Secondary Prevention Risk Interventions via Telemedicine and Tailored Patient Education (SPRITE): A randomized trial to improve post myocardial infarction management.
dc.contributor.author | Zullig, Leah L | |
dc.contributor.author | Peterson, Eric D | |
dc.contributor.author | Shah, Bimal R | |
dc.contributor.author | Grambow, Steven C | |
dc.contributor.author | Oddone, Eugene Z | |
dc.contributor.author | McCant, Felicia | |
dc.contributor.author | Lindquist, Jennifer Hoff | |
dc.contributor.author | Bosworth, Hayden B | |
dc.date.accessioned | 2023-11-12T17:38:49Z | |
dc.date.available | 2023-11-12T17:38:49Z | |
dc.date.issued | 2022-09 | |
dc.date.updated | 2023-11-12T17:38:48Z | |
dc.description.abstract | ObjectiveWe evaluated the impact of a low intensity web-based and intensive nurse-administered intervention to reduce systolic blood pressure (SBP) among patients with prior MI.MethodsSecondary Prevention Risk Interventions via Telemedicine and Tailored Patient Education (SPRITE) was a three-arm trial. Patients were randomized to 1) post-MI education-only; 2) nurse-administered telephone program; or 3) web-based interactive tool. The study was conducted 2009-2013.ResultsParticipants (n = 415) had a mean age of 61 years (standard deviation [SD], 11). Relative to the education-only group, the 12-month differential improvement in SBP was - 3.97 and - 3.27 mmHg for nurse-administered telephone and web-based groups, respectively. Neither were statistically significant. Post hoc exploratory subgroup analyses found participants who received a higher dose (>12 encounters) in the nurse-administered telephone intervention (n = 60; 46%) had an 8.8 mmHg (95% CI, 0.69, 16.89; p = 0.03) differential SBP improvement versus low dose (<11 encounters; n = 71; 54%). For the web-based intervention, those who had higher dose (n = 73; 53%; >1 web encounter) experienced a 2.3 mmHg (95% CI, -10.74, 6.14; p = 0.59) differential SBP improvement versus low dose (n = 65; 47%).ConclusionsThe main effects were not statistically significant.Practical implicationsCompleting the full dose of the intervention may be essential to experience the intervention effect.Clinical trial registrationThe unique identifier is NCT00901277 (http://www.Clinicaltrialsgov/ct2/show/NCT00901277?term=NCT00901277&rank=1). | |
dc.identifier | S0738-3991(22)00251-8 | |
dc.identifier.issn | 0738-3991 | |
dc.identifier.issn | 1873-5134 | |
dc.identifier.uri | ||
dc.language | eng | |
dc.publisher | Elsevier BV | |
dc.relation.ispartof | Patient education and counseling | |
dc.relation.isversionof | 10.1016/j.pec.2022.05.011 | |
dc.subject | Humans | |
dc.subject | Myocardial Infarction | |
dc.subject | Telemedicine | |
dc.subject | Blood Pressure | |
dc.subject | Middle Aged | |
dc.subject | Patient Education as Topic | |
dc.subject | Secondary Prevention | |
dc.title | Secondary Prevention Risk Interventions via Telemedicine and Tailored Patient Education (SPRITE): A randomized trial to improve post myocardial infarction management. | |
dc.type | Journal article | |
duke.contributor.orcid | Zullig, Leah L|0000-0002-6638-409X | |
duke.contributor.orcid | Grambow, Steven C|0000-0001-6037-3253 | |
duke.contributor.orcid | Bosworth, Hayden B|0000-0001-6188-9825 | |
pubs.begin-page | 2962 | |
pubs.end-page | 2968 | |
pubs.issue | 9 | |
pubs.organisational-group | Duke | |
pubs.organisational-group | School of Medicine | |
pubs.organisational-group | Basic Science Departments | |
pubs.organisational-group | Clinical Science Departments | |
pubs.organisational-group | Institutes and Centers | |
pubs.organisational-group | Biostatistics & Bioinformatics | |
pubs.organisational-group | Medicine | |
pubs.organisational-group | Psychiatry & Behavioral Sciences | |
pubs.organisational-group | Medicine, General Internal Medicine | |
pubs.organisational-group | Duke Cancer Institute | |
pubs.organisational-group | Duke Clinical Research Institute | |
pubs.organisational-group | Institutes and Provost's Academic Units | |
pubs.organisational-group | Center for the Study of Aging and Human Development | |
pubs.organisational-group | Initiatives | |
pubs.organisational-group | Duke Science & Society | |
pubs.organisational-group | Population Health Sciences | |
pubs.organisational-group | Duke Innovation & Entrepreneurship | |
pubs.organisational-group | Psychiatry & Behavioral Sciences, Behavioral Medicine & Neurosciences | |
pubs.organisational-group | Duke - Margolis Center For Health Policy | |
pubs.organisational-group | Biostatistics & Bioinformatics, Division of Biostatistics | |
pubs.publication-status | Published | |
pubs.volume | 105 |
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