Adolescent Behavior, Congenital Heart Disease
Conditions
Brief summary
The aims of this study were to evaluate the long-term effectiveness of the Care & Organize Our Lifestyle (COOL) program, a self-regulation theory-based mHealth program, on improving disease knowledge and physical activity in youth with congenital heart disease (CHD). The COOL program is a 12-month randomized controlled trial that compared two active intervention groups to a standard-care control group (n = 47). Participants with simple and moderate CHD aged 15-24 years were recruited from pediatric or adult CHD outpatient departments. Participants in one active intervention group (n = 49) were provided with COOL Passport, a mobile healthcare application. Those in the other group (n = 47) were provided with access to the Health Promotion Cloud system and use of game-based interactive platforms along with COOL Passport. Outcomes were the Leuven Knowledge Questionnaire for CHD and the International Physical Activity Questionnaire-Taiwan Show-Card Version.
Detailed description
Background: Mobile health initiatives may provide youth with congenital heart disease (CHD) relevant health information and a platform for managing the complex health care needs associated with undergoing transitional care. Aims: To evaluate the long-term effectiveness of the Care & Organize Our Lifestyle (COOL) program, a self-regulation theory-based mHealth program, on improving disease knowledge and physical activity in youth with CHD. Methods: The COOL program is a 12-month randomized controlled trial that compared two active intervention groups to a standard-care control group (n = 47). Participants with simple and moderate CHD aged 15-24 years were recruited from pediatric or adult CHD outpatient departments. Participants in one active intervention group (n = 49) were provided with COOL Passport, a mobile healthcare application. Those in the other group (n = 47) were provided with access to the Health Promotion Cloud system and use of game-based interactive platforms along with COOL Passport. Outcomes were the Leuven Knowledge Questionnaire for CHD and the International Physical Activity Questionnaire-Taiwan Show-Card Version.
Interventions
BEHAVIORALan mHealth intervention
The Care & Organize Our Lifestyle (COOL) program, a self-regulation theory-based mHealth program
Sponsors
National Yang Ming Chiao Tung University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
15 Years to 24 Years
Healthy volunteers
No
Inclusion criteria
* being diagnosed with CHD by a pediatric cardiologist and qualifying as having simple or moderate CHD complexity according to the 2008 American College of Cardiology/American Heart Association guidelines; * having a regular pulse; * being 15-24 years of age; * being conversant in Mandarin and Taiwanese; * possessing a smartphone with Internet connection; * agreeing to wear an exercise-monitoring wristband to record physiological data; * agreeing to engage in exercises designed to test cardiopulmonary endurance; * agreeing to participate in the study and sign an informed consent form for a relevant interview. For participants under 20 years of age, guardian approval by signing a written consent form was required.
Exclusion criteria
* having cognitive impairment to the extent of being noncommunicative; * having CHD complicated with other congenital abnormalities; * having undergone a cardiac catheter-related intervention or surgery within the past 6 months; * being pregnant
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cardiac disease knowledge | 12 months | measured by the Leuven Knowledge Questionnaire for CHD |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Physical activity | 12 months | measured by the International Physical Activity Questionnaire-Taiwan Show-Card Version |
Countries
Taiwan
Outcome results
None listed