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Trial registered on ANZCTR
Registration number
ACTRN12611000161921
Ethics application status
Approved
Date submitted
3/02/2011
Date registered
10/02/2011
Date last updated
18/05/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
Tobacco, EXercise and dieT MEssages (TEXT ME): The effect of semi-personalised lifestyle reminder text message intervention on cardiovascular disease risk.
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Scientific title
Tobacco, EXercise and dieT MEssages (TEXT ME): The effect of a semi-personalised lifestyle reminder text message intervention on cardiovascular risk factors in patients with cardiovascular disease and those who are at high risk of cardiovascular disease.
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Secondary ID [1]
253373
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NONE
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Universal Trial Number (UTN)
U1111-1118-9517
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Trial acronym
TEXT ME
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Patients with cardiovascular disease or who are at high risk of cardiovascular events
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Condition category
Condition code
Cardiovascular
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0
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Coronary heart disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patients will receive regular semi-personalized lifestyle reminders sent via mobile phone text messages for 6 months. Each participants will receive 4 text messages per week for 6 months. These will be sent at random times of the day (9.00am, 12noon, 3.00pm, 5.00pm) and on random days of the week (Monday through Friday). Non-smokers will receive two general messages, one nutritional message and one physical activity message per week. Smokers will receive one general message, one nutritional message, one physical activity message and one smoking cessation message per week. Messages will be practical in nature, less than 160 characters in length and will be generic for varying age and genders. Prior to study commencement, a bank of 100 messages will be developed based on scientific literature and multidisciplinary expert review and finalised via a qualitative review process.
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Intervention code [1]
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Prevention
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Intervention code [2]
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Treatment: Other
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Intervention code [3]
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Lifestyle
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Comparator / control treatment
Treatment Group: Participants in the treatment group will receive repeated semi-personalized lifestyle reminders sent via mobile phone text messages for 6 months
Control Group: Participants in the control group will participate in "usual care". Usual care will include ongoing management by the patient's treating doctor/s including potential pharmacotherapy and lifestyle counseling as determined by their usual doctors.
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Control group
Active
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Outcomes
Primary outcome [1]
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Low density lipoprotein cholesterol measured by fasting blood sample.
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Assessment method [1]
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Timepoint [1]
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Baseline and 6 months.
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Primary outcome [2]
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Systolic blood pressure measured by sitting digital recording, mean of the last 2 readings of 3.
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Assessment method [2]
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Timepoint [2]
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Baseline and 6 months.
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Primary outcome [3]
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Body mass index and waist circumference measured via digital scales and tape measure accoding to national standards.
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Assessment method [3]
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Timepoint [3]
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Baseline and 6 months.
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Secondary outcome [1]
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Level of physical activity measured via Active Australia Questionnaire and confirmed via a subsample participating in accelerometry.
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Assessment method [1]
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Timepoint [1]
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Baseline and 6 months.
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Secondary outcome [2]
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Tobacco smoking measured by CO meter and self report.
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Assessment method [2]
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Timepoint [2]
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Baseline and 6 months.
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Secondary outcome [3]
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Fruit and vegetable intake measured by prior 7 days self-report.
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Assessment method [3]
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Timepoint [3]
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Baseline and 6 months.
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Secondary outcome [4]
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Cardioprotective medication use measured by self-report and validated through prescription data onbtained via the Pharmaceutical Benefits Scheme (PBS).
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Assessment method [4]
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Timepoint [4]
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Baseline and 6 months.
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Secondary outcome [5]
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Psychosocial statis measured via SF12 and PHQ9 questionnaires.
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Assessment method [5]
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Timepoint [5]
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Baseline and 6 months.
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Eligibility
Key inclusion criteria
Any patient over the age of 18 who has come to hospital for investigation of coronary artery disease, or who has been admitted to hospital for cardiovascular disease
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Under 18 years of age, unable to read english (unable to read text messages) or patients without access to mobile phone.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Potential participants will be approached directly by the research assistant during a very brief face to face meeting during the inpatient stay. The researcher will establish whether the patient is interested in volunteering and if they consent they will be randomised.
The patients will be allocated by central randomisation by computer and the on site staff will not have access to the details of randomisation.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by using a randomization table created by computer software (computerised sequence generation).
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/04/2011
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Actual
2/09/2011
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Date of last participant enrolment
Anticipated
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Actual
19/11/2013
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
800
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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National Heart Foundation
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Address [1]
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Level 12, 500 Collins Street
Melbourne Vic
3000
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Dr Clara Chow
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Address
PO Box M201
Missenden Rd
Camperdown
NSW
2050
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dr Julie Redfern
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Address [1]
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PO Box M201
Missenden Road
Camperdown, NSW
2050
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Country [1]
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Australia
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Other collaborator category [1]
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Individual
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Name [1]
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Dr Aravinda Thiagalingam
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Address [1]
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Westmead Hospital
Hawksbury Street
Westmead, NSW
2145
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Country [1]
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Australia
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Other collaborator category [2]
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Individual
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Name [2]
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Graham Hillis
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Address [2]
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PO Box M201
Missenden Road
Camperdown, NSW
2050
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Country [2]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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SWAHS Human Research Ethics Committee (Westmead Campus)
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Ethics committee address [1]
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SWAHS Human Research Ethics Committee Research Office, Westmead Hospital Hawkesbury Road, Westmead NSW 2145
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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19/01/2011
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Approval date [1]
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04/04/2011
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Ethics approval number [1]
260409
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Summary
Brief summary
To establish the feasibility, patient acceptability, effect on risk factors and thereby overall potential of repeated semi-personalized lifestyle reminders sent via mobile phone text messages in a population at high risk of cardiovascular events. The main hypothesis that will be tested is that a program of brief and repeated lifestyle messages will improve cardiovascular risk factor levels compared to usual care.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Clara Chow
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Address
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The George Institute, PO Box M201 Missenden Road Camperdown, NSW 2050
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Country
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Australia
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Phone
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+61299934525
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Clara Chow
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Address
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PO Box M201
Missenden Road
Camperdown, NSW
2050
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Country
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Australia
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Phone
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+61 2 99934525
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Fax
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+61 2 99034502
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Email
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[email protected]
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Contact person for scientific queries
Name
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Clara Chow
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Address
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PO Box M201
Missenden Road
Camperdown, NSW
2050
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Country
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Australia
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Phone
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+61 2 99934525
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Fax
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+61 2 99034502
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Effect of lifestyle-focused text messaging on risk factor modification in patients with coronary heart disease: A randomized clinical trial.
2015
https://dx.doi.org/10.1001/jama.2015.10945
Embase
Factors influencing engagement, perceived usefulness and behavioral mechanisms associated with a text message support program.
2016
https://dx.doi.org/10.1371/journal.pone.0163929
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Lifestyle-focused text messages reduced LDL-C levels, systolic BP, and BMI in coronary heart disease.
2016
https://dx.doi.org/10.7326/ACPJC-2016-164-2-007
Embase
The effects of a lifestyle-focused text-messaging intervention on adherence to dietary guideline recommendations in patients with coronary heart disease: An analysis of the TEXT ME study.
2018
https://dx.doi.org/10.1186/s12966-018-0677-1
Embase
Effect of text messaging on depression in patients with coronary heart disease: A substudy analysis from the TEXT ME randomised controlled trial.
2019
https://dx.doi.org/10.1136/bmjopen-2018-022637
N.B. These documents automatically identified may not have been verified by the study sponsor.
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