Chow, Clara K

Thiagalingam, Aravinda

Santo, Karla

Kok, Cindy

Thakkar, Jay

Stepien, Sandrine

Billot, Laurent

Jan, Stephen

Joshi, Rohina

Hillis, Graham S

Brieger, David

Chew, Derek P

Rådholm, Karin

Atherton, John J

Bhindi, Ravinay

Collins, Nicholas

Coverdale, Steven

Hamilton-Craig, Christian

Kangaharan, Nadarajah

Maiorana, Andrew

McGrady, Michelle

Shetty, Pratap

Thompson, Peter

Rogers, Anthony

Redfern, Julie

2018-01-27

Identifying simple, low-cost and scalable means of supporting lifestyle change and medication adherence for patients following a cardiovascular (CV) event is important. The TEXTMEDS (TEXT messages to improve MEDication adherence and Secondary prevention) study aims to investigate whether a cardiac education and support programme sent via mobile phone text message improves medication adherence and risk factor levels in patients following an acute coronary syndrome (ACS). A single-blind, multicentre, randomised clinical trial of 1400 patients after an ACS with 12 months follow-up. The intervention group will receive multiple weekly text messages that provide information, motivation, support to adhere to medications, quit smoking (if relevant) and recommendations for healthy diet and exercise. The primary endpoint is the percentage of patients who are adherent to cardioprotective medications and the key secondary outcomes are mean systolic blood pressure (BP) and low-density lipoprotein cholesterol. Secondary outcomes will also include total cholesterol, mean diastolic BP, the percentage of participants who are adherent to each cardioprotective medication class, the percentage of participants who achieve target levels of CV risk factors, major vascular events, hospital readmissions and all-cause mortality. The study will be augmented by formal economic and process evaluations to assess acceptability, utility and cost-effectiveness. The study will provide multicentre randomised trial evidence of the effects of a text message-based programme on cardioprotective medication adherence and levels of CV risk factors. Primary ethics approval was received from Western Sydney Local Health District Human Research Ethics Committee (HREC2012/12/4.1 (3648) AU RED HREC/13/WMEAD/15). Results will be disseminated via peer-reviewed publications and presentations at international conferences. ACTRN12613000793718; Pre-results.

BMJ Open . 2018 Jan 27;8(1):e019463. doi: 10.1136/bmjopen-2017-019463.

0000-0003-4693-0038

0000-0001-9047-8865

0000-0001-8937-8066

https://pubmed.ncbi.nlm.nih.gov/29374674/?otool=iaurydwlib

https://hdl.handle.net/10137/5143

cardiovascular risk factors

coronary heart disease

medication adherence

mhealth

secondary prevention

text message

TEXT messages to improve MEDication adherence and Secondary prevention (TEXTMEDS) after acute coronary syndrome: a randomised clinical trial protocol.

Journal Article

Publication