Browsing by Author "Park, Linda G"
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- ItemCorrection: A Feasible and Efficacious Mobile-Phone Based Lifestyle Intervention for Filipino Americans with Type 2 Diabetes: Randomized Controlled Trial.(0000-00-00) Bender, Melinda S; Cooper, Bruce A; Park, Linda G; Padash, Sara; Arai, ShoshanaThis corrects the article DOI 10 2196 diabetes 8156
- ItemA Feasible and Efficacious Mobile-Phone Based Lifestyle Intervention for Filipino Americans with Type 2 Diabetes: Randomized Controlled Trial.(0000-00-00) Bender, Melinda S; Cooper, Bruce A; Park, Linda G; Padash, Sara; Arai, ShoshanaBACKGROUND Filipino Americans have a high prevalence of obesity type 2 diabetes T2D and cardiovascular disease compared with other Asian American subgroups and non Hispanic whites Mobile health mHealth weight loss interventions can reduce chronic disease risks but these are untested in Filipino Americans with T2D OBJECTIVE The objective of this study was to assess feasibility and potential efficacy of a pilot randomized controlled trial RCT of a culturally adapted mHealth weight loss lifestyle intervention Pilipino Americans Go4Health PilAm Go4Health for overweight Filipino Americans with T2D METHODS This was a 2 arm pilot RCT of the 3 month PilAm Go4Health intervention phase 1 with an active waitlist control and 3 month follow up phase 2 The waitlist control received the PilAm Go4Health in phase 2 whereas the intervention group transitioned to the 3 month follow up PilAm Go4Health incorporated a Fitbit accelerometer mobile app with diary for health behavior tracking steps food calories and weight and social media Facebook for virtual social support including 7 in person monthly meetings Filipino American adults 18 years with T2D were recruited from Northern California Feasibility was measured by rates of recruitment engagement and retention Multilevel regression analyses assessed within and between group differences for the secondary outcome of percent weight change and other outcomes of weight kg body mass index BMI waist circumference fasting plasma glucose HbA1c and steps RESULTS A total of 45 Filipino American adults were enrolled and randomized Mean age was 58 SD 10 years 62 28 45 were women and mean BMI was 30 1 SD 4 6 Participant retention and study completion were 100 with both the intervention and waitlist group achieving near perfect attendance at all 7 intervention office visits Groups receiving the PilAm Go4Health in phase 1 intervention group and phase 2 waitlist group had significantly greater weight loss 2 6 3 9 to 1 4 and 3 3 1 8 to 4 8 respectively compared with the nonintervention group resulting in a moderate to small effect sizes d 0 53 and 0 37 respectively In phase 1 18 4 22 of the intervention group achieved a 5 weight loss whereas 82 18 22 maintained or lost 2 to 5 of their weight and continued to maintain this weight loss in the 3 month follow up Other health outcomes including waist circumference BMI and step counts improved when each arm received the PilAm Go4Health but the fasting glucose and HbA1c outcomes were mixed CONCLUSIONS The PilAm Go4Health was feasible and demonstrated potential efficacy in reducing diabetes risks in overweight Filipino Americans with T2D This study supports the use of mHealth and other promising intervention strategies to reduce obesity and diabetes risks in Filipino Americans Further testing in a full scale RCT is warranted These findings may support intervention translation to reduce diabetes risks in other at risk diverse populations TRIAL REGISTRATION Clinicaltrials gov NCT02290184 https clinicaltrials gov ct2 show NCT02290184 Archived by WebCite at http www webcitation org 6vDfrvIPp
- ItemPsychosocial factors and medication adherence among patients with coronary heart disease: A text messaging intervention.(2015-05-07) Park, Linda G; Howie-Esquivel, Jill; Whooley, Mary A; Dracup, KathleenOBJECTIVE Medication adherence is a complex behavior that is influenced by numerous factors Applying self efficacy theory the primary aim of this randomized controlled trial was to compare medication self efficacy among patients with coronary heart disease who received a text messages TMs for medication reminders and education b TMs for education or c no TMs The second aim was to identify the personal sociodemographic and clinical characteristics and psychosocial factors that were associated with and predicted medication adherence METHODS Customized TMs were delivered over 30 days Repeated measures analysis of variance was used to analyze medication self efficacy A multiple regression analysis was performed at baseline and follow up to determine variables that were associated with and predicted self reported medication adherence RESULTS Among 90 subjects with mean age 59 2 years standard deviation SD 9 4 range 35 83 total scores for medication self efficacy improved over 30 days however there was no significant difference in this improvement as a function of the different treatment groups p 0 64 Controlling for other variables in the model age education depression and social support less depression p 0 004 and higher social support p 0 02 positively predicted higher medication adherence in the final model CONCLUSIONS TM medication reminders and or health education did not improve medication self efficacy Further theory testing of current and future models and interventions are required to understand variables related to self efficacy and medication adherence Addressing psychosocial factors such as depression and social support should be a priority to improve medication adherence among patients with coronary heart disease
- ItemA quantitative systematic review of the efficacy of mobile phone interventions to improve medication adherence.(2014-08-11) Park, Linda G; Howie-Esquivel, Jill; Dracup, KathleenTo evaluate the characteristics and efficacy of mobile phone interventions to improve medication adherence Secondary aims are to explore participants acceptability and satisfaction with mobile phone interventions and to evaluate the selected studies in terms of study rigour impact cost and resource feasibility generalizability and implications for nursing practice and research
- ItemA text messaging intervention to promote medication adherence for patients with coronary heart disease: a randomized controlled trial.(2014-01-27) Park, Linda G; Howie-Esquivel, Jill; Chung, Misook L; Dracup, KathleenOBJECTIVE Pharmacologic treatment for secondary prevention of coronary heart disease CHD is critical to prevent adverse clinical outcomes In a randomized controlled trial we compared antiplatelet and statin adherence among patients with CHD who received 1 text messages TM for medication reminders and education 2 educational TM only or 3 No TM METHODS A mobile health intervention delivered customized TM for 30 days We assessed and analyzed medication adherence with electronic monitoring devices Medication Event Monitoring System MEMS by one way ANOVA and Welch tests two way TM response rates by t tests and self reported adherence Morisky Medication Adherence Scale by Repeated Measures ANOVA RESULTS Among 90 patients 76 male mean age 59 2 years MEMS revealed patients who received TM for antiplatelets had a higher percentage of correct doses taken p 0 02 percentage number of doses taken p 0 01 and percentage of prescribed doses taken on schedule p 0 01 TM response rates were higher for antiplatelets than statins p 0 005 Self reported adherence revealed no significant differences among groups CONCLUSION TM increased adherence to antiplatelet therapy demonstrated by MEMS and TM responses PRACTICE IMPLICATIONS Feasibility and high satisfaction were established Mobile health interventions show promise in promoting medication adherence