Development of a mobile phone-based intervention to improve adherence to secondary prevention of coronary heart disease in China.
Coronary heart disease (CHD) is a major disease burden globally and in China, but secondary prevention among CHD patients remains insufficient. Mobile health (mHealth) technology holds promise for improving secondary prevention but few previous studies included both provider-facing and patient-directed measures. We conducted a physician needs assessment survey (n = 59), physician interviews (n = 6), one focus group and a short cellphone message validation survey (n = 14) in Shanghai and Hainan, China. Based on these results, we developed a multifaceted mHealth intervention that includes: (1) a provider-facing bilingual mobile app guiding prescription of evidence-based medications for secondary prevention and (2) a patient-directed short messaging system automatically sending reminders to patients regarding medication adherence and lifestyle changes (4-5 messages per week for 12 weeks). This combined intervention has the potential to improve secondary prevention of CHD and to be adapted to other countries and healthcare conditions.
a Global Health Research Center , Duke Kunshan University , Kunshan , China.
Shu
S
Chen
a Global Health Research Center , Duke Kunshan University , Kunshan , China.
Enying
E
Gong
b Division of Medicine (Cardiology) , University of California San Francisco , San Francisco , CA , USA.|c Department of Epidemiology and Biostatistics , University of California San Francisco , San Francisco , CA , USA.
Dhruv S
DS
Kazi
d Exercise Works Ltd , Derby , United Kingdom.
Ann B
AB
Gates
e Department of Medicine , Bayero University/Aminu Kano Teaching Hospital , Kano , Nigeria.
Kamilu Musa
KM
Karaye
f INSERM, Centre d' Investigations Cliniques 9501 , Université de Lorraine, CHU de Nancy, Institut Lorrain du Cœur et des Vaisseaux , Nancy , France.|g INI-CRCT (Cardiovascular and Renal Clinical Trialists) FCRIN Network , Nancy , France.
Nicolas
N
Girerd
h National Clinical Research Center for Cardiovascular Diseases , Beijing , China.|i Department of Cardiology , Beijing Anzhen Hospital, Capital Medical University , Beijing , China.
Rong
R
Bai
j College of Medicine , King Saud University , Riyadh , Saudi Arabia.
Khalid F
KF
AlHabib
a Global Health Research Center , Duke Kunshan University , Kunshan , China.
Chaoyun
C
Li
k Degroote School of Medicine , McMaster University , Hamilton , Ontario , Canada.
Kelly
K
Sun
k Degroote School of Medicine , McMaster University , Hamilton , Ontario , Canada.
Louisa
L
Hong
l School of Public Health , Fudan University , Shanghai , China.
Hua
H
Fu
m Department of Cardiology , Hainan Nongken General Hospital , Haikou , China.
Weixia
W
Peng
n McMaster University/Hamilton Health Sciences/Population Health Research Institute , Hamilton , Ontario , Canada.
Xianxia
X
Liu
n McMaster University/Hamilton Health Sciences/Population Health Research Institute , Hamilton , Ontario , Canada.
Lei
L
Chen
o Duke Global Health Institute, Duke University , Durham , NC , USA.
J-D
JD
Schwalm
a Global Health Research Center , Duke Kunshan University , Kunshan , China.|o Duke Global Health Institute, Duke University , Durham , NC , USA.
Lijing L
LL
Yan
D000328:Adult; D040421:Cell Phone; D003327:Coronary Disease / Q000188:drug therapy* / Q000517:prevention & control; D005260:Female; D017144:Focus Groups; D006801:Humans; D008019:Life Style; D008297:Male; D055118:Medication Adherence; D008875:Middle Aged; D063731:Mobile Applications; D010820:Physicians; D017010:Reminder Systems; D055502:Secondary Prevention; D011795:Surveys and Questionnaires; D017216:Telemedicine; D060145:Text Messaging
Heart disease; lifestyle; medication adherence; mobile health; secondary prevention