Please use this identifier to cite or link to this item: https://doi.org/10.1186/s12955-017-0623-y
Title: The effect of a smartphone-based coronary heart disease prevention (SBCHDP) programme on awareness and knowledge of CHD, stress, and cardiac-related lifestyle behaviours among the working population in Singapore: a pilot randomised controlled trial
Authors: ZHANG HUI 
NGUYEN, HOANG D
POO CHIANG CHOON, DANNY 
WANG WENRU 
Keywords: Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Health Policy & Services
mHealth
Coronary heart disease
Health promotion
Primary prevention
Working population
CARDIOVASCULAR-DISEASE
RISK-FACTORS
INTERVENTION
HYPERTENSION
RELIABILITY
TECHNOLOGY
VALIDITY
MHEALTH
PEOPLE
Issue Date: 14-Mar-2017
Publisher: BMC
Citation: ZHANG HUI, NGUYEN, HOANG D, POO CHIANG CHOON, DANNY, WANG WENRU (2017-03-14). The effect of a smartphone-based coronary heart disease prevention (SBCHDP) programme on awareness and knowledge of CHD, stress, and cardiac-related lifestyle behaviours among the working population in Singapore: a pilot randomised controlled trial. HEALTH AND QUALITY OF LIFE OUTCOMES 15 (1). ScholarBank@NUS Repository. https://doi.org/10.1186/s12955-017-0623-y
Abstract: © 2017 The Author(s). Background: Coronary heart disease (CHD) is the most prevalent type of cardiac disease among adults worldwide, including those in Singapore. Most of its risk factors, such as smoking, physical inactivity and high blood pressure, are preventable. mHealth has improved in the last decade, showing promising results in chronic disease prevention and health promotion worldwide. Our aim was to develop and examine the effect of a 4-week Smartphone-Based Coronary Heart Disease Prevention (SBCHDP) programme in improving awareness and knowledge of CHD, perceived stress as well as cardiac-related lifestyle behaviours in the working population of Singapore. Methods: The smartphone app "Care4Heart" was developed as the main component of the programme. App content was reviewed and validated by a panel of experts, including two cardiologists and two experienced cardiology-trained nurses. A pilot randomised controlled trial was conducted. Eighty working people were recruited and randomised to either the intervention group (n = 40) or the control group (n = 40). The intervention group underwent a 4-week SBCHDP programme, whereas the control group were offered health promotion websites only. The participants' CHD knowledge, perceived stress and behavioural risk factors were measured at baseline and on the 4th week using the Heart Disease Fact Questionnaire-2, Perceived Stress Scale, and Behavioural Risk Factor Surveillance System. Results: After the SBCHDP programme, participants in the intervention group had a better awareness of CHD being the second leading cause of death in Singapore (X 2 = 6.486, p = 0.039), a better overall CHD knowledge level (t = 3.171, p = 0.002), and better behaviour concerning blood cholesterol control (X 2 = 4.54, p = 0.033) than participants in the control group. Conclusion: This pilot study partially confirmed the positive effects of the SBCHDP programme in improving awareness and knowledge of CHD among the working population. Due to the small sample size and short follow-up period, this study was underpowered to detect significant differences between groups. A full-scale longitudinal study is required in the future to confirm the effectiveness of the SBCHDP programme.
Source Title: HEALTH AND QUALITY OF LIFE OUTCOMES
URI: https://scholarbank.nus.edu.sg/handle/10635/156115
ISSN: 1477-7525,1477-7525
DOI: 10.1186/s12955-017-0623-y
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