Cardiac Self-Efficacy Improvement in a Digital Heart Health Program: Secondary Analysis From a Feasibility and Acceptability Pilot Study
Abstract BackgroundLifestyle modification programs play a critical role in preventing and managing cardiovascular disease (CVD). A key aim of many programs is improving patients’ self-efficacy. In-person lifestyle modification programs can enhance self-efficacy in managing CVD...
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JMIR Publications
2025-04-01
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| Series: | JMIR Formative Research |
| Online Access: | https://formative.jmir.org/2025/1/e60676 |
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| author | Kimberly G Lockwood Priya R Kulkarni OraLee H Branch Sarah A Graham |
| author_facet | Kimberly G Lockwood Priya R Kulkarni OraLee H Branch Sarah A Graham |
| author_sort | Kimberly G Lockwood |
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Abstract
BackgroundLifestyle modification programs play a critical role in preventing and managing cardiovascular disease (CVD). A key aim of many programs is improving patients’ self-efficacy. In-person lifestyle modification programs can enhance self-efficacy in managing CVD risk, also known as cardiac self-efficacy (CSE). However, such programs are typically staffing and resource intensive. Digital lifestyle modification programs may offer a scalable and accessible way to improve CSE, but this has not been shown in prior research.
ObjectiveThis study examined changes in CSE among individuals using a digital lifestyle modification program for cardiovascular health. Evaluation of improvement in CSE was a secondary goal of a feasibility and acceptability pilot study of a digital program for Heart Health.
MethodsParticipants were individuals with elevated risk for CVD who enrolled in a 90-day pilot study that involved mobile app–based, artificial intelligence–powered health coaching and educational lessons focused on behaviors that promote cardiovascular health. Participants completed the 9-item CSE Scale at baseline and in month 2. Changes in confidence in participants’ ability to manage their cardiovascular health were assessed.
ResultsThe sample included 273 (n=207, 61.2% female; mean age 59.3, SD 10.1 years) participants who submitted a complete CSE Scale at baseline and in month 2. The total CSE Scale score increased by 12.9% (PPPPP
ConclusionsThe present analyses indicate that participants in a digital lifestyle modification program for cardiovascular health showed significant improvements in CSE within 2 months. This work adds to the growing literature examining ways to improve health-related self-efficacy and scalable access to programs for prevention and management of CVD. |
| format | Article |
| id | doaj-art-71effc1f1e4247969ea0380895d2c67f |
| institution | OA Journals |
| issn | 2561-326X |
| language | English |
| publishDate | 2025-04-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Formative Research |
| spelling | doaj-art-71effc1f1e4247969ea0380895d2c67f2025-08-20T02:13:28ZengJMIR PublicationsJMIR Formative Research2561-326X2025-04-019e60676e6067610.2196/60676Cardiac Self-Efficacy Improvement in a Digital Heart Health Program: Secondary Analysis From a Feasibility and Acceptability Pilot StudyKimberly G Lockwoodhttp://orcid.org/0000-0002-5053-4129Priya R Kulkarnihttp://orcid.org/0000-0003-2271-8622OraLee H Branchhttp://orcid.org/0000-0002-6720-6906Sarah A Grahamhttp://orcid.org/0000-0002-7782-8709 Abstract BackgroundLifestyle modification programs play a critical role in preventing and managing cardiovascular disease (CVD). A key aim of many programs is improving patients’ self-efficacy. In-person lifestyle modification programs can enhance self-efficacy in managing CVD risk, also known as cardiac self-efficacy (CSE). However, such programs are typically staffing and resource intensive. Digital lifestyle modification programs may offer a scalable and accessible way to improve CSE, but this has not been shown in prior research. ObjectiveThis study examined changes in CSE among individuals using a digital lifestyle modification program for cardiovascular health. Evaluation of improvement in CSE was a secondary goal of a feasibility and acceptability pilot study of a digital program for Heart Health. MethodsParticipants were individuals with elevated risk for CVD who enrolled in a 90-day pilot study that involved mobile app–based, artificial intelligence–powered health coaching and educational lessons focused on behaviors that promote cardiovascular health. Participants completed the 9-item CSE Scale at baseline and in month 2. Changes in confidence in participants’ ability to manage their cardiovascular health were assessed. ResultsThe sample included 273 (n=207, 61.2% female; mean age 59.3, SD 10.1 years) participants who submitted a complete CSE Scale at baseline and in month 2. The total CSE Scale score increased by 12.9% (PPPPP ConclusionsThe present analyses indicate that participants in a digital lifestyle modification program for cardiovascular health showed significant improvements in CSE within 2 months. This work adds to the growing literature examining ways to improve health-related self-efficacy and scalable access to programs for prevention and management of CVD.https://formative.jmir.org/2025/1/e60676 |
| spellingShingle | Kimberly G Lockwood Priya R Kulkarni OraLee H Branch Sarah A Graham Cardiac Self-Efficacy Improvement in a Digital Heart Health Program: Secondary Analysis From a Feasibility and Acceptability Pilot Study JMIR Formative Research |
| title | Cardiac Self-Efficacy Improvement in a Digital Heart Health Program: Secondary Analysis From a Feasibility and Acceptability Pilot Study |
| title_full | Cardiac Self-Efficacy Improvement in a Digital Heart Health Program: Secondary Analysis From a Feasibility and Acceptability Pilot Study |
| title_fullStr | Cardiac Self-Efficacy Improvement in a Digital Heart Health Program: Secondary Analysis From a Feasibility and Acceptability Pilot Study |
| title_full_unstemmed | Cardiac Self-Efficacy Improvement in a Digital Heart Health Program: Secondary Analysis From a Feasibility and Acceptability Pilot Study |
| title_short | Cardiac Self-Efficacy Improvement in a Digital Heart Health Program: Secondary Analysis From a Feasibility and Acceptability Pilot Study |
| title_sort | cardiac self efficacy improvement in a digital heart health program secondary analysis from a feasibility and acceptability pilot study |
| url | https://formative.jmir.org/2025/1/e60676 |
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