Randomised control trials using short messaging services (SMS) in hypertension treatment – convenient telemedicine interventions

Calling, Susanna; Thulesius, Hans

doi:10.1080/02813432.2022.2159636

Cited by 1 publication

(2 citation statements)

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“…Regarding the need for more ‘eureka moments’, i.e., more new advice or eye-opening suggestions, parallels are harder to find in prior research. A possible explanation is that our primary care, high-income setting involved patients with less serious conditions [ 9 , 15 , 16 ] and/or more knowledge [ 13 , 14 , 32 ] than populations of other studies, resulting in a need for stronger stimuli to change – which participants were also capable of expressing.…”

Section: Discussionmentioning

confidence: 99%

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‘In the end, I’m the one who has to do the job’: Participant experience of a lifestyle intervention for patients with hypertension

Glock,

Borgström Bolmsjö,

Milos Nymberg

et al. 2023

Scandinavian Journal of Primary Health Care

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Objective Cardiovascular disease can be prevented through lifestyle changes, but such changes are often hard to attain. Text message interventions with lifestyle advice have shown small but promising effects. Our objective was to explore participant experience of a text message lifestyle intervention for patients with hypertension, and implications for future lifestyle interventions. Design and subjects Fourteen participants were purposefully selected for telephone interviews after completion of a text message lifestyle intervention. A semi-structured interview guide with open-ended questions was used. Interviews were recorded and transcribed verbatim. The material was analyzed through systematic text condensation as described by Malterud, a data-driven analysis style that includes deductive elements. Setting Primary care in three regions in southern Sweden. Results The analysis resulted in three themes. ‘Blood pressure and lifestyle, how seriously to take it?’ revealed a remaining need for knowledge regarding to what extent lifestyle affects risk for cardiovascular disease. ‘The text messages – a useful reminder in need of tailoring’ described that the design of the intervention was satisfactory, but suggested improvements through increased individualization. Finally, ‘Water off a duck’s back or a kick in the pants – when does behavior change?’ showed how some participants responded to the push to change while others did not, supplying material for further analysis in a framework of behavioral change theory. Conclusion A key to adoption was advice that was applicable in daily life. Timing in relation to a diagnosis of hypertension or other motivational factors, and tailoring to prior knowledge, habits, and limitations could increase effectiveness.

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Section: Discussionmentioning

confidence: 99%

“…Digital interventions have been put forth as one way to improve prevention [ 8 , 9 ]. A meta-analysis of randomized controlled trials (RCTs) that employed digital interventions for risk factor modification in patients with CVD showed effects on healthy habits, but not on unhealthy habits or clinical outcomes [ 10 ].…”

Section: Introductionmentioning

confidence: 99%