Previously submitted to: JMIR mHealth and uHealth (no longer under consideration since Feb 16, 2022)
Date Submitted: Mar 29, 2021
Open Peer Review Period: Mar 29, 2021 - May 24, 2021
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The role of mobile health systems in improving hypertension management and awareness: a systematic review
ABSTRACT
Background:
Elevated blood pressure (BP), or hypertension, is a serious medical issue that affects the function of almost all other body organs, including the heart, brain and kidneys, and is a major cause of related diseases. High BP is known as the "silent killer" because in most cases, the patient feels no warning signs or symptoms. Lack of or late detection of this disease may cause more complications or even life-threatening consequences. For this reason, it is essential that BP is measured, logged, and reported regularly. Regular preventive visits to healthcare providers just for BP measurement and tracking may not be feasible for most people. To address this, recent studies have focused on self-management of hypertension using cellular phone technologies, which has been proven to be an effective tool for early detection and control of high BP without affecting patients’ daily routines.
Objective:
To identify the limitations, shortcomings, and gaps in the research related to the impact of mobile technology for managing hypertension.
Methods:
This study was conducted in June, 2020 and we surveyed some existing self-monitoring systems and evaluated their effectiveness and compared them with each other.
Results:
We investigated the existing systems in terms of methods used, sample size, type of investigation, input and output attributes, rate of success in controlling BP, group of users with higher response rate and beneficiaries, and acceptability and adherence of the system. We identified some limitations, shortcomings, and gaps in the research related to the impact of mobile technology for managing hypertension. These shortcomings can inform future research, enabling it to become more realistic and adaptive.
Conclusions:
Based on limitations founded in existing system we have recommended including more observable factors and human behaviors that affect BP. Furthermore we suggested that vital monitoring/logging and medication tuning are not enough to improve control of hypertension, as there is also a need to observe and alter patient behavior and lifestyles.
Citation
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