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Turk Kardiyol Dern Ars. 2020 Mar;48(2):149-157. doi: 10.5543/tkda.2019.69494.

Rationale and design of lifestyle intervention using mobile technology in patients with high cardiovascular risk: A pragmatic randomized clinical trial.

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Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Center, İstanbul, Turkey.
Department of Cardiology, Kaçkar State Hospital, Rize, Turkey.
Department of Cardiology, Sultan Abdulhamid Han Training and Research Hospital, İstanbul, Turkey.
İstanbul Physical Medication and Rehabilitation Training and Research Hospital, İstanbul, Turkey.


Cardiovascular disease (CVD) is the leading cause of morbidity and mortality throughout the world and contributes a considerable burden to healthcare costs. Primary prevention strategies, particularly adopting healthy lifestyle habits, have great potential to reduce the risk of CVD. Patient compliance remains the major cause of the failure of primary prevention strategies. Telehealth interventions and gamification through mobile applications can increase adherence and reduce healthcare costs. The primary objective of this study is to compare the effect of lifestyle intervention using mobile technology plus usual care with usual care alone in patients with a high CVD risk.

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