Utilizing a Mobile Health Intervention to Manage Hypertension in an Underserved Community

Zha, Peijia; Qureshi, Rubab; Porter, Sallie; Chao, Ying-Yu; Pacquiao, Dula F.; Chase, Sabrina M.; O’Brien-Richardson, Patricia

doi:10.1177/0193945919847937

Cited by 46 publications

(131 citation statements)

References 35 publications

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“…Moreover, in this study, the greater pooled improvements reached significance for SBP. Our result was consistent with those of the studies by Zha, 46 Haas et al 47 and Nolan et al, 48 which illustrated that eHealth interventions effectively improved the level of SBP. This effect might be because eHealth interventions could be more flexibly fitted to MetS patients' lives and promote greater adherence to the lifestyle programme.…”

Section: Discussionsupporting

confidence: 93%

Effect of electronic health interventions on metabolic syndrome: a systematic review and meta-analysis

Chen

Tang

et al. 2020

BMJ Open

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ObjectiveWe aimed to examine whether eHealth interventions can effectively improve anthropometric and biochemical indicators of patients with metabolic syndrome (MetS).DesignSystematic review and meta-analysis.MethodsPubMed, the Web of Science, Embase, Medline, CINAHL, PsycINFO, the Cochrane Library, the Chinese National Knowledge Infrastructure, the Wanfang and Weipu databases were comprehensively searched for papers that were published from database inception to May 2019. Articles were included if the participants were metabolic syndrome (MetS) patients, the participants received eHealth interventions, the participants in the control group received usual care or were wait listed, the outcomes included anthropometric and biochemical indicators of MetS, and the study was a randomised controlled trial (RCT) or a controlled clinical trial (CCT). The Quality Assessment Tool for Quantitative Studies was used to assess the methodological quality of the included articles. The meta-analysis was conducted using Review Manager V.5.3 software.ResultsIn our review, seven RCTs and two CCTs comprising 935 MetS participants met the inclusion criteria. The results of the meta-analysis revealed that eHealth interventions resulted in significant improvements in body mass index (standardised mean difference (SMD)=−0.36, 95% CI (−0.61 to −0.10), p<0.01), waist circumference (SMD=−0.47, 95% CI (−0.84 to −0.09), p=0.01) and systolic blood pressure(SMD=−0.35, 95% CI (−0.66 to −0.04), p=0.03) compared with the respective outcomes associated with the usual care or wait-listed groups. Based on the included studies, we found significant effects of the eHealth interventions on body weight. However, we did not find significant positive effects of the eHealth interventions on other metabolic parameters.ConclusionsThe results indicated that eHealth interventions were beneficial for improving specific anthropometric outcomes, but did not affect biochemical indicators of MetS. Therefore, whether researchers adopt eHealth interventions should be based on the purpose of the study. More rigorous studies are needed to confirm these findings.

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Section: Discussionsupporting

confidence: 93%

Effect of electronic health interventions on metabolic syndrome: a systematic review and meta-analysis

Chen

Tang

et al. 2020

BMJ Open

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“…It causes chronic kidney disease and cardiovascular disease and can lead to problems such as heart attacks, stroke, kidney failure, blindness, rupture of blood vessels and cognitive disorders (2)(3)(4). Hypertension is defined systolic blood pressure of 130 mm Hg or higher and diastolic blood pressure of 80 mm Hg or higher (5). Hypertension is also one of the preventable risk factors for disability and early mortality in the world.…”

Section: Introductionmentioning

confidence: 99%

“…Studies in recent years have reported the positive impact of using mobile capabilities on self-care in patients with hypertension (5,13). Some studies have also questioned the efficacy of using this technology in these patients (14).…”

Section: Introductionmentioning

confidence: 99%

The Effects of Smartphone Applications on Patients Self-care with Hypertension: A Systematic Review Study

2019

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Introduction: High blood pressure or hypertension is one of the chronic diseases causing other serious diseases and syndromes. Active involvement of the patient in the management of the disease is crucial in improving self-care and clinical outcomes. Mobile technology is nowadays used widely to improve the self-care process in people with chronic diseases such as hypertension. Aim: The objective of this study was to provide an overview of the existing research evaluating the impact of mobile applications on the self-care of patients with hypertension. Methods: The Scopus and PubMed databases were investigated using a comprehensive search strategy from the beginning of 2010 to 2019. All controlled clinical trial studies as well as quasi-experimental studies used mobile as a device for improving the self-care and conducted on patients with hypertension were included in the study. The studies were reviewed by two independent individuals. Results: Out of 1032 studies found, 6 studies were finally reviewed after applying the inclusion criteria. Out of 6 studies reviewed, three studies confirmed the effect of using mobile applications on lowering blood pressure. Other studies reported a decline in blood pressure, while statistically significant were not shown. Conclusion: The results showed that mobile apps have positive potential on improving the self-care behavior of patients with hypertension, but the evidences presenting their impact are varied. Different reports for efficiency of mobile phone apps for the self-care modification was due to diverse condition of studies for mobile intervention on the patients with hypertension.

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“…The study interventions were selected due to strong evidence of effectiveness in resource‐constrained settings. One effective primary care intervention is nurse‐led adherence clubs, another is incorporating text‐messages into hypertension care (Khabala et al ; Zha et al ). Nurse‐led clubs studied in Kenya and South Africa judiciously used nurse time, expanded access to care and enhanced medication adherence (Khabala et al ).…”

Section: Introductionmentioning

confidence: 99%

“…Nurse‐led clubs studied in Kenya and South Africa judiciously used nurse time, expanded access to care and enhanced medication adherence (Khabala et al ). Texting is a practical, low‐cost intervention that has enhanced adherence and improved outcomes in numerous clinical environments (Zha et al ). The practice intervention tested in this study was a bundle of monthly nurse‐led adherence clubs focusing on education with the addition of weekly text message reinforcement, referred to as the Bundled Education and Support with Text (BEST) intervention.…”

Section: Introductionmentioning

confidence: 99%

Nurse‐led interventions in the interim: waiting on universal health coverage

Spies

Nanyonga

Nakaggwa

2019

International Nursing Review

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Aim The aim of the study was to test a nurse‐led intervention to enhance lifestyle modification and improve hypertension outcomes. Background Hypertension is the leading modifiable contributor to non‐communicable disease morbidity and mortality affecting more than 25% of adults in Uganda. Methods A mixed‐method study was conducted to evaluate nurse‐led interventions for hypertension. Group education and support with text message follow‐up was the bundled interventions implemented in an outpatient clinical setting. Conclusion and implications The statistically favourable outcomes of the nurse‐led interventions support a cost‐effective approach to, with policy support, sustainably improve practice outcomes.

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Utilizing a Mobile Health Intervention to Manage Hypertension in an Underserved Community

Cited by 46 publications

References 35 publications

Effect of electronic health interventions on metabolic syndrome: a systematic review and meta-analysis

Effect of electronic health interventions on metabolic syndrome: a systematic review and meta-analysis

The Effects of Smartphone Applications on Patients Self-care with Hypertension: A Systematic Review Study

Nurse‐led interventions in the interim: waiting on universal health coverage

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