The effectiveness of a mobile phone education-based on self-efficacy and DASH diet among patient with high blood pressure: a randomized controlled trial

Darabi, Zahra; Araban, Marzieh; Azizi, Amirabbas; Angali, Kambiz Ahmadi; Borazjani, Fatemeh

doi:10.21203/rs.3.rs-62956/v1

Cited by 2 publications

(20 citation statements)

References 44 publications

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“…Of the 5 included studies, 3 were conducted in the United States [31][32][33] and 2 in Iran [34,35]. All were published between 2017 and 2021 (Multimedia Appendix 3).…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

“…Of the 5 studies, 3 were RCTs [33][34][35] and 2 were pre-post pilot studies [31,32]. In terms of duration, the interventions were commonly conducted for 3 to 6 months [31][32][33][34][35].…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

“…All studies supported self-management of the DASH diet and hypertension. They all aimed to enhance self-management with increased patient awareness through educational information [31][32][33][34][35]. One study enhanced self-management without involving a human coach to monitor patients remotely [35], whereas the remaining 4 studies aimed to enhance self-management by involving a human coach [31,32] or research team to monitor patient data and health status remotely [33,34].…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

“…They all aimed to enhance self-management with increased patient awareness through educational information [31][32][33][34][35]. One study enhanced self-management without involving a human coach to monitor patients remotely [35], whereas the remaining 4 studies aimed to enhance self-management by involving a human coach [31,32] or research team to monitor patient data and health status remotely [33,34]. All studies reported the effectiveness of the apps in terms of dietary behavioral changes and controlling BP [31][32][33][34][35].…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

“…One study enhanced self-management without involving a human coach to monitor patients remotely [35], whereas the remaining 4 studies aimed to enhance self-management by involving a human coach [31,32] or research team to monitor patient data and health status remotely [33,34]. All studies reported the effectiveness of the apps in terms of dietary behavioral changes and controlling BP [31][32][33][34][35]. Four studies evaluated user engagement [31][32][33]35]; 2 assessed user satisfaction [33,35]; 1 evaluated acceptance [31]; 1 assessed usability, user knowledge, and user attitudes [35]; and 1 evaluated user self-efficacy [34].…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

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The Use of Dietary Approaches to Stop Hypertension (DASH) Mobile Apps for Supporting a Healthy Diet and Controlling Hypertension in Adults: Systematic Review

Alnooh¹,

Alessa²,

Hawley³

et al. 2022

JMIR Cardio

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Background Uncontrolled hypertension is a public health issue, with increasing prevalence worldwide. The Dietary Approaches to Stop Hypertension (DASH) diet is one of the most effective dietary approaches for lowering blood pressure (BP). Dietary mobile apps have gained popularity and are being used to support DASH diet self-management, aiming to improve DASH diet adherence and thus lower BP. Objective This systematic review aimed to assess the effectiveness of smartphone apps that support self-management to improve DASH diet adherence and consequently reduce BP. A secondary aim was to assess engagement, satisfaction, acceptance, and usability related to DASH mobile app use. Methods The Embase (OVID), Cochrane Library, CINAHL, Web of Science, Scopus, and Google Scholar electronic databases were used to conduct systematic searches for studies conducted between 2008 and 2021 that used DASH smartphone apps to support self-management. The reference lists of the included articles were also checked. Studies were eligible if they (1) were randomized controlled trials (RCTs) or pre-post studies of app-based interventions for adults (aged 18 years or above) with prehypertension or hypertension, without consideration of gender or sociodemographic characteristics; (2) used mobile phone apps alone or combined with another component, such as communication with others; (3) used or did not use any comparator; and (4) had the primary outcome measures of BP level and adherence to the DASH diet. For eligible studies, data were extracted and outcomes were organized into logical categories, including clinical outcomes (eg, systolic BP, diastolic BP, and weight loss), DASH diet adherence, app usability and acceptability, and user engagement and satisfaction. The quality of the studies was evaluated using the Cochrane Collaboration’s Risk of Bias tool for RCTs, and nonrandomized quantitative studies were evaluated using a tool provided by the US National Institutes of Health. Results A total of 5 studies (3 RCTs and 2 pre-post studies) including 334 participants examined DASH mobile apps. All studies found a positive trend related to the use of DASH smartphone apps, but the 3 RCTs had a high risk of bias. One pre-post study had a high risk of bias, while the other had a low risk. As a consequence, no firm conclusions could be drawn regarding the effectiveness of DASH smartphone apps for increasing DASH diet adherence and lowering BP. All the apps appeared to be acceptable and easy to use. Conclusions There is weak emerging evidence of a positive effect of using DASH smartphone apps for supporting self-management to improve DASH diet adherence and consequently lower BP. Further research is needed to provide high-quality evidence that can determine the effectiveness of DASH smartphone apps.

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“…Of the 5 included studies, 3 were conducted in the United States [31][32][33] and 2 in Iran [34,35]. All were published between 2017 and 2021 (Multimedia Appendix 3).…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

Section: Characteristics Of the Studiesmentioning

confidence: 99%

Section: Characteristics Of the Studiesmentioning

confidence: 99%

Section: Characteristics Of the Studiesmentioning

confidence: 99%

Section: Characteristics Of the Studiesmentioning

confidence: 99%

See 3 more Smart Citations

The Use of Dietary Approaches to Stop Hypertension (DASH) Mobile Apps for Supporting a Healthy Diet and Controlling Hypertension in Adults: Systematic Review

Alnooh¹,

Alessa²,

Hawley³

et al. 2022

JMIR Cardio

View full text Add to dashboard Cite

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The Effectiveness of Dietary Approaches to Stop Hypertension (DASH) Mobile Applications in Supporting a Healthy Diet and Controlling Hypertension in Adults: Systematic Review (Preprint)

Alnooh¹,

Alessa²,

Hawley³

et al. 2022

Preprint

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BACKGROUND Uncontrolled hypertension is a public health issue, with increasing prevalence worldwide. The Dietary Approach to Stop Hypertension (DASH) diet is one of the most effective dietary approaches for lowering blood pressure (BP). Dietary mobile applications (apps) have gained popularity and are being used to support DASH diet self-management, aiming to improve DASH diet adherence and thus lower BP OBJECTIVE This systematic review aimed to assess the effectiveness of smartphone apps that support self-management to improve DASH diet adherence and, consequently, reduce BP. A secondary aim was to assess user engagement, satisfaction and acceptance, and usability related to DASH mobile app use. METHODS EMBASE (OVID), Cochrane Library, CINAHL, Web of Science, Scopus, and Google Scholar electronic databases were used to conduct systematic searches for studies conducted between 2008 and 2021 that used DASH smartphone apps to support self-management. The included articles’ reference lists were also checked. RESULTS Five studies (three RCTs and two pre-post studies) including 334 participants altogether examined DASH mobile apps. All studies found a positive trend related to the use of DASH smartphone apps, but the three RCTs had a high risk of bias. One pre-post study had a high risk of bias, the other had a low risk. As a consequence, no firm conclusions can be drawn regarding DASH smartphone apps’ effectiveness in increasing DASH diet adherence and lowering blood pressure. All the apps appeared to be accepted and easy to use. CONCLUSIONS There is weak emerging evidence of a positive effect of using DASH smartphone apps supporting self-management to improve DASH diet adherence and, consequently, lower BP. Further research is needed to provide high-quality evidence that can determine the effectiveness of DASH smartphone apps. CLINICALTRIAL Review article

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The effectiveness of a mobile phone education-based on self-efficacy and DASH diet among patient with high blood pressure: a randomized controlled trial

Cited by 2 publications

References 44 publications

The Use of Dietary Approaches to Stop Hypertension (DASH) Mobile Apps for Supporting a Healthy Diet and Controlling Hypertension in Adults: Systematic Review

The Use of Dietary Approaches to Stop Hypertension (DASH) Mobile Apps for Supporting a Healthy Diet and Controlling Hypertension in Adults: Systematic Review

The Effectiveness of Dietary Approaches to Stop Hypertension (DASH) Mobile Applications in Supporting a Healthy Diet and Controlling Hypertension in Adults: Systematic Review (Preprint)

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