Adherence
A coach-supported interactive internet intervention for self-management of cardiovascular risk factors leads to a modest but statistically significant improvement in a composite score of systolic blood pressure, LDL cholesterol, and BMI in community-dwelling adults aged 65 and older over 18 months.
For seniors at risk of heart disease, using a guided online health platform with a human coach can help modestly improve blood pressure, cholesterol, and weight over 18 months. It works best for those who are already motivated and have basic computer skills. It is not a cure-all, but a feasible tool for self-management.
After 18 months, the primary outcome improved in the intervention group versus the control group (0·09 vs 0·04, respectively; mean difference –0·05, 95% CI –0·08 to –0·01; p=0·008)... Coach-supported self-management of cardiovascular risk factors using an interactive internet intervention is feasible in an older population, and leads to a modest improvement of cardiovascular risk profile.
Why this rating
Large-scale (n=2724), multinational, randomized controlled trial with blinded endpoints, though the effect size is modest.
Source
Healthy ageing through internet counselling in the elderly (HATICE): a multinational, randomised controlled trial
Edo Richard et al. · The Lancet Digital Health · 2019
DOI 10.1016/s2589-7500(19)30153-0
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