Mobile phone text messaging for improving secondary prevention in cardiovascular diseases: A systematic review

Ünal, Eda; Giakoumidakis, Konstantinos; Khan, E.U.; Patelarou, Evridiki

doi:10.1016/j.hrtlng.2018.05.009

Cited by 22 publications

(22 citation statements)

References 25 publications

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“…The study discussed that incorporating principles of behavioural change may help promote and sustain healthy lifestyle behaviours in patients with CVD, resulting in better outcomes 11. Another systematic review of mobile phone text messaging for improving secondary prevention in CVD suggested that text messaging might be beneficial for secondary prevention of CVD but failed to draw reliable conclusions 10. A 2017 systematic review identified six studies using text messaging for hypertension management but did not perform meta-analysis due to variation in the studies 34.…”

Section: Discussionmentioning

confidence: 99%

“…Much of the fervour around mHealth has been because of the potential seen to reduce socioeconomic disparity and to deliver a scalable low-cost intervention to a wide population and thus alleviate the burden of CVD 9. Two systematic reviews on mHealth interventions for secondary prevention of CVD reported that mHealth offers potential for improving CVD secondary prevention 10 11. The 2018 review7 included 9 (n=3637) studies using text messaging, and the 2016 study8 included 28 studies (n=3820) using mHealth technologies (including text messaging, mobile apps and internet); neither of the reviews performed meta-analysis.…”

Section: Introductionmentioning

confidence: 99%

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Mobile phone text-messaging interventions aimed to prevent cardiovascular diseases (Text2PreventCVD): systematic review and individual patient data meta-analysis

et al. 2019

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BackgroundA variety of small mobile phone text-messaging interventions have indicated improvement in risk factors for cardiovascular disease (CVD). Yet the extent of this improvement and whether it impacts multiple risk factors together is uncertain. We aimed to conduct a systematic review and individual patient data (IPD) meta-analysis to investigate the effects of text-messaging interventions for CVD prevention.MethodsElectronic databases were searched to identify trials investigating a text-messaging intervention focusing on CVD prevention with the potential to modify at least two CVD risk factors in adults. The main outcome was blood pressure (BP). We conducted standard and IPD meta-analysis on pooled data. We accounted for clustering of patients within studies and the primary analysis used random-effects models. Sensitivity and subgroup analyses were performed.ResultsNine trials were included in the systematic review involving 3779 participants and 5 (n=2612) contributed data to the IPD meta-analysis. Standard meta-analysis showed that the weighted mean differences are as follows: systolic blood pressure (SBP), −4.13 mm Hg (95% CI −11.07 to 2.81, p<0.0001); diastolic blood pressure (DBP), −1.11 mm Hg (−1.91 to −0.31, p=0.002); and body mass index (BMI), −0.32 (−0.49 to −0.16, p=0.000). In the IPD meta-analysis, the mean difference are as follows: SBP, −1.3 mm Hg (−5.4 to 2.7, p=0.5236); DBP, −0.8 mm Hg (−2.5 to 1.0, p=0.3912); and BMI, −0.2 (−0.8 to 0.4, p=0.5200) in the random-effects model. The impact on other risk factors is described, but there were insufficient data to conduct meta-analyses.ConclusionMobile phone text-messaging interventions have modest impacts on BP and BMI. Simultaneous but small impacts on multiple risk factors are likely to be clinically relevant and improve outcome, but there are currently insufficient data in pooled analyses to examine the extent to which simultaneous reduction in multiple risk factors occurs.PROSPERO registration numberCRD42016033236.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Mobile phone text-messaging interventions aimed to prevent cardiovascular diseases (Text2PreventCVD): systematic review and individual patient data meta-analysis

et al. 2019

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“…Unal et al, ( 46 ) present a study is to identify, retrieve, critically appraise and synthesize information regarding existing mobile phone text messaging interventions that have been done for secondary prevention of cardiovascular disease (CVD).…”

Section: Resultsmentioning

confidence: 99%

Evaluation of mHealth Applications Related to Cardiovascular Diseases: a Systematic Review

Villarreal¹,

Berbey-Alvarez²

2020

Acta Inform Med

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Introduction: Currently, with the widespread penetration of mobile devices with Internet access, including smartphones, they can allow specific and/or complementary activities in the health field as well as in other commercial sectors. Aim: This systematic review examined the impact of mHealth-based for cardiovascular research. The specific aims of the systematic review are to ( 1 ) classification of the studies according to the type of research (scientific articles and master’s and doctoral theses) and ( 2 ) relationship of studies with topics associated with cardiovascular diseases. Results: This review corresponds to information in scientific journals of high impact. This review intends to respond to the following question: How these research works have evaluated the performance of health mobile applications, with a special interest in cardiac issues? This review of these searches corresponds to an analysis by 14 categories, being these: 1) Scientific paper; 2) Doctoral Thesis; 3) Master thesis; 4) Telemedicine; 5) m-sssshealth, e-health; 6) cardiovascular, coronary diseases, heart failures, cardiopulmonary, cardiac rehabilitation; 7) rural health; 8) prevention and control, protection; 9) wearables; 10) mobile, web applications, app, smartphone, software, platform; 11) mhealth education, training, promotion, formative process; 12) self-management; 13) Multiple Vital Sign Monitoring, medical device, heart rate measurement, health care information systems; 14) health regulatory. It provides evidence of how some apps have been evaluated, and in some cases, the effectiveness of the estimated accuracy is not in line with the real situation. Conclusion: The analysis of these studies allows us to locate the sources of the development of mobile health projects. It also guides us to discover some needs that require new technology implementations.

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“…Participants had a positive response to messages and felt that they aided adherence but had a mixed response in terms of their aid in improving confidence to continue the program. A recent Cochrane review in utilising text message support for preventive health (n = 1933) [29] and a meta-analysis of the use of text message support for secondary prevention of cardiovascular disease (n = 949) [30] found that while text messages may support preventive health care, evidence is too limited to draw reliable conclusions. A meta-analysis published recently shows promising results in the use of tailored text message support for self-management of type 2 diabetes (n = 949), delivering a significant improvement in HbA1C values [g = 0.54 (95% CI: 0.009, 0.99); p = < 0.0001)] [31].…”

Section: Discussionmentioning

confidence: 99%

Feasibility of the AusMed Diet Program: Translating the Mediterranean Diet for Older Australians

et al. 2020

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The Mediterranean diet pattern (MEDI) is associated with a lower risk of chronic conditions related to ageing. Adherence research mostly comes from Mediterranean countries with high cultural acceptability. This study examines the feasibility of a MEDI intervention designed specifically for older Australians (AusMed). Phase 1 involved a consumer research group (n = 17) presentation of program materials with surveys after each section. In-depth individual semi-structured interviews (n = 6) were then conducted. All participants reported increased knowledge and confidence in adherence to the MEDI, with the majority preferring a booklet format (70%) and group delivery (58%). Three themes emerged from interviews—1. barriers (complexity, perceived cost and food preferences), 2. additional support and 3. individualisation of materials. Program materials were modified accordingly. Phase 2 was a 2-week trial of the modified program (n = 15). Participants received a group counselling session, program manual and food hamper. Adherence to the MEDI was measured by the Mediterranean Diet Score (MDS). All participants increased their adherence after the 2-week trial, from a mean score of 5.4 ± 2.4 (low adherence) to a mean score of 9.6 ± 2.0 (moderate to high adherence). All found that text message support helped achieve their goals and were confident to continue the dietary change.

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Mobile phone text messaging for improving secondary prevention in cardiovascular diseases: A systematic review

Cited by 22 publications

References 25 publications

Mobile phone text-messaging interventions aimed to prevent cardiovascular diseases (Text2PreventCVD): systematic review and individual patient data meta-analysis

Mobile phone text-messaging interventions aimed to prevent cardiovascular diseases (Text2PreventCVD): systematic review and individual patient data meta-analysis

Evaluation of mHealth Applications Related to Cardiovascular Diseases: a Systematic Review

Feasibility of the AusMed Diet Program: Translating the Mediterranean Diet for Older Australians

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