[Quadruple aim in mHealth project to improve the control of cardiovascular risk factors in a very high-risk population.]

Abstract

Objective: The control of cardiovascular (CV) risk factors in high-risk population is still suboptimal. This fact should make us reconsider current preventive strategies. The objective of this study was to transform the secondary cardiovascular prevention program of the University Hospital of Torrejon (Madrid, Spain), to make it more proactive, preventive, productive and efficient.

Methods: Within the quadruple aim perspective, we present a mHealth project where the patient will include, and periodically review, the parameters and values related to the main CV risk factors (smoking, diet, physical activity, weight, blood pressure, LDL cholesterol and glycosylated hemoglobin), allowing to check if therapeutic objectives recommended in the clinical practice guidelines are achieved, facilitating doctor-patient communication, and generating warnings to reinforce indications and/or intensify the therapeutic and pharmacological measures in case of non-complianc.

Results: A detailed evaluation of the achievement of quadruple aim goals will be performed. Improvements in CV risk control, experience in care, health spending and the healthcare professionals' satisfaction will be assessed.

Conclusions: mHealth offers new opportunities to improve the control of CV risk factors in high-risk patients. Better control might reduce the high cardiovascular morbidity and mortality of this population, helping to reduce health spending and improving the patients' experience and adherence to secondary prevention strategies.