241 Participants Needed

Motivational Texting for Heart Attack Care

SS
Overseen BySulagna Sarker
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Sunnybrook Health Sciences Centre

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the treatment Motivational Texting for Heart Attack Care?

Research shows that text messaging interventions can improve health outcomes by increasing appointment attendance, adherence to treatment, and better self-management. In cardiovascular disease prevention, text messaging has been effective in promoting healthy lifestyle behaviors and improving clinical outcomes.12345

Is motivational texting safe for use in humans?

Research shows that using text messaging for health interventions is generally safe, with no reports of harmful effects like misreading data or privacy issues. However, personalized messages are recommended to better meet individual needs.13678

How is motivational texting different from other treatments for heart attack care?

Motivational texting is unique because it uses mobile phone text messages to support self-management and lifestyle changes, making it more accessible and cost-effective than traditional treatments. It provides personalized, frequent messages that engage patients in their care, which can lead to better health outcomes.1391011

What is the purpose of this trial?

Although there have been substantial advances in the treatment of heart disease, heart attacks remain one of the leading causes of death and suffering around the world. Each year, more than 80,000 patients are hospitalized with heart attacks or related conditions in Canada. Even after discharge, patients are at high risk of having complications such that almost one in two patients after a heart attack will be readmitted to hospitals within the first year. Given the shortage of doctors and allied health care professionals, there is an emerging focus of digital health as a way to improve the care and outcomes after heart attacks. With more than 30 million cell phone users across Canada and almost all are already using text message services, the goal of this study is to conduct a pilot test using an innovative clinical trial design to see if the care and outlook of heart attack patients using mobile text messages can be improved.

Research Team

DK

Dennis Ko, MD

Principal Investigator

Research Director

Eligibility Criteria

This trial is for heart attack patients over 18 who were treated at Sunnybrook Hospital, have a cellphone with texting, and can read and respond to English texts. It's not for those who can't consent in English or lack SMS-capable phones.

Inclusion Criteria

I was admitted to Sunnybrook Hospital with a heart attack or related condition.
I am older than 18 years.
Access to a cellphone that can receive text messages

Exclusion Criteria

I cannot give consent in English.
You don't have a cellphone that can send and receive text messages.
Inability to read or answer English texts

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive mobile text message-based interventions to improve care transitions after hospitalization with heart attack

12 months
Ongoing virtual interactions via text messages

Follow-up

Participants are monitored for medication compliance, re-hospitalization, and emergency department presentations

12 months
Data collection through existing registries and databases

Treatment Details

Interventions

  • Control
  • Motivational texting
  • Texting intervention
Trial Overview The TEACH pilot trial tests if motivational text messages after hospital discharge can improve care for heart attack patients. Participants are randomly assigned to receive these texts or be in a control group without them.
Participant Groups
2Treatment groups
Experimental Treatment
Placebo Group
Group I: Texting intervention groupExperimental Treatment1 Intervention
Subjects will receive specific health-related texts
Group II: Control groupPlacebo Group1 Intervention
Subjects will receive general text messages without health information

Find a Clinic Near You

Who Is Running the Clinical Trial?

Sunnybrook Health Sciences Centre

Lead Sponsor

Trials
693
Recruited
1,569,000+

Findings from Research

This study aims to evaluate the effectiveness of different reminder methods (text messages, reminder calls, or both) in increasing the use of service referrals among 300 participants from community outreach programs.
The research will help determine how mobile phone-based interventions can enhance community engagement and service utilization, potentially guiding future reminder protocols for similar programs across the country.
A Research Protocol to Test the Effectiveness of Text Messaging and Reminder Calls to Increase Service Use Referrals in a Community Engagement Program.Varma, DS., Hart, M., McIntyre, DS., et al.[2020]
Text messaging interventions for health behaviors showed good acceptance and early efficacy, with 10 out of 16 randomized controlled trials reporting significant improvements in areas like medication adherence and behavior modification.
Despite promising results, the overall evidence is limited by methodological issues, indicating that more rigorous studies are needed to draw definitive conclusions about the effectiveness of text messaging in health interventions.
A review of the use of mobile phone text messaging in clinical and healthy behaviour interventions.Wei, J., Hollin, I., Kachnowski, S.[2022]
A systematic review of studies from 2002-2016 found that 79% of the 28 studies showed that mobile health interventions, like text messaging and apps, effectively improve cardiovascular disease (CVD) outcomes.
Personalized messages, higher engagement through two-way communication, and using multiple methods were key factors in the success of these interventions, with text messaging proving to be more effective than smartphone apps.
Mobile Phone Interventions for the Secondary Prevention of Cardiovascular Disease.Park, LG., Beatty, A., Stafford, Z., et al.[2022]

References

A Research Protocol to Test the Effectiveness of Text Messaging and Reminder Calls to Increase Service Use Referrals in a Community Engagement Program. [2020]
A review of the use of mobile phone text messaging in clinical and healthy behaviour interventions. [2022]
Mobile Phone Interventions for the Secondary Prevention of Cardiovascular Disease. [2022]
TextWithSurgeryPatients - A Research Hypothesis in Enhancing Education and Physical Assessment for Abdominal Surgical Patients. [2018]
Developing Messaging Content for a Physical Activity Smartphone App Tailored to Low-Income Patients: User-Centered Design and Crowdsourcing Approach. [2021]
Use of a Machine Learning Program to Correctly Triage Incoming Text Messaging Replies From a Cardiovascular Text-Based Secondary Prevention Program: Feasibility Study. [2021]
Mobile phone text-messaging interventions aimed to prevent cardiovascular diseases (Text2PreventCVD): systematic review and individual patient data meta-analysis. [2021]
Text messaging as a tool for behavior change in disease prevention and management. [2022]
The Impact of Text Message On Self-Management for Coronary Heart Disease: A Meta-Analysis of Randomized Controlled Trials. [2020]
Effect of lifestyle focused text messaging on risk factor modification in patients with diabetes and coronary heart disease: A sub-analysis of the TEXT ME study. [2019]
mHealth Interventions for Lifestyle and Risk Factor Modification in Coronary Heart Disease: Randomized Controlled Trial. [2021]
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