Health Behavior Management Program for Patients With Coronary Heart Disease

Официальное название

Health Behavior Management Program for Patients With Coronary Heart Disease: A Clinical Study

Обзор

Coronary artery disease (CAD) is a major chronic condition severely impacting population health in China. Our previous cohort studies revealed a high comorbidity rate between CAD and frailty, suggesting their interrelated equivalence as clinical syndromes with shared risk factors. In recent years, pilot integrated health management initiatives in China have demonstrated promising outcomes, yet evidence remains scarce regarding patients with concurrent CAD and frailty-a critical gap needing urgent resolution to achieve the "Healthy China 2030" strategic goals. Building on prior research, this project aims to systematically evaluate existing management models for patients with CAD and frailty, develop a tailored health management framework, and implement it in clinical settings through empirical studies. The model will be optimized according to regional and demographic variations, leveraging cardiac rehabilitation centers, exercise-based interventions, and internet-enabled technologies to enhance coordinated care. By improving exercise efficacy, mitigating frailty progression, and enhancing quality of life, this initiative seeks to establish a robust chronic disease management system. The findings will provide evidence for formulating regional health policy and insurance strategies in Anhui Province, ultimately improving standardized management rates for chronic diseases.

Вмешательства

• Поведенческое Exercise rehabilitation plan and health management model for patients with coronary heart disease and frailty based on mobile health technology
  The development, application and evaluation of an innovative health management model for patients with coronary heart disease and frailty based on the "cardiac rehabilitation center" framework, exercise rehabilitation, and new technologies such as "mobile health".

Первичные конечные точки

• 6MWD [Срок оценки: 1month,3 months, 6 months]
• The MOS item short from health survey [Срок оценки: 1month,3 months, 6 months]

Вторичные конечные точки (7)

• Frailty [Срок оценки: 1month,3 months, 6 months]
• Grip strength [Срок оценки: 1month,3 months, 6 months]
• Gait speed [Срок оценки: 1month,3 months, 6 months]
• Physical activity level [Срок оценки: 1month,3 months, 6 months]
• Systolic pressure/Diastolic pressure [Срок оценки: 1month,3 months, 6 months]
• Major cardiovascular adverse events [Срок оценки: 1month,3 months, 6 months]
• Changes in Blood Lipid Biomarkers [Срок оценки: 1 month, 3 months, 6 months]

Критерии участия

Критерии включения

• Diagnosis of Coronary heart disease;
• Proficiency in smartphone use;
• Absence of visual, auditory, cognitive, or motor impairments.

Критерии исключения

• Inability or unwillingness to provide informed consent;
• Physical or cognitive limitations preventing app operation;
• Inability to attend in-person follow-up visits;
• Concurrent severe comorbidities or malignancies, such as severe valvular heart disease, New York Heart Association class IV heart failure, severe aortic regurgitation, cancer, end-stage renal or liver disease;
• Any other condition that could potentially impede exercise participation.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Поддерживающая терапия

Центры проведения

Китай · 1 центр

• The First Affiliated Hospital of Bengbu Medical University — Bengbu

Идентификаторы

NCT: NCT07330882 · FirstAHBBMC

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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