03232nas a2200409   4500000000100000008004100001100001200042700001800054700001800072700002600090700001600116700001800132700001500150700001600165700001400181700002100195700001900216700002900235700001800264700001500282700001800297700002500315700001900340700001900359700002100378700002100399700002000420700002100440700001900461700001900480700001600499245015500515300001200670490000600682520212000688022001402808       2018                            d1 aJoshi R1 aRedfern Julie1 aHillis Graham1 aThiagalingam Aravinda1 aThakkar Jay1 aBrieger David1 aChew Derek1 aSanto Karla1 aKok Cindy1 aStepien Sandrine1 aBillot Laurent1 aHamilton-Craig Christian1 aAtherton John1 aChow Clara1 aShetty Pratap1 aKangaharan Nadarajah1 aRådholm Karin1 aBhindi Ravinay1 aCollins Nicholas1 aCoverdale Steven1 aMaiorana Andrew1 aMcGrady Michelle1 aThompson Peter1 aRogers Anthony1 aJan Stephen00aTEXT messages to improve MEDication adherence and Secondary prevention (TEXTMEDS) after acute coronary syndrome: a randomised clinical trial protocol.  ae0194630 v83 a<p><b>BACKGROUND: </b>Identifying simple, low-cost and scalable means of supporting lifestyle change and medication adherence for patients following a cardiovascular (CV) event is important.</p><p><b>OBJECTIVE: </b>The TEXTMEDS (TEXT messages to improve MEDication adherence and Secondary prevention) study aims to investigate whether a cardiac education and support programme sent via mobile phone text message improves medication adherence and risk factor levels in patients following an acute coronary syndrome (ACS).</p><p><b>STUDY DESIGN: </b>A single-blind, multicentre, randomised clinical trial of 1400 patients after an ACS with 12 months follow-up. The intervention group will receive multiple weekly text messages that provide information, motivation, support to adhere to medications, quit smoking (if relevant) and recommendations for healthy diet and exercise. The primary endpoint is the percentage of patients who are adherent to cardioprotective medications and the key secondary outcomes are mean systolic blood pressure (BP) and low-density lipoprotein cholesterol. Secondary outcomes will also include total cholesterol, mean diastolic BP, the percentage of participants who are adherent to each cardioprotective medication class, the percentage of participants who achieve target levels of CV risk factors, major vascular events, hospital readmissions and all-cause mortality. The study will be augmented by formal economic and process evaluations to assess acceptability, utility and cost-effectiveness.</p><p><b>SUMMARY: </b>The study will provide multicentre randomised trial evidence of the effects of a text message-based programme on cardioprotective medication adherence and levels of CV risk factors.</p><p><b>ETHICS AND DISSEMINATION: </b>Primary ethics approval was received from Western Sydney Local Health District Human Research Ethics Committee (HREC2012/12/4.1 (3648) AU RED HREC/13/WMEAD/15). Results will be disseminated via peer-reviewed publications and presentations at international conferences.</p><p><b>TRIAL REGISTRATION NUMBER: </b>ACTRN12613000793718; Pre-results.</p>  a2044-6055