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一项评估Care4Today Connect数字健康应用程序在冠状动脉疾病和外周动脉疾病疾病管理中的参与度和实用性的研究的基本原理与设计(iPACE-CVD研究)。

Rationale and Design of a Study to Assess the Engagement and Usefulness of the Care4Today Connect Digital Health Application for Disease Management in Coronary Artery Disease and Peripheral Artery Disease (iPACE-CVD Study).

作者信息

Lakkireddy Dhanunjaya, Angiolillo Dominick J, Charlton-Ouw Kristofer, Jefferson Brian, Peeran Syed, Bisharat Mohannad, Ortega-Paz Luis, Harxhi Ante, Kaul Simrati, Michaud Evelyne, Juan Stephanie, Woods Breeana, Damaraju C V, Fontana Gregory, Bonaca Marc P

机构信息

Kansas City Heart Rhythm Institute, HCA Midwest Health, Overland Park, Kansas, USA.

Division of Cardiology, University of Florida College of Medicine, Jacksonville, Florida, USA.

出版信息

Clin Cardiol. 2024 Dec;47(12):e70039. doi: 10.1002/clc.70039.

Abstract

INTRODUCTION

Coronary artery disease (CAD) and peripheral artery disease (PAD) increase the risks of cardiovascular events and death. Digital health technologies are rapidly expanding to improve healthcare quality and access. The Care4Today Connect (C4T CAD-PAD) mobile application is designed to help patients with CAD and/or PAD improve medication adherence, learn about their disease, make lifestyle modifications, and enhance healthcare provider (HCP) connection via an HCP-facing portal.

HYPOTHESIS & METHODS: The prospective, single-arm, multicenter, noninterventional iPACE-CVD (innovative Patient compAnion impaCting health outcomEs: a CardioVascular Digital health program) study (ClinicalTrials.gov identifier: NCT06052319) is evaluating engagement and usefulness of the application for patients with CAD and/or PAD in clinical settings. Application access is provided with a code from patients' HCPs. Key features include medication and health experience tracking. The application is available in English and Spanish and for iOS and Android devices. Engagement is defined as the proportion of patients who use the application for ≥ 10 weeks during the 3-month study period. Application use is defined as the number of patients using ≥ 1 application feature(s) each week. Usefulness is determined by the percentage of engaged patients who complete the My Feedback Matters survey with a satisfaction response score of > 2 (on a 5-point scale, where 1 = strongly disagree and 5 = strongly agree) for at least three of the six questions.

RESULTS

A total of 271 participants were enrolled between November 29, 2023, and May 15, 2024. The study concluded on August 15, 2024.

CONCLUSION

This study will help enhance the application for subsequent studies.

TRIAL REGISTRATION

NCT06052319.

摘要

引言

冠状动脉疾病(CAD)和外周动脉疾病(PAD)会增加心血管事件和死亡风险。数字健康技术正在迅速发展,以提高医疗质量并改善医疗服务的可及性。Care4Today Connect(C4T CAD-PAD)移动应用程序旨在帮助CAD和/或PAD患者提高用药依从性,了解自身疾病,改变生活方式,并通过面向医疗服务提供者(HCP)的门户加强与HCP的联系。

假设与方法

前瞻性、单臂、多中心、非干预性的iPACE-CVD(创新患者伴侣影响健康结局:心血管数字健康计划)研究(ClinicalTrials.gov标识符:NCT06052319)正在评估该应用程序在临床环境中对CAD和/或PAD患者的参与度和实用性。患者通过其HCP提供的代码获得应用程序访问权限。主要功能包括用药和健康体验跟踪。该应用程序有英语和西班牙语版本,适用于iOS和安卓设备。参与度定义为在3个月的研究期间使用该应用程序≥10周的患者比例。应用程序使用情况定义为每周使用≥1项应用程序功能的患者数量。实用性由参与研究的患者中,在六个问题中至少有三个问题的满意度回答得分>2(5分制,1=强烈不同意,5=强烈同意)的患者百分比来确定。

结果

2023年11月29日至2024年5月15日期间,共有271名参与者入组。该研究于2024年8月15日结束。

结论

本研究将有助于改进该应用程序以供后续研究使用。

试验注册

NCT06052319。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0fa/11635118/760367f5c47b/CLC-47-e70039-g003.jpg

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