Effectiveness of Mobile Phone-Based Interventions for Improving Health Outcomes in Patients with Chronic Heart Failure: A Systematic Review and Meta-Analysis

Abstract

Mobile phone-based interventions are increasingly used to prevent adverse health outcomes in heart failure patients. However, the effects of mobile phone-based interventions on the health outcomes of heart failure patients remain unclear. Our review aims to synthesize the randomized controlled trials (RCT) of mobile phone-based interventions for heart failure patients and identify the intervention features that are most effective. Electronic searches of RCTs published from January 2000 to July 2019 were conducted. Primary outcomes included all-cause mortality, readmission, emergency department visits, length of hospital stays, and quality of life. Secondary outcomes were self-care behaviors, including medication adherence and other clinical outcomes. A total of eight studies with varying methodological quality met the inclusion criteria and were analyzed. Voice call intervention was more frequently used compared with telemonitoring and short message services. Our meta-analysis showed that voice call interventions had significant effects on the length of hospital stays. However, no significant effects on all-cause mortality, readmission, emergency department visits, or quality of life were found. Compared to other mobile phone-based interventions, voice calls were more effective in reducing the length of hospital stay. Future studies are needed to identify which features of mobile phone-based intervention most effectively improve health outcomes.

Harnessing technological solutions for childhood obesity prevention and treatment: a systematic review and meta-analysis of current applications

“…Furthermore, the aim of the present review was on advancing the current state of evidence by focusing on recent and current technology interventions. Phone calls were included as technology in this review as this approach to delivering telemedicine is often included in mHealth reviews [ 14 , 15 ] and represents one way that technology reduces barriers to treatment by remotely delivering intervention components through mobile devices.…”

Telehealth Interventions to Support Self-Management in Stroke Survivors: A Systematic Review

“…This is consistent with the SM support interventions that can be loaded into the messaging delivery type identified in this review. Tele-communication can be adopted to improve the management of LTCs [ 40 , 41 ], and direct interactions, such as voice calls, between clients and healthcare professionals can contribute to building confidence with providing information and receiving immediate feedback [ 42 ]. The selected studies in this review used bidirectional telecommunication with phone calls or video conferencing, which were delivered for the purpose of monitoring psychological symptoms, medication adherence, and SM support education.…”

Telemonitoreo de pacientes con enfermedades avanzadas no curables: Revisión narrativa y experiencia inicial en el programa de visita domiciliar del Centro Nacional de Control del Dolor y Cuidados Paliativos durante la emergencia nacional relacionada con C

“…El paciente y el médico pueden interactuar virtualmente a través de tecnología de video en tiempo real o asincrónicamente almacenando y reenviando datos clínicos, como informes médicos, formularios, imágenes y grabaciones de video, para ser interpretados en un momento posterior (9). Existen estudios que han demostrado resultados positivos en pacientes enfermedades crónicas progresivas como falla cardiaca (10,11). Enfermedad Pulmonar Obstructiva Crónica (12), hepatopatía crónica(13) así como en pacientes con cáncer (14,15).…”