Evidence map›Paper›PMID 41812146›Full record

ArticleJMIR cardio2026

The HeartHealth Program: A Mixed Methods Study of a Community-Based Text Messaging Support Program for Patients With Cardiovascular Disease From 2020 to 2024.

Brodie Sheahen, Liliana Laranjo, Ritu Trivedi, Tim Shaw, Gopal Sivagangabalan, James Chong, Aravinda Thiagalingam, Sarah Zaman, Pierre Qian, Anupama Balasuriya Indrawansa and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JMIR cardio, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Brodie SheahenWestmead Applied Research Centre, The University of Sydney, Level 6, Block K, Entrance 10, Westmead Hospital, Hawkesbury Rd, Sydney, 2145, Australia, 61 0488975865.ORCID 0009-0003-0110-5402
Liliana LaranjoWestmead Applied Research Centre, The University of Sydney, Level 6, Block K, Entrance 10, Westmead Hospital, Hawkesbury Rd, Sydney, 2145, Australia, 61 0488975865.ORCID 0000-0003-1020-3402
Ritu TrivediSchool of Health Sciences, The University of Sydney, Sydney, Australia.ORCID 0000-0002-5128-3202
Tim ShawWestmead Applied Research Centre, The University of Sydney, Level 6, Block K, Entrance 10, Westmead Hospital, Hawkesbury Rd, Sydney, 2145, Australia, 61 0488975865.ORCID 0000-0003-0783-1918
Gopal SivagangabalanWestmead Applied Research Centre, The University of Sydney, Level 6, Block K, Entrance 10, Westmead Hospital, Hawkesbury Rd, Sydney, 2145, Australia, 61 0488975865.ORCID 0009-0001-8815-2839
James ChongWestmead Applied Research Centre, The University of Sydney, Level 6, Block K, Entrance 10, Westmead Hospital, Hawkesbury Rd, Sydney, 2145, Australia, 61 0488975865.ORCID 0000-0002-5201-4856
Aravinda ThiagalingamWestmead Applied Research Centre, The University of Sydney, Level 6, Block K, Entrance 10, Westmead Hospital, Hawkesbury Rd, Sydney, 2145, Australia, 61 0488975865.ORCID 0000-0002-7763-7806
Sarah ZamanWestmead Applied Research Centre, The University of Sydney, Level 6, Block K, Entrance 10, Westmead Hospital, Hawkesbury Rd, Sydney, 2145, Australia, 61 0488975865.ORCID 0000-0001-6289-583X
Pierre QianWestmead Applied Research Centre, The University of Sydney, Level 6, Block K, Entrance 10, Westmead Hospital, Hawkesbury Rd, Sydney, 2145, Australia, 61 0488975865.ORCID 0000-0003-1447-4680
Anupama Balasuriya IndrawansaWestmead Applied Research Centre, The University of Sydney, Level 6, Block K, Entrance 10, Westmead Hospital, Hawkesbury Rd, Sydney, 2145, Australia, 61 0488975865.ORCID 0000-0002-6377-1449
Clara Kayei ChowWestmead Applied Research Centre, The University of Sydney, Level 6, Block K, Entrance 10, Westmead Hospital, Hawkesbury Rd, Sydney, 2145, Australia, 61 0488975865.ORCID 0000-0003-4693-0038

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The HeartHealth program is a 6-month SMS text messaging-based support program offered to patients with a recent cardiovascular hospitalization or recent cardiovascular clinic visit in Western Sydney, Australia. Its customized content focuses on cardiovascular risk factors, lifestyle, treatments, and general heart health information. Objective: This study aimed to evaluate the implementation of the HeartHealth program. Methods: A mixed methods study was conducted assessing program reach, effectiveness, implementation, and maintenance using program data, participant feedback surveys, and staff focus group discussions. Consecutive adult patients who had attended cardiology clinics or had been discharged from cardiology hospitalization at Westmead Hospital, between April 2020 and April 2024, were included in the analysis. Content analysis was used to interpret the qualitative data. Results: A total of 23,095 patients were invited, 8804 (38.1%) enrolled into the program, and 7964 out of 8804 (90.5%) completed the 6-month duration. Participants enrolled in the HeartHealth program had a mean age of 58.6 years, 60.3% (5302/8788) were male, and 62.4% (5382/8624) were recruited from an outpatient clinic setting. A total of 851,058 SMS text messages were sent, with 99.41% (846,009/851,058) delivered successfully. A total of 3533 out of 7964 (44.4% of program completers) participants completed the postintervention survey, and 4 HeartHealth staff members participated in a focus group discussion. Among the participants who completed the survey, 60.5% (2137/3533) reported that the program improved the healthiness of their diet, 53.6% (1894/3533) reported improved physical activity levels, and 56.1% (1982/3533) reported that it helped remind them to take their medications. Content analysis of participant feedback identified that the program was effective in prompting participants to change their diet, providing emotional support, reminding them of the importance of behavior change, improving their confidence in managing their health, and keeping participants focused. Key barriers included limited personalization, language options, and SMS text messaging scheduling flexibility. Recommended adaptations focused on enhancing personalization, greater engagement by local clinical teams, and expanding program dissemination. Conclusions: The program had a broad reach, translated to improved patient-reported health behaviors, and provided participants with needed support at low cost and low resource requirements. This analysis highlights the successful implementation and scalability of the HeartHealth program and provides key learnings for health systems that are looking to implement similar programs in the future.

Indexed as

Cardiovascular DiseasesText MessagingAgedDigital HealthFemaleFocus GroupsHumansMaleMiddle AgedProgram EvaluationSurveys and QuestionnairesTelemedicinecardiovascular diseasedigital health interventionimplementation evaluationsecondary preventionShort Message ServiceSMStext messaging

Identifiers

PMID41812146
PMCPMC12978537

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.