Robyn Gallagher
The effect of a game-based mobile app “MyHeartMate” to promote lifestyle change in coronary disease patients: a randomised controlled trial
Gallagher, Robyn; Chow, Clara K; Parker, Helen; Neubeck, L.; Celermajer, D.; Redfern, J.; Tofler, G.; Buckley, T.; Schumacher, T.; Hyun, K; Bouramond, F.; Figtree, G.
Authors
Clara K Chow
Helen Parker
Prof Lis Neubeck L.Neubeck@napier.ac.uk
Professor
D. Celermajer
J. Redfern
G. Tofler
T. Buckley
T. Schumacher
K Hyun
F. Bouramond
G. Figtree
Abstract
Aims
Secondary prevention reduces coronary heart disease (CHD) progression. Traditional prevention programs including cardiac rehabilitation are under-accessed, which smartphone apps may overcome. To evaluate the effect of a game-based mobile app intervention (MyHeartMate) to improve cardiovascular risk factors and lifestyle behaviours.
Methods and results
Single-blind randomized trial of CHD patients in Sydney, 2017–2021. Intervention group were provided the MyHeartMate app for 6 months. Co-designed features included an avatar of the patient’s heart and tokens earned by risk factor work (tracking, challenges, and quizzes). The control group received usual care. Primary outcome was self-reported physical activity [metabolic equivalents (METs), Global Physical Activity Questionnaire] and secondary outcomes included lipid levels, blood pressure (BP), body mass index, and smoking. Pre-specified sample size was achieved (n = 390), age 61.2 ± 11.5 years; 82.5% men and 9.2% current smokers. At 6 months, adjusted for baseline levels, the intervention group achieved more physical activity than control (median difference 329 MET mins/wk), which was not statistically significant (95% CI −37.4, 696; P = 0.064). No differences occurred between groups on secondary outcomes except for lower triglyceride levels in the intervention [mean difference −0.3 (95% CI −0.5, −0.1 mmoL/L, P = 0.004)]. Acceptability was high: 94.8% of intervention participants engaged by tracking exercise or BP and completing missions; 26.8% continued to engage for ≥30 days. Participants (n = 14) reported the app supported tracking behaviours and risk factors, reinforcing and improving self-care confidence, and decreasing anxiety.
Conclusion
A game-based app proved highly acceptable for patients with CHD but did not improve risk factors or lifestyle behaviours other than triglyceride levels.
Journal Article Type | Article |
---|---|
Acceptance Date | Oct 24, 2022 |
Online Publication Date | Nov 23, 2022 |
Publication Date | 2023-01 |
Deposit Date | Oct 25, 2022 |
Publicly Available Date | Feb 14, 2023 |
Electronic ISSN | 2634-3916 |
Publisher | Oxford University Press |
Peer Reviewed | Peer Reviewed |
Volume | 4 |
Issue | 1 |
Pages | 33-42 |
DOI | https://doi.org/10.1093/ehjdh/ztac069 |
Keywords | Coronary heart disease, Digital health, Risk factors, Randomized controlled trial, Secondary prevention, Mobile health, Gamification |
Public URL | http://researchrepository.napier.ac.uk/Output/2939833 |
Files
The effect of a game-based mobile app ‘MyHeartMate’ to promote lifestyle change in coronary disease patients: a randomized controlled trial
(620 Kb)
PDF
Publisher Licence URL
http://creativecommons.org/licenses/by/4.0/
Copyright Statement
CC BY 4.0
You might also like
How health technology helps promote cardiovascular health outcomes.
(2016)
Journal Article
Cardiac Rehabilitation: Unraveling the Complexity of Referral and Current Models of Delivery
(2017)
Journal Article
Downloadable Citations
About Edinburgh Napier Research Repository
Administrator e-mail: repository@napier.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2024
Advanced Search