to all Veterans, can
improve adherence to antiplatelet therapy among patients following acute coronary syndrome or
percutaneous coronary intervention (ACS/PCI).
Adherence to antiplatelet medications is critical to prevent life threatening complications
(i.e., stent thrombosis); yet rates of non-adherence range from 21-57% by 12 months. Mobile
technology through TM or mobile apps is a practical and inexpensive strategy to promote
behavior change and enhance medication adherence. The three specific aims of this proposal
are to: 1) determine preferences for content and frequency of TM to promote medication
adherence through focus groups; 2) determine the most patient-centered app to promote
adherence through a content analysis of all commercially available apps for medication
adherence and focus groups centered on usability; and 3) compare adherence to antiplatelet
medications in 225 Veterans post ACS/PCI through a randomized controlled trial. Participants
will be randomized to either TM, mobile app, or website-control group. The focus groups will
be stratified by low/high mobile phone use and sex.
(i.e., stent thrombosis); yet rates of non-adherence range from 21-57% by 12 months. Mobile
technology through TM or mobile apps is a practical and inexpensive strategy to promote
behavior change and enhance medication adherence. The three specific aims of this proposal
are to: 1) determine preferences for content and frequency of TM to promote medication
adherence through focus groups; 2) determine the most patient-centered app to promote
adherence through a content analysis of all commercially available apps for medication
adherence and focus groups centered on usability; and 3) compare adherence to antiplatelet
medications in 225 Veterans post ACS/PCI through a randomized controlled trial. Participants
will be randomized to either TM, mobile app, or website-control group. The focus groups will
be stratified by low/high mobile phone use and sex.
Inclusion Criteria:
- ≥ 21 years of age,
- recent ACS or PCI within 1 week
- new antiplatelet (thienopyridine) prescription
- owns a smartphone
Exclusion Criteria:
- cognitive impairment
- lack of English proficiency/literacy
We found this trial at
5
sites
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3801 Miranda Avenue
Palo Alto, California 94304
Palo Alto, California 94304
650-493-5000
Phone: 415-221-4810
VA Palo Alto Health Care System The VA Palo Alto Health Care System (VAPAHCS) consists...
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