G Cicolini1, V Simonetti2, D Comparcini3, I Celiberti4, M Di Nicola5, L M Capasso6, M E Flacco7, M Bucci8, A Mezzetti9, L Manzoli10. 1. ASL 02 Abruzzo, Italy; Department of Medicine and Science of Aging, "G. d'Annunzio" University of Chieti, Italy. Electronic address: g.cicolini@unich.it. 2. Department of Medicine and Science of Aging, "G. d'Annunzio" University of Chieti, Italy. Electronic address: v.simonetti@unich.it. 3. Department of Medicine and Science of Aging, "G. d'Annunzio" University of Chieti, Italy. Electronic address: dania.comparcini@unich.it. 4. Hospital of Matera, Italy. Electronic address: amy.75@libero.it. 5. Department of Biomedical Science Laboratory of Biostatistic, "G. d'Annunzio" University of Chieti, Italy. Electronic address: m.dinicola@unich.it. 6. Department of Medicine and Science of Aging, "G. d'Annunzio" University of Chieti, Italy. Electronic address: lmcapasso@unich.it. 7. Department of Medicine and Science of Aging, "G. d'Annunzio" University of Chieti, Italy. Electronic address: elena.flacco@gmail.com. 8. Department of Medicine and Science of Aging, "G. d'Annunzio" University of Chieti, Italy. Electronic address: mbucci@unich.it. 9. Department of Medicine and Science of Aging, "G. d'Annunzio" University of Chieti, Italy. Electronic address: mezzetti@unich.it. 10. Department of Medicine and Science of Aging, "G. d'Annunzio" University of Chieti, Italy. Electronic address: l.manzoli@unich.it.
Abstract
BACKGROUND: Many strategies have been evaluated to improve the prevention and control of cardiovascular (CVD) risk factors. Nursing telephonic and tele-counseling individualized lifestyle educational programs have been found to improve blood pressure control and adherence to lifestyle recommendation. This study tested the efficacy of a nurse-led reminder program through email (NRP-e) to improve CVD risk factors among hypertensive adults. METHODS: All participants received usual CVD prevention and a guideline-based educational program. Subjects in the NRP-e group also received weekly email alerts and phone calls from a nurse care manager for 6 months. Emails contained a reminder program on the need for adherence with a healthy lifestyle based upon current guidelines. Follow-up visits were scheduled at 1, 3 and 6 months after enrollment; randomization was made centrally and blood samples were evaluated into a single laboratory. RESULTS: The final sample consisted of 98 (control) and 100 (NRP-e) subjects (mean age 59.0 ± 14.5 years; 51.0% males). After 6 months, the following CVD risk factors significantly improved in both groups: body mass index, alcohol and fruit consumption, cigarette smoking, adherence to therapy hours, systolic and diastolic blood pressure, fasting blood glucose, low-density lipoproteins (LDL) and total cholesterol, triglycerides, and physical activity. In the NRP-e group, however, the prevalence of several behaviors or conditions at risk decreased significantly more than in the control group: obesity (-16%), low fruit consumption (-24%), uncontrolled hypertension (-61%), LDL (-56%), and total cholesterol (-40%). CONCLUSIONS: The NRP-e improved a range of CVD risk factors. The program had low costs, required only an average of <20 min per day in addition to normal practice, and may deserve further evaluation for the inclusion among existing care management approaches.
RCT Entities:
BACKGROUND: Many strategies have been evaluated to improve the prevention and control of cardiovascular (CVD) risk factors. Nursing telephonic and tele-counseling individualized lifestyle educational programs have been found to improve blood pressure control and adherence to lifestyle recommendation. This study tested the efficacy of a nurse-led reminder program through email (NRP-e) to improve CVD risk factors among hypertensive adults. METHODS: All participants received usual CVD prevention and a guideline-based educational program. Subjects in the NRP-e group also received weekly email alerts and phone calls from a nurse care manager for 6 months. Emails contained a reminder program on the need for adherence with a healthy lifestyle based upon current guidelines. Follow-up visits were scheduled at 1, 3 and 6 months after enrollment; randomization was made centrally and blood samples were evaluated into a single laboratory. RESULTS: The final sample consisted of 98 (control) and 100 (NRP-e) subjects (mean age 59.0 ± 14.5 years; 51.0% males). After 6 months, the following CVD risk factors significantly improved in both groups: body mass index, alcohol and fruit consumption, cigarette smoking, adherence to therapy hours, systolic and diastolic blood pressure, fasting blood glucose, low-density lipoproteins (LDL) and total cholesterol, triglycerides, and physical activity. In the NRP-e group, however, the prevalence of several behaviors or conditions at risk decreased significantly more than in the control group: obesity (-16%), low fruit consumption (-24%), uncontrolled hypertension (-61%), LDL (-56%), and total cholesterol (-40%). CONCLUSIONS: The NRP-e improved a range of CVD risk factors. The program had low costs, required only an average of <20 min per day in addition to normal practice, and may deserve further evaluation for the inclusion among existing care management approaches.
Authors: Lora E Burke; Jun Ma; Kristen M J Azar; Gary G Bennett; Eric D Peterson; Yaguang Zheng; William Riley; Janna Stephens; Svati H Shah; Brian Suffoletto; Tanya N Turan; Bonnie Spring; Julia Steinberger; Charlene C Quinn Journal: Circulation Date: 2015-08-13 Impact factor: 29.690
Authors: Maria Teresa Acin; José-Ramón Rueda; Luis Carlos Saiz; Veronica Parent Mathias; Natalia Alzueta; Ivan Solà; Javier Garjón; Juan Erviti Journal: Cochrane Database Syst Rev Date: 2020-09-21