{"doi":"10.1093/eurjcn/zvae159","title":"Patient activation improves with a multi-component personalized mHealth intervention in older patients at risk of cardiovascular disease: a pilot randomized controlled trial","abstract":"AIMS: This study aimed to determine the effect of a multi-component mHealth intervention on patient activation and examine its predictors among older adults at risk of cardiovascular disease (CVD). METHODS AND RESULTS: This pilot randomized controlled trial compared two groups: Get FIT (control), who received healthy lifestyle counselling from a licensed health coach, a mHealth app (MyFitnessPal) with push alerts, and an activity tracker, and Get FIT + (intervention), who received the same interventions and had personalized text messages with 3- and 6-month follow-up periods. Patient activation was measured using the 13-item Patient Activation Measure; higher scores indicated better activation. Linear mixed-effects models were used to investigate between-group changes in outcomes across time. The participants' (n = 54) mean age was 65.4 ± 6.0 years; 61% were female; and 61% were married. Baseline characteristics were comparable between groups. Significant improvements in mean patient activation scores were observed in the Get FIT + group at 3 months [mean 3.53 points, 95% confidence interval (CI) 0.11, 6.96; P = 0.043] and 6 months (mean 4.37 points, 95% CI 0.91, 7.83; P = 0.014), whereas improvements in the Get FIT group were non-significant. Adjusting for age, gender, education, employment, marital status, social support, smartphone confidence, and self-perceived health, we found that only social support was associated with higher patient activation overall (B = 5.14, 95% CI 1.00, 9.27; P = 0.015). CONCLUSION: The findings indicate that personalized text messaging can improve the self-care of older adults at risk of CVD. Findings also emphasize the importance of social support in the success of mHealth interventions for older adults. REGISTRATION: The study is registered in ClinicalTrials.gov (NCT03720327).","journal":"European Journal of Cardiovascular Nursing","year":2025,"id":530869,"datarank":0.29200142807264645,"base_score":1.6094379124341003,"endowment":1.6094379124341003,"self_citation_contribution":0.24141568686511508,"citation_network_contribution":0.050585741207531364,"self_endowment_contribution":0.24141568686511508,"citer_contribution":0.050585741207531364,"corpus_percentile":null,"corpus_rank":null,"citation_count":4,"citer_count":4,"citers_with_citation_signal":2,"citers_with_endowment":2,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9601,"is_data_producer":true,"deposit_databanks":{"ClinicalTrials.gov":["NCT03720327"]},"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1310225,"name":"Marysol Cacciata","orcid":"0000-0002-9733-8539","position":1,"is_corresponding":false},{"id":1410815,"name":"Reimund Serafica","orcid":"0000-0001-6875-5168","position":2,"is_corresponding":false},{"id":1410816,"name":"Andrew Thomas Reyes","orcid":"0000-0003-2875-1124","position":3,"is_corresponding":false},{"id":920530,"name":"Jung‐Ah Lee","orcid":"0000-0003-0678-5956","position":4,"is_corresponding":false},{"id":920531,"name":"Janett A. Hildebrand","orcid":"0000-0003-3339-9727","position":5,"is_corresponding":false},{"id":1411217,"name":"Axel Sta. Maria","orcid":null,"position":6,"is_corresponding":false},{"id":305084,"name":"Anna Strömberg","orcid":"0000-0002-4259-3671","position":7,"is_corresponding":false},{"id":606674,"name":"Lorraine S. Evangelista","orcid":"0000-0003-1708-4186","position":8,"is_corresponding":false},{"id":1410814,"name":"Dion Candelaria","orcid":"0000-0001-7547-2860","position":0,"is_corresponding":true}],"reference_count":31,"raw_metadata":null,"created_at":"2026-07-19T02:51:10.077559Z","pmid":"39756174","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}