Design and evaluation of a mobile phone-based health intervention for patients with hypertensive condition

Sun, Na; Rau, Pei-Luen Patrick; Li, Yunqiu; Owen, Tom; Thimbleby, Harold

doi:10.1016/j.chb.2016.05.001

Cited by 14 publications

(42 citation statements)

References 26 publications

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“…Four of these studies [27,30,31,39] also assessed user satisfaction and experience with the apps. The remaining seven studies that did not report efficacy focused on user satisfaction with and attitudes towards the apps and/or their usability [26,32,36,38,40,43,44].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Nine studies aimed to enhance selfmanagement without involving clinicians to monitor patients remotely [29,33,[35][36][37][38][42][43][44]. The other 11 studies mainly involved clinicians or other HCPs remotely monitoring patient data and health status [24][25][26][27][28][30][31][32][39][40][41], whilst the remaining study involved the researcher remotely monitoring patient data and alerting physicians if needed [34,36].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Most studies (n=11) were conducted in the US [24][25][26][27][28][29][30][31][32] and Canada [33,34], while seven were carried out in European countries, including France [35], Sweden [36][37][38], Spain [39,40] and Italy [41]. The remaining three studies were conducted in China [42,43] and South Korea [44. Nine studies were randomised controlled trials (RCTs) [24,25,27,28,30,[33][34][35]42], ten were nonrandomised studies [26,29,31,32,37,[39][40][41]43,44], and two were qualitative studies [36,38].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Participants' average age ranged from 42.4 years [27] to 69.5 [42] years. The population groups of the studies included individuals with hypertension [24][25][26][27][28][29][30]32,[36][37][38][39][41][42][43][44], metabolic syndrome risk factors [34], and obstructive sleep apnoea with high cardiovascular risk [35], as well as overweight individuals [31]. Of the 21 included studies, 5 reported to have used behavioural theories, such as selfdetermination theory [24,26,27], motivational interviewing [30] and theory of planned behaviour [43] to underpin and guide the intervention methods and/or the development of the technology.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Fourteen different apps were used in 14 studies [28][29][30][31][32][33][34][35][39][40][41][42][43][44], one app was used in three studies [36][37][38] and another app was used in the other four studies [24][25][26][27].…”

Section: Functionalities Of the Applicationsmentioning

confidence: 99%

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Mobile Apps to Support the Self-Management of Hypertension: Systematic Review of Effectiveness, Usability, and User Satisfaction (Preprint)

Alessa¹,

Abdi²,

Hawley³

et al. 2018

Preprint

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IntroductionHypertension, in which the blood pressure (BP) in the arteries is raised, is one of the most common chronic diseases in adults. Patients can be diagnosed with hypertension when their systolic blood pressure (SBP) and/or diastolic blood pressure (DBP) is above 140/90 mm Hg respectively [1]. Hypertension has been recognised as a major risk factor for many diseases, such as renal failure, heart disease and stroke [1]. Despite the effect of lowering BP on reducing the risk of renal and cardiovascular disease, most people with hypertension poorly control their BP [2]. Therefore, it is important to encourage patients' involvement in controlling their BP.Self-management is considered as an important element of chronic care management [3]. Self-management demands an active role of patients in managing their symptoms, treatment, psychosocial and physical effects, and changing lifestyle [4][5][6]. Achieving an optimum level of self-management behaviour is difficult and requires considerable effort from patients. Mobile health technology (mHealth), defined as the use of mobile devices to deliver healthcare [7], has the potential to facilitate and optimise patients' self-management [8][9][10][11].This can be performed through integrating healthcare with everyday life by delivering and collecting health information and services in a convenient, accessible and interactive mode [12,13]. The use of the new generation of these mobile devices, including smartphone and tablets, has increased rapidly in recent years, and it is estimated that by 2018 smartphones will be used by one-third of the global population [14].Smartphones have become an important platform to deliver health to patients through health apps. The rapid growth in the use of these devices has been accompanied by a huge expansion in health and health-related behaviour applications, and more than 100,000 of these are used by millions of people [14,15]. Many health apps are targeted to support people with hypertension in their self-management by offering self-monitoring activities, reminders, tailored information, and feedback [16,17].To the best of our knowledge, despite the potential benefits of apps for people with hypertension and the increased use of these apps, a synthesis of studies on their effectiveness in this population has not been conducted. This systematic review will synthesise the existing evidence on the effectiveness of apps in lowering BP, as well as their usability and patients' satisfaction with their use. MethodA systematic review was conducted and reported in accordance with the PRISMA statement for systematic reviews [18,19]. Eligibility criteriaThe inclusion criteria were dependent on PICOS [18] as described below. PopulationThe population was people with hypertension (aged 18 years and over) and/or healthcare professionals (HCPs) supporting people with hypertension in their self-management in any care setting, without limitations on the participants' gender, age or socio-demographic characteristics. Studies about people with ch...

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Functionalities Of the Applicationsmentioning

confidence: 99%

See 3 more Smart Citations

Mobile Apps to Support the Self-Management of Hypertension: Systematic Review of Effectiveness, Usability, and User Satisfaction (Preprint)

Alessa¹,

Abdi²,

Hawley³

et al. 2018

Preprint

View full text Add to dashboard Cite

show abstract

A Decision Support System for Pediatric Diagnosis

Iheme

Omoregbe

Misra

et al. 2018

Innovation and Interdisciplinary Solutions for Underserved Areas

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Mobile Health Applications in Weight Management: A Systematic Literature Review

Dounavi

Tsoumani

2019

American Journal of Preventive Medicine

120

124

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Context: Weight management is an effective strategy for controlling chronic disease and maintaining physical health, and research on this topic has risen dramatically over the past four decades. The present systematic literature review aimed to identify existing evidence on the efficacy of mobile health technology in facilitating weight management behaviors, such as healthy food consumption and physical activity. Evidence acquisition: A systematic search was conducted in Ovid MEDLINE and Ovid Psy-cINFO databases with the aim to identify studies published in peer-reviewed journal articles between 2012 and 2017. Evidence synthesis: A total of 39 studies were analyzed in spring 2018 and are presented here in terms of participant characteristics, effective technology components, additional treatments, impact on health-related behaviors, and treatment efficacy. Indicators of study quality and social validity are also provided. Conclusions: Mobile health apps are widely considered as satisfactory, easy to use, and helpful in the pursuit of weight loss goals by patients. The potential of mobile health apps in facilitating weight loss lies in their ability to increase treatment adherence through strategies such as self-monitoring. These findings indicate that satisfactory treatment adherence and consequent weight loss and maintenance are achieved in the presence of high levels of engagement with a mobile health app. The research quality assessment of RCTs reveals a great need for following international standards both when conducting and reporting research.

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Design and evaluation of a mobile phone-based health intervention for patients with hypertensive condition

Cited by 14 publications

References 26 publications

Mobile Apps to Support the Self-Management of Hypertension: Systematic Review of Effectiveness, Usability, and User Satisfaction (Preprint)

Mobile Apps to Support the Self-Management of Hypertension: Systematic Review of Effectiveness, Usability, and User Satisfaction (Preprint)

A Decision Support System for Pediatric Diagnosis

Mobile Health Applications in Weight Management: A Systematic Literature Review

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