Web-Based Targeted Nutrition Counselling and Social Support for Patients at Increased Cardiovascular Risk in General Practice: Randomized Controlled Trial
Identifieur interne : 002748 ( Main/Exploration ); précédent : 002747; suivant : 002749Web-Based Targeted Nutrition Counselling and Social Support for Patients at Increased Cardiovascular Risk in General Practice: Randomized Controlled Trial
Auteurs : Marieke Verheijden [Pays-Bas] ; J Carel Bakx [Pays-Bas] ; Reinier Akkermans [Pays-Bas] ; Henk Van Den Hoogen [Pays-Bas] ; N Marshall Godwin [Canada] ; Walter Rosser [Canada] ; Wija Van Staveren [Pays-Bas] ; Chris Van Weel [Pays-Bas]Source :
- Journal of Medical Internet Research [ 1438-8871 ] ; 2004.
Abstract
Using the Internet may prove useful in providing nutrition counselling and social support for patients with chronic diseases.
We evaluated the impact of Web-based nutrition counselling and social support on social support measures, anthropometry, blood pressure, and serum cholesterol in patients at increased cardiovascular risk.
We conducted a randomized controlled trial among patients with increased cardiovascular risk in Canadian family practices. During 8 months, patients in the intervention group and control groups received usual care. Patients in the intervention group also had access to a Web-based nutrition counselling and social support tool (Heartweb). Site use during the study was monitored. We measured social support, body mass index, waist/hip ratio, blood pressure, and cholesterol levels at baseline and at 4 and 8 months to assess the effectiveness of the intervention.
We randomized 146 patients into the Web-based intervention (n=73) or the control group (n=73). Within the Web-based intervention group, Heartweb was used by only 33% (24/73) of patients, with users being significantly younger than nonusers (P=.03). There were no statistically significant differences between the intervention group and the control group in changes in social support, anthropometry, blood pressure, and serum cholesterol levels.
Uptake of the Web-based intervention was low. This study showed no favourable effects of a Web-based nutrition counselling and social support intervention on social support, anthropometry, blood pressure, and serum cholesterol. Improvements in reach and frequency of site use are needed to increase the effectiveness of Web-based interventions.
Url:
DOI: 10.2196/jmir.6.4.e44
PubMed: 15631968
PubMed Central: 1550618
Affiliations:
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xml:lang="fr">Pays-Bas</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Bakx, J Carel" sort="Bakx, J Carel" uniqKey="Bakx J" first="J Carel" last="Bakx">J Carel Bakx</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Department of Family Medicine</institution><institution>University Medical Centre St Radboud</institution><addr-line>Nijmegen</addr-line><country>The Netherlands</country></nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Akkermans, Reinier" sort="Akkermans, Reinier" uniqKey="Akkermans R" first="Reinier" last="Akkermans">Reinier Akkermans</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Department of Family Medicine</institution><institution>University Medical Centre St Radboud</institution><addr-line>Nijmegen</addr-line><country>The Netherlands</country></nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Van Den Hoogen, Henk" sort="Van Den Hoogen, Henk" uniqKey="Van Den Hoogen H" first="Henk" last="Van Den Hoogen">Henk Van Den Hoogen</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Department of Family Medicine</institution><institution>University Medical Centre St Radboud</institution><addr-line>Nijmegen</addr-line><country>The Netherlands</country></nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Godwin, N Marshall" sort="Godwin, N Marshall" uniqKey="Godwin N" first="N Marshall" last="Godwin">N Marshall Godwin</name><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Centre for Studies in Primary Care</institution><institution>Queen's University</institution><addr-line>Kingston ON</addr-line><country>Canada</country></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Rosser, Walter" sort="Rosser, Walter" uniqKey="Rosser W" first="Walter" last="Rosser">Walter Rosser</name><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Centre for Studies in Primary Care</institution><institution>Queen's University</institution><addr-line>Kingston ON</addr-line><country>Canada</country></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Van Staveren, Wija" sort="Van Staveren, Wija" uniqKey="Van Staveren W" first="Wija" last="Van Staveren">Wija Van Staveren</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Division of Human Nutrition</institution><institution>Wageningen University</institution><addr-line>Wageningen</addr-line><country>The Netherlands</country></nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Van Weel, Chris" sort="Van Weel, Chris" uniqKey="Van Weel C" first="Chris" last="Van Weel">Chris Van Weel</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Department of Family Medicine</institution><institution>University Medical Centre St Radboud</institution><addr-line>Nijmegen</addr-line><country>The Netherlands</country></nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of Medical Internet Research</title><idno type="eISSN">1438-8871</idno><imprint><date when="2004">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec sec-type="background"><title>Background</title><p>Using the Internet may prove useful in providing nutrition counselling and social support for patients with chronic diseases.</p></sec><sec sec-type="objective"><title>Objective</title><p>We evaluated the impact of Web-based nutrition counselling and social support on social support measures, anthropometry, blood pressure, and serum cholesterol in patients at increased cardiovascular risk.</p></sec><sec sec-type="methods"><title>Methods</title><p>We conducted a randomized controlled trial among patients with increased cardiovascular risk in Canadian family practices. During 8 months, patients in the intervention group and control groups received usual care. Patients in the intervention group also had access to a Web-based nutrition counselling and social support tool (Heartweb). Site use during the study was monitored. We measured social support, body mass index, waist/hip ratio, blood pressure, and cholesterol levels at baseline and at 4 and 8 months to assess the effectiveness of the intervention.</p></sec><sec sec-type="results"><title>Results</title><p>We randomized 146 patients into the Web-based intervention (n=73) or the control group (n=73). Within the Web-based intervention group, Heartweb was used by only 33% (24/73) of patients, with users being significantly younger than nonusers (P=.03). There were no statistically significant differences between the intervention group and the control group in changes in social support, anthropometry, blood pressure, and serum cholesterol levels.</p></sec><sec sec-type="conclusions"><title>Conclusions</title><p>Uptake of the Web-based intervention was low. This study showed no favourable effects of a Web-based nutrition counselling and social support intervention on social support, anthropometry, blood pressure, and serum cholesterol. Improvements in reach and frequency of site use are needed to increase the effectiveness of Web-based interventions.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Hiddink, Gj" uniqKey="Hiddink G">GJ Hiddink</name></author><author><name sortKey="Hautvast, Jgaj" uniqKey="Hautvast J">JGAJ Hautvast</name></author><author><name sortKey="Van Woerkum, Cmj" uniqKey="Van Woerkum C">CMJ Van Woerkum</name></author><author><name sortKey="Fieren, Ca" uniqKey="Fieren C">CA Fieren</name></author><author><name sortKey="Van, Hof Ma" uniqKey="Van ">‘t Hof MA Van</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mckay, H G" uniqKey="Mckay H">H G Mckay</name></author><author><name sortKey="King, D" uniqKey="King D">D King</name></author><author><name sortKey="Eakin, E G" uniqKey="Eakin E">E G Eakin</name></author><author><name sortKey="Seeley, J R" uniqKey="Seeley J">J R Seeley</name></author><author><name 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Pederson</name></author><author><name sortKey="Ostbye, T" uniqKey="Ostbye T">T Ostbye</name></author><author><name sortKey="Speechley, M" uniqKey="Speechley M">M Speechley</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Helgeson, Vs" uniqKey="Helgeson V">VS Helgeson</name></author><author><name sortKey="Gottlieb, Bh" uniqKey="Gottlieb B">BH Gottlieb</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bard, M" uniqKey="Bard M">M Bard</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Canada</li><li>Pays-Bas</li></country></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Verheijden, Marieke" sort="Verheijden, Marieke" uniqKey="Verheijden M" first="Marieke" last="Verheijden">Marieke Verheijden</name></noRegion><name sortKey="Akkermans, Reinier" sort="Akkermans, Reinier" uniqKey="Akkermans R" first="Reinier" last="Akkermans">Reinier Akkermans</name><name sortKey="Bakx, J Carel" sort="Bakx, J Carel" uniqKey="Bakx J" first="J Carel" last="Bakx">J Carel Bakx</name><name sortKey="Van Den Hoogen, Henk" sort="Van Den Hoogen, Henk" uniqKey="Van Den Hoogen H" first="Henk" last="Van Den Hoogen">Henk Van Den Hoogen</name><name sortKey="Van Staveren, Wija" sort="Van Staveren, Wija" uniqKey="Van Staveren W" first="Wija" last="Van Staveren">Wija Van Staveren</name><name sortKey="Van Weel, Chris" sort="Van Weel, Chris" uniqKey="Van Weel C" first="Chris" last="Van Weel">Chris Van Weel</name></country><country name="Canada"><noRegion><name sortKey="Godwin, N Marshall" sort="Godwin, N Marshall" uniqKey="Godwin N" first="N Marshall" last="Godwin">N Marshall Godwin</name></noRegion><name sortKey="Rosser, Walter" sort="Rosser, Walter" uniqKey="Rosser W" first="Walter" last="Rosser">Walter Rosser</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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