The effectiveness of mobile-health behaviour change interventions for cardiovascular disease self-management: A systematic review

Dale, Leila Pfaeffli; Dobson, Rosie; Whittaker, Robyn; Maddison, Ralph

doi:10.1177/2047487315613462

Cited by 149 publications

(114 citation statements)

References 44 publications

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“…Motivating factors included their experience of benefits from physical activity, the ability to use physical activity as a mental distraction and the desire to use physical activity as a means to maintain "normality" in life. These findings are generally consistent with prior work in lung cancer and palliative care populations reporting the majority of patients are interested in and feel able to participate in exercise programmes (Lowe, Watanabe, Baracos, & Courneya, 2010) and a desire for more support (Smith et al, 2017 (Pfaeffli, Dobson, Whittaker, & Maddison, 2016).…”

Section: Discussionsupporting

confidence: 87%

“…Behavioural change interventions are effective in a variety of chronic health conditions to increase physical activity levels (Avery et al, ; O'halloran et al, ), including populations with breast cancer (Bluethmann, Vernon, Gabriel, Murphy, & Bartholomew, ). A recent systematic review in cardiovascular disease demonstrated that mobile wireless devices used to deliver self‐management interventions successfully improved physical activity levels (Pfaeffli, Dobson, Whittaker, & Maddison, ). Changing behaviour is not an easy task and many cancer trials delivering physical activity interventions achieve improvements in a variety of outcomes including fitness, but not in physical activity behaviour (Bourke et al, ; Hudis & Jones, ).…”

Section: Discussionmentioning

confidence: 99%

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Improving the delivery of physical activity services in lung cancer: A qualitative representation of the patient’s perspective

et al. 2018

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Objective To explore patient experiences of, and preferences for, physical activity after a lung cancer diagnosis. Methods This was a qualitative study involving seven patients who had been treated for lung cancer within the previous 2 years. Participants attended a focus group interview. Conventional content analysis methodology was used to analyse the text by two independent researchers. Results Eight major themes emerged from the data. These were as follows: the influence of past lifestyle and chronic disease; the perceived benefits of physical activity; using physical activity to facilitate return to activities of daily living; the impact of symptoms, capacity and motivation; family and peer support; access to services; health professionals; and enjoyment of different types of physical activity. Patients suggested several factors that could improve their healthcare experience. These include access to exercise professionals particularly after cancer treatment; access to information about physical activity in different formats; supervision from health professionals and peer support; and use of behaviour change strategies to achieve sustainable increases in physical activity. Conclusion Our results should be considered in the improvement of lung cancer care pathways as we strive to implement physical activity services into routine clinical care.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Improving the delivery of physical activity services in lung cancer: A qualitative representation of the patient’s perspective

et al. 2018

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“…Telehealth interventions are cost‐effective, fast and useful, and provide effective solutions; they have an important role in maintaining regular and continuous communication with the patient, and can be used in monitoring, training and consulting the patient . There have been many randomised controlled trials (RCTs) with telehealth interventions to reduce risk factors and improve adherence to lifestyle changes such as medication, physical activity, smoking cessation, blood pressure, lipids, physical activity and waist circumference; in physical activity , medication adherence , smoking cessation , lipid changes and risk factor modification . Results from these studies support the beneficial effect of telehealth interventions within CAD management programs on adherence to lifestyle changes.…”

Section: Introductionmentioning

confidence: 86%

Effectiveness of telehealth interventions as a part of secondary prevention in coronary artery disease: a systematic review and meta‐analysis

Kavradım

Özer

Boz

2019

Scandinavian Caring Sciences

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Background Coronary artery disease is one of the most important health problems among heart diseases in the world, with high morbidity and mortality. Lifestyle changes in particular are recommended in the latest guidelines for implementing secondary prevention. Aim The aim of this study was to evaluate the effectiveness of telehealth interventions as a part of secondary prevention compared to routine care in those with coronary artery disease. Method The systematic review with meta‐analysis was performed in accordance with Cochrane methods. Science Direct, Springer Link, Web of Science, Cochrane Central Register of Controlled Trials, CINAHL, MEDLINE, ProQuest and Network Digital Library databases were searched between 2000 and 2018 up to February 2018. The studies chosen conformed to PICOS inclusion and exclusion criteria. The risk of bias was assessed using the Cochrane risk of bias tool. Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guideline was used in reporting the study. Results Twenty‐four studies with a total of 6773 study participants met the inclusion criteria. It was found that telephone call interventions were the most commonly used, text message interventions came second with seven studies, telephone calls in combination with messages were used in four studies and telemonitoring was used in two studies. Compared to routine care, telehealth interventions had moderate significant effects in reducing waist circumference, total cholesterol and triglyceride, improving medication adherence and physical activity, and had small significant effects in reducing blood pressure and smoking cessation. No significant publication bias was found in the main outcomes. Conclusion Results showed that the telehealth interventions yielded positive outcomes in lifestyle changes for coronary artery disease. Therefore, telehealth interventions can be used for effective secondary prevention by health professionals who care for individuals with coronary artery disease. Additionally, this study will provide guidance for studies on the development of telehealth intervention.

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“…A limitation of the studies to date in this regard is that most have focused on improving physical activity [53]. Further, a Cochrane review of this literature found the studies to be too heterogeneous in approach to draw definitive conclusions regarding their efficacy [54].…”

Section: Health Team and System-related Factorsmentioning

confidence: 99%

Recent Approaches to Improve Medication Adherence in Patients with Coronary Heart Disease: Progress Towards a Learning Healthcare System

Levy¹,

Huang

et al. 2018

Curr Atheroscler Rep

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Purpose of Review Non-adherence to medications for the secondary prevention of myocardial infarction (MI) is a major contributor to morbidity and mortality in these patients. This review describes recent advances in promoting adherence to therapies for coronary artery disease (CAD). Recent Findings Two large randomized controlled trials to “incentivize” adherence were somewhat disappointing; neither financial incentives nor “peer pressure” successfully increased rates of adherence in the post-MI population. Patient education and provider engagement appear to be critical aspects of improving adherence to CAD therapies, where the provider is a physician, pharmacist, or nurse and follow-up is performed in person or by telephone. Fixed-dose combinations of CAD medications, formulated as a so-called “polypill,” have shown some early efficacy in increasing adherence. Technological advances that automate monitoring and/or encouragement of adherence are promising but seem universally dependent on patient engagement. For example, medication reminders via text message perform better if patients are required to respond. Multifaceted interventions, in which these and other interventions are combined together, appear to be most effective. Summary There are several available types of proven interventions through which providers, and the health system at large, can advance patient adherence to CAD therapies. No single intervention to promote adherence will be successful in all patients. Further study of multifaceted interventions and the interactions between different interventions will be important to advancing the field. The goal is a learning healthcare system in which a network of interventions responds and adapts to patients’ needs over time.

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The effectiveness of mobile-health behaviour change interventions for cardiovascular disease self-management: A systematic review

Cited by 149 publications

References 44 publications

Improving the delivery of physical activity services in lung cancer: A qualitative representation of the patient’s perspective

Improving the delivery of physical activity services in lung cancer: A qualitative representation of the patient’s perspective

Effectiveness of telehealth interventions as a part of secondary prevention in coronary artery disease: a systematic review and meta‐analysis

Recent Approaches to Improve Medication Adherence in Patients with Coronary Heart Disease: Progress Towards a Learning Healthcare System

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