Increasing cardiovascular medication adherence: A medical research council complex mhealth intervention mixed‐methods feasibility study to inform global practice

Abstract

Cardiovascular disease (CVD) is the main reason for mortality worldwide, accounting for more than 17 million deaths each year (World Health Organisation, 2019). In particular, mortality rates caused by CVD are increasing in low-and middle-income countries (World Health Organisation, 2019). Reducing the prevalence, morbidity and mortality of CVD, as the leading cause of the wider burden of non-communicable disease, is a major world health priority (World Health Organization, 2019). In Iran, coronary heart disease (CHD)-the most important type of CVD-accounts for nearly 50% of all deaths per year. Approximately 20%

WITHDRAWN: The Effect of Mobile Health Intervention on Adherence to a Healthy Lifestyle in Patients with Cardiac Syndrome X (CSX)

“…In addition, the results of the current study revealed positive feedback for the acceptability and usefulness of mHealth intervention to promote cardiovascular diseases in the Iranian setting. This is consistent with the ndings from a systematic review which identi ed that mHealth interventions must be exible as well as culturally and socially appropriate to the desires and needs of the patients (43,44). Anderson (38) found that the knowledge of pathophysiological mechanisms of CSX is still limited for physicians.…”

“…In this regard, the result of a similar study has reported that TextMe2 will generate reliable data about the effectiveness of an entire text message-based intervention as a potential primary prevention solution to control multiple cardiovascular risk factors among those at moderate to high cardiovascular risk (42). Meanwhile, Khonsari, et al nd out that the mHealth intervention had the desired effect on cardiovascular risk factors management and can lead to adherence to medication among Iranian CHD patients (43). The mHealth intervention was well accepted and feasible with early evidence of effectiveness that needs to be con rmed in an entirely in uenced future randomized clinical trial.…”

“…Moreover, a similar study demonstrated that health educational intervention is very useful in health system divisions where fund and information penetration are always an issue faced by typical health education methods. In this study, it is concluded that WhatsApp (as a health intervention method) manages to increase patients' knowledge and subsequently enhances their adherence to a healthy lifestyle (27,43) and empowers the patients to take control and play an active role in managing their health (44, 45,). In this regard, the result of a similar study has reported that TextMe2 will generate reliable data about the effectiveness of an entire text message-based intervention as a potential primary prevention solution to control multiple cardiovascular risk factors among those at moderate to high cardiovascular risk (42).…”

“…However, the bene ts of mobile devices in healthcare exceed beyond the communication channels. They enable better coordination, improve diagnostic accuracy, and build a bridge of trust (43,44,45). Besides, technological innovations have already been used to bridge health disparities and consumer health, empowering patients to take control and play an active role in managing their health as well as enhance the knowledge of the patients (27,46,47).…”

“…Besides, technological innovations have already been used to bridge health disparities and consumer health, empowering patients to take control and play an active role in managing their health as well as enhance the knowledge of the patients (27,46,47). Hence, there is developing evidence that mHealth interventions are an effective and acceptable means of improving quality of life and adherence to a healthy lifestyle (27,43).…”