Lillehei Heart Institute and Cardiovascular Division, University of Minnesota Medical School, Minneapolis, MN, United States.
Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, United States.
Front Public Health. 2021 Mar 16;9:500296. doi: 10.3389/fpubh.2021.500296. eCollection 2021.
Cardiovascular disease prevention strategies include aspirin use as a preventive measure. The internet can be used to raise public awareness, promote healthy lifestyles, and improve disease management. This pilot study describes the feasibility of an educational website to recruit and follow adult internet users to examine whether they talked to their physician about aspirin and initiated aspirin use. As part of a statewide intervention promoting an aspirin regimen to prevent heart attacks and strokes in Minnesota, visitors to the website were encouraged to complete an aspirin candidacy tool. Between October, 2015 and February, 2016, men 45-79 and women 55-79 who identified as aspirin candidates were invited to participate in a 6-month study involving four, 5 min online surveys to examine physician discussions about aspirin, aspirin use, and mobile technology use. During the 5-month recruitment period, 234 adults enrolled in the study. Of the 174 who completed the baseline survey and at least one follow-up survey, 74 (43.5%) did not use aspirin at baseline. During follow-up, 12 (16.2%) talked to their doctor about aspirin and 31 (41.8%) initiated aspirin use. Internet, social media, and mobile technology use were high among this population. An educational website may have provided a cue to action for aspirin discussions with physicians and aspirin initiation. More research is needed to evaluate the utility of on-line tools to increase appropriate aspirin use among internet-using populations.
心血管疾病预防策略包括使用阿司匹林作为预防措施。互联网可用于提高公众意识，促进健康的生活方式，并改善疾病管理。这项初步研究描述了一个教育网站招募和随访成年互联网用户的可行性，以研究他们是否与医生讨论过阿司匹林并开始使用阿司匹林。作为在明尼苏达州推广阿司匹林方案以预防心脏病发作和中风的全州性干预措施的一部分，鼓励网站访问者完成阿司匹林适宜性工具。在 2015 年 10 月至 2016 年 2 月期间，年龄在 45-79 岁的男性和年龄在 55-79 岁的女性中，如果被认为是阿司匹林适宜者，他们将被邀请参加一项为期 6 个月的研究，该研究包括四项每次 5 分钟的在线调查，以研究有关阿司匹林、阿司匹林使用和移动技术使用的医生讨论情况。在 5 个月的招募期间，有 234 名成年人参加了这项研究。在完成基线调查和至少一次随访调查的 174 人中，有 74 人（43.5%）在基线时未使用阿司匹林。在随访期间，有 12 人（16.2%）与医生讨论过阿司匹林，有 31 人（41.8%）开始使用阿司匹林。该人群中互联网、社交媒体和移动技术的使用率很高。教育网站可能为与医生讨论阿司匹林和开始使用阿司匹林提供了行动线索。需要进一步研究在线工具在增加互联网用户中适当使用阿司匹林方面的效用。
