{"id":1435,"date":"2017-11-21T11:26:24","date_gmt":"2017-11-21T02:26:24","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1435"},"modified":"2017-11-21T11:31:54","modified_gmt":"2017-11-21T02:31:54","slug":"%e5%86%a0%e5%8b%95%e8%84%88%e5%bf%83%e7%96%be%e6%82%a3%e6%82%a3%e8%80%85%e3%81%ae%e7%94%9f%e6%b4%bb%e7%bf%92%e6%85%a3%e3%81%ab%e7%84%a6%e7%82%b9%e3%82%92%e5%bd%93%e3%81%a6%e3%81%9f%e3%83%86%e3%82%ad","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1435","title":{"rendered":"\u51a0\u52d5\u8108\u5fc3\u75be\u60a3\u60a3\u8005\u306e\u751f\u6d3b\u7fd2\u6163\u306b\u7126\u70b9\u3092\u5f53\u3066\u305f\u30c6\u30ad\u30b9\u30c8\u30e1\u30c3\u30bb\u30fc\u30b8\u914d\u4fe1\u304c\u30ea\u30b9\u30af\u56e0\u5b50\u306e\u6539\u5584\u306b\u53ca\u307c\u3059\u5f71\u97ff"},"content":{"rendered":"<p>\u2015\u6587\u732e\u540d\u2015<br \/>\nClara K. Chow, MBBS, PhD, et al,<br \/>\nEffect of Lifestyle-Focused Text Messaging on Risk Factor Modification in Patients With Coronary Heart Disease<br \/>\nJAMA. 2015 Sep 22-29;314(12):1255-63<\/p>\n<p>\u2015\u8981\u7d04\u2015<br \/>\nIntroduction\uff1a<br \/>\n\u5fc3\u8840\u7ba1\u75be\u60a3\u306e\u4e8c\u6b21\u4e88\u9632\u3068\u3057\u3066\u6709\u52b9\u306a\u3082\u306e\u3068\u3057\u3066\u3001\u5185\u670d\u4e88\u9632\u3001\u30ea\u30b9\u30af\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3001\u751f\u6d3b\u7fd2\u6163\u306e\u6539\u5584\u306a\u3069\u304c\u3042\u308b\u304c\u3001\u751f\u6d3b\u7fd2\u6163\u3078\u306e\u4ecb\u5165\u306f\u6700\u3082\u52b9\u679c\u7684\u3067\u3042\u308b\u304c\u3001\u5341\u5206\u306b\u7814\u7a76\u3055\u308c\u3066\u3044\u306a\u3044\u3002 \u305d\u306e\u305f\u3081\u3001\u51a0\u52d5\u8108\u75be\u60a3\u3092\u6301\u3064\u60a3\u8005\u306b\u5b9a\u671f\u5b9a\u671f\u306b\u30e1\u30c3\u30bb\u30fc\u30b8\u3092\u9001\u4fe1\u3059\u308b\u3053\u3068\u3067\u5fc3\u8840\u7ba1\u30ea\u30b9\u30af\u56e0\u5b50\u3092\u6e1b\u3089\u3059\u3053\u3068\u304c\u51fa\u6765\u308b\u304b\u30e9\u30f3\u30c0\u30e0\u5316\u8a66\u9a13\u3067\u8a55\u4fa1\u3092\u884c\u3063\u305f\u3002<\/p>\n<p>Objective\uff1a<br \/>\n\u643a\u5e2f\u96fb\u8a71\u306e\u30c6\u30ad\u30b9\u30c8\u30e1\u30c3\u30bb\u30fc\u30b8\u306b\u3088\u3063\u3066\u9001\u4fe1\u3055\u308c\u308b\u5fc3\u8840\u7ba1\u30ea\u30b9\u30af\u56e0\u5b50\u306b\u95a2\u3059\u308b\u751f\u6d3b\u7fd2\u6163\u306b\u7126\u70b9\u3092\u5f53\u3066\u305f\u534a\u500b\u5225\u5316\u652f\u63f4\u30d7\u30ed\u30b0\u30e9\u30e0\u306e\u52b9\u679c\u3092\u691c\u8a3c\u3059\u308b\u3053\u3068<\/p>\n<p>Design and Setting\uff1a<br \/>\n\u55ab\u7159\u3001\u904b\u52d5\u304a\u3088\u3073\u98df\u4e8b\u7642\u6cd5\u306e\u30e1\u30c3\u30bb\u30fc\u30b8\uff08TEXT ME\uff09\u8a66\u9a13\u306f\u3001\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2\u306e\u30b7\u30c9\u30cb\u30fc\u306b\u3042\u308b\u5927\u898f\u6a21\u306a\u4e09\u6b21\u75c5\u9662\u30672011\u5e749\u6708\u304b\u30892013\u5e7411\u6708\u307e\u3067\u306e\u865a\u8840\u6027\u5fc3\u75be\u60a3\u306e\u65e2\u5f80\u306e\u3042\u308b710\u4eba\u306e\u60a3\u8005\uff08\u5e73\u5747\u5e74\u9f6258\u6b73\uff08SD,9.2\uff09\u7537\u602782%.\u55ab\u7159\u800553%\uff09\u3092\u96c6\u3081\u305f\u4e26\u884c\u7fa4\u3001\u5358\u76f2\u691c\u3001\u30e9\u30f3\u30c0\u30e0\u5316\u81e8\u5e8a\u8a66\u9a13\u3002<\/p>\n<p>Interventions\uff1a<br \/>\n\u4ecb\u5165\u7fa4\uff08n=352\uff09\u306e\u60a3\u8005\u306f\u901a\u5e38\u306e\u30b1\u30a2\u306b\u52a0\u3048\u3066\u30016\u30f6\u6708\u95931\u9031\u9593\u306b4\u56de\u306e\u52a9\u8a00\u3001\u52d5\u6a5f\u3065\u3051\u306e\u30ea\u30de\u30a4\u30f3\u30c0\u3001\u884c\u52d5\u5909\u5bb9\u3092\u652f\u63f4\u3059\u308b\u30c6\u30ad\u30b9\u30c8\u30e1\u30c3\u30bb\u30fc\u30b8\u3092\u53d7\u4fe1\u3057\u305f\u3002\u5bfe\u7167\u7fa4\uff08n=358\uff09\u306e\u60a3\u8005\u306f\u901a\u5e38\u306e\u30b1\u30a2\u306e\u307f\u3092\u53d7\u3051\u305f\u3002\u5404\u53c2\u52a0\u8005\u306e\u30e1\u30c3\u30bb\u30fc\u30b8\u306f\u3001\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u7279\u6027\uff08\u4f8b\u3048\u3070\u3001\u55ab\u7159\uff09\u306b\u5f93\u3063\u3066\u30e1\u30c3\u30bb\u30fc\u30b8\u30d0\u30f3\u30af\u304b\u3089\u9078\u629e\u3055\u308c\u3001\u81ea\u52d5\u5316\u3055\u308c\u305f\u30e1\u30c3\u30bb\u30fc\u30b8\u7ba1\u7406\u30b7\u30b9\u30c6\u30e0\u3092\u4ecb\u3057\u3066\u914d\u4fe1\u3055\u308c\u305f\u3002<\/p>\n<p>Main outcomes and Measures\uff1a<br \/>\nPrimary end point\uff08\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\uff09\uff1a6\u30f6\u6708\u5f8c\u306eLDL-C<br \/>\nSecondary end point\uff08\u526f\u6b21\u8a55\u4fa1\u9805\u76ee\uff09\uff1a\u53ce\u7e2e\u671f\u8840\u5727\u3001BMI\u3001\u8eab\u4f53\u6d3b\u52d5\u91cf\u3001\u55ab\u7159\u72b6\u6cc1<\/p>\n<p>Results\uff1a<br \/>\n6\u30f5\u6708\u5f8c\u306b\u306f\u3001\u4ecb\u5165\u7fa4\u306e\u53c2\u52a0\u8005\u306b\u304a\u3044\u3066\u3001\u53ce\u7e2e\u671f\u8840\u5727\u304a\u3088\u3073BMI\u306e\u4f4e\u4e0b\u3001\u8eab\u4f53\u6d3b\u52d5\u306e\u6709\u610f\u306a\u5897\u52a0\u3001\u304a\u3088\u3073\u55ab\u7159\u306e\u6709\u610f\u306a\u6e1b\u5c11\u3068\u3068\u3082\u306b\u3001LDL-C\u304c\u6709\u610f\u306b\u4f4e\u4e0b\u3057\u305f\u3002<br \/>\n<a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/11\/\u753b\u50cf\uff11\u5c3e\u5d0e.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-1436\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/11\/\u753b\u50cf\uff11\u5c3e\u5d0e.jpg\" alt=\"\u753b\u50cf\uff11\u5c3e\u5d0e\" width=\"610\" height=\"182\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/11\/\u753b\u50cf\uff11\u5c3e\u5d0e.jpg 610w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/11\/\u753b\u50cf\uff11\u5c3e\u5d0e-300x90.jpg 300w\" sizes=\"auto, (max-width: 610px) 100vw, 610px\" \/><\/a><\/p>\n<p>Conclusions and Relevance\uff1a<br \/>\n\u51a0\u52d5\u8108\u6027\u5fc3\u75be\u60a3\u306e\u60a3\u8005\u306e\u4e2d\u3067\u3001\u901a\u5e38\u306e\u30b1\u30a2\u3068\u6bd4\u8f03\u3057\u3066\u751f\u6d3b\u7fd2\u6163\u306b\u7126\u70b9\u3092\u5f53\u3066\u305f\u30c6\u30ad\u30b9\u30c8\u30e1\u30c3\u30bb\u30fc\u30b8\u914d\u4fe1\u30b5\u30fc\u30d3\u30b9\u3092\u4f7f\u7528\u3059\u308b\u3068\u3001LDL-C\u30ec\u30d9\u30eb\u304c\u6539\u5584\u3055\u308c\u3001\u4ed6\u306e\u5fc3\u81d3\u8840\u7ba1\u75be\u60a3\u306e\u5371\u967a\u56e0\u5b50\u304c\u5927\u5e45\u306b\u6539\u5584\u3055\u308c\u305f\u3002<\/p>\n<p>Discussion\uff1a<br \/>\n\u30fb\u884c\u52d5\u3078\u306e\u4ecb\u5165\u7814\u7a76\u3067\u3042\u308aOutcome\u304cLDL-C\u3068\u3044\u3046\u4ee3\u7528\u30a2\u30a6\u30c8\u30ab\u30e0\u3060\u3063\u305f\u305f\u3081\u3001\u81e8\u5e8a\u8ee2\u5e30\u306e\u6539\u5584\u306b\u7e4b\u304c\u308b\u304b\u4e0d\u660e\u3002<br \/>\n\u30fb\u643a\u5e2f\u3092\u4f7f\u3048\u306a\u3044\u4eba\u3001\u82f1\u8a9e\u306e\u6587\u7ae0\u3092\u5341\u5206\u306b\u7406\u89e3\u3067\u304d\u306a\u3044\u4eba\u306f\u9664\u5916\u3055\u308c\u3066\u3044\u305f\u3002<br \/>\n\u30fbSecondary end point\u306e\u3044\u304f\u3064\u304b\uff08\u8eab\u4f53\u6d3b\u52d5\uff09\u306f\u81ea\u5df1\u7533\u544a\u306b\u3088\u3063\u3066\u6e2c\u5b9a\u3055\u308c\u305f\u3002<br \/>\n\u30fb\u5b8c\u5168\u306a\u76f2\u691c\u5316\u304c\u51fa\u6765\u306a\u304b\u3063\u305f\u3002<br \/>\n\u30fb\u52b9\u679c\u304c\u3044\u3064\u307e\u3067\u7d9a\u304f\u304b\u4e0d\u660e\u3002<\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/11\/\u753b\u50cf\uff12\u5c3e\u5d0e.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-1437\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/11\/\u753b\u50cf\uff12\u5c3e\u5d0e.jpg\" alt=\"\u753b\u50cf\uff12\u5c3e\u5d0e\" width=\"606\" height=\"650\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/11\/\u753b\u50cf\uff12\u5c3e\u5d0e.jpg 606w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/11\/\u753b\u50cf\uff12\u5c3e\u5d0e-280x300.jpg 280w\" sizes=\"auto, (max-width: 606px) 100vw, 606px\" \/><\/a> <a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/11\/\u753b\u50cf\uff13\u5c3e\u5d0e.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-1438\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/11\/\u753b\u50cf\uff13\u5c3e\u5d0e.jpg\" alt=\"\u753b\u50cf\uff13\u5c3e\u5d0e\" width=\"376\" height=\"480\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/11\/\u753b\u50cf\uff13\u5c3e\u5d0e.jpg 376w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/11\/\u753b\u50cf\uff13\u5c3e\u5d0e-235x300.jpg 235w\" sizes=\"auto, (max-width: 376px) 100vw, 376px\" \/><\/a> <a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/11\/\u753b\u50cf\uff14\u5c3e\u5d0e.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-1439\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/11\/\u753b\u50cf\uff14\u5c3e\u5d0e.jpg\" alt=\"\u753b\u50cf\uff14\u5c3e\u5d0e\" width=\"663\" height=\"543\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/11\/\u753b\u50cf\uff14\u5c3e\u5d0e.jpg 663w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/11\/\u753b\u50cf\uff14\u5c3e\u5d0e-300x246.jpg 300w\" sizes=\"auto, (max-width: 663px) 100vw, 663px\" \/><\/a>Conclusions and Relevance<\/p>\n<p>\u3010\u958b\u50ac\u65e5\u3011<br \/>\n2017\u5e7411\u670815\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2015\u6587\u732e\u540d\u2015 Clara K. Chow, MBBS, PhD, et al, Effect of Lifestyle-Focused Text Messaging on Risk Factor Modification  &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=1435\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u51a0\u52d5\u8108\u5fc3\u75be\u60a3\u60a3\u8005\u306e\u751f\u6d3b\u7fd2\u6163\u306b\u7126\u70b9\u3092\u5f53\u3066\u305f\u30c6\u30ad\u30b9\u30c8\u30e1\u30c3\u30bb\u30fc\u30b8\u914d\u4fe1\u304c\u30ea\u30b9\u30af\u56e0\u5b50\u306e\u6539\u5584\u306b\u53ca\u307c\u3059\u5f71\u97ff<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[],"class_list":["post-1435","post","type-post","status-publish","format-standard","hentry","category-17"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1435","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1435"}],"version-history":[{"count":4,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1435\/revisions"}],"predecessor-version":[{"id":1442,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1435\/revisions\/1442"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1435"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1435"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1435"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}