Evidence map›Paper›PMID 33844425›Full record

Trial reportJournal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing2021

Effectiveness of Theory-Based Health Information Technology Interventions on Coronary Artery Disease Self-Management Behavior: A Clinical Randomized Waitlist-Controlled Trial.

Pei-Chen Hong, Kuan-Jung Chen, Yue-Cune Chang, Shu-Meng Cheng, Hui-Hsun Chiang

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 4 pooled it
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 4 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  10. Outcome of management based on "1+X" model in a health examination center.American journal of translational research · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Pei-Chen HongSchool of Nursing, National Defense Medical Center, Taipei, and Lecturer, Yuh-Ing Junior College of Health Care & Management, Kaohsiung, Taiwan.
Kuan-Jung ChenLambda Beta-at-large, Assistant Head Nurse, Department of Nursing, Tri-Service General Hospital, Taipei, Taiwan.
Yue-Cune ChangProfessor, Department of Mathematics, Tamkang University, Taipei, Taiwan.ORCID 0000-0002-0224-1268
Shu-Meng ChengDivision of Cardiology, Department of Internal Medicine, Tri-Service General Hospital and Professor, School of Medicine, National Defense Medical Center, Taipei, Taiwan.
Hui-Hsun ChiangLambda Beta-at-large, Associate Professor, School of Nursing, National Defense Medical Center, Taipei, Taiwan.ORCID 0000-0001-7193-5653
National Defense Medical Center · TWTri-Service General Hospital · TWTamkang University · TW

Funding

Tri-Service General Hospital R.O.C. TSGH-E-110255
6 · The paper itself

Abstract

purposeSecondary 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 theory-based health information technology intervention implemented through blood control and patient self-management.

designA clinical randomized waitlist-controlled trial.

methodsThe 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 equations.

resultsSystolic 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.

conclusionThe 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 pandemic.

Indexed as

Psychological TheoryAdultAgedBlood PressureCoronary Artery DiseaseFemaleHumansMaleMedical InformaticsMiddle AgedSelf EfficacySelf-ManagementTaiwanTreatment OutcomeWaiting ListsBlood pressurecoronary artery diseasehealth information technologyquality of lifeself-management

Identifiers

PMID33844425
PMCPMC8359962
OpenAlexW3152836745

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.