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    Please use this identifier to cite or link to this item: https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/120494

    Title: Effectiveness of Theory-Based Health Information Technology Interventions on Coronary Artery Disease Self-Management Behavior: A Clinical Randomized Waitlist-Controlled Trial
    Authors: Hong, Pei-Chen;Chen, Kuan-Jung;Chang, Yue-Cune;Cheng, Shu-Meng;Chiang, Hui-Hsun
    Keywords: Blood pressure;coronary artery disease;health information technology;quality of life;self-management
    Date: 2021-04-12
    Issue Date: 2021-04-15 12:11:05 (UTC+8)
    Publisher: Wiley
    Abstract: Purpose: Secondary prevention of coronary artery disease, self-management
    behavior, and blood pressure control are important to cardiovascular event
    prevention and promotion of quality of life (QOL), but they are underutilized.
    The purpose of this study was to investigate the effects of a self-efficacy
    health information technology intervention implemented
    through blood control and patient self-management.
    Design: A clinical randomized waitlist-controlled
    Methods: The study was conducted at a medical center in Taipei, Taiwan.
    A total of 60 subjects were randomly assigned to either the immediate
    intervention (experimental) group or the waitlist control group. The primary
    endpoint was systolic blood pressure at 3 months; secondary end
    points included self-management
    behavior and QOL. Treatment for the
    immediate intervention group lasted 3 months, while the waitlist control
    group received routine care for the first 3 months, at which point they
    crossed over to the intervention arm and received the same intervention
    as the experimental group for another 3 months. Both groups were evaluated
    by questionnaires and physiological measurements at both 3 and 6
    months postadmission. The results were analyzed using generalized estimating
    Results: Systolic blood pressure significantly improved for the intervention
    group participants at 3 months, when there was also significant improvement
    in self-management
    behavior and QOL. There was no significant or
    appreciable effect of time spent in the waitlist condition, with treatments
    in the two conditions being similarly effective.
    Conclusion: The use of a theory-based
    health information technology
    treatment compared with usual care resulted in a significant improvement
    in systolic blood pressure, self-management
    behavior, and QOL in patients
    with coronary artery disease.
    Clinical Relevance: This treatment would be a useful strategy for clinical
    care of cardiovascular disease patients, improving their disease self-management.
    It also may help guide further digital health care strategies
    during the COVID-19
    Relation: Journal of Nursing Scholarship
    DOI: 10.1111/jnu.12661
    Appears in Collections:[Graduate Institute & Department of Mathematics] Journal Article

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