Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Effect of text messaging on depression in patients with coronary heart disease: a substudy analysis from the TEXT ME randomised controlled trial
Univ New South Wales, Australia; Univ Sydney, Australia; Deakin Univ, Australia.
Univ New South Wales, Australia; Univ Sydney, Australia; Westmead Hosp, Australia.
Univ New South Wales, Australia; Univ Sydney, Australia.
Univ New South Wales, Australia.
Show others and affiliations
2019 (English)In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 9, no 2, article id e022637Article in journal (Refereed) Published
Abstract [en]

Objective We aimed to evaluate the effects on depression scores of a lifestyle-focused cardiac support programme delivered via mobile phone text messaging among patients with coronary heart disease (CHD). Design Substudy and secondary analysis of a parallel-group, single-blind randomised controlled trial of patients with CHD. Setting A tertiary hospital in Sydney, Australia. Intervention The Tobacco, Exercise and dieT MEssages programme comprised four text messages per week for 6 months that provided education, motivation and support on diet, physical activity, general cardiac education and smoking, if relevant. The programme did not have any specific mental health component. Outcomes Depression scores at 6 months measured using the Patient Health Questionnaire-9 (PHQ-9). Treatment effect across subgroups was measured using log-binomial regression model for the binary outcome (depressed/not depressed, where depressed is any score of PHQ-9 amp;gt;= 5) with treatment, subgroup and treatment by subgroup interaction as fixed effects. Results Depression scores at 6 months were lower in the intervention group compared with the control group, mean difference 1.9 (95% CI 1.5 to 2.4, pamp;lt;0.0001). The frequency of mild or greater depressive symptoms (PHQ-9 scores amp;gt;= 5) at 6 months was 21/333 (6.3%) in the intervention group and 86/350 (24.6%) in the control group (relative risk (RR) 0.26, 95% CI 0.16 to 0.40, pamp;lt;0.001). This proportional reduction in depressive symptoms was similar across groups defined by age, sex, education, body mass index, physical activity, current smoking, current drinking and history of depression, diabetes and hypertension. In particular, the rates of PHQ-9 amp;gt;= 5 among people with a history of depression were 4/44 (9.1%) vs 29/62 (46.8%) in intervention vs control (RR 0.19, 95% CI 0.07 to 0.51, pamp;lt;0.001), and were 17/289 (5.9%) vs 57/288 (19.8%) among others (RR 0.30, 95% CI 0.18 to 0.50, pamp;lt;0.001). Conclusions Among people with CHD, a cardiac support programme delivered via mobile phone text messaging was associated with fewer symptoms of mild-to-moderate depression at 6 months in the treatment group compared with controls.

Place, publisher, year, edition, pages
BMJ PUBLISHING GROUP , 2019. Vol. 9, no 2, article id e022637
National Category
General Practice
Identifiers
URN: urn:nbn:se:liu:diva-158982DOI: 10.1136/bmjopen-2018-022637ISI: 000471124600029PubMedID: 30787075OAI: oai:DiVA.org:liu-158982DiVA, id: diva2:1338126
Note

Funding Agencies|National Heart Foundation of Australia [G10S5110]; BUPA Foundation Grant; National Health and Medical Research Council (NHMRC) [1033478]; National Heart Foundation [11S6016]; Sydney Medical Foundation Chapman Fellowship; Institute for Physical Activity and Nutrition (IPAN), Deakin University; High Blood Pressure Research Council of Australia; NHMRC Career Development Fellowship [1061793]; National Heart Foundation Future Leader Fellowship [G160523]; National Heart Foundation Future Leader Fellowship, Level 2 [100034]

Available from: 2019-07-19 Created: 2019-07-19 Last updated: 2019-11-11

Open Access in DiVA

fulltext(631 kB)8 downloads
File information
File name FULLTEXT01.pdfFile size 631 kBChecksum SHA-512
8b9c69c0b511626b12278f65f01742e7d0b34bf8caf0de85718610f53778d8c811f76741e5e82e9ae64817d45aad061e71eb91ec9499b8955440ff7582a63543
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Rådholm, Karin
By organisation
Division of Community MedicineFaculty of Medicine and Health SciencesPrimary Health Care Center Ödeshög
In the same journal
BMJ Open
General Practice

Search outside of DiVA

GoogleGoogle Scholar
Total: 8 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 56 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf