The Effects of Smart Program for Patients Who Underwent Percutaneous Coronary Intervention (SP-PCI) on Disease-Related Knowledge, Health Behavior, and Quality of Life: A Non-Randomized Controlled Trial

Abstract

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0)If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium. Purpose: To identify the effects of a smart program for the patients who underwent percutaneous coronary intervention (SP-PCI) on coronary disease-related knowledge, health behaviors, and quality of life. Methods: A nonequivalent control group with a non-synchronized design was utilized and 48 participants (experimental=22, control=26) were recruited from a university hospital in Gyeongsang area from May to December, 2016. The 12-week SP-PCI consisted of self-study of health information using smart phone applications (1/week), walking exercise (>5/week) using smart band, feedback using Kakao talk (2/week), and telephone counseling (1/week). Patients in the control group received usual care from their primary health care providers and a brief health education with basic self-management brochure after the PCI. Data were analyzed using the SPSS 21.0 program through descriptive statistics, c 2 test, and t-test. Results: After the 12-week SP-PCI, the experimental group showed higher levels of coronary disease-related knowledge (t=2.43, p=.019), heart-related health behaviors (t=5.96, p<.001), regular exercise (Z=-4.47, p<.001), and quality of life-MCS (t=3.04, p=.004) and showed lower levels of stress (Z=-3.53, p<.001) and sodium intake (t=-4.43, p<.001) than those in the control group. There were no significant group differences in medication adherence and food intake in total energy, lipids, and cholesterol. Conclusion: The suggested SP-PCI provided easy access and cost-effective intervention for patients after PCI and improved their knowledge of the disease, performance of health behaviors, and quality of life. Further study with a wider population is needed to evaluate the effects of SP-PCI on disease recurrence and quality of life for patients after PCI.

Development and Usability Evaluation of a Healthy Lifestyle Coaching Chatbot Using a Habit Formation Model

“…Many hospitals currently use Plus Friend for hospital marketing by communicating hospital news and various consultation services. Lee reported that a smart program using KakaoTalk for patients improved their knowledge of disease and the performance of health behaviors [12]; however, the researcher must respond to patients' reactions individually, requiring personnel to operate the program. We used the Watson conversation launch tool to enable the automatic chat function, which not only reduced operating costs and efforts but also allowed real-time reactions to the participants.…”

“…Therefore, they can effectively provide sustained health behavior interventions. A Korean study has found that a smart program using KakaoTalk for patients who underwent percutaneous coronary intervention was easy to use, cost-effective, and improved knowledge of the disease and the performance of health behaviors [12]. KakaoTalk has the advantage of allowing users to check whether messages are received or not, and it allows more personalized intervention than a telephone consultation [12].…”

“…A Korean study has found that a smart program using KakaoTalk for patients who underwent percutaneous coronary intervention was easy to use, cost-effective, and improved knowledge of the disease and the performance of health behaviors [12]. KakaoTalk has the advantage of allowing users to check whether messages are received or not, and it allows more personalized intervention than a telephone consultation [12]. Although most smartphones have default message apps (e.g., iMessage or Galaxy message app) and function similarly to KakaoTalk (e.g., sending emoticons and free massaging), few avenues provide smart chatting.…”

Effects of a Mobile-App-Based Self-Management Support Program For Elderly Hemodialysis Patients

“…In contrast, the present study found that the proportion of nonadherent subjects was low, and that subjects self-monitoring their physiological parameters and interpreting their significance led to improvements, while the self-management behavior and parameters were within the normal ranges. When implementing an intervention, variations in individual characteristics and proficiency of device use must be considered to ensure that the mobile app is utilized effectively [17]. Therefore, it is necessary to educate subjects about device use and prepare a support system when planning an intervention.…”

“…While some apps have been developed and are being utilized as essential tools for maintaining health, most of the related studies have involved middle-aged populations [15][16][17], and these apps are not ideal for application to elderly patients in clinical settings. However, it has been shown that the intention to accept smartphone-based health management approaches among elderly and chronic-disease patients is high, and an important reason for using the Internet is to obtain health-related information [18].…”