Personalized E-Coaching in Cardiovascular Risk Reduction: A Randomized Controlled Trial

Objectives: To assess whether electronic (e-) coaching, using personalized web-based lifestyle and risk factor counselling with additional email prompts, provides additional risk reduction when added to standard of care (SOC) in individuals at increased risk. Methods: Between June 2013 and May 2015,...

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Autores principales:	Mohammed Y. Khanji, Armida Balawon, Redha Boubertakh, Leonard Hofstra, Jagat Narula, Myriam Hunink, Francesca Pugliese, Steffen E. Petersen
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2019
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/4528af7dbae04b148382b9eebc1fda4b
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spelling	oai:doaj.org-article:4528af7dbae04b148382b9eebc1fda4b2021-12-02T03:32:04ZPersonalized E-Coaching in Cardiovascular Risk Reduction: A Randomized Controlled Trial2214-999610.5334/aogh.2496https://doaj.org/article/4528af7dbae04b148382b9eebc1fda4b2019-07-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2496https://doaj.org/toc/2214-9996Objectives: To assess whether electronic (e-) coaching, using personalized web-based lifestyle and risk factor counselling with additional email prompts, provides additional risk reduction when added to standard of care (SOC) in individuals at increased risk. Methods: Between June 2013 and May 2015, 402 participants were allocated 1:1 to e-coaching and SOC versus SOC. Participants free of manifest cardiovascular disease, with internet access, and a 10-year QRISK2 cardiovascular risk of ≥10% were enrolled. Change in oscillometric carotid-femoral pulse wave velocity (PWV) from baseline to six months was the primary endpoint. Secondary outcomes included change in blood pressure (BP), weight, and risk scores. Analysis was by intention to treat. Results: Mean (±SD) age was 65.5 (5.6) years with 37% females. Primary outcome data were available for 94%. There was no difference in PWV reductions between e-coaching and standard of care groups (–0.16 m/s vs. –0.25 m/s, 95% confidence interval –0.39 to 0.22, p = 0.56). There were no differences in the improvement between groups for BP, weight, Framingham, or QRISK2 scores. Pulse wave velocity change was more favorable in those with a higher level of education (p = 0.04), but was not associated with age, gender, presence of diabetes, baseline QRISK2 score, or logins to the website. Conclusions: In individuals at increased cardiovascular risk, a comprehensive ‘health check’ program modestly reduced future risk. Personalized e-coaching did not provide added risk reduction. Currently there is no evidence to routinely recommend e-coaching in cardiovascular health check programs. Trial registration: HAPPY London ClinicalTrials.gov: NCT01911910Mohammed Y. KhanjiArmida BalawonRedha BoubertakhLeonard HofstraJagat NarulaMyriam HuninkFrancesca PuglieseSteffen E. PetersenUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 85, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Mohammed Y. Khanji Armida Balawon Redha Boubertakh Leonard Hofstra Jagat Narula Myriam Hunink Francesca Pugliese Steffen E. Petersen Personalized E-Coaching in Cardiovascular Risk Reduction: A Randomized Controlled Trial
description	Objectives: To assess whether electronic (e-) coaching, using personalized web-based lifestyle and risk factor counselling with additional email prompts, provides additional risk reduction when added to standard of care (SOC) in individuals at increased risk. Methods: Between June 2013 and May 2015, 402 participants were allocated 1:1 to e-coaching and SOC versus SOC. Participants free of manifest cardiovascular disease, with internet access, and a 10-year QRISK2 cardiovascular risk of ≥10% were enrolled. Change in oscillometric carotid-femoral pulse wave velocity (PWV) from baseline to six months was the primary endpoint. Secondary outcomes included change in blood pressure (BP), weight, and risk scores. Analysis was by intention to treat. Results: Mean (±SD) age was 65.5 (5.6) years with 37% females. Primary outcome data were available for 94%. There was no difference in PWV reductions between e-coaching and standard of care groups (–0.16 m/s vs. –0.25 m/s, 95% confidence interval –0.39 to 0.22, p = 0.56). There were no differences in the improvement between groups for BP, weight, Framingham, or QRISK2 scores. Pulse wave velocity change was more favorable in those with a higher level of education (p = 0.04), but was not associated with age, gender, presence of diabetes, baseline QRISK2 score, or logins to the website. Conclusions: In individuals at increased cardiovascular risk, a comprehensive ‘health check’ program modestly reduced future risk. Personalized e-coaching did not provide added risk reduction. Currently there is no evidence to routinely recommend e-coaching in cardiovascular health check programs. Trial registration: HAPPY London ClinicalTrials.gov: NCT01911910
format	article
author	Mohammed Y. Khanji Armida Balawon Redha Boubertakh Leonard Hofstra Jagat Narula Myriam Hunink Francesca Pugliese Steffen E. Petersen
author_facet	Mohammed Y. Khanji Armida Balawon Redha Boubertakh Leonard Hofstra Jagat Narula Myriam Hunink Francesca Pugliese Steffen E. Petersen
author_sort	Mohammed Y. Khanji
title	Personalized E-Coaching in Cardiovascular Risk Reduction: A Randomized Controlled Trial
title_short	Personalized E-Coaching in Cardiovascular Risk Reduction: A Randomized Controlled Trial
title_full	Personalized E-Coaching in Cardiovascular Risk Reduction: A Randomized Controlled Trial
title_fullStr	Personalized E-Coaching in Cardiovascular Risk Reduction: A Randomized Controlled Trial
title_full_unstemmed	Personalized E-Coaching in Cardiovascular Risk Reduction: A Randomized Controlled Trial
title_sort	personalized e-coaching in cardiovascular risk reduction: a randomized controlled trial
publisher	Ubiquity Press
publishDate	2019
url	https://doaj.org/article/4528af7dbae04b148382b9eebc1fda4b
work_keys_str_mv	AT mohammedykhanji personalizedecoachingincardiovascularriskreductionarandomizedcontrolledtrial AT armidabalawon personalizedecoachingincardiovascularriskreductionarandomizedcontrolledtrial AT redhaboubertakh personalizedecoachingincardiovascularriskreductionarandomizedcontrolledtrial AT leonardhofstra personalizedecoachingincardiovascularriskreductionarandomizedcontrolledtrial AT jagatnarula personalizedecoachingincardiovascularriskreductionarandomizedcontrolledtrial AT myriamhunink personalizedecoachingincardiovascularriskreductionarandomizedcontrolledtrial AT francescapugliese personalizedecoachingincardiovascularriskreductionarandomizedcontrolledtrial AT steffenepetersen personalizedecoachingincardiovascularriskreductionarandomizedcontrolledtrial
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Personalized E-Coaching in Cardiovascular Risk Reduction: A Randomized Controlled Trial

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