A Culturally Adapted Telecommunication System to Improve Physical Activity, Diet Quality, and Medication Adherence Among Hypertensive African–Americans: A Randomized Controlled Trial

Abstract

Given their convenience, scalability, and ability to deliver tailored messages, automated telecommunications systems can promote self-management of diet and energy balance in urban African-Americans.

Structured Caregiver Feedback Enhances Engagement and Impact of Mobile Health Support: A Randomized Trial in a Lower-Middle-Income Country

“…6 Mobile health (m-health) tools are part of a comprehensive plan to improve chronic illness care in LMICs. [7][8][9] Trials indicate that interactive voice response (IVR)-based interventions effectively address diabetes risk factors such as poor diet and sedentary behavior, [10][11][12] and IVR-supported nurse follow-up can improve glycemic control and self-care after diabetes is diagnosed. [12][13][14] In Honduras, weekly IVR self-management support calls were associated with improved diabetes self-management and A1c levels, 15 and in Honduras and Mexico, a similar IVR-based intervention resulted in better blood pressure control and improved self-care among hypertensive patients.…”

Non-Adherence to Antihypertensive Drugs: A Systematic Review and Meta-Analysis

“…Finally, 28 articles were included in the systematic review and 25 of these were included in the meta-analysis. [9,[11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][27][28][29][30][31][33][34][35][36] …”

“…Nine of the studies were conducted in the United States, [11,12,15,26,29,30,32,33,35] and 2 each in China, [11,17] Nigeria, [16,22] Hong Kong, [21,25] and Iran. [10,18] Countries such as Uganda, Lebanon, Kenya, Republic of Korea, Peru, Ethiopia, Ghana, Malaysia, Palestine, Brazil, and Italy were represented with a single study.…”

“…[29] The sample size of studies ranged from 25 [32] to 2445 [21] subjects. Eleven studies assessed adherence through face-to-face interviews, [10,14,18,20,[22][23][24]26,[29][30][31] while 8 studies used selfadministered questionnaires, [13,17,21,25,[32][33][34]36] and only 1 study was administered through a telephone interview. [35] However, 8 studies did not specify the type of MMAS-8 questionnaire administered.…”

“…[9,11,12,15,16,19,27,28] Except 1 study, [22] all the included studies met the quality criteria and showed high quality (>75%). [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][29][30][31][32][33][34][35][36] …”