A mHealth-based care model for improving hypertension control in stroke survivors: Pilot RCT

Lakshminarayan, Kamakshi; Westberg, Sarah M.; Northuis, Carin; Fuller, Candace C.; Ikramuddin, Farha; Ezzeddine, Mustapha A.; Scherber, Julie; Speedie, Stuart M.

doi:10.1016/j.cct.2018.05.005

Cited by 38 publications

(43 citation statements)

References 29 publications

(35 reference statements)

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“…For example, facilitating the communications between institutions [ 4 ], incrementing patient engagement to treatment [ 5 ], promoting physical activity in older adults [ 6 ], and improving mental health services for trauma survivors [ 7 ]. m-Health, for its part, has shown its effectiveness in multiple scopes, such as monitoring health in elderly people [ 8 ], promoting early diagnosis of cardiovascular diseases [ 9 ], differentiating between Parkinson’s disease and essential tremor diagnosis [ 10 ], improving hypertension control in stroke survivors [ 11 ], and supporting recovery from drug addiction [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Portable System for Real-Time Detection of Stress Level

Minguillón

Pérez

López-Gordo

et al. 2018

Sensors

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Currently, mental stress is a major problem in our society. It is related to a wide variety of diseases and is mainly caused by daily-life factors. The use of mobile technology for healthcare purposes has dramatically increased during the last few years. In particular, for out-of-lab stress detection, a considerable number of biosignal-based methods and systems have been proposed. However, these approaches have not matured yet into applications that are reliable and useful enough to significantly improve people’s quality of life. Further research is needed. In this paper, we propose a portable system for real-time detection of stress based on multiple biosignals such as electroencephalography, electrocardiography, electromyography, and galvanic skin response. In order to validate our system, we conducted a study using a previously published and well-established methodology. In our study, ten subjects were stressed and then relaxed while their biosignals were simultaneously recorded with the portable system. The results show that our system can classify three levels of stress (stress, relax, and neutral) with a resolution of a few seconds and 86% accuracy. This suggests that the proposed system could have a relevant impact on people’s lives. It can be used to prevent stress episodes in many situations of everyday life such as work, school, and home.

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Section: Introductionmentioning

confidence: 99%

Portable System for Real-Time Detection of Stress Level

Minguillón

Pérez

López-Gordo

et al. 2018

Sensors

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“…Privacy and data handling, which describes how much patients feel that their privacy is protected and how accountable the people/organizations with whom their data is shared will use it for genuinely medical reasons. For instance, one trial asked patients how much they agreed with the statement “My privacy was protected when I used the system” [ 26 ]. A total of 3 (5%) trials measured this patient perception.…”

Section: Resultsmentioning

confidence: 99%

“…Independence, which describes how the BMD may impact patients’ dependence on others or automation to conduct tasks. For instance, one trial asked participants how much they agreed with the statement “I felt that I needed someone's help to be able to use the system” [ 26 ]. A total of 9 (16%) trials measured this patient perception.…”

Section: Resultsmentioning

confidence: 99%

Identification of Patient Perceptions That Can Affect the Uptake of Interventions Using Biometric Monitoring Devices: Systematic Review of Randomized Controlled Trials

et al. 2020

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Background Biometric monitoring devices (BMDs) are wearable or environmental trackers and devices with embedded sensors that can remotely collect high-frequency objective data on patients’ physiological, biological, behavioral, and environmental contexts (for example, fitness trackers with accelerometer). The real-world effectiveness of interventions using biometric monitoring devices depends on patients’ perceptions of these interventions. Objective We aimed to systematically review whether and how recent randomized controlled trials (RCTs) evaluating interventions using BMDs assessed patients’ perceptions toward the intervention. Methods We systematically searched PubMed (MEDLINE) from January 1, 2017, to December 31, 2018, for RCTs evaluating interventions using BMDs. Two independent investigators extracted the following information: (1) whether the RCT collected information on patient perceptions toward the intervention using BMDs and (2) if so, what precisely was collected, based on items from questionnaires used and/or themes and subthemes identified from qualitative assessments. The two investigators then synthesized their findings in a schema of patient perceptions of interventions using BMDs. Results A total of 58 RCTs including 10,071 participants were included in the review (the median number of randomized participants was 60, IQR 37-133). BMDs used in interventions were accelerometers/pedometers (n=35, 60%), electrochemical biosensors (eg, continuous glucose monitoring; n=18, 31%), or ecological momentary assessment devices (eg, carbon monoxide monitors for smoking cessation; n=5, 9%). Overall, 26 (45%) trials collected information on patient perceptions toward the intervention using BMDs and allowed the identification of 76 unique aspects of patient perceptions that could affect the uptake of these interventions (eg, relevance of the information provided, alarm burden, privacy and data handling, impact on health outcomes, independence, interference with daily life). Patient perceptions were unevenly collected in trials. For example, only 5% (n=3) of trials assessed how patients felt about privacy and data handling aspects of the intervention using BMDs. Conclusions Our review showed that less than half of RCTs evaluating interventions using BMDs assessed patients’ perceptions toward interventions using BMDs. Trials that did assess perceptions often only assessed a fraction of them. This limits the extrapolation of the results of these RCTs to the real world. We thus provide a comprehensive schema of aspects of patient perceptions that may affect the uptake of interventions using BMDs and which should be considered in future trials. Trial Registration PROSPERO CRD42018115522; https://tinyurl.com/y5h8fjgx

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“…Participants in the intervention group will be asked questions on the acceptability of the text message intervention using modified Marshfield usability survey tools. 45 46 In-depth interview with intervention group (5-6) participants will be conducted to explore their perceptions and experiences of mobile phone text message interventions.…”

Section: Data Collection Proceduresmentioning

confidence: 99%

“…Feasibility and acceptability of the intervention will be assessed by the level of completeness and by follow-up qualitative interviews with a subsample of the intervention group participants. The acceptability of the text message intervention using Marshfield usability scale questions 45 46 would be assessed based on the age, gender and education using chi-square test. Qualitative interviews will be transcribed, and line-by-line coding will be conducted to generate the codes.…”

Section: Data Collection Proceduresmentioning

confidence: 99%

Theory-based mobile phone text messaging intervention for blood pressure control (TEXT4BP) among hypertensive patients in Nepal: study protocol for a feasibility randomised controlled trial

Bhandari¹,

Narasimhan

Vaidya

et al. 2020

BMJ Open

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IntroductionUncontrolled blood pressure is one of the main risk factors for cardiovascular disease and death in Low-income and middle-income countries. Improvements to medication adherence and lifestyle changes can be assisted by using mobile phone text messaging interventions. This study aims to test the feasibility and acceptability of a text messaging intervention for blood pressure control ‘(TEXT4BP)’, developed based on behavioural change theory to improve treatment adherence and lifestyle change among hypertensive patients in Nepal.Methods and analysisThe TEXT4BP intervention will be tested using a two-arm parallel-group, unblinded, individually randomised controlled trial. This feasibility study would recruit 200 clinically diagnosed hypertensive patients aged 18–69 years, currently receiving blood pressure-lowering medication for more than 3 months, visiting a tertiary healthcare facility in Kathmandu, Nepal. A nested qualitative study will assess the acceptability of the short message service intervention. The intervention group will receive text messages containing information on hypertension, diet, medication and physical activity three times a week for 3 months. The control group will receive standard care. At baseline and 3 months, measures of medication adherence, salt intake, physical activity and blood pressure will be collected. Feasibility measures, such as differential rates of recruitment and attrition rates, will be calculated. Acceptability of text message interventions will be studied using usability measures and in-depth interviews among intervention group participants. This pilot study is not funded.Ethics and disseminationThis study has received ethics approval from the University of New South Wales Human Research Ethics Committee B (HC190357), Nepal Health Research Council (302/2019) and Institutional Review Committee of Kathmandu Medical College and Teaching Hospital Kathmandu, Nepal (030520192). The findings of the study will be disseminated through peer-reviewed publications and conference presentations.Trial registration numberACTRN12619001213134.

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A mHealth-based care model for improving hypertension control in stroke survivors: Pilot RCT

Abstract: gov: NCT01875094.

Cited by 38 publications

References 29 publications

Portable System for Real-Time Detection of Stress Level

Portable System for Real-Time Detection of Stress Level

Identification of Patient Perceptions That Can Affect the Uptake of Interventions Using Biometric Monitoring Devices: Systematic Review of Randomized Controlled Trials

Theory-based mobile phone text messaging intervention for blood pressure control (TEXT4BP) among hypertensive patients in Nepal: study protocol for a feasibility randomised controlled trial

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