Mobile Phone Interventions for the Secondary Prevention of Cardiovascular Disease

Abstract

Mobile health in the form of text messaging and mobile applications provides an innovative and effective approach to promote prevention and management of cardiovascular disease (CVD); however, the magnitude of these effects is unclear. Through a comprehensive search of databases from 2002–2016, we conducted a quantitative systematic review. The selected studies were critically evaluated to extract and summarize pertinent characteristics and outcomes. A large majority of studies (22 of 28, 79%) demonstrated text messaging, mobile applications, and telemonitoring via mobile phones were effective in improving outcomes. Some key factors associated with successful interventions included personalized messages with tailored advice, greater engagement (2-way text messaging, higher frequency of messages), and use of multiple modalities. Overall, text messaging appears more effective than smartphone-based interventions. Incorporating principles of behavioral activation will help promote and sustain healthy lifestyle behaviors in patients with CVD that result in improved clinical outcomes.

Rapid 5 lb weight gain is not associated with readmission in patients with heart failure

“…Reinforcement of self-care education for the LITE group included two follow-up phone calls. The PLUS intervention group received reinforcement of self-care education with biweekly phone calls until the nurse considered the participant sufficiently understood, and could repeat back, the educational information (mean 5.3 + 3.6, range [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]. The education intervention (LITE or PLUS groups) did not decrease the combined endpoint of cardiac death or hospitalization for HF.…”

Consumer Health Informatics: Empowering Healthy-Living-Seekers Through mHealth

“…That is to say, while CHI is a research discipline given to the study of problems related to electronic health information delivery to patients, eHealth refers more specifically to those electronic tools and services available over the Internet, including wireless media such as Web-compatible mobile phones (e.g., mobile health) and personal digital assistants (PDAs). 19 On one hand, CHI is an academic discipline devoted to the exploration of new possibilities that the Internet provides for public health and health education, while eHealth is concerned with designing solutions that facilitate people in accessing information in their personal electronic health record, such as diagnosis, lab work, and prescribed medications, etc.…”

Potential of Mobile Applications in Prevention and Management of Cardio-Metabolic Diseases

“…According to Park and colleagues 19 (Table 3), 6 studies have used apps as primary or at least a part of the intervention program to promote cardiovascular disease-related self-management. The use of multiple modes including SMS, e-mail and apps, and inclusion of behavioural theory may result in better outcomes.…”