PMID- 38118248
OWN - NLM
STAT- MEDLINE
DCOM- 20240415
LR  - 20240429
IS  - 1877-0665 (Electronic)
IS  - 1877-0657 (Linking)
VI  - 67
IP  - 3
DP  - 2024 Apr
TI  - Integrated Text Messaging (ITM) for people attending cardiac and pulmonary 
      rehabilitation: A multicentre randomised controlled trial.
PG  - 101800
LID - S1877-0657(23)00071-4 [pii]
LID - 10.1016/j.rehab.2023.101800 [doi]
AB  - BACKGROUND: People living with cardiac and respiratory disease require improved 
      post-hospital support that is readily available and efficient. OBJECTIVES: To 1) 
      test the effectiveness of an automated, semi-personalised text message support 
      program on clinical and lifestyle outcomes amongst people attending cardiac and 
      pulmonary rehabilitation. Also, 2) to evaluate the program's acceptability and 
      utility using patient-reported outcome and experience measures. METHODS: 
      Multicentre randomised controlled trial (3:1, intervention:control) amongst 
      cardiac and pulmonary rehabilitation attendees. Control received usual care (no 
      message program). Intervention also received a 6-month text message lifestyle and 
      support program. Primary outcome was 6-minute walk distance (6MWD). Secondary 
      outcomes included clinical measures, lifestyle, patient-reported outcome and 
      experience measures, medication adherence and rehabilitation attendance. RESULTS: 
      A total of 316 participants were recruited. They had a mean age of 66.7 (SD 10.1) 
      years. Sixty percent were male (190/316) and 156 were cardiac rehabilitation 
      participants. The cohort's mean baseline 6MWD was higher in the intervention than 
      the control group. At 6 months, 6MWD improved in both groups; it was 
      significantly greater amongst intervention than control participants (unadjusted 
      mean difference of 43.4 m, 95 % CI 4.3 to 82.4; P = 0.0296). After adjustment for 
      baseline values, there was no significant difference between intervention and 
      control groups for 6MWD (adjusted mean difference 2.2 m, -21.2 to 25.6; P = 
      0.85), medication adherence, or cardiovascular risk factors. At 6-month 
      follow-up, intervention participants reported significantly lower depression 
      scores (adjusted mean difference -1.3, 95 % CI -2.2 to -0.3; P = 0.0124) and CAT 
      scores (adjusted mean difference -3.9, 95 % CI -6.6 to -1.3; P = 0.0038), and 
      significantly lower anxiety (adjusted mean difference -1.1, 95 %CI -2.1 to 0; P = 
      0.0456). Most participants (86 %) read most of their messages and strongly/agreed 
      that the intervention was easy to understand (99 %) and useful (86 %). 
      CONCLUSIONS: An educational and supportive text message program for cardiac and 
      pulmonary rehabilitation attendees improved anxiety and depression plus program 
      attendance. The program was acceptable to, and useful for, participants and would 
      be suitable for implementation alongside rehabilitation programs. TRIAL 
      REGISTRATION NUMBER: ACTRN12616001167459.
CI  - Copyright (c) 2023 The Authors. Published by Elsevier Masson SAS.. All rights 
      reserved.
FAU - Redfern, Julie
AU  - Redfern J
AD  - Engagement and Co-design Research Hub, School of Health Sciences, Faculty of 
      Medicine and Health, University of Sydney, NSW, Australia; Charles Perkins 
      Centre, University of Sydney; The George Institute for Global Health, University 
      of New South Wales, NSW, Australia. Electronic address: 
      julie.redfern@sydney.edu.au.
FAU - Singleton, Anna C
AU  - Singleton AC
AD  - Engagement and Co-design Research Hub, School of Health Sciences, Faculty of 
      Medicine and Health, University of Sydney, NSW, Australia.
FAU - Raeside, Rebecca
AU  - Raeside R
AD  - MPH, Engagement and Co-design Research Hub, School of Health Sciences, Faculty of 
      Medicine and Health, University of Sydney, NSW, Australia.
FAU - Santo, Karla
AU  - Santo K
AD  - Hospital Israelita Albert Einstein, Academic Research Organization, Sao Paulo, 
      Brazil; The George Institute for Global Health, University of New South Wales, 
      NSW, Australia.
FAU - Hafiz, Nashid
AU  - Hafiz N
AD  - MIPH, Engagement and Co-design Research Hub, School of Health Sciences, Faculty 
      of Medicine and Health, University of Sydney, NSW, Australia.
FAU - Spencer, Lissa
AU  - Spencer L
AD  - PhD, Department of Physiotherapy, Royal Prince Alfred Hospital, Sydney Local 
      Health District, NSW, Australia.
FAU - Leung, Regina Wm
AU  - Leung RW
AD  - PhD, Department of Thoracic Medicine, Concord Repatriation General Hospital, 
      Sydney Local Health District, NSW, Australia.
FAU - Roberts, Mary
AU  - Roberts M
AD  - MPal Care, Department of Respiratory and Sleep Medicine, Westmead Hospital, 
      Western Sydney Local Health District, NSW, Australia; Faculty of Medicine and 
      Health, The University of Sydney at Westmead Hospital, NSW, Australia.
FAU - King, Meredith
AU  - King M
AD  - B Physiotherapy, Chronic Disease Community Rehabilitation Service, Northern 
      Sydney Local Health District, NSW, Australia.
FAU - Cho, Jin-Gun
AU  - Cho JG
AD  - PhD, Department of Respiratory and Sleep Medicine, Westmead Hospital, NSW, 
      Australia; Faculty of Medicine and Health, University of Sydney at Westmead 
      Hospital, Australia.
FAU - Carr, Bridie
AU  - Carr B
AD  - BA Comms, NSW Agency for Clinical Innovation, NSW, Australia.
FAU - Jenkins, Christine
AU  - Jenkins C
AD  - PhD, The George Institute for Global Health, Sydney and UNSW Faculty of Medicine 
      and Health, NSW, Australia.
FAU - Partridge, Stephanie R
AU  - Partridge SR
AD  - Engagement and Co-design Research Hub, School of Health Sciences, Faculty of 
      Medicine and Health, University of Sydney, NSW, Australia; Charles Perkins 
      Centre, University of Sydney, Australia.
FAU - Hayes, Alison
AU  - Hayes A
AD  - PhD, School of Public Health, Faculty of Medicine and Health, University of 
      Sydney, NSW, Australia.
FAU - Chow, Clara K
AU  - Chow CK
AD  - PhD, Westmead Applied Research Centre, Faculty of Medicine and Health, University 
      of Sydney; Western Sydney Local Health District; The George Institute for Global 
      Health, University of New South Wales, NSW, Australia.
FAU - Hyun, Karice
AU  - Hyun K
AD  - Engagement and Co-design Research Hub, School of Health Sciences, Faculty of 
      Medicine and Health, University of Sydney, NSW, Australia; Department of 
      Cardiology, Concord Repatriation General Hospital, Sydney Local Health District, 
      NSW, Australia.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Randomized Controlled Trial
DEP - 20231219
PL  - Netherlands
TA  - Ann Phys Rehabil Med
JT  - Annals of physical and rehabilitation medicine
JID - 101502773
SB  - IM
MH  - Aged
MH  - Female
MH  - Humans
MH  - Male
MH  - Anxiety
MH  - Life Style
MH  - Medication Adherence
MH  - Quality of Life
MH  - *Text Messaging
MH  - Middle Aged
OTO - NOTNLM
OT  - Cardiac rehabilitation
OT  - Chronic obstructive pulmonary disease
OT  - Digital health
OT  - Heart disease
OT  - Pulmonary rehabilitation
OT  - Text message
EDAT- 2023/12/21 00:41
MHDA- 2024/04/15 06:43
CRDT- 2023/12/20 18:02
PHST- 2023/02/28 00:00 [received]
PHST- 2023/07/29 00:00 [revised]
PHST- 2023/10/17 00:00 [accepted]
PHST- 2024/04/15 06:43 [medline]
PHST- 2023/12/21 00:41 [pubmed]
PHST- 2023/12/20 18:02 [entrez]
AID - S1877-0657(23)00071-4 [pii]
AID - 10.1016/j.rehab.2023.101800 [doi]
PST - ppublish
SO  - Ann Phys Rehabil Med. 2024 Apr;67(3):101800. doi: 10.1016/j.rehab.2023.101800. 
      Epub 2023 Dec 19.